記
錄
編
號
3962
狀
態
NC090FJU00255016
助
教
查
核
索
書
號
學
校
名
稱
輔仁大學
系
所
名
稱
食品營養學系
舊
系
所
名
稱
學
號
487446241
研
究 黃柏欣
生
(中)
研
究 Bo-shin Huang
生
(英)
論
文
不同體重控制課程對肥胖婦女減重成效及相關因素之探討
名
稱
(中)
論
文 Study on the Factors and Effects of Different Weight Control Programs in Obese
名
Women
稱
(英)
其
他
題
名
指
導
曾明淑
教
授
(中)
指
導
Min Su Tzeng
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(英)
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碩士
90
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中文
關
鍵
字
肥胖 體重控制 飲食 運動 行為
(中)
關
鍵 obesity weight loss weight control dietary exercise behavior
字
(英)
本研究目的在探討體重控制課程對減重成效的影響，以期作為未來社區體
重控制課程之參考。研究對象為 92 名 35~55 歲、BMI 超過 26.4 kg/m2 的肥
胖婦女。依照個人生活型態與意願分為(1)飲食加運動組(2)飲食組(3)運動
組及(4)控制組，除控制組外；其餘各組進行為期八週的體重控制課程。飲
食組採取均衡低熱量飲食，每週 2 小時飲食課程，運動組為每週二次每次
1 小時的有氧舞蹈並要求每日行走一萬步，飲食加運動組則兩種課程皆參
加；課程中包含心理調適與體重控制行為介入。課程前後均進行體重、體
摘 脂肪、皮下脂肪厚度與體圍測量，血液分析則包含總膽固醇、三酸甘油
酯、高密度脂蛋白膽固醇與血糖，並利用問卷收集體重控制認知、飲食攝
取、身體活動與心理影響因素資料進行統計分析。研究結果顯示：課程結
要 束後飲食加運動、飲食與運動組體重平均下降 3.3、3.3 與 3.5 公斤，組間
(中) 無差異但均較控制組顯著下降；體脂肪以飲食加運動與運動組下降較顯
著；腰圍以飲食加運動組有顯著下降。參與課程之三組血脂質與血糖皆顯
著下降。接受課程組在體重控制認知、行為、降低熱量攝取與提高熱量消
耗都有改善。體重控制認知得分、課程出席率、作業繳交率、活動量與體
重下降數值呈正相關。課後熱量、醣類與脂肪攝取量與體重下降數值呈負
相關。自覺控制能力及自尊與自我概念越佳者，體重下降越多。因此課程
中飲食與運動單獨或合併使用，皆能使體重下降，而體脂肪與體圍變化則
以參與運動課程組別下降較多，飲食行為與選擇食物能力則以參與飲食課
程組別下降較多。因此體重控制方式可視個人生活形態，選擇合併或單獨
的飲食或運動控制融入生活中執行。
The objective of the study was to evaluate the effects of weight control programs.
Ninety-Two obese women were recruited. Subjects were between 35~55 years old
and their BMI were over 26.4 kg/m2. Based on subjects’ own will and
convenience, they were allocated one of following groups: (1) diet plus exercise (2)
diet (3) exercise (4) control. Expected the control group, every woman received an
eight-week weight control program. The diet group balanced low calorie diet
摘
received two-hour diet courses per week and was taught to adapt. The exercise
group attended to one-hour aerobic and resistant exercise twice a week, and also was
要 required to walk thousand steps everyday. Diet plus exercise group needed to fulfill
(英) both requirements for diet and exercise groups. There were also weight control
psychology and behavior intervention sessions in the program. The weight, percent
body fat, skinfoldness, body circumference, and blood lipid profile of women who
attended the program were measured in the beginning and at the end of the program.
