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
4期
238-242
,共5页
张誉文%王建华%职心乐%刘新民%朱红
張譽文%王建華%職心樂%劉新民%硃紅
장예문%왕건화%직심악%류신민%주홍
超重%肥胖症%健康教育%有氧运动
超重%肥胖癥%健康教育%有氧運動
초중%비반증%건강교육%유양운동
Overweight%Obesity%Health education%Aerobic exercise
目的 评价对社区中老年超重肥胖人群进行健康教育结合有氧运动的综合干预措施对超重和肥胖人群关于超重肥胖的知识、态度、行为,以及体质指数、腰围、血压、血糖、血脂等指标的影响,探索适合我国社区超重、肥胖人群的干预模式.方法 本研究是以社区为基础的随机对照试验,采用单纯随机抽样方法抽天津市南开区王顶堤街的3个小区,纳入研究对象共125人,按照完全随机化原则,采用随机数字法将研究对象随机分为干预组(n=62)和对照组(n=63).对干预组采取6个月,每周3次的有氧运动及健康教育干预;对照组不采取任何干预措施.干预前后采用体格检查和知识态度行为(KAP)问卷评分的方法评价干预效果.两组干预前后各指标比较用重复测量方差分析.结果 综合干预有效地提高了干预组超重和肥胖KAP评分[13.82(95％CI:12.42～15.23)分]和高密度脂蛋白胆固醇水平[0.22 (95％ CI:0.17 ～0.28) mmol/L];降低了干预组的体质指数[-0.47(95％CI:-0.58～-0.36)kg/m2]、腰围[-4.00(95％CI:-5.01～-2.99)cm]、收缩压[-11.69(95％CI:-13.84～-9.55)mmHg]、(1 mmHg=0.133 kPa)空腹血糖[-1.21(95％ CI:-1.55～-0.88)mmol/L]、甘油三酯[-0.06(95％CI:-0.25～0.13)mmol/L]、低密度脂蛋白胆固醇水平[-0.48(95％CI:-0.62～-0.34)mmol/L].结论 规律的有氧运动和健康教育综合干预,能有效改善超重肥胖人群的体质指数、腰围、血糖、血压、血脂水平,在社区超重肥胖人群中进行这种干预是提高健康意识、改变生活方式、增强身体机能、降低肥胖各类相关疾病发生的重要手段.
目的 評價對社區中老年超重肥胖人群進行健康教育結閤有氧運動的綜閤榦預措施對超重和肥胖人群關于超重肥胖的知識、態度、行為,以及體質指數、腰圍、血壓、血糖、血脂等指標的影響,探索適閤我國社區超重、肥胖人群的榦預模式.方法 本研究是以社區為基礎的隨機對照試驗,採用單純隨機抽樣方法抽天津市南開區王頂隄街的3箇小區,納入研究對象共125人,按照完全隨機化原則,採用隨機數字法將研究對象隨機分為榦預組(n=62)和對照組(n=63).對榦預組採取6箇月,每週3次的有氧運動及健康教育榦預;對照組不採取任何榦預措施.榦預前後採用體格檢查和知識態度行為(KAP)問捲評分的方法評價榦預效果.兩組榦預前後各指標比較用重複測量方差分析.結果 綜閤榦預有效地提高瞭榦預組超重和肥胖KAP評分[13.82(95％CI:12.42～15.23)分]和高密度脂蛋白膽固醇水平[0.22 (95％ CI:0.17 ～0.28) mmol/L];降低瞭榦預組的體質指數[-0.47(95％CI:-0.58～-0.36)kg/m2]、腰圍[-4.00(95％CI:-5.01～-2.99)cm]、收縮壓[-11.69(95％CI:-13.84～-9.55)mmHg]、(1 mmHg=0.133 kPa)空腹血糖[-1.21(95％ CI:-1.55～-0.88)mmol/L]、甘油三酯[-0.06(95％CI:-0.25～0.13)mmol/L]、低密度脂蛋白膽固醇水平[-0.48(95％CI:-0.62～-0.34)mmol/L].結論 規律的有氧運動和健康教育綜閤榦預,能有效改善超重肥胖人群的體質指數、腰圍、血糖、血壓、血脂水平,在社區超重肥胖人群中進行這種榦預是提高健康意識、改變生活方式、增彊身體機能、降低肥胖各類相關疾病髮生的重要手段.
