Long-term maintenance of weight loss: Current status
Long-term maintenance of weight loss: Current status
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DOI：
10.1037/0278-6133.19.suppl1.5
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发表时间：
2000-01-01
影响因子：
4.2
通讯作者：
Hill, DR
中科院分区：
文献类型：
--
作者：
Jeffery, RW;Drewnowski, A;Hill, DR
从经验和概念上对促进长期减肥的干预策略进行了检验。过去 20 年的体重控制研究极大地提高了短期治疗效果，但在改善长期成功方面却不太成功。对青春期前儿童的干预显示出比成人更大的长期疗效。延长治疗时间并更加重视能量消耗已适度改善成人的长期减肥效果。需要新的想法来推动该领域的发展。建议的研究重点是患者保留率、自然史、摄入和支出评估、肥胖表型、关键时期的青春期、行为偏好强化值、体力活动和社会支持、新概念模型与行为治疗的更好联系，以及药理学和行为方法之间的接口。
Intervention strategies for promoting long-term weight loss are examined empirically and conceptually. Weight control research over the last 20 years has dramatically improved short-term treatment efficacy but has been less successful in improving long-term success. Interventions in preadolescent children show greater long-term efficacy than in adults. Extending treatment length and putting more emphasis on energy expenditure have modestly improved long-term weight loss in adults. Fresh ideas are needed to push the field forward. Suggested research priorities are patient retention, natural history, assessment of intake and expenditure, obesity phenotypes, adolescence at a critical period, behavioral preference-reinforcement value, physical activity and social support, better linkage of new conceptual models to behavioral treatments, and the interface between pharmacological and behavioral methods.