Results 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 duration s 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 st and ardized 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 results regarding military physical fitness interventions were inconclusive .
Conclusion Despite limitations such as the diversity and heterogeneity of the included interventions , outcome measurements , and follow-up duration , this systematic review found good evidence that weight management interventions are effective , especially in terms of weight loss .
Background Research has been conducted to assess the effectiveness of weight management , dietary and physical activity interventions in military setting s. 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 personnel .
Economic evaluation of an Internet-based weight management program.
OBJECTIVE To determine whether a behavioral Internet treatment ( BIT ) program for weight management is a viable , cost-effective option compared with usual care ( UC ) in a diverse sample of overweight ( average body mass index = 29 kg/m2 ) , healthy adults ( mean age = 34 years ) serving in the US Air Force . STUDY DESIGN Two-group parallel r and omized controlled trial . METHODS Participants were r and omly assigned into 2 groups : UC ( n = 215 ) and UC plus BIT ( n = 227 ) . Baseline and 6-month assessment s were included in the analyses . Primary outcome measures ( changes in body weight , percent body fat , and waist circumference ) and secondary outcome measures ( Weight Efficacy Lifestyle [ WEL ] question naire ) were included in an incremental cost-effectiveness analysis ( ICEA ) model . Costs were computed using the perspective of an agency wanting to replicate the intervention . Sensitivity analyses were performed to measure the robustness of models . RESULTS Overall cost for BIT intervention was $ 11,178.40 , or $ 49.24 per BIT participant . Total staff-time cost was $ 14.03 per BIT participant . Intervention cost was $ 25.92 per kilogram of weight loss and $ 28.96 per centimeter of waist-circumference loss . The cost was $ 37.88 for each additional point gained on the WEL subscale , where increasing scores indicate increased confidence in managing social pressures to eat . CONCLUSIONS The BIT program is a cost-effective choice for weight management . It may cost more initially , but it results in long-term cost savings . Such cost-effective , Internet-based behavioral interventions for weight management could provide a valuable tool for preventive care aim ed at improving individual and societal health
Results 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 duration s 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 st and ardized 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 results regarding military physical fitness interventions were inconclusive .
Conclusion Despite limitations such as the diversity and heterogeneity of the included interventions , outcome measurements , and follow-up duration , this systematic review found good evidence that weight management interventions are effective , especially in terms of weight loss .
Background Research has been conducted to assess the effectiveness of weight management , dietary and physical activity interventions in military setting s. 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 personnel .