中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2014年
3期
184-188
,共5页
谈立峰%孙樨陵%许强强%张启宁%张云娣%童玲%翟成凯
談立峰%孫樨陵%許彊彊%張啟寧%張雲娣%童玲%翟成凱
담립봉%손서릉%허강강%장계저%장운제%동령%적성개
健康促进%干预性研究%慢性病
健康促進%榦預性研究%慢性病
건강촉진%간예성연구%만성병
Health promotion%Intervention studies%Chronic disease
目的 评价以健康食堂为载体的营养健康促进模式的干预效果,为向其他单位食堂推广应用提供科学依据.方法 于2012年选择江苏省常州市1所创建健康食堂大学的429名教职工为干预组,另1所未采取任何干预措施的947名大学教职工为对照组,此外,干预组进一步按是否经常在食堂就餐分为经常食堂就餐组(≥2次/周)和偶尔食堂就餐组(＜2次/周);分别在干预前、后(1年)测定血压、体质指数(BMI),检查脂肪肝发生情况,测定血清中的葡萄糖、总胆固醇、三酰甘油、尿酸、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇;分别进行干预组和对照组间干预前后的对比,并进一步进行干预后干预组中经常食堂就餐组和偶尔食堂就餐组间的对比分析以评价其干预效果.结果干预组干预后的血糖(5.06±0.62) mmol/L、血尿酸(310.57±71.79) μmol/L、血总胆固醇(4.88 ±0.86) mmol/L、血三酰甘油(1.39±0.67)mmol/L及血低密度脂蛋白胆固醇(2.51 ±0.62) mmol/L均显著低于干预前,血高密度脂蛋白胆固醇(1.43 ±0.34) mmol/L显著高于干预前,差异均有统计学意义(t=7.513、2.126、2.062、3.731、8.891、-2.309,P＜0.05);而对照组干预后的血糖和血尿酸均显著高于干预前,差异有统计学意义(t=-3.491、-7.703,P＜0.01),血总胆固醇、血三酰甘油、血高密度脂蛋白胆固醇及血低密度脂蛋白胆固醇干预前后差异均无统计学意义(P＞0.05).干预组干预后的血糖、血尿酸、血总胆固醇、血三酰甘油、血低密度脂蛋白胆固醇、BMI的异常率及高血压发生率均显著低于干预前,差异均有统计学意义(x2=4.202、3.940、4.031、7.305、59.422、4.273、7.385,P＜0.05);而对照组除干预后血尿酸异常率和脂肪肝发生率均显著高于干预前,差异有统计学意义(x2=23.740、7.408,P＜0.05)外,干预后的血糖、血总胆固醇、血三酰甘油、血低密度脂蛋白胆固醇、BMI的异常率及高血压发生率与干预前比较差异均无统计学意义(P＞0.05).进一步分析干预后干预组中经常食堂就餐组的血三酰甘油(1.15±0.68)mmol/L、血低密度脂蛋白胆固醇(2.41±0.60)mmol/L均显著低于偶尔食堂就餐组,而血高密度脂蛋白胆固醇(1.46±0.33)mmol/L显著高于偶尔食堂就餐组,差异均有统计学意义(t=-4.884、-2.513、2.032,P＜0.05);经常食堂就餐组血总胆固醇、血三酰甘油及血低密度脂蛋白胆固醇的异常率均显著低于偶尔食堂就餐组,差异均有统计学意(x2=3.963、9.947、4.589,P＜0.05).结论.以健康食堂为载体的营养健康促进模式是预防和控制慢性非传染性疾病的有效手段,值得进一步推广应用.
