Weight Loss in Underserved Patients — A Cluster-Randomized Trial

In this cluster-randomized trial, carried out in an underserved population, the authors hypothesized that a high-intensity lifestyle intervention would result in greater weight loss than usual care. Patients assigned to the high-intensity program lost significantly more weight than patients who rece...

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Vydáno v:	The New England journal of medicine Ročník 383; číslo 10; s. 909 - 918
Hlavní autoři:	Katzmarzyk, Peter T, Martin, Corby K, Newton, Robert L, Apolzan, John W, Arnold, Connie L, Davis, Terry C, Price-Haywood, Eboni G, Denstel, Kara D, Mire, Emily F, Thethi, Tina K, Brantley, Phillip J, Johnson, William D, Fonseca, Vivian, Gugel, Jonathan, Kennedy, Kathleen B, Lavie, Carl J, Sarpong, Daniel F, Springgate, Benjamin
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States Massachusetts Medical Society 03.09.2020
Témata:	Adult Age Aged Biomedical research Body weight Body weight loss Cardiovascular disease Clinics Collaboration Diabetes Diet, Reducing Energy intake Exercise Female Gastrointestinal surgery Health Literacy Healthcare Disparities Healthy Lifestyle Humans Hypotheses Hypothesis testing Intervention Lifestyles Male Middle Aged Nutrition Obesity Obesity - ethnology Obesity - physiopathology Obesity - therapy Patient Education as Topic Patient-centered care Patients Physical activity Population Primary care Primary Health Care Socioeconomic Factors Vulnerable Populations Weight control Weight Loss Young Adult Louisiana United States > US
ISSN:	0028-4793, 1533-4406, 1533-4406
On-line přístup:	Získat plný text
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Shrnutí:	In this cluster-randomized trial, carried out in an underserved population, the authors hypothesized that a high-intensity lifestyle intervention would result in greater weight loss than usual care. Patients assigned to the high-intensity program lost significantly more weight than patients who received usual care.
Bibliografie:	ObjectType-Article-2 SourceType-Scholarly Journals-1 content type line 14 ObjectType-Feature-3 ObjectType-Evidence Based Healthcare-1 ObjectType-Article-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3 We thank the patients and the members of the patient advisory boards, community monitoring board, and the project management committee (Chris Lodge and Ava Zebrick, M.S.), who contributed greatly to the design and conduct of the trial; the trial patients, assessment technicians, and health coaches, without whom this trial would not have been possible; Willie C. White III, M.P.H., and the David Raines Community Health Centers; Gary Wiltz, M.D., and the Teche Action Clinic sites; Michael G. Griffin and Robert Post, M.D., and the Daughters of Charity Services of New Orleans; the Ochsner Health System and Access Health Louisiana clinic sites; the data and safety monitoring board (Robert Ross, Ph.D. [chair], John Lefante, Ph.D., Michael Rolfson, M.D., and Chris Lodge) for overseeing patient safety and the overall conduct of the trial; and David B. Allison, Ph.D., Andrew W. Brown, Ph.D., Stephanie L. Dickinson, M.S., and Lilian Golzarri-Arroyo, M.S., of the Indiana University School of Public Health–Bloomington for reviewing and verifying the statistical methods and results of this project.
ISSN:	0028-4793 1533-4406 1533-4406
DOI:	10.1056/NEJMoa2007448