التفاصيل البيبلوغرافية
| العنوان: |
Group Lifestyle Phone Maintenance for Weight, Health, and Physical Function in Adults Aged 65-80 Years: A Randomized Clinical Trial. |
| المؤلفون: |
Venditti, Elizabeth M, Marcus, Marsha D, Miller, Rachel G, Arena, Vincent C, Greenspan, Susan L, Rockette-Wagner, Bonny |
| المصدر: |
Journals of Gerontology Series A: Biological Sciences & Medical Sciences; Feb2021, Vol. 76 Issue 2, p352-360, 9p |
| مصطلحات موضوعية: |
PHYSICAL mobility, CLINICAL trials, CLINICAL trial registries, BODY mass index, OLDER people, OBESITY treatment, LIFESTYLES, OBESITY, RESEARCH, TELEPHONES, RESEARCH methodology, MEDICAL cooperation, EVALUATION research, COMPARATIVE studies, RANDOMIZED controlled trials, WEIGHT loss, AGING, EXERCISE, RESEARCH funding, PATIENT compliance, NEWSLETTERS, HEALTH promotion, TELEMEDICINE, GROUP psychotherapy |
| مستخلص: |
Background: Group lifestyle sessions with phone maintenance could improve weight, health, and function in vulnerable older adults.Methods: Community-dwelling adults (N = 322) with body mass index (BMI, kg/m2) ≥27 and additional risk factors received 12 one-hour in-person behavioral weight management group sessions then were randomized to 8 half-hour telephone sessions (n = 162) or newsletter control (n = 160) from 4 to 12 months with no treatment contact thereafter. Primary outcome was 0- to 12-month weight change. Cardiometabolic, short physical performance battery (SPPB), and self-reported activity changes were assessed at 12 and 24 months.Results: At baseline, the mean (SD) age was 71.2 (4.3) and BMI was 33.8 (5.1). Participants were 77% women, 13% Black, 85% retired, averaging 4 medical conditions, and taking blood pressure (67.4%) and lipid-lowering (51.6%) medications. At 12 months, a greater proportion of the phone group (66.0%) achieved ≥5% weight loss compared with newsletter control (53.2%; p = .02). Mean (95% CI) weight loss was greater for phone (-6.6 kg [-7.5, -5.8]) than newsletter (-5.1 kg [-7.2, -3.0]); p = .01. Modest lipid, glucose, and blood pressure improvements were found, but did not differ significantly between groups. Small SPPB and activity improvements were maintained at 12 and 24 months in both groups.Conclusions: Brief phone contacts compared to newsletters enhanced weight loss maintenance among older high-risk adults at 1 year, but not cardiometabolic outcomes. Modest functional improvements were observed in both. Lower-intensity maintenance contacts (phone or newsletter) for weight, health, and physical function in older adults warrant further study.Clinical Trials Registration Number: NCT03192475. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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