目的 評價以健康食堂為載體的營養健康促進模式的榦預效果,為嚮其他單位食堂推廣應用提供科學依據.方法 于2012年選擇江囌省常州市1所創建健康食堂大學的429名教職工為榦預組,另1所未採取任何榦預措施的947名大學教職工為對照組,此外,榦預組進一步按是否經常在食堂就餐分為經常食堂就餐組(≥2次/週)和偶爾食堂就餐組(＜2次/週);分彆在榦預前、後(1年)測定血壓、體質指數(BMI),檢查脂肪肝髮生情況,測定血清中的葡萄糖、總膽固醇、三酰甘油、尿痠、低密度脂蛋白膽固醇、高密度脂蛋白膽固醇;分彆進行榦預組和對照組間榦預前後的對比,併進一步進行榦預後榦預組中經常食堂就餐組和偶爾食堂就餐組間的對比分析以評價其榦預效果.結果榦預組榦預後的血糖(5.06±0.62) mmol/L、血尿痠(310.57±71.79) μmol/L、血總膽固醇(4.88 ±0.86) mmol/L、血三酰甘油(1.39±0.67)mmol/L及血低密度脂蛋白膽固醇(2.51 ±0.62) mmol/L均顯著低于榦預前,血高密度脂蛋白膽固醇(1.43 ±0.34) mmol/L顯著高于榦預前,差異均有統計學意義(t=7.513、2.126、2.062、3.731、8.891、-2.309,P＜0.05);而對照組榦預後的血糖和血尿痠均顯著高于榦預前,差異有統計學意義(t=-3.491、-7.703,P＜0.01),血總膽固醇、血三酰甘油、血高密度脂蛋白膽固醇及血低密度脂蛋白膽固醇榦預前後差異均無統計學意義(P＞0.05).榦預組榦預後的血糖、血尿痠、血總膽固醇、血三酰甘油、血低密度脂蛋白膽固醇、BMI的異常率及高血壓髮生率均顯著低于榦預前,差異均有統計學意義(x2=4.202、3.940、4.031、7.305、59.422、4.273、7.385,P＜0.05);而對照組除榦預後血尿痠異常率和脂肪肝髮生率均顯著高于榦預前,差異有統計學意義(x2=23.740、7.408,P＜0.05)外,榦預後的血糖、血總膽固醇、血三酰甘油、血低密度脂蛋白膽固醇、BMI的異常率及高血壓髮生率與榦預前比較差異均無統計學意義(P＞0.05).進一步分析榦預後榦預組中經常食堂就餐組的血三酰甘油(1.15±0.68)mmol/L、血低密度脂蛋白膽固醇(2.41±0.60)mmol/L均顯著低于偶爾食堂就餐組,而血高密度脂蛋白膽固醇(1.46±0.33)mmol/L顯著高于偶爾食堂就餐組,差異均有統計學意義(t=-4.884、-2.513、2.032,P＜0.05);經常食堂就餐組血總膽固醇、血三酰甘油及血低密度脂蛋白膽固醇的異常率均顯著低于偶爾食堂就餐組,差異均有統計學意(x2=3.963、9.947、4.589,P＜0.05).結論.以健康食堂為載體的營養健康促進模式是預防和控製慢性非傳染性疾病的有效手段,值得進一步推廣應用.
목적 평개이건강식당위재체적영양건강촉진모식적간예효과,위향기타단위식당추엄응용제공과학의거.방법 우2012년선택강소성상주시1소창건건강식당대학적429명교직공위간예조,령1소미채취임하간예조시적947명대학교직공위대조조,차외,간예조진일보안시부경상재식당취찬분위경상식당취찬조(≥2차/주)화우이식당취찬조(＜2차/주);분별재간예전、후(1년)측정혈압、체질지수(BMI),검사지방간발생정황,측정혈청중적포도당、총담고순、삼선감유、뇨산、저밀도지단백담고순、고밀도지단백담고순;분별진행간예조화대조조간간예전후적대비,병진일보진행간예후간예조중경상식당취찬조화우이식당취찬조간적대비분석이평개기간예효과.결과간예조간예후적혈당(5.06±0.62) mmol/L、혈뇨산(310.57±71.79) μmol/L、혈총담고순(4.88 ±0.86) mmol/L、혈삼선감유(1.39±0.67)mmol/L급혈저밀도지단백담고순(2.51 ±0.62) mmol/L균현저저우간예전,혈고밀도지단백담고순(1.43 ±0.34) mmol/L현저고우간예전,차이균유통계학의의(t=7.513、2.126、2.062、3.731、8.891、-2.309,P＜0.05);이대조조간예후적혈당화혈뇨산균현저고우간예전,차이유통계학의의(t=-3.491、-7.703,P＜0.01),혈총담고순、혈삼선감유、혈고밀도지단백담고순급혈저밀도지단백담고순간예전후차이균무통계학의의(P＞0.05).간예조간예후적혈당、혈뇨산、혈총담고순、혈삼선감유、혈저밀도지단백담고순、BMI적이상솔급고혈압발생솔균현저저우간예전,차이균유통계학의의(x2=4.202、3.940、4.031、7.305、59.422、4.273、7.385,P＜0.05);이대조조제간예후혈뇨산이상솔화지방간발생솔균현저고우간예전,차이유통계학의의(x2=23.740、7.408,P＜0.05)외,간예후적혈당、혈총담고순、혈삼선감유、혈저밀도지단백담고순、BMI적이상솔급고혈압발생솔여간예전비교차이균무통계학의의(P＞0.05).진일보분석간예후간예조중경상식당취찬조적혈삼선감유(1.15±0.68)mmol/L、혈저밀도지단백담고순(2.41±0.60)mmol/L균현저저우우이식당취찬조,이혈고밀도지단백담고순(1.46±0.33)mmol/L현저고우우이식당취찬조,차이균유통계학의의(t=-4.884、-2.513、2.032,P＜0.05);경상식당취찬조혈총담고순、혈삼선감유급혈저밀도지단백담고순적이상솔균현저저우우이식당취찬조,차이균유통계학의(x2=3.963、9.947、4.589,P＜0.05).결론.이건강식당위재체적영양건강촉진모식시예방화공제만성비전염성질병적유효수단,치득진일보추엄응용.
