A family and community focused lifestyle program prevents weight regain in Pacific Islanders: a pilot randomized controlled trial.

A family and community focused lifestyle program prevents weight regain in Pacific Islanders: a pilot randomized controlled trial.
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DOI:
10.1177/1090198110394174
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发表时间:
2012-08
期刊:
Health education & behavior : the official publication of the Society for Public Health Education
影响因子:
--
通讯作者:
Gomes H
Gomes H
中科院分区:
其他
文献类型:
--
作者:
Kaholokula JK;Mau MK;Efird JT;Leake A;West M;Palakiko DM;Yoshimura SR;Kekauoha BP;Rose C;Gomes H

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防止体重反弹后,多余的体重损失是具有挑战性的人,特别是少数民族在美国的一个6个月的减肥维持干预设计的太平洋岛民,称为皮利生活方式计划(PLP),比较了6个月的标准行为减肥维持计划(SBP)在一个试点随机对照试验使用社区为基础的参与性研究(CBPR)方法。成年太平洋岛民(n=144)在完成3个月的减肥计划后,被随机分配到PLP(n=72)或SBP(n=72)。成功的体重维持定义为参与者干预后体重变化保持在干预前平均体重的≤3%。PLP和SBP受试者均实现了显著的体重减轻维持(p≤0.05)。在完成至少一半规定疗程的参与者中,PLP参与者比SBP参与者更有可能保持其初始体重减轻5.1倍(95%CI =1.06-24; p=0.02)。试点PLP显示,作为一种生活方式干预,以解决太平洋岛民的肥胖差异的承诺,因此值得进一步调查。
Preventing weight regain after the loss of excess weight is challenging for people, especially for ethnic minorities in the U.S. A 6-month weight loss maintenance intervention designed for Pacific Islanders, called the PILI Lifestyle Program (PLP), was compared with a 6-month standard behavioral weight loss maintenance program (SBP) in a pilot randomized controlled trial using a community-based participatory research (CBPR) approach. Adult Pacific Islanders (n=144) were randomly assigned to either PLP (n=72) or SBP (n=72), after completing a 3-month weight loss program. Successful weight maintenance was defined as a participants’ post-intervention weight change remaining ≤3% of their pre-intervention mean weight. Both PLP and SBP participants achieved significant weight loss maintenance (p≤0.05). Among participants who completed at least half of the prescribed sessions, PLP participants were 5.1-fold (95% CI=1.06–24; p=0.02) more likely to have maintained their initial weight loss than SBP participants. The pilot PLP shows promise as a lifestyle intervention to address the obesity-disparities of Pacific Islanders and thus warrants further investigation.
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