Dissemination of the Look Ahead Weight Management Treatment in the Military

在军队中传播前瞻性体重管理疗法

基本信息

批准号：
8909128
负责人：
Robert C Klesges
金额：
$ 56.47万
依托单位：
UNIVERSITY OF TENNESSEE HEALTH SCI CTR
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-09-27 至 2016-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8909128
关键词：
Address Air Alcohol abuse American Benchmarking Body Weight decreased Body mass index Caring Chronic Kidney Failure Control Groups Department of Defense Descriptor Diabetes Mellitus Diet Doctor of Philosophy Economics Education Employee Ensure Environment Epidemic Exercise Funding Gender Health Health Promotion Human Resources Intervention Life Style Medical Military Personnel NIH Program Announcements Obesity Occupations Overweight Participant Pensions Physical activity Placebo Control Population Prevalence Prevention Process Public Health Randomized Randomized Clinical Trials Readiness Recording of previous events Reporting Research Risk Running Security Services Smoking Stereotyping Stress Surveys Testing Time Training Translating Translations United States National Institutes of Health Weight Weight maintenance regimen Woman career combat cost design disorder prevention experience fitness high risk improved interest lifestyle intervention member men nutrition obesity treatment physical conditioning programs response social stigma successful intervention weight loss intervention

项目摘要

DESCRIPTION (provided by applicant): This application is in response to PAR-12-048, "Prevention and Treatment of Obesity, Diabetes, and Chronic Kidney Disease in Military Populations". Active U.S. military personnel have mirrored the marked civilian increased prevalence in obesity. A survey conducted in 2005 reported that 61% of men and 39% of women serving in the active component of the U.S. military had a body mass index that classified them as overweight (Body Mass Index [BMI] > 25 kg/m2) and 12% of active service members were obese (BMI>30 kg/m2), up from less than 5% in 1995. Given that the national epidemic of obesity continues, one would expect those prevalence rates to be even higher today. While the Announcement highlights the advantages of conducting research in military populations, there are also many logistical, practical, chain-of-command, philosophical, and other challenges that impede health promotion and other research in the military. Fortunately, our research team has a long history of conducting health promotion/disease prevention in the military and has a military liaison (Wayne Talcott, Ph.D., Col, USAF [retired]) who helps ensure the effective day to day running of our multiple projects. The key to successful research in the military is to address significant health promotion issues (e.g., smoking, alcohol abuse, obesity) that are (a) costly to the military; and (b) most importantly, impediments to military readiness (which is the ability to do one's job in either combat or non-combat situations). Given that obesity is an impediment to military readiness (a vital concern for the military), the need for obesity interventions in this high risk population and the dearth of research on obesity treatments in the U.S. Military, we propose the following specific aims: 1) To translate and tailo the Look Ahead weight loss intervention to the overweight/obese active duty U.S. Military population, while accommodating the lifestyle and environment that is unique to military members; (2) To randomize 520 participants to either the Look Ahead Intensive Lifestyle Intervention (ILI) versus a Diet and Physical Activity Education (Diet/PA Ed) condition. The Diet/PA Ed condition of this Look Ahead translation is not a placebo control group but an active information group that stresses nutrition, exercise and support (similar to the Diet Support and Education control group in the original Look AHEAD trial). (3) To evaluate the long term (one year) efficacy of the Look Ahead weight loss intervention in this population. The results of the intervention if successful will be easily disseminated to the entire U.S. Military as this project s designed to overcome the barriers and exploit the facilitators for weight loss that are unique to a military population. It will also better inform translation of the Look Ahead Rx in civilian populations as well.

描述（由申请人提供）：本申请是对 PAR-12-048“军事人群肥胖、糖尿病和慢性肾病的预防和治疗”的回应。现役美国军人的情况也反映了平民肥胖患病率显着增加的情况。 2005 年进行的一项调查报告称，在美国现役军人中服役的 61% 男性和 39% 女性的体重指数将其归类为超重（体重指数 [BMI] > 25 kg/m2）和 12现役军人肥胖（BMI>30 kg/m2）的百分比，从 1995 年的不到 5% 上升。考虑到全国范围内肥胖症的流行仍在继续，人们预计这些患病率将今天甚至更高。虽然该公告强调了在军队人群中开展研究的优势，但也存在许多后勤、实践、指挥链、哲学和其他挑战，阻碍了军队中的健康促进和其他研究。幸运的是，我们的研究团队在军队中进行健康促进/疾病预防方面有着悠久的历史，并拥有一名军事联络员（韦恩·塔尔科特博士，美国空军上校[退休]），他帮助确保日常有效运行我们的多个项目。军队研究成功的关键是解决重要的健康促进问题（例如吸烟、酗酒、肥胖），这些问题（a）对军队来说成本高昂； (b) 最重要的是，军事准备（即在战斗或非战斗情况下完成工作的能力）的障碍。鉴于肥胖是军事准备的障碍（军队的一个重要问题）、对这一高危人群进行肥胖干预的必要性以及美国军方缺乏肥胖治疗研究，我们提出以下具体目标：1)将“展望未来”减肥干预措施转化为适合超重/肥胖的现役美国军人，同时适应军人特有的生活方式和环境； (2) 将 520 名参与者随机分为前瞻强化生活方式干预 (ILI) 与饮食和体育活动教育 (Diet/PA Ed) 条件。此 Look Ahead 翻译中的饮食/PA Ed 条件不是安慰剂对照组，而是强调营养、锻炼和支持的主动信息组（类似于原始 Look AHEAD 试验中的饮食支持和教育对照组）。 (3) 评估 Look Ahead 减肥干预措施在此人群中的长期（一年）疗效。如果成功，干预结果将很容易传播给整个美国军队，因为该项目旨在克服障碍并利用减肥的促进因素，这是美国特有的。军事人口。它还将更好地为平民群体中的 Look Ahead Rx 翻译提供信息。