Information of weight control knowledge, dietary intakes, daily activity and
psychology were collected before and after program. The amount of weight reduced
after programs were：diet-control plus exercise 3.3 kg, diet-control 3.3 kg , exercise
3.5 kg and control 1 kg respectively. The weight reduction among diet-control plus
exercise, diet-control, and exercise groups were significantly larger than control
group. But there were no significant differences that groups attended program. The
body fat reduction of diet plus exercise and exercise group were larger than those of
the other groups. Only diet plus exercise group had significant reduction of waist
circumference. Groups that received programs had significant decreases of
cholesterol, triglycerol and blood sugar but had no significant differences among
groups. Positive correlations were found between weight reduction and weight
control knowledge, the percentage of attending program and homework returning,
daily activity. Negative correlations were found between weight reduction and
energy, carbohydrate and protein in tables. The higher of self-awareness and selfesteem scores, the better weight loss were. Therefore, no matter including diet,
exercise, or both could reduce weight and improve weight control behavior. There
was greater reduction of body fat and body circumference in groups, which accepted
exercise. Eating behavior and food choice had better improvement in groups, which
accepted diet courses. Therefore, it depended on own’s personal lifestyle for
choosing different types of weight control program. The more it could fit into
one’s own daily life, the more weight could be controlled.
論
文
目
次
第一章 緒論………………………………………………………………… 1 第
二章 文獻探討…………………………………………………………… 2 第一
節 肥胖的定義與指標…………………………………………… 2 第二節 肥
胖的危害…………………………………………………… 4 第三節 肥胖的影
響因素……………………………………………… 6 第四節 各種體重控制方
法的介紹與比較…………………………… 8 第五節 體重控制課程的重要與
推行社區模式體重控制班………… 12 第三章 研究目
的………………………………………………………… 14 第四章 材料與方
法……………………………………………………… 15 第一節 研究架
構……………………………………………………… 15 第二節 研究對象與
招募……………………………………………… 15 第三節 研究工具與測量
方法………………………………………… 16 第四節 課程內容與實施方
訪………………………………………… 24 第五節 資料處理與統計分
析………………………………………… 27 第五章 結
果……………………………………………………………… 29 第一節 研究
對象……………………………………………………… 29 第二節 不同課程
間體重控制成效之比較…………………………… 31 第三節 體重控制相關
行為之比較…………………………………… 33 第四節 影響體位變化相關
因素之探討……………………………… 40 第六章 討
論……………………………………………………………… 66 第一節 不同
體重控制課程的減重成效……………………………… 66 第二節 不同體重
控制課程對體重控制者之體重控制認知、飲食 行為與生活形態之影
響……………………………………… 68 第三節 心理層面及課程參與對體
重控制的影響…………………… 74 第四節 研究限
制……………………………………………………… 75 第七章 結論與建
議……………………………………………………… 77 參考文
獻…………………………………………………………………… 79 附錄一
婦女體重控制班篩選問卷……………………………………… 89 附錄二 婦
女體重控制班問卷(Ι)……………………………………… 90 附錄三 婦女
體重控制班課程前體重控制認知分類…………………… 101 附錄四 婦女體
重控制班各項活動之 MET 值…………………………… 102 附錄五 婦女體
重控制班各運動項目之 MET 值………………………… 103 附錄六 婦女體
重控制班減重心理量表………………………………… 104 附錄七 婦女體重
控制班減重心理量表分類…………………………… 106 附錄八 婦女體重控
制班問卷(II)……………………………………… 108 附錄九 婦女體重控制
班課程後體重控制認知分類…………………… 118 附錄十 婦女體重控制班
課程後體重控制認知模擬餐廳外食計分…… 119 附錄十一 婦女體重控制班
個人二十四小時飲食回憶記錄表………… 120 附錄十二 婦女體重控制班課
程綱要…………………………………… 121
參
考
文
獻
一、中文部分 行政院衛生署（1994）中華民國飲食手冊，行政院衛生署。
行政院衛生署（1997）戰勝肥胖-減重指導手冊，行政院衛生署。 行政院
衛生署（1998）中華民國公共衛生概況。行政院衛生署。 行政院衛生署
（2002）國人肥胖定義及處理原則，行政院衛生署 （http://
www.doh.gov.tw）。 吳達仁、戴東原（1990）身體成分與人體測量值及葡
