What is a reasonable weight loss? Patients' expectations and evaluations of obesity treatment outcomes.
What is a reasonable weight loss? Patients' expectations and evaluations of obesity treatment outcomes.
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什么是合理的减肥呢？
DOI：
10.1037//0022-006x.65.1.79
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发表时间：
1997
影响因子：
5.9
通讯作者：
Brewer,G
中科院分区：
文献类型：
--
作者：
Foster,GD;Wadden,TA;Vogt,RA;Brewer,G
专家小组和政府指南现在建议肥胖者寻求适度（即“合理”）的体重减轻，而不是追求“理想”的体重。然而，人们对患者对什么是“合理”减肥的看法知之甚少。这项研究评估了患者的目标，期望和各种结果的评估之前，期间和48周的治疗后。治疗前，60名肥胖妇女（99.1±12.3 kg;体重指数36.3±4.3 kg/m-2）定义了她们的目标体重和4个其他体重：“梦想体重”、”快乐体重”、”可接受体重”和”失望体重“。“目标体重平均减少32%的体重。体重减轻17公斤被定义为失望;减轻25公斤是可以接受的。经过48周的治疗和16公斤的体重减轻，47%的患者甚至没有达到令人失望的体重。这些数据说明了患者的期望和专业建议之间的巨大差距，以及帮助患者接受更温和的减肥结果的必要性。（PsycInfo数据库记录（c）2016阿帕，保留所有权利）
Expert panels and governmental guidelines now recommend that obese persons seek modest (ie," reasonable") reductions in body weight rather than striving for" ideal" weights. Little is known, however, about patients' views of what is a" reasonable" weight loss. This study assessed patients' goals, expectations, and evaluations of various outcomes before, during, and after 48 weeks of treatment. Before treatment, 60 obese women (99.1±12.3 kg; body mass index of 36.3±4.3 kg/m–2) defined their goal weight and 4 other weights:" dream weight";" happy weight";" acceptable weight"; and" disappointed weight." Goal weight averaged a 32% reduction in body weight. A 17-kg weight loss was defined as disappointed; a 25-kg loss, was acceptable. After 48 weeks of treatment and a 16-kg weight loss, 47% of patients did not achieve even a disappointed weight. These data illustrate the dramatic disparity between patients' expectations and professional recommendations and the need to help patients accept more modest weight loss outcomes.(PsycINFO Database Record (c) 2016 APA, all rights reserved)