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Dietary, physical activity, and weight management interventions among active-duty military personnel: a systematic review

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Military Medical Research 2019年第3期6卷 242-253页

作者： Ahmad MMalkawi Ree MMeertens stef pjkremers Ester FCSleddens Department of Health Promotion School of Nutrition andTranslational Research in Metabolism(NUTRIM)Maastricht UniversityMedical Center+PO Box616Maastricht6200MDthe Netherlands Department of Health Promotion School of Nutrition andTranslational Research in Metabolism(NUTRIM)and Care and PublicHealth Research Institute(CAPHRI)Maastricht University MedicalCenter+PO Box616Maastricht6200MDthe Netherlands.

Background: Research has been conducted to assess the effectiveness of weight management, dietary and physical activity interventions in military settings. However, a recent and comprehensive overview is lacking. The aim of this systematic review is to examine the evidence and describe key components of effective interventions in terms of improving body composition, dietary behaviors, and physical activity among active-duty military ***: Pub Med, Psyc Info, and CINAHL were searched on the 17 th of November 2017 to identify interventions that promoted diet and/or physical activity among active-duty military personnel. Studies were included if they assessed outcomes related to anthropometric measurements, dietary behaviors, or fitness/physical activity levels. There were no restrictions regarding publication date, follow-up duration, and sex. After screening, a total of 136 studies were eligible. Of these studies, 38 included an educational and/or behavioral change component, and 98 had only physical or fitness training as part of basic military training. Only studies that included an educational and/or behavioral change component were assessed for quality using the Effective Public Health Practice Project tool and included in the qualitative synthesis of the ***: Based on consistent evidence from studies that were rated as moderate or strong, there is good evidence that military weight management interventions are effective in improving body composition for durations of up to 12 months. Effective interventions are more likely to be high intensity(have a greater number of sessions), are more often delivered by specialists, and use theoretical base/behavioral change techniques and a standardized guideline. Dietary interventions can potentially reduce total fat and saturated fat intake. Dietary interventions that target the kitchen staff and/or increase the availability of healthy food are more likely to be effective in the short term. The resu

关键词： Dietary Physical activity Weight loss Interventions Military Systematic review

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