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Behavioral Lifestyle Intervention in the Treatment of Obesity

机译:行为生活方式干预治疗肥胖

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This article provides an overview of research regarding adult behavioral lifestyle intervention for obesity treatment. We first describe two trials using a behavioral lifestyle intervention to induce weight loss in adults, the Diabetes Prevention Program (DPP) and the Look AHEAD (Action for Health in Diabetes) trial. We then review the three main components of a behavioral lifestyle intervention program: behavior therapy, an energy- and fat-restricted diet, and a moderate- to vigorous-intensity physical activity prescription. Research regarding the influence of dietary prescriptions focusing on macronutrient composition, meal replacements, and more novel dietary approaches (such as reducing dietary variety and energy density) on weight loss is examined. Methods to assist with meeting physical activity goals, such as shortening exercise bouts, using a pedometer, and having access to exercise equipment within the home, are reviewed. To assist with improving weight loss outcomes, broadening activity goals to include resistance training and a reduction in sedentary behavior are considered. To increase the accessibility of behavioral lifestyle interventions to treat obesity in the broader population, translation of efficacious interventions such as the DPP, must be undertaken. Translational studies have successfully altered the DPP to reduce treatment intensity and/or used alternative modalities to implement the DPP in primary care, worksite, and church settings; several examples are provided. The use of new methodologies or technologies that provide individualized treatment and real-time feedback, and which may further enhance weight loss in behavioral lifestyle interventions, is also discussed.
机译:本文概述了有关肥胖治疗的成人行为生活方式干预的研究。我们首先描述两项使用行为生活方式干预来诱发成年人体重减轻的试验,即糖尿病预防计划(DPP)和Look AHEAD(糖尿病健康行动)试验。然后,我们回顾了行为生活方式干预计划的三个主要组成部分:行为治疗,能量和脂肪受限的饮食以及中等强度到剧烈强度的体育锻炼处方。审查了有关饮食处方集中于大量营养成分,膳食替代和更新颖的饮食方法(例如减少饮食种类和能量密度)对减肥的影响的研究。回顾了一些有助于达到体育锻炼目标的方法,例如缩短运动周期,使用计步器以及在家中使用健身器材。为了帮助改善减肥效果,考虑将活动目标扩大到包括抵抗训练和减少久坐行为。为了增加行为生活方式干预措施在更广泛的人群中治疗肥胖症的可及性,必须进行有效干预措施(如DPP)的翻译。转化研究成功地改变了DPP,以降低治疗强度和/或使用替代方式在初级保健,工作场所和教堂环境中实施DPP。提供了几个示例。还讨论了新方法或新技术的使用,这些新方法或新技术可提供个性化治疗和实时反馈,并可能进一步增加行为生活方式干预措施中的减肥效果。

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