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目的本文旨在验证量身定制的生活方式干预能够帮助基层医疗中肥胖、久坐不动患者实现减肥和身体活动增加。方法在罗得岛州进行24个月的随机临床试验。基层医疗医生选取积极减肥和增加中等强度身体活动的肥胖、久坐不动患者。将患者随机分为增强干预(EI)组和标准干预(SI)组。两组均进行3次面对面减肥会议。结果从24家基层医疗机构中共纳入211例肥胖、久坐不动患者,其中女性占79%,少数民族占16%,平均年龄为48.6岁,平均BMI为37.8 kg/m2,每周进行21.2 min的中等强度身体活动。EI组基线体质量减轻5%的患者多于SI组,差异有统计学意义(P<0.001)。EI组中等强度身体活动时间长于SI组,差异有统计学意义(P=0.04)。结论以家庭为基础的量身定制生活方式干预能够有效促进基层医疗中肥胖、久坐不动患者减肥,提升其中等强度身体活动。
Purpose This paper aims to demonstrate that tailored lifestyle interventions can help obese and sedentary patients in primary care achieve weight loss and increase physical activity. Methods A 24-month randomized clinical trial was performed in Rhode Island. Primary health care practitioners choose to lose weight and increase moderate-intensity physical activity of obesity, sedentary patients. Patients were randomly divided into enhanced intervention (EI) group and standard intervention (SI) group. Two groups were 3 face-to-face weight loss meeting. Results A total of 211 obese and sedentary patients were recruited from 24 grass-roots medical institutions. Among them, 79% were females, 16% were ethnic minorities, with an average age of 48.6 years and an average BMI of 37.8 kg / m2, 21.2 min per week Medium-intensity physical activity. EI group baseline body mass loss of 5% more than the SI group, the difference was statistically significant (P <0.001). The intensity of moderate intensity physical activity in EI group was longer than that in SI group, the difference was statistically significant (P = 0.04). Conclusion Tailored home-based lifestyle interventions can effectively promote obesity in the primary care, reduce weight loss in sedentary patients, and promote moderate-intensity physical activity.