Dietary Habits and Weight Maintenance Success in High Versus Low Exercisers in the National Weight Control Registry
Dietary Habits and Weight Maintenance Success in High Versus Low Exercisers in the National Weight Control Registry
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DOI：
10.1123/jpah.2012-0250
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发表时间：
2014-11-01
影响因子：
3.1
通讯作者：
Wyatt, Holly
中科院分区：
文献类型：
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作者：
Catenacci, Victoria Anne;Odgen, Lorraine;Wyatt, Holly
背景：国家体重控制登记处（NWCR）的建立是为了检查成功减肥维持者的特征。本研究比较了不同体力活动水平的NWCR成员的饮食和行为特征以及体重恢复轨迹。方法：参与者（n = 3591）在注册时被分为4个自我报告的PA水平（< 1000,1000至< 2250,2250至< 3500,>= 3500 kcal /week）。我们比较了自我报告的能量摄入（EI）、常量营养素组成、饮食行为（饮食限制、饥饿和解除抑制）、减肥维持策略和这4个活动组的3年体重恢复情况。结果：那些在登记时PA最高的人减掉的体重最多，并且报告了更低的脂肪摄入量，更多的饮食限制，更多地依赖于几种特定的饮食策略来维持体重减轻。尽管PA水平较低，而且没有更多地依赖饮食策略，但那些PA水平最低的人仍能保持体重减轻。在PA组之间，第3年体重恢复的几率没有差异。结论：这些发现表明，对于成功的减肥维持并不存在“一刀切的策略”，减肥维持可能需要一些人使用比其他人更多的策略。
Background: The National Weight Control Registry (NWCR) was established to examine characteristics of successful weight loss maintainers. This study compares the diet and behavioral characteristics and weight regain trajectories of NWCR members with differing physical activity (PA) levels at baseline. Methods: Participants (n = 3591) were divided into 4 levels of self-reported PA at registry entry (< 1000, 1000 to < 2250, 2250 to < 3500, and >= 3500 kcals/week). We compared self-reported energy intake (EI), macronutrient composition, eating behaviors (dietary restraint, hunger, and disinhibition), weight loss maintenance strategies, and 3 year weight regain between these 4 activity groups. Results: Those with the highest PA at registry entry had lost the most weight, and reported lower fat intake, more dietary restraint, and greater reliance on several specific dietary strategies to maintain weight loss. Those in the lowest PA category maintained weight loss despite low levels of PA and without greater reliance on dietary strategies. There were no differences in odds of weight regain at year 3 between PA groups. Conclusions: These findings suggest that there is not a "one size fits all strategy" for successful weight loss maintenance and that weight loss maintenance may require the use of more strategies by some individuals than others.