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Obesity, exercise and nutrition最新文献

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BMI and Waist Circumference in Patients with Multiple Myeloma 多发性骨髓瘤患者的BMI和腰围
Pub Date : 1900-01-01 DOI: 10.1370/afm.21.s1.4375
M. Yousef, Jenenne Geske, B. Khandalavala
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引用次数: 0
Mindful Eating Healthy Nutrition Group Visits for Metabolic Syndrome; Feasibility, Acceptability for Clinicians 正念饮食健康营养组访视代谢综合征患者;临床医生的可行性和可接受性
Pub Date : 1900-01-01 DOI: 10.1370/afm.21.s1.4121
Leonard Finn, Jacqueline Kiel, Tarin Clay, Elisabeth Callen, Lauren Kiel, Elizabeth Staton
Context: Metabolic syndrome, includes elevated fasting glucose, high triglycerides, hypertension, low HDL & abdominal obesity, affects 35% of adults in the United States. People with metabolic syndrome are at high risk for diabetes and cardiovascular disease and have higher all-cause mortality. Usual treatment for metabolic syndrome is weight loss through diet and exercise. Evidence supports the use of mindfulness as a strategy for effective weight management. Objective: Are group visits for mindful eating and healthy nutrition education feasible and acceptable across different primary care settings for patients, staff and clinicians? Study design: Pilot/feasibility study. Setting: Needham Wellesley Family Medicine PC, a physician-owned family medicine practice in Wellesley, MA and UC Health Integrative Medicine Center in Denver, CO. Population Studied: 3 primary care clinicians (1 in MA, 2 in CO), 3 mindfulness teachers (1 RN in MA, 2 clinical psychologists in CO); 15 patients 18+ years with obesity/overweight and metabolic syndrome or diabetes, cardiovascular disease, hypertension. actively enrolled in MA; able to consent, understand procedures; Patient exclusions: lack cognitive capacity, unable/unwilling to consent or complete study. Intervention: Group visits with mindful eating, healthy nutrition for adults with metabolic syndrome and related conditions. Curriculum: evidence-based principles of mindful eating, healthy nutrition, and activity to improve management of metabolic syndrome and related conditions. The curriculum seeks to foster sustainable lifestyle change related to eating behaviors, nutrition choices, activity, self-efficacy, goal setting. Physician, mindfulness teacher, patients meet for 13 weekly group visits during 3 months. Outcome measures: survey questions, semi-structured interviews for physicians and mindfulness teachers. feasibility & acceptability to clinicians learning and leading the curriculum. Results: Clinicians report: (5=best) helped patients acquire new skills 4.8/5; clinicians enjoyed leading the program 4.2/5; time to explore difficult issues more deeply, curriculum was very interesting. Challenges: learning complex curriculum, charting medical records for a group of patients; staffing/scheduling/locating group visits. Conclusions: Mindful eating healthy nutrition group visits are feasible. Clinicians report acceptability for leading group visits to enhance healthier eating & lifestyle change.
背景:代谢综合征,包括空腹血糖升高、高甘油三酯、高血压、低HDL和腹部肥胖,影响了35%的美国成年人。患有代谢综合征的人患糖尿病和心血管疾病的风险很高,全因死亡率也较高。代谢综合征的通常治疗方法是通过饮食和运动来减轻体重。证据支持将正念作为一种有效的体重管理策略。目的:在不同的初级保健机构中,对患者、工作人员和临床医生进行正念饮食和健康营养教育的小组访问是否可行和可接受?研究设计:试点/可行性研究。环境:Needham Wellesley家庭医学PC,位于马萨诸塞州Wellesley的医生拥有的家庭医学实践和科罗拉多州丹佛市UC健康综合医学中心。人群研究:3名初级保健临床医生(1名MA, 2名CO), 3名正念教师(1名MA注册护士,2名CO临床心理学家);18岁以上伴有肥胖/超重和代谢综合征或糖尿病、心血管疾病、高血压的患者15例。积极攻读硕士学位;能同意,懂程序;排除患者:缺乏认知能力,不能/不愿意同意或完成研究。干预措施:对患有代谢综合征和相关疾病的成年人进行正念饮食和健康营养的小组访问。课程:循证原则的正念饮食,健康营养和活动,以改善代谢综合征和相关条件的管理。该课程旨在促进与饮食行为、营养选择、活动、自我效能和目标设定相关的可持续生活方式改变。医生,正念老师,病人在三个月内每周进行13次集体探访。结果测量:调查问题,对医生和正念教师的半结构化访谈。临床医生学习和领导课程的可行性和可接受性。结果:临床医生报告:(5=最好)帮助患者掌握新技能4.8/5;临床医生喜欢领导项目4.2/5;时间对难题的探索更深入,课程也很有趣。挑战:学习复杂的课程,为一群病人绘制病历;人员配置/安排/安排团队访问。结论:正念饮食健康营养小组访视是可行的。临床医生报告可接受的领导小组访问,以提高更健康的饮食和生活方式的改变。
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引用次数: 0
Impact of the Affordable Care Act Medicaid Expansion on Weight Loss among Community Health Center Patients with Obesity 平价医疗法案医疗补助扩大对社区健康中心肥胖患者减肥的影响
Pub Date : 1900-01-01 DOI: 10.1370/afm.21.s1.3731
R. Rdesinski, I. Chamine, Steele Valenzuela, M. Marino, Teresa D. Schmidt, A. Larson, N. Huguet, H. Angier
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引用次数: 0
Dietary, Cooking, and Eating Pattern Outcomes from the Emory Healthy Kitchen Collaborative 饮食,烹饪和饮食模式的结果从埃默里健康厨房合作
Pub Date : 1900-01-01 DOI: 10.1370/afm.21.s1.3761
Miranda A. Moore, Danyang Wang, S. Bergquist, Jonathan P. Bonnet, Krystyna Rastorguieva
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引用次数: 0
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Obesity, exercise and nutrition
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