Small weight gains during obesity treatment: normative or cause for concern?
Small weight gains during obesity treatment: normative or cause for concern?
复制标题
DOI：
10.1002/osp4.73
复制
发表时间：
2016-12
影响因子：
2.2
通讯作者：
Butryn, Meghan L
中科院分区：
文献类型：
--
作者：
Schumacher, Leah M;Gaspar, Monika;Remmert, Jocelyn E;Zhang, Fengqing;Forman, Evan M;Butryn, Meghan L
该研究的目的是描述行为减肥治疗期间体重小幅增加的频率和大小，并评估体重小幅增加与减肥结果之间的关系。在为期一年的行为减肥计划中，参与者（n = 281）在治疗期间称重，并根据大小将治疗期间的体重增加分为几个类别。在主动体重减轻（第1-6个月）和体重减轻维持（第7-12个月）治疗阶段，检查了不同增重幅度的发生及其与体重减轻的关系。体重增加在两个治疗阶段都很常见，较小的体重增加比较大的体重增加更常见。在两个阶段中，所有增益幅度的频率越高，体重减轻越少。此外，那些只增加了一个或两个体重的最小尺寸（1.0-1.9磅）的参与者比那些没有增加的人减轻了体重。小的收益似乎反映了真实的体重增加，由于对行为建议的遵守不佳，并且与更差的减肥结果相关，即使数量有限。未来的研究应该研究如何最好地防止体重小幅增加，以及临床医生和参与者应该如何应对体重增加，以促进体重控制的成功。
The objectives of the study are to characterize the frequency and size of small weight gains during behavioural weight loss treatment and to evaluate the relationship between small weight gains and weight loss outcomes. Participants (n = 281) in a year‐long behavioural weight loss programme were weighed at treatment sessions, and between‐session weight gains were classified into several categories based on size. The occurrence of different gain magnitudes and their relation to weight loss were examined during both the active weight loss (months 1–6) and weight loss maintenance (months 7–12) phases of treatment. Weight gains were common during both phases of treatment, with smaller gains occurring more frequently than larger gains. Greater frequency of all gain magnitudes was associated with lesser weight loss during both phases. Additionally, participants who had just one or two weight gains of the smallest size examined (1.0–1.9 lb) lost less weight than those who had no gains. Small gains appear to reflect true weight gain due to poor adherence to behavioural recommendations and are associated with worse weight loss outcomes, even when limited in number. Future research should examine how best to prevent small weight gains from occurring and how clinicians and participants should respond when a weight gain does occur to promote weight control success.