목적 평개대사구중노년초중비반인군진행건강교육결합유양운동적종합간예조시대초중화비반인군관우초중비반적지식、태도、행위,이급체질지수、요위、혈압、혈당、혈지등지표적영향,탐색괄합아국사구초중、비반인군적간예모식.방법 본연구시이사구위기출적수궤대조시험,채용단순수궤추양방법추천진시남개구왕정제가적3개소구,납입연구대상공125인,안조완전수궤화원칙,채용수궤수자법장연구대상수궤분위간예조(n=62)화대조조(n=63).대간예조채취6개월,매주3차적유양운동급건강교육간예;대조조불채취임하간예조시.간예전후채용체격검사화지식태도행위(KAP)문권평분적방법평개간예효과.량조간예전후각지표비교용중복측량방차분석.결과 종합간예유효지제고료간예조초중화비반KAP평분[13.82(95％CI:12.42～15.23)분]화고밀도지단백담고순수평[0.22 (95％ CI:0.17 ～0.28) mmol/L];강저료간예조적체질지수[-0.47(95％CI:-0.58～-0.36)kg/m2]、요위[-4.00(95％CI:-5.01～-2.99)cm]、수축압[-11.69(95％CI:-13.84～-9.55)mmHg]、(1 mmHg=0.133 kPa)공복혈당[-1.21(95％ CI:-1.55～-0.88)mmol/L]、감유삼지[-0.06(95％CI:-0.25～0.13)mmol/L]、저밀도지단백담고순수평[-0.48(95％CI:-0.62～-0.34)mmol/L].결론 규률적유양운동화건강교육종합간예,능유효개선초중비반인군적체질지수、요위、혈당、혈압、혈지수평,재사구초중비반인군중진행저충간예시제고건강의식、개변생활방식、증강신체궤능、강저비반각류상관질병발생적중요수단.
Objective To evaluate the effects of a comprehensive intervention including regular aerobic exercise and health education on knowledge,attitude,belief,practice (KAP) scores,body mass index (BMI),waist circumferences,blood pressure,serum glucose and lipid levels in middle-aged and elderly people with overweight and obesity.Methods Three resident communities were chosen randomly from Wangdingdi community in Nankai district in Tianjin.Totally 125 overweight people were involved in this study,62 and 63 people were randomly assigned to intervention group and control group respectively.The members of intervention group were asked to participate in aerobic exercise and health education program 3 times per week within 6 months.And control group members received no intervention.Then to evaluate the effects of intervention of regular aerobic exercise and health education by physical examination and questionnaire.Comparison between intervention group and control group was performed using a repeatedmeasures analysis of variance.Results The comprehensive intervention resulted in significant improvement of the KAP scores [13.82 (95％CI:12.42-15.23)] and high-density lipoprotein cholesterol [0.22(95％ CI:0.17-0.28) mmol/L] and reductions in intervention group in body mass index [-0.47 (95％ CI:-0.58-0.36) kg/m2],waist circumference [-4.00 (95％ CI:-5.01--2.99) cm],systolic blood pressure [-11.69 (95％ CI:-13.84--9.55) mmHg] (1 mmHg=0.133 kPa),fasting plasma glucose [-1.21 (95％ CI:-1.55--0.88) mmol/L],triglyceride [-0.06 (95％ CI:-0.25-0.13) mmol/L],low-density lipoprotein cholesterol [-0.48 (95％ CI:-0.62--0.34) mmol/L].Conclusion Regular aerobic exercise and health education program in community can successfully reduce body mass index,waist circumference and some other risk factors related to overweight and obesity.It is effective to improve awareness,physical fitness,change lifestyle for middle-aged and elderly people in the community.
