Trial of Prevention and Reduction of Obesity Through Active Living in Clinical Settings A Randomized Controlled Trial
Trial of Prevention and Reduction of Obesity Through Active Living in Clinical Settings A Randomized Controlled Trial
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DOI：
10.1001/archinternmed.2011.1972
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发表时间：
2012-03-12
影响因子：
--
通讯作者：
MacDonald, Susan
中科院分区：
文献类型：
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作者：
Ross, Robert;Lam, Miu;MacDonald, Susan
背景资料：身体活动与健康饮食，以减少肥胖的疗效是建立，但是，鲜为人知的是翻译的有效的生活方式策略，减少肥胖症在初级保健settings.Methods：我们评估了2年的行为为基础的身体活动和饮食计划的有效性，完全在临床实践中实施，以减少肥胖。共有490名久坐不动的肥胖成年人被随机分为常规护理组（n=241）和行为干预组（n=249）。常规护理组从医生那里获得了有关生活方式的建议，作为减少肥胖的策略。行为干预包括健康教育者的个人咨询，以促进健康饮食的体育活动。主要结果是腰围（WC）的变化。结果：共有396名参与者完成了试验（80.8%）。与常规护理相比，观察到干预期间WC变化的显著主效应（P
Background: The efficacy of physical activity with a healthful diet to reduce obesity is established; however, little is known about the translation of effective lifestyle strategies for obesity reduction in primary care settings.Methods: We assessed the effectiveness of a 2-year behaviorally based physical activity and diet program implemented entirely within clinical practices to reduce obesity. A total of 490 sedentary, obese adults were randomized to usual care (n=241) or to the behavioral intervention (n=249). The usual care group received advice from their physicians about lifestyle as a strategy for obesity reduction. The behavioral intervention included individual counseling from health educators to promote physical activity with a healthful diet. The primary outcome was change in waist circumference (WC).Results: A total of 396 participants completed the trial (80.8%). A significant main effect was observed for WC change within the intervention compared with usual care (P