CAJ | 학술논문

目的研究体重管理对社区中超重、肥胖或中心性肥胖人群的管理效果.方法应用慢病管理信息系统收集社区人群的数据资料建立个人健康档案,将筛查出的10 560例超重、肥胖或中心性肥胖人群,其中男性4660例,女性5900例,平均年龄(58.1±12.0)岁.征询其意愿后,纳入体重管理信息单元,给予个体化的膳食与身体活动指导,并定期随访,平均管理时间为(9.0±5.8)个月,最长32个月,最短1个月,对其管理前后的体重变化情况进行分析.应用SPSS 12.0统计包进行数据统计分析,计数资料率的比较采用χ2检验,体重改变随管理时间变化的比较采用趋势χ2检验,计量资料采用配对t检验.结果管理前后体重无变化者9848例(93.3%),体重减轻者499例(4.7%),体重增加者213例(2.0%);其中超重且中心性肥胖者管理前后体重无变化、减轻和增加的比例分别为92.3%(6290/6817)、5.9%(403/6817)和1.8%(124/6817);而单纯超重或肥胖者三者比例为95.5%(2888/3024)、2.8%(84/3024)和1.7%(52/3024);单纯中心性肥胖组三者比例分别为93.2%(670/719)、1.7%(12/719)和5.1%(37/719).结论体重管理对社区中超重、肥胖或中心性肥胖人群有较好的控制效果,管理对象中超重且中心性肥胖人群的管理效果好于单纯超重、肥胖或单纯中心性肥胖人群.
목적 연구체중관리대사구중초중、비반혹중심성비반인군적관리효과.방법 응용만병관리신식계통수집사구인군적수거자료건립개인건강당안,장사사출적10 560례초중、비반혹중심성비반인군,기중남성4660례,녀성5900례,평균년령(58.1±12.0)세.정순기의원후,납입체중관리신식단원,급여개체화적선식여신체활동지도,병정기수방,평균관리시간위(9.0±5.8)개월,최장32개월,최단1개월,대기관리전후적체중변화정황진행분석.응용SPSS 12.0통계포진행수거통계분석,계수자료솔적비교채용χ2검험,체중개변수관리시간변화적비교채용추세χ2검험,계량자료채용배대t검험.결과 관리전후체중무변화자9848례(93.3%),체중감경자499례(4.7%),체중증가자213례(2.0%);기중초중차중심성비반자관리전후체중무변화、감경화증가적비례분별위92.3%(6290/6817)、5.9%(403/6817)화1.8%(124/6817);이단순초중혹비반자삼자비례위95.5%(2888/3024)、2.8%(84/3024)화1.7%(52/3024);단순중심성비반조삼자비례분별위93.2%(670/719)、1.7%(12/719)화5.1%(37/719).결론 체중관리대사구중초중、비반혹중심성비반인군유교호적공제효과,관리대상중초중차중심성비반인군적관리효과호우단순초중、비반혹단순중심성비반인군.
Objective To study the effect of body weight management on community residents with over-weight or obesity.Methods Chronic Disease Management Information System was used to establish personal health profile for 10 560 individuals with over-weight or obesity(4660 men and 5900 women,average age 58±12 years).Guide for individualized food intake,physical activity were given to these participants for an average of 9±6 months (range,1 to 32 months) with a following up.The change of body weight before and after the intervention was nalyzed.Statistical software(SPSS 12.0) wag used for the data analysis,the frequencies,rate and trend were analysised by the chi-square test,the means in quatitaitve data was analyzed by the paired t-test.P valuse for statistiacal significance is set for 0.05.Results A total of 9848 participants showed no change in body weight,although weight decrease or increase was seen in 499 and 213,respectively.Before and after the intervention,the proportion of weight remained,decrease or increase among over-weisht + central obesity individuals was 92.3%(6290/6817),5.9%(403/6817) and 1.8% (124/6817);95.5%(2888/3024),2.8%(84/3024) and 1.7%(52/3024) among the simple overweight or obesity group;and 93.2%(670/719),1.7%(12/719)and 5.1%(37/719) among the simple central obesity group,separately.Conclusions Body-weight management among central obesity individuals with over weight in communities is a more effective way of in terms of individule intervention than those individuals only with single over-weight,obesity or central obesity status.