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首页> 外文期刊>Journal of women’s health >Outcome by Gender in the Veterans Health Administration Motivating Overweight/Obese Veterans Everywhere Weight Management Program
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Outcome by Gender in the Veterans Health Administration Motivating Overweight/Obese Veterans Everywhere Weight Management Program

机译：在退伍军人健康管理局中的性别的结果激励超重/肥胖的退伍军人到处都是体重管理计划

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Background: Few evaluations of the Veterans Health Administration Motivating Overweight/Obese Veterans Everywhere (MOVE!) weight management program have assessed 6-month weight change or factors associated with weight change by gender. Materials and Methods: Analysis of administrative data from a national sample of veterans in the VA MOVE! program. Results: A total of 62,882 participants were included, 14.6% were women. Compared with men, women were younger (49.6 years [standard deviation, SD, 10.8] vs. 59.3 years [SD, 9.8], p0.0001), less likely to be married (34.1% vs. 56.0%, p0.0001), and had higher rates of post-traumatic stress disorder (26.0% vs. 22.4%, p0.0001) and depression (49.3% vs. 32.9%, p0.001). The mean number of MOVE! visits attended by women was lower than men (5.6 [SD, 5.3] vs. 6.0 [SD, 5.9], p0.0001). Women, compared with men, reported lower rates of being able to rely on family or friends (35.7% vs. 40.8%, p0.0001). Observed mean percent change in weight for women was -1.5% (SD, 5.2) and for men was -1.9% (SD, 4.8, p0.0001). The odds of 5% weight loss were no different for women (body-mass index [BMI] 25kg/m(2)) compared with men (BMI 25kg/m(2); odds ratio, 1.05 [95% confidence interval, 0.99-1.11; p=0.13]). Conclusions: Women veterans lost less weight overall compared with men. There was no difference in the odds of achieving clinically significant weight loss by gender. The majority of women and men enrolled lost 5% weight despite being enrolled in a lifestyle intervention. Future studies should focus on identifying program- and participant-level barriers to weight loss.
机译：背景：退伍军人卫生管理局的评价很少有激励超重/肥胖的退伍军人到处（移动！）体重管理计划已经评估了6个月的重量变化或与性别重量变化相关的因素。材料和方法：从VA移动中的一名退伍军人样本分析行政数据！程序。结果：共有62,882名参与者，14.6％是女性。与男性相比，女性年轻（49.6岁[标准差，SD，10.8]与59.3岁[SD，9.8]，P <0.0001），不太可能已婚（34.1％与56.0％，P <0.0001）并且具有更高的后创伤性应激障碍率（26.0％与22.4％，P＆ 0.0001）和抑郁症（49.3％vs.32.9％，P <0.001）。平均移动数量！妇女出席的访问低于男性（5.6 [SD，5.3]与6.0 [SD，5.9]，P <0.0001）。与男性相比，妇女报告了能够依赖家庭或朋友的率较低（35.7％与40.8％，P＆ 0.0001）。观察到女性重量的平均变化为-1.5％（SD，5.2），男性为-1.9％（SD，4.8，P <0.0001）。与男性相比，女性（体重指数[BMI]＆ 25kg / m（2））没有什么不同的损失的可能性置信区间，0.99-1.11; p = 0.13]）。结论：与男性相比，女性退伍军人的重量减少。在性别临床显着减肥的几率没有差异。尽管参加了生活方式干预，但大多数妇女和男性都会丢失损失而损失的重量。未来的研究应该侧重于识别重量损失的方案和参与者水平障碍。

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