未经授权:肥胖治疗策略主要包括门诊生活方式的改变,药物和减肥手术。自愿康复住院患者计划作为潜在的替代护理设置越来越重要,这些护理设置侧重于减肥和通过多学科方法预防体重恢复。但由于费用高,其患病率仍然有限。
UNASSIGNED:考虑到这方面缺乏证据,这项研究的目的是系统地回顾目前可用的非药物和非手术住院计划旨在减轻体重的文献,阐明这些干预措施的疗效和特点。
UNASSIGNED:在相关数据库中搜索了2000年至2022年的适当英语文章。由两位不同的作者使用ROB2和robvis工具进行质量评估。成人和儿科研究分别进行了综述,并系统地展示了它们的特征。
未经授权:包括36篇文章(20篇关于成年人,16、儿童和青少年)共5,510人。多学科方法主要是综合低热量饮食,预定的身体活动,和基于行为治疗的心理支持。教育和烹饪课程的比率较低。全球范围内,住院减肥计划在减轻体重和诱导对生活质量的有益影响方面表现出一致的功效,心理健康,饮食行为,物理性能,和疲劳。后续数据很少,但很高比例的患者在短时间内恢复体重。
未经评估:减肥住院康复是一个有希望的领域,有证据表明在改善肥胖相关的几个方面取得了全面的成功。然而,在干预后保持这些益处似乎非常不一致。这可能会减缓这一领域的创新进程,并阻碍国家医疗保健的进一步投资。当专注于行为和教育方面时,个性化和丰富的课程可能会显示出更大的影响,这是关键点,特别是在儿科,建立持久的生活方式改变。因此,需要更多的研究来评估基于不同工作模型的长期疗效。
UNASSIGNED: Obesity treatment strategies mainly include outpatient lifestyle modification, drugs and bariatric surgery. Voluntary rehabilitative inpatient programs are gaining relevance as potential alternative settings of care that focus on weight loss and prevention of weight regain through a multidisciplinary approach, but their prevalence is still limited due to the high costs.
UNASSIGNED: Considering the lack of evidence in this area, the objective of this study is to systematically review the currently available literature on non-pharmacological and non-surgical inpatient programs aimed at weight loss, to clarify the efficacy and the characteristics of these interventions.
UNASSIGNED: Proper English language articles from 2000 to 2022 were searched on relevant databases. Quality assessment was performed by two different authors using ROB2 and robvis tools. Adult and pediatric studies were reviewed separately and their characteristics were systematically displayed.
UNASSIGNED: 36 articles were included (20 on adults, 16 on children, and adolescents) for a total of 5,510 individuals. The multidisciplinary approach was mainly comprehensive of a low-calorie diet, scheduled physical activity, and psychological support based on behavioral treatment. Educational and cooking sessions were present at a lower rate. Globally, inpatient weight loss programs showed a consistent efficacy in reducing body weight and inducing beneficial effects on quality of life, psychological well-being, eating behavior, physical performance, and fatigue. Follow-up data were scarce, but with a high percentage of patients regaining weight after a short period.
UNASSIGNED: Weight loss inpatient rehabilitation is a promising area that has evidence of all-rounded success in the amelioration of several aspects related to obesity. Nevertheless, it appears to be quite inconsistent in preserving these benefits after the intervention. This might slow the innovation process in this area and preclude further investments from national healthcare. Personalized and enriched programs could show greater impact when focusing on the behavioral and educational aspects, which are crucial points, in particular in pediatrics, for setting up a long-lasting lifestyle modification. More studies are therefore necessary to evaluate long-term efficacy based on the different work-up models.