Women's Health and Mindfulness (WHAM): A Randomized Intervention Among Older Lesbian/Bisexual Women
Women's Health and Mindfulness (WHAM): A Randomized Intervention Among Older Lesbian/Bisexual Women
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DOI：
10.1177/1524839916670874
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发表时间：
2017-05-01
影响因子：
1.9
通讯作者：
Minnis, Alexandra M.
中科院分区：
文献类型：
--
作者：
Ingraham, Natalie;Harbatkin, Dawn;Minnis, Alexandra M.
导论.女同性恋和双性恋（LB）女性的体重高于异性恋女性。专注于健康和福祉而不是减肥的干预措施可能更有可能在LB女性中取得成功。本文描述了女性健康和正念的影响，这是一项为期12周的试点干预措施，旨在解决正念，健康饮食和身体活动，对40岁以上超重和肥胖LB女性慢性疾病风险相关的结果。法80名妇女被随机分配，采用阶梯楔形设计，立即或延迟开始干预组;延迟开始组作为对照。符合条件的参与者年龄在40岁或以上，被确定为LB，体重指数为27或更高。我们比较了立即和延迟开始干预组之间慢性疾病，正念，营养和体力活动的生物标志物的差异。结果我们观察到低密度脂蛋白胆固醇的临床显著改善，但血红蛋白A1 c没有变化。我们发现了干预对改善正念和正念饮食分数以及营养（改善蔬菜摄入量）的影响的证据。结论.妇女健康和正念试点干预似乎已经启动了积极的行为和身体健康的变化，在这一人群。改进干预模式，如延长干预时间和长期随访，以确定持续的影响是必要的。
Introduction. Lesbian and bisexual (LB) women have higher body weight than heterosexual women. Interventions focused on health and well-being versus weight loss may be more likely to succeed among LB women. This article describes effects of Women's Health and Mindfulness, a 12-week pilot intervention addressing mindfulness, healthy eating, and physical activity, on outcomes associated with chronic disease risk among overweight and obese LB women older than 40 years. Method. Eighty women were randomized, using a stepped-wedge design, to either an immediate- or a delayed-start intervention group; the delayed-start group served as the control. Eligible participants were aged 40 years or older, identified as LB, and had a body mass index of 27 or greater. We compared differences in biological markers of chronic disease, mindfulness, nutrition, and physical activity between immediate- and delayed-start intervention groups. Results. We observed clinically significant improvements in low-density lipoprotein cholesterol but no change in hemoglobin A1c. We found evidence of intervention effects on improved mindfulness and mindful eating scores and on nutrition (improved vegetable intake). Conclusions. The Women's Health and Mindfulness pilot intervention appears to have initiated positive behavioral and physical health changes in this population. Refinements to the intervention model, such as extended intervention duration, and longer term follow-up are warranted to determine sustained effects.