萄糖耐性之關係。台灣醫學會雜誌 89：972-976。 呂秀蓉（1998）運用行
為研究策略與衝能理念建構「社區互助團體」-以石牌社區為例。陽明大
學社區護理研究所碩士論文。 沈敬人（2000）台灣地區幼兒營養素攝取狀
況，輔仁大學食品營養學系碩士論文。 林光華（1996）成年肥胖者體脂肪
暨專業醫療減肥計畫效果之探討。中華民國物理治療學會-行政院衛生署
委託計畫研究報告。 洪建德（1996）社區醫院減肥門診之治療模式。台北
市立陽明醫院研究報告。 高美丁、曾明淑、葉文婷、張瑛韶、潘文涵
（1998）台灣地區居民體位及肥胖狀況。國民營養現況 1993-1996 國民營
養健康狀況變遷調查結果。pp. 143-171 行政院衛生署。 高美丁、黃惠煐、
曾明淑、李寧遠、謝明哲（1991）民國七十五年-七十七年台灣地區國民營
養狀況調查-體位測量(Ⅰ)。中華營誌 16：63-84。 張淑紅（1994）衛生教
育介入對高血脂個案知識、健康信念、自我效能、行為的影響。台灣大學
護理研究所碩士論文。 曾筱晴(1998)二十四小時飲食回憶法評估幼兒飲食
攝取之效度研究，輔仁大學食品營養學系碩士論文。 黃伯超、游素玲、林
月美、朱志良（1992）我國成年人性別、年齡別、身高別體重及過重與肥
胖界定之探討。中華營誌 16：87-99。 劉美媛、葉松鈴、陳維昭：肥胖婦
女減重後對體組成及血脂質之影響。中華營誌 23：83-93 (1998)。 潘文
涵：國民營養健康狀況變遷調查-行政院衛生署八十四年委託計畫期末報
告。(1996)。 鄭紹隆（1999）談抽脂術。長庚醫訊 20（2）。 Abraham S,
Carroll MD, Najjar MF and Fulwood R (1983) Obese and overweight adult in the
United States. Vital and Health Staties 22, 230. DHHS Publ. No. (PHS) 83-1680.
National Center for Health Statistics. Public Health Service, U. S. Department of
Health and Human Service, Hyattsville, Med. pp.93 Alice SR, Barbara JN, Dora MB
and Karen ED (2000) Dietary restriction and walking reduce fat deposition in the
midthigh in obese older women. Am J Clin Nutr 72: 708-713. Aoki TT and Finley
RJ (1986) The metabolic responses to fasting. In: Parenteral Nutrition (Rombeau J
and Caldwell M eds.) pp. 9-28 W. B. Saunders Press, Philadelphia Arnecki-Maulden
GL, Deming JG and Izquierdo JV (1989) Evaluation of practical dry dog foods
suitable for all life stages. J Am Vet Med Assoc 195: 583-590 Atkins RC (1981) Dr.
Atkins’ nutrition breakthrough. New York: Bantnm Books. Ballor B, Katch VL
and Becque MD (1988) Resistance weight training during caloric restriction
enhances lean body weight maintenance. Am J Clin Nutr 47: 19-25 Barbare EA,
William LH, Arther SL, David RJ, Jacobs JM, James FS and Ralph SP (1991)
Appendix A: Compendium of Physical Activities: Classification of Energy Costs of
Human Physical Activities. In: Measurement for evaluation in physical education
and exercise science forth edition. ( Baumgartner TA and Jackson AS, eds) pp.656666 Bassett DR Jr, Fitzhugh EC, Crespo CJ, King GA and McLaughlin JE (2002)
Physical activity and ethnic differences in hypertension prevalence in the United
States. Prev Med 34: 179-186. Bathalon GP, Tucker KL, Hays NP, Vinken AG,
Greenberg AS, McCrory MA and Robers SB (2000) Psychological measures of
eating behavior and the accuracy of 3 common dietary assessment methods in health
postmenopausal women. Am J Clin Nutr 71: 739-745 Beaton GH, Milner J, Corey
P, McGurie V, Cousins M, Stewart E, Ramos M, Hewitt D, Grambsch PV, Kassim
N and Little JA (1979) Sources of variance in 24-hour dietary recall data:
implications for nutrition study design and interpretation. Am J Clin Nutr 32: 25462559 Bennett W (1987) Dietary treatments of obesity. Ann N Y Acad Sci 499: 250256 Biddle SJ and Fox KR (1998) Motivation for physical activity and weight
management. Int J Obes Relat Metab Disord 22: S37-S39 Bjorntorp P (1988) The
associations between obesity, adipose tissue distribution and disease. Acta Med
Scand 723: 121-34 Blackburn G and Kanders BS (1994) Obesity, pathophysiology,
psychology and treatment. pp. 283-299 Chapman and Hall Press, New York.
