Abstract:
INTRODUCTION:Two issues remain elusive in weight management programs: significant, long-term weight-loss maintenance and widely accessible programs that produce significant weight loss for reasonable costs. The purpose of this study is to determine the long-term weight loss of participants who consecutively renew their annual membership in Take Off Pounds Sensibly (TOPS), a national, nonprofit, low-cost, peer-led weight-loss program. METHODS:This completers' analysis was a retrospective cohort study of overweight and obese men and women who joined TOPS in 2005-2011 and consecutively renewed their annual membership at least once. Data were analyzed from June to October 2013. TOPS participants' weights are sent to the national database when they join and at the time of their annual renewal; thus, follow-up weight is only available for those who renew their membership. Among 207,469 individuals who joined during the study period, 74,629 (35.9%) had at least one consecutive annual renewal and were included in the study. RESULTS:Cumulative mean (95% CI) weight change as a percentage of initial weight ranged from -6.0% (-6.0%, -5.9%) for 74,629 participants who renewed at 1 year to -8.3% (-8.7%, -7.8%) for 2,289 participants with 7 years of consecutive annual renewal. CONCLUSIONS:In the subset of individuals who choose to renew their program membership, TOPS can effectively promote maintenance of clinically significant weight loss for an extended period of time. RCTs are needed to further evaluate this low-cost, widely available program, which could be a viable option to treat overweight and obesity.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Mitchell NS,Polsky S,Catenacci VA,Furniss AL,Prochazka AVdoi
10.1016/j.amepre.2015.02.011subject
Has Abstractpub_date
2015-08-01 00:00:00pages
248-58issue
2eissn
0749-3797issn
1873-2607pii
S0749-3797(15)00075-6journal_volume
49pub_type
杂志文章abstract:BACKGROUND:The 2009 pandemic influenza A (H1N1) virus (2009 H1N1) was first identified in April 2009 and quickly spread around the world. The first doses of influenza A (H1N1) 2009 monovalent vaccine (2009 H1N1 vaccine) became available in the U.S. in early October 2009. Because people with asthma are at increased risk...
journal_title:American journal of preventive medicine
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更新日期:2011-12-01 00:00:00
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journal_title:American journal of preventive medicine
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abstract::Skin cancer is the most common type of cancer, and is also one of the most preventable. This paper builds on an evidence review of skin cancer prevention interventions that was conducted for the Guide to Community Preventive Services (n=85 studies), and summarizes the state of knowledge about research methodology and ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
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abstract:CONTEXT:Adolescence marks a time when many young people engage in risky behaviors with potential implications for long-term health. Interventions focused on adolescents' parents and other caregivers have the potential to affect adolescents across a variety of risk and health-outcome areas. EVIDENCE ACQUISITION:Communi...
journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
pub_type: 杂志文章,实务指引,评审
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
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更新日期:2011-03-01 00:00:00
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journal_title:American journal of preventive medicine
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doi:
更新日期:1992-11-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
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更新日期:2007-10-01 00:00:00
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journal_title:American journal of preventive medicine
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doi:10.1016/j.amepre.2012.08.003
更新日期:2012-11-01 00:00:00
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journal_title:American journal of preventive medicine
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doi:10.1016/j.amepre.2014.01.012
更新日期:2014-06-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1996-11-01 00:00:00
abstract:BACKGROUND:There is evidence from cross-sectional studies that posttraumatic stress disorder (PTSD) may be associated with obesity. The aim of this study was to examine prospective longitudinal associations between PTSD and obesity in a community sample. METHODS:A prospective, longitudinal, epidemiologic study with a ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2008.09.026
更新日期:2009-01-01 00:00:00
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journal_title:American journal of preventive medicine
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doi:10.1016/j.amepre.2011.09.023
更新日期:2012-01-01 00:00:00
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journal_title:American journal of preventive medicine
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更新日期:2008-06-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1994-07-01 00:00:00
abstract:INTRODUCTION:Cigarette smoking remains more common among individuals with depression. This study investigates whether cigarette quit ratios and cigarette use prevalence have changed differentially by depression status during the past decade. METHODS:National Survey on Drug Use and Health data (2005-2017) were analyzed...
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pub_type: 杂志文章
doi:10.1016/j.amepre.2019.12.023
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:Unintentional injuries are a leading cause of death in the United States. It is unclear, however, what proportion of these injuries occur in the home. The purpose of this paper is to quantify and describe fatal unintentional injuries that take place in the home environment. METHODS:Data from the National Vi...
journal_title:American journal of preventive medicine
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更新日期:2005-01-01 00:00:00
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journal_title:American journal of preventive medicine
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doi:
更新日期:1997-07-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:2001-02-01 00:00:00
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更新日期:2014-02-01 00:00:00
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journal_title:American journal of preventive medicine
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更新日期:2019-01-01 00:00:00
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journal_title:American journal of preventive medicine
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更新日期:2015-09-01 00:00:00
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更新日期:2010-03-01 00:00:00