Objective To evaluate efficacy of healthy canteen based-nutritional health promotion so as to provide evidence for popularization and application.Methods A total of 429 college professors and administrative staffs with a healthy canteen were selected as the intervention group in 2012 in Changzhou,and another 947 counterparts without a healthy canteen were selected as the control group.Those of the intervention group was further assigned to the ≥2 times/week and＜2 times/week subgroups.Blood pressure,fatty liver,serum triglycerides,blood glucose,total cholesterol,uric acid,low-density lipoprotein cholesterol,high-density lipoprotein cholesterol and body mass index(BMI)were tested before and after the intervention.Results After the intervention,the mean serum glucose[(5.06±0.62)mmol/L],uric acid[(310.57 ± 71.79)μmol/L],total cholesterol[(4.88 ± 0.86)mmol/L],triglycerides[(1.39 ± 0.67)mmol/L]and low-density lipoprotein cholesterol[(2.51 ±0.62)mmol/L]of the intervention group were significantly decreased(t values were 7.513,2.126,2.062,3.731 and 8.891,respectively; all P＜0.05),and mean high-density lipoprotein cholesterol[(1.43±0.34)mmol/L]were significantly increased(t=-2.309,P＜0.05).After the intervention,mean serum glucose and uric acid of the control group were significantly increased(t values were-3.491 and-7.703,respectively; both P＜0.05),although there was no statistically significant difference of mean serum triglycerides,total cholesterol,low-density lipoprotein cholesterol and high-density lipoprotein cholesterol in the control group before and after the intervention(all P＞0.05).The abnormality rates of serum glucose,uric acid,total cholesterol,triglycerides,low-density lipoprotein cholesterol and BMI as well as the incidence of hypertension of the intervention group were significantly decreased after the intervention(x2 values were 4.202,3.940,4.031,7.305,59.422,4.273 and 7.385,respectively; P＜0.05).In the control group,although the abnormality rate of serum uric acid and the incidence of fatty liver were significantly inclined after the intervention(x2 values were 23.740 and 7.408,respectively; both P＜0.05),there were no significant difference of abnormal serum triglycerides,glucose,total cholesterol,low-density lipoprotein cholesterol and BMI as well as the incidence of hypertension before and after the intervention(all P＞0.05).Mean serum triglycerides[(1.15 ±0.68)mmol/L]and low-density lipoprotein cholesterol[(2.4 1±0.60)mmol/L]in the ≥2 times/ week subgroup were significantly lower than those of the＜2 times/week subgroup(t values were-4.884 and-2.513,respectively; both P＜0.05),and mean high-density lipoprotein cholesterol[(1.46±0.33)mmo]/L]of the ≥2 times/week subgroup was significantly higher than that of the＜2 times/week subgroup(t=2.032,P＜0.05).The abnormality rates of serum total cholesterol,triglyceride and low-density lipoprotein cholesterol in the ≥ 2 times/week subgroup were significantly lower than those in the＜2 times/week subgroup(x2 values were 3.963,9.947 and 4.589,respectively; all P＜0.05).Conclusion Healthy canteen based-nutritional health promotion model may provide an effective method to prevent and control the development of noncommunicable chronic diseases.