Blundell JE and Gillett A (2001) Control of food intake in obese. Obes Res 270:
263S-269S Blundell JE and King NA (1999) Physical activity and regulation of food
intake: current evidence. Med Scien Sport Exer 31: S573-583 Boschert MT, Beckert
BW, Puckett CL, Concannon MJ (2002) Analysis of lipocyte viability after
liposuction. Plast Reco Surg 109: 761-765 Bowling SM and Silk DF (1992)
Refeeding remembered. Nutr 11: 32-34 Bray GA (1992) Adolescent overweight may
be tempting fate. N Engl J Med 327: 1379-1380 Bray GA (1992) Pathophysiology
of obesity. Am J Clin Nutr 55: 488S-494S Bray GA (1996) Health hazards of
obesity. Endocrinol Metab Clin North Am 25: 907-919 Bray GA, Barry RE,
Benfield JR, Castelnuovo-Tedesco P and Rodin J (1976) Intestinal bypass surgery
for obesity decreases food intake and taste preferences. Am J Clin Nutr 29: 779-783
Brownell KD and Wadden TA (1992) Etiology and treatment of obesity:
understanding a serious, prevalent, and refractory disorder. J Consult Clin Psychol
60: 505-517 Brozek L, Grande F, Anderson JT and Keys A (1983) Densimetric
analysiss of body composition: revisior of some quantitative assumption. Ann N Y
Acad Ssci 110: 113-121 Cachelin FM, Striegel-Moore RH and Brownell KD (1998)
Beliefs about weight gain and attitudes toward relapse in a sample of women and
men with obesity. Obes Res 6: 231-237 Carek PJ, Carson DS and Sherer JT (1997)
Management of obesity: medical treatment options. Am Fam Phys 55: 551-558
Carlos WSP, Ken G.G and John PF (1997) Personality and psychological
assessment. In: OBESITY ASSESSMENT Tools, Methods, Interpretations ( Sachiko
T St J, eds) pp.409-436 Chen YT, Vaccarino V, Williams CS, Butler J, Berkman LF
and Krumholz HM (1999) Risk factors for heart failure in the elderly: a prospective
community-based study. Am J Med 106: 605-612 Coggon D, Reading I, Croft
McLaren M, Barrett D and Cooper C (2001) Knee osteoarthritis and obesity. Int
Obes Relat Metab Disord 25: 622-627 Coleman WP, Glogau RG, Klein JA, Moy
RL, Narins RS, Chuang TY, Farmer ER, Lewis, CW and Lowery BJ (2001)
Guidelines of care for liposuction. J Am Acad Dermatol 45: 438-47 Comer JP. Bull
NY (1989) The school''s role in achieving better health. Acad Med 65: 344-350
Considine RV, Nolan JJ, Olefsky JM, Nyce MR and Caro JF (1996) Effect of
troglitazone on leptin production. Studies in vitro and in human subjects Diabetes
45: 1276-1278 Crawford D and Campbell K (1999) Lay definitions of ideal weight
and overweight. Int J Obes Relat Metab Disord 23: 738-745 Curb JD and Marcus
EB (1991) Body fat and obesity in Japanese Americans. Am J Clin Nutr 53: 1552S1555S Curb JD and Marcus EB (1991) Body fat, coronary heart disease, and stroke
in Japanese men. Am J Clin Nutr 53: 1612S-1615S Diehl HA (1998) Coronary risk
reduction through intensive community-based lifestyle intervention: the Coronary
Health Improvement Project (CHIP) experience. Am J Card 82: 83T-87T
Ditschuneit HH, Flechtner-Mors M, Johnson TD and Adler G. (1999) Metabolic and
weight-loss effects of a long-term dietary intervention in obese patients. Am J Clin
Nutr 69: 198-204 Donnelly JE, Sharp T, Houmard J, Carlson MG, Hill JO, Whatley
JE and Israel RG (1993) Muscle hypertrophy with large-scale weight loss and
resistance training. Am J Clin Nutr 58: 561-565 Dornelas EA, Wylie-Rosett J and
Swencionis C (1998) The diet study: long term outcomes of a cognitive-behavioral
weight-control intervention in independent- living elders. Daily Intervention:
Evaluation of Technology. J Am Diet Assoc 98: 1276-1281 Durnin JV and
Womersley J (1974) Body fat assessed from total body density and its estimation
from skinfold thickness: measurements on 481 men and women aged from 16 to 72
years. Br J Nutr 32: 77-97 Epstein LH, Wing RR, Koeske R and Valoski A (1985)
Effect of diet plus exercise on weight change in parents and children. J Consult Clin
Psychol 52: 429-437 Evans EM, Saunders MJ, Spano MA, Arngrimsson SA, Lewis
RD and Cureton KJ (1999) Effects of diet and exercise on the density and
