中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2013年
3期
178-181
,共4页
林深婷%王燕芳%LIN Pao-hwa%Gary Bennett%Erica Levine%常翠青%王海俊
林深婷%王燕芳%LIN Pao-hwa%Gary Bennett%Erica Levine%常翠青%王海俊
림심정%왕연방%LIN Pao-hwa%Gary Bennett%Erica Levine%상취청%왕해준
超重%肥胖症%干预性研究
超重%肥胖癥%榦預性研究
초중%비반증%간예성연구
Overweight%Obesity%Intervention studies
目的 分析超重和肥胖成人参加以手机短信(SMS)为平台的肥胖干预研究的依从性.方法 63名受试者接受为期24周的SMS肥胖干预,计算机系统每日自动发出短信,受试者回复目标完成情况并获得评价短信,参加3次小组讨论课和进行教练电话访谈.根据干预组的受试者短信回复频率、目标完成情况进行依从性分组,运用Logistic回归方法分析SMS干预依从性的影响因素.结果 共55人完成干预,失访率为12.7％,依从性较好者占56.4％,依从性一般和较差者分别占36.3％和7.3％.依从性与体质指数(BMI)变化百分数相关(r=-0.241,P=0.026),与腰围变化百分数相关(r=-0.303,P=0.005).较好组的BMI和腰围分别下降2.26％和3.80％,明显优于一般组和较差组,差异有统计学意义(BMI:F=3.659,P=0.033;腰围:F=4.699,P=0.013).Logistic回归显示年龄大(OR=1.108,95％ CI:0.997 ～1.231)、肥胖体型(OR=12.974,95％ CI:1.245～135.195)、自报目标合适个数多(OR=1.451,95％ CI:0.974 ～2.162)、早期体重减少(OR=10.982,95％ CI:1.608 ～75.007)、早晨回复短信(OR=6.725,95％ CI:1.098 ～ 41.201)是依从性的有利因素,减重期望过高(OR=0.055,95％ CI:0.005 ～0.626)是不利因素.结论 以SMS为平台的肥胖干预依从性良好,SMS有助于实现超重和肥胖者对行为进行自我监测,依从性与减重效果显著相关,依从性好能够提高减重效果.
目的 分析超重和肥胖成人參加以手機短信(SMS)為平檯的肥胖榦預研究的依從性.方法 63名受試者接受為期24週的SMS肥胖榦預,計算機繫統每日自動髮齣短信,受試者迴複目標完成情況併穫得評價短信,參加3次小組討論課和進行教練電話訪談.根據榦預組的受試者短信迴複頻率、目標完成情況進行依從性分組,運用Logistic迴歸方法分析SMS榦預依從性的影響因素.結果 共55人完成榦預,失訪率為12.7％,依從性較好者佔56.4％,依從性一般和較差者分彆佔36.3％和7.3％.依從性與體質指數(BMI)變化百分數相關(r=-0.241,P=0.026),與腰圍變化百分數相關(r=-0.303,P=0.005).較好組的BMI和腰圍分彆下降2.26％和3.80％,明顯優于一般組和較差組,差異有統計學意義(BMI:F=3.659,P=0.033;腰圍:F=4.699,P=0.013).Logistic迴歸顯示年齡大(OR=1.108,95％ CI:0.997 ～1.231)、肥胖體型(OR=12.974,95％ CI:1.245～135.195)、自報目標閤適箇數多(OR=1.451,95％ CI:0.974 ～2.162)、早期體重減少(OR=10.982,95％ CI:1.608 ～75.007)、早晨迴複短信(OR=6.725,95％ CI:1.098 ～ 41.201)是依從性的有利因素,減重期望過高(OR=0.055,95％ CI:0.005 ～0.626)是不利因素.結論 以SMS為平檯的肥胖榦預依從性良好,SMS有助于實現超重和肥胖者對行為進行自我鑑測,依從性與減重效果顯著相關,依從性好能夠提高減重效果.
목적 분석초중화비반성인삼가이수궤단신(SMS)위평태적비반간예연구적의종성.방법 63명수시자접수위기24주적SMS비반간예,계산궤계통매일자동발출단신,수시자회복목표완성정황병획득평개단신,삼가3차소조토론과화진행교련전화방담.근거간예조적수시자단신회복빈솔、목표완성정황진행의종성분조,운용Logistic회귀방법분석SMS간예의종성적영향인소.결과 공55인완성간예,실방솔위12.7％,의종성교호자점56.4％,의종성일반화교차자분별점36.3％화7.3％.의종성여체질지수(BMI)변화백분수상관(r=-0.241,P=0.026),여요위변화백분수상관(r=-0.303,P=0.005).교호조적BMI화요위분별하강2.26％화3.80％,명현우우일반조화교차조,차이유통계학의의(BMI:F=3.659,P=0.033;요위:F=4.699,P=0.013).Logistic회귀현시년령대(OR=1.108,95％ CI:0.997 ～1.231)、비반체형(OR=12.974,95％ CI:1.245～135.195)、자보목표합괄개수다(OR=1.451,95％ CI:0.974 ～2.162)、조기체중감소(OR=10.982,95％ CI:1.608 ～75.007)、조신회복단신(OR=6.725,95％ CI:1.098 ～ 41.201)시의종성적유리인소,감중기망과고(OR=0.055,95％ CI:0.005 ～0.626)시불리인소.결론 이SMS위평태적비반간예의종성량호,SMS유조우실현초중화비반자대행위진행자아감측,의종성여감중효과현저상관,의종성호능구제고감중효과.
Objective To analyze adherence to short message service (SMS) based obesity intervention in overweight and obesity adults in Beijing.Methods Sixty-three participants received a 24-week (3 stages) SMS obesity intervention,and were then required to answer questions about their performance of 3 individualized weight loss goals daily via SMS.Three group sessions and monthly coaching call were also conducted.Adherence was graded according to the SMS reply rate and goal score.Logistic regression analysis was computed to analyze the influence factors of adherence.Results Among 55 intervention completes,the rate of loss to follow-up was 12.7％.Adherences of 55 participants were ranked as 3 levels:high level (SMS reply rate 5-7 d/wk and score ＞ 9) 56.4％,middle level 36.3％ and low level 7.3％.Association between body mass index (BMI) change and adherence was statistically significant (r =-0.241,P =0.026),similar to relationship between waist circumference (WC) change and adherence (r =-0.303,P =0.005).At 24-week,BMI and WC of the high level group were reduced by 2.26％ and 3.80％,respectively,and the changes were statistically different among 3 groups (BMI:F =3.659,P =0.033 ; WC:F =4.699,P =0.013).Logistic regression analysis showed that advanced age (odds ratio (OR) =1.108,95％ CI:0.997-1.231),obesity (OR =12.974,95％ CI:1.245-135.195),more suitable goals(OR =1.451,95％ CI:0.974-2.162),weight lost early (OR =10.982,95％ CI:1.608-75.007),usually replied SMS in the morning (OR =6.725,95％ CI:1.098-41.201)were favorable factors of adherence.High expectation to weight loss (OR =0.055,95％ CI:0.005-0.626)was the negative factor of adherence.Conclusions SMS is a promising tool to promote self-monitoring adherence for Chinese overweight and obesity adults,and good adherence indicates more weight loss.Many factors could influence SMS adherence,and more strong evidence on adherence to SMS-based obesity intervention are desired.
