milan米兰体育app下载 为什么有些人在改变生活方式方面比其他人更成功？ BeWEL 随机对照试验中与有结直肠癌风险的成年人成功减肥相关的因素

引用

Stead M、Craigie A、Macleod M、McKell J、Caswell S、Steele R 和 Anderson AS (2015) 为什么有些人在改变生活方式方面比其他人更成功？ BeWEL 随机对照试验中与有结直肠癌风险的成年人成功减肥相关的因素。国际行为营养和身体活动杂志，12，艺术。编号：87。https://doi.org/10.1186/s12966-015-0240-2

摘要
背景：BeWEL（体重和身体活动）随机对照试验证明，在结直肠癌筛查环境中提供的体重管理计划是有效的。然而，参与者对该计划的不同反应是值得注意的。本研究旨在探讨与成功相关的因素，并确定对未来项目设计的影响。 方法：对来自 BeWEL 干预组的定量数据 (n = 148) 进行分析，以比较达到并超过目标 7% 体重减轻者（“超级成就者”）与仅实现“中等”或“低”体重减轻量（减轻 2-7%，或）的人群的人口和心理社会特征以及生活方式的变化。 2 % loss, respectively). In-depth qualitative interviews (n = 24) explored in detail the motivations, actions, pathways to weight loss and circumstances of study participants. Results: Over the 12 month intervention period, mean percentage weight loss of super-achievers (n = 33) was 11.5 %, compared with moderate-achievers (n = 58) who lost 4.2 %, and low-achievers (n = 57) who gained 0.8 %. Compared to other groups, super- achievers increased their fruit and vegetable intake (p 0.01) and physical activity (step count, p 0.01). "Super-achievers" did not differ in baseline demographic characteristics from other participants. However, significantly fewer reported that their activities were limited by physical and emotional health and they were more likely to perceive their current diet as harmful. Qualitative analyses found no consistent patterns among super-achievers in relation to some factors identified as important in previous studies, such as social support. However, super-achievers shared several characteristics such as determination and consistency in their engagement with the intervention, receptivity to new information and prompts, previous positive experience of changing health behaviours, being motivated by early success, making changes routine, and an ability to devise and apply strategies for dealing with setback and "relapse" triggers. Conclusions: Successful lifestyle change depends on active engagement as well as effective intervention ingredients. Weight loss interventions are likely to be more effective where they can adapt to participants" differing characteristics and needs, while also providing core elements likely to build success.

关键字
生活方式改变；干涉;饮食;体力活动；减肥；结直肠癌筛查；因素；定性；定量

期刊
国际行为营养和身体活动杂志：第 12 卷

• Stead 等人_IJBNPA_2015.pdf