composition of the fat-free mass in obese women. Med Sci Sport Exer 31: 17781787 Faster GD, Wadden TA, Peterson FJ, Letizia KA, Bratlett SJ and Conill AM
(1992) A controlled comparison of three very very-low-calorie diets: effects on
weight, body composition, and symptoms. Am J Clin Nutr 55: 811-817 Ferrara CM,
Kumar M, Nicklas B, McCrone S and Goldberg AP (2001) Weight gain and adipose
tissue metabolism after smoking cessation in women. Int J Obes Relat Metab Disord
25: 1322-1326 Finkelstein MM (2001) Obesity, cigarette smoking and the cost of
physicians'' services in Ontario. Can J Public Health 92: 437-440 Foltin RW, Rolls
BJ, Moran TH, Kelly TH, McNelis AL and Fischman MW (1992) Caloric, but not
macronutrient, compensation by humans for required-eating occasions with meals
and snack varying in fat and carbohydrate. Am J Clin Nutr 55: 331-342 Frenchet
SA, Jeffer RW, Sherwood NE and Neumark-Sztainer D (1999) Prevalence and
correlates of binge eating in a nonclinical sample of women enrolled in a weight
ggain prevention program. Inter J Obes Relat Metab Disor 23: 576-585 Friedewald
WT, Levy RI and Fredrickson DS (1972) Estimation of the concentration of lowdensity lipoprotein cholesterol in plasma, without use of the preparative
ultracentrifuge. Clin Chem 18: 499-502 Friedman M and Rosenman RH Neurogenic
(1974) factors in pathogenesis of coronary heart disease. Med Clin North Am 58:
269-279 Frisancho AR (1984) New standards of weight and body composition by
frame size and height for assessment of nutritional status of adults and the elderly.
Am J Clin Nutr 40: 808-813 Fujii T, Ohsawa I, Nozawa A, Mori K, Kagaya M,
Kajioka T, Oshida Y and Sato Y (1998) The association of physical activity level
characteristics and other lifestyles with obesity in Nagoya University alummi, Japan.
Scand J Med Sci Sports 8: 57-62 Gans KM, Assmann SF, Sallar A and Laster TM
(1999) Knowledge of cardiovascular disease prevention: an analysis from two New
England communities. Pre Med 29(4): 229-237 Garaulet SM, Roemmich JN,
Sandow-Pajewski M, Clark PA, Thomas E, Weltman A, Patrie J and Rogol AD
(2000) Alteration in growth and body composition during puberty. IV. Energy
intakes estimated by the youth-ado;escent food-frequency questionnaire: validation
by the doubly labeled water method. Am J Clin Nutr 72: 1455-1460 Geliebter A,
Maher MM, Gerace L, Gutin B, Heymsfield SB (1997) Hashim SA Effects of
strength or aerobic training on body composition, resting metabolic rate, and peak
oxygen consumption in obese dieting subjects. Am J Clin Nutr 66: 557-563 Geurian
K, Pinson JB and Weart CW (1992) The triglyceride connection in atherosclerosis.
Ann Phar 26: 1109-1117 Gibson R (1990) Principles of nutritional assessment. In:
Oxford ( Oxford university press) pp.21-136 Golay A, Allaz AF, Ybarra J, Bianchi
P, Saraiva S, Mensi N, Gomis R and de Tonnac N (2000) Similar weight loss with
low-energy food combining or balanced diets. Int J Obes Relat Metab Disord 24:
492-496 Gordon NF, Scou CB and Levine BD (1997) Comparison of single versus
multiple lifestyle interventions: are the antihypertensive effect of exercise training
and diet induced weight loss additive? Am J Card 79: 763-771 Gore CJ, Woolford
SM, Carlyon RG. (1995) Calibrating skinfold calipers. J Sports Sci 13: 355-360
Gray DS (1989) Diagnosis and prevalence of obesity. Med Clin North Am 73: 1-13
Han TS, van Leer EM, Seidell JC and lean MEJ (1995) Waist circumference and
abdominal sagittal diameter: best simple anthropometric indexes of abdominal
visceral adipose tissue accumuference and related cardiovascular risk in men and
women. Am J Cardiol 73: 460-468 Harvey-Berino J (1998) The efficacy of dietary
fat vs. total energy restriction for weight loss. Obes Res 6: 202-207 Haus G, Hoerr
SL, Mavis B and Robison J (1994) Key modifiable factors in weight maintenance:
fat intake, exercise, and weight cycling. J Am Diet Assoc 94: 409-413 Hay N P,
Bathalon GP, McCory MA, Roubenoff R, Lipman R and Rober SB (2002) Eating
behavior correlates of adult weight gain and obesity in healthy women aged 55-65 y.
