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首页> 外文期刊>Clinical obesity. >Exploring the evidence base for Tier 3 weight management interventions for adults: a systematic review
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Exploring the evidence base for Tier 3 weight management interventions for adults: a systematic review

机译：探索三线重量的证据基础管理干预措施为成人:一个系统审查

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Summary Specialist weight management services provide a treatment option for severe obesity. The objective of the study is to review the characteristics, impact and practice implications of specialist weight management services for adults in the UK . Systematic review: EMBASE , MEDLINE and PsycINFO were searched from January 2005 to March 2016 with supplementary searches. Adults with a body mass index of ≥40?kg?m ?2 , or ≥35?kg?m ?2 with comorbidity or ≥30?kg?m ?2 with type 2 diabetes and any study of multicomponent interventions, in any UK or Ireland setting, delivered by a specialist multidisciplinary team are the inclusion criteria. Fourteen studies in a variety of settings were included: 1 randomized controlled trial, 3 controlled and 10 observational studies. Mean baseline body mass index and age ranged from 40 to 54?kg?m ?2 and from 40 to 58?years. The studies were heterogeneous making comparisons of service characteristics difficult. Multidisciplinary team composition and eligibility criteria varied; dropout rates were high (43–62%). Statistically significant reduction in mean body mass index over time ranged from ?1.4 to ?3.1?kg?m ?2 and mean weight changes ranged from ?2.2 to ?12.4?kg. Completers achieving at least 5% reduction of initial body weight ranged from 32 to 51%. There was evidence for improved outcomes in diabetics. Specialist weight management services can demonstrate clinically significant weight loss and have an important role in supporting adults to manage severe and often complex forms of obesity. This review highlights important variations in provision and strongly indicates the need for further research into effective approaches to support severely obese adults.
机译：总结专家体重管理服务提供一个严重肥胖的治疗选择。这项研究的目的是审查特点、影响和实践意义体重管理专家的服务在英国的成年人。从1月MEDLINE和PsycINFO搜索2005年到2016年3月与补充搜索。成年人的体重指数≥40 ?公斤吗?≥35公斤?2型糖尿病和多组分的研究干预措施,在任何英国或爱尔兰设置,由多学科专家团队入选标准。各种各样的设置包括:1随机对照试验,3控制和10观察性研究。指数和年龄范围从40到54 ?公斤吗?从40岁到58 ?。异构服务进行比较困难的特征。成分和合格标准不同;辍学率很高(43 - 62%)。显著减少意味着身体质量指数随着时间的推移,范围从1.4 ? 3.1 ?公斤吗?平均体重变化范围从2.2 ? 12.4 ?公斤。死亡者实现至少减少5%初始体重范围从32到51%。在糖尿病患者改善结果的证据。体重管理服务专家演示临床显著的减肥有一个重要的角色在支持成年人管理严重和复杂的形式肥胖。提供和强烈显示的变化需要进一步研究有效方法来支持严重肥胖的成年人。

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