Am J Clin Nutr 75: 476-483 Hegsted DM (1986) Serum-cholesterol response to
dietary cholesterol: Are evaluation. Am J Clin Nutr 44: 299-305 Henry SK, Lilith
MT, Carmen R, Eugenia EC, Michael JT and Clark WH (1997) Stable behaviors
associated with adults’ 10-year change in body mass index and likelihood of gain
at the waist. Am J Public Health 87: 747-754 Hensruud DD, Weinsiier RL, Darnell
BE and Hunter GR (1994) A prospective study of weight maintenance in obese
subjects reduced to normal body weight without weight-loss training. Am J Clin
Nutr 60: 688-694 Hill JO and Peter JC (1998) Environmental contribution to the
obesity epidemic. Science 280: 1371-1374 Jackson AS, Pollock ML, Graves JE and
Mahar MT (1988) Reliability and validity of bioelectrical impedance in determining
body composition. J Appl Phys 64: 529-534 Jacobs BL (1994) Serotonin, motor
activity and depression related disorders. Am Sci 82: 456-463 Jadelisk Miller ME,
Ettinger WH Jr and Messier SP (2001) Strength, balance and Modifying effects of
obesity and knee pain; results from the observational arthritis study in seniors. J Am
Geriatr Soc 49: 884-891 Jassen I and Ross R (1999) Effects of sex on the change in
visceral, subcutaneous adipose tissue and skeletal muscle in response to weight loss.
Int J Obes Relat Metab Disord 23: 1035-1046 Jeffery RE and Wing RR (1995)
Long-term effects of interventions for weight loss using food provision and
monetary incentives. J Cons Clin Psy 63: 793-796 Kaul L and Nidiry JJ (1999)
Management of obesity in low-income African American. J Nation Med Assoc 91:
139-143 Kayman S, Bruvold W and Stern JS (1990) Maintenance and relapse after
weight loss in women : behavioral aspects. Am J Clin Nutr 52: 800-807 Kempen
KP, Saris WH and Westerterp KR (1995) Energy balance during an 8-wk energyrestricted diet with and without exercise in obese women. Am J Clin Nutr. 62: 722729 Keys A (1984) Serum cholesterol response to dietary cholesterol. Am J Clin
Nutr 40: 351-359 Kissebah AH and Krakower GR (1994) Regional adiposity and
morbidity. Physiol Rev 74: 761-811 Klem ML, Wing RR, McGuire MT, Seagle HM
and Hill JO (1997) A descriptive study of individuals successful at long-term
maintenance of substantial weight loss. Am J Clin Nutr 66: 239-246 Korkeila M,
Rissanen A and Kaprio J, Sorensen TI and Koskenvuo M (1999) Weight-loss
attempts and risk of major weight gain: a prospective study in Finnish adults. Am J
Clin Nutr 70: 965-75 Lahti-Koski M, Piietinen P, Heliovara M and Vartiainen E
(2002) Associations of body mass index and obesity with physical activity, food
choices, alcohol intake and smoking in the 1982-1997 FINRISR Studies. Am J Clin
Nutr 75: 809-817 Lavery MA and Loewy JW (1993) Identifying predictive variables
for long-term weight change after participation in a weight loss program. J Am Diet
Assoc 93: 1017-1024 Lean ME (2000) Is long-term weight loss possible? Br J Nutr
160: 2581-2589 Leenen R, Kooy VD, Meyboom S and Seidell JC (1995) Relative
effect of weight loss and dietary fat modification on serum lipid levels in the dietary
treatment of obesity fat modification on serum lipid levels in the dietary treament of
obesity. J Lipid Res 34: 2183-2191 Licata G, Scaglione R, Avellone G, Ganguzza A,
Corrao S, Arnone S, Di Chiara T (1995) Hemostatic function in young subjects with
central obesity: relationship with left ventricular function.Metabolism. 44: 14171421 Lin T, Chen CH and Chou P (1997) A hypertension control program in YuChi, Taiwan: Preliminary result. J From Med Assoc 96: 613-620 Lukask HC (1987)
Methods of the assessment of human body composition: traditional and new. Am J
Clin Nutr 46: 537-556 Marashall JD, Hazlett CB, Spady DW and Quinney HA
(1990) Comparison of convenient indicators of obesity. Am J Clin Nutr 51: 22-28
Markson EW (1997) Functional, social, and psychological disability as causes of
loss of weight and independence in older community-living people.Clin Geriatr Med
13: 639-652 McCombs JS (19898) A competitive bidding approach to physician
payment Health Aff (Millwood) pp. 50-64 Miccozzi MS, Albanes D, Jones Y And
Chumlea WC (1986) Correlations of body mass indices with weight, stature, and
body composition in men and women in NHANES I and II. Am J Clin Nutr 44: 725731 Michaei A, Kortt MS, Paul CL and Emily RC (1998) A review of cost-of-illness
studies on obesity. Clin Ther 20: 772-779 Milller WC (1999) How effective are
traditional dietary and exercise interventions for weight loss? Med Sci Spoort Exer
31: 1129-1134 Molarius A, Seidell JC, San S, Tuomilehto J and Kuulasmaa K
(1999) Waist and hip circumferences, and waist-hip ratio in 19 populations of the
WHO MONICA Project. Int J Obes 23:116-125 Muecke MA (1992) Mother sold
food, daughter sells her body: the cultural continuity of prostitution. Soc Sci Med
35: 891-901 Murata M and Hibi I (1992) Nutrition and the secular trend of growth.
Horm Res 38: 89-96 National Academy (1998) Committee on Body Composition,
Nutrition and Health of Military Women, Food and Nutrition Board, Institute of
Medicine. Assessing readiness in military women: the relationship of body
composition, nutrition, and health. IRL Press, Washington. Neumark-Sztainer D,
Story M, Resnick MD and Blum RW (1997) Psychosocial concerns and weight
control behaviors among over weight and no overweight Native American
adolescents. J Am Diet Assoc 97: 598-604 Niemman DC, Custer WF, Butterworth
DE, Utter AC and Henson DA (2000) Psychological response to exercise training
and/or energy restriction in obese women. J Psych Res 48: 23-29 Niemman DC,
Custer WF and Butterworth DE (2000) Beneficial physiological and performance
responses to a month of restricted energy intake in healthy overweight women. Phys
Behave 68: 439-444 Pavlou KN, Whatley JE, Jannace PW, DiBartolomeo JJ,
Burrows BA, Duthie EA and RH Lerman (1989a) Physical activity as a supplement
to a weight-loss dietary regimen. Am J Clin Nutr 49: 1110S-1114S Perks SM,
Roemmich JN, Sandow-Pajewski M, Clark PA, Thomas E, Weltman A, Patrie J and
Rogol AD (2000) Alterations in growth and body composition during puberty. IV.
Energy intake estimated by the youth-adolescent food-frequency questionnaire:
validation by the doubly labeled water method. Am J Clin Nutr 72: 1455-1460 Pesa
J (1999) Psychosocial factors associated with dieting behaviors among female
adolescents. J Sch Heal 69: 196-201 Pories WJ, MacDonald KG and Morgan EJ
(1992) Surgical treatment of obesity and its effect on disease: 10-y follow-up. Am J
Clin Nutr 55: S582-S585 Pouliot MC, Despres JP, Lemieux S, Moorjani S,
Bouchard C, Tremblay A, Nadeau A and Lupien PJ (1994) Waist circumference and
abdominal sagittal diameter: best simple anthropometric indexes of abdominal
visceral adipose tissue accumulation and related cardiovascular risk in men and
women. Am J Cardiol 73: 460-468 Rolls BJ and EA (1994) Dietary approaches to
the treatment of obesity. Med Clin Nor Am 84: 401-418 Ross R, Jassen I and
Tremblay G (2000) Obesity reduction through lifestyle modification. Can J Appl
Phys 25: 1-18 Ryttig KR Rigaud D, Leeds AR, Bard D, Apfelbaum M (1987)
Effects of a moderate dietary fibre supplement on hunger rating, energy input and
faecal energy output in young, healthy volunteers. A randomized, double-blind,
cross-over trial. Int J Obes 11: S73-S78 Sarlio-Lahteenkorva S, Rissanen A and
Kaprio (2000) A descriptive study of weight loss maintenances: 6 and 15 year
follow-up of initially overweight adults. Int J Obes Relat Metab Dis 24: 116-125
Schwingshandl J, Sudi K, Eibl B, Wallner S, and Borkenstein M. (1999) Effect of an
individualised training program during weight reduction on body composition: a
randomised trial. Arch Dis Child 81: 426-428 Seidell JC and Flegal KM (1997)
Assessing obesity: classification and epidemiology. Brit Med Bull 53: 238-252
Sherwood NE, Jeffery RW and Wing RR (1999) Binge status as a predictor of
weight loss treatment outcome. Int J Obes Relat Metab Disord 23: 485-493 Skender
ML, Goodrick KG, Junco DJD, Reeves RS, Darnell L, Gotto AM and Foreyt JP
(1996) Comparison of 2-year weight loss trends in behavioral treatments of obesity:
diet, exercise, and combination interventions. J Am Diet Assoc 96: 342-346 Spiegel
TA, Wadden TA, Foster GD (1991) Objective measurement of eating rate during
behavioral treatment of obesity. Behav Ther 22: 61-67 Stefanick ML (1999)
Physical activity for preventing and treating obesity-related dyslipoproteinemias.
Med Sci Sport Exer 31: S609-S618 Stunkard A J (1982) Obesity. In: International
handbook of behavior modification and therapy (Bellack, A.S., Hersen, M. and
Kazdin, A. E., eds.) pp. 535-573 Plenum Press, New York Stunkard, A. J. et al.: An
adoption study of human obesity. N. Engl. J. Med. 314: 193 (1986b) Timperio A,
Cameron-Smith D, Burns C and Crawford D (2000) The public''s response to the
obesity epidemic in Australia: weight concerns and weight control practices of men
and women. Public Health Nutr 3: 417-424 Timperio A, Cameron-Smith D, Burns
C, Salmon J and Crawford D (2000) Physical activity beliefs and behaviours among
adults attempting weight control. Int J Obes Relat Metab Disord 24: 81-87 van
Kralingen KW, de Kanter W, de Groot GH, Venmans BJ, van Boxem T, van
Keimpema AR and Postmus PE (1999) Assessment of sleep complaints and sleepdisordered breathing in a consecutive series of obese patients. Respiration 66: 312316 Vogler GP, Sorensen TA and Stunkard AJ (1995) Influences of genes and
shared family environment on adult body mass index assessed by a comprehensive
path model in an adoption study. Int J Obes 19: 40-45 Wadden TA and Bell ST
(1990) Obesity. In: International handbook of behavior modification and therapy.
(Bellack, A. S., Hersen, M. and Kazdin, A. E., eds.) pp. 449-473 Plenum Press, New
York Wadden TA, Foster GD and Letizia KA (1994) One-year behavioral treatment
of obesity: comparison of moderate and severe caloric restriction and the effects of
weight maintenance therapy. J Consult Clin Psych 62: 165-171 Weyer C,
Linkeschowa R, Heise T, Giesen HT and Spraul M (1998) Implications of the
traditional and the new ACSM physical activity recommendations on weight
reduction in dietary treated obese subjects. Int J Obes Relat Metab Disord 22: 10711078 Wiesemann A (1997) Nutritional counselinh in German general practices: a
holistic approach. Am J Clin Nutr 65: 1957S-1962S Wood PD, Stefanick ML,
Williams PT and Hanskell WL (1991) The effects on plasma lipoproteins of a
prudent weight-reducing diet, with or without exercise, in overweight men and
women. N Engl J Med 325: 461-6 World Health Organization (WHO) (1995)
Obesity: Prevention and managing the global epidemic. Report of WHO consultation
on obesity. Geneva, Switzerland; World Health Organization World Health
Organization (WHO) (1998) Obesity: Prevention and managing the global epidemic.
Report of WHO consultation on obesity. Geneva, Switzerland; World Health
Organization
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M admin Y2008.M7.D3 23:17 61.59.161.35