CAJ | 학술논문

目的观察生活方式对代谢综合征(MS)发病率的影响,探讨量化运动干预对MS的疗效.方法以2008年1月至2009年12月深圳市慢性病防治中心健康体检的人群作为观察对象,选取有效观察对象256例,根据生活方式、工作劳动强度、身体活动问卷调查将观察对象分成积极运动生活方式及静坐生活方式组,分析不同运动生活方式对MS患病率的影响.选取新发MS患者58例随机分为运动干预组(A组)29例即采取运动干预联合基础药物治疗,基础药物干预组(B组)29例仅采取基础药物治疗,两组病例分别于干预前、干预后3个月、6个月检测体质量指数、血压、血糖、血脂,观察两组干预疗效.结果积极运动生活方式组MS发病率为12.3%,明显低于静坐生活方式组MS发病率(31%),量化运动干预组体质量指数下降明显,其3个月、6个月MS控制达标率分别为86.2%、93.1%,明显高于基础药物干预组的69.0%、82.8%(P<0.05).结论积极运动生活方式是MS的保护因素,多食少动的生活方式是MS发生的不良因素,加强健康教育,改变不健康生活方式,可有效预防MS发生.
목적관찰생활방식대대사종합정(MS)발병솔적영향,탐토양화운동간예대MS적료효.방법이2008년1월지2009년12월심수시만성병방치중심건강체검적인군작위관찰대상,선취유효관찰대상256례,근거생활방식、공작노동강도、신체활동문권조사장관찰대상분성적겁운동생활방식급정좌생활방식조,분석불동운동생활방식대MS환병솔적영향.선취신발MS환자58례수궤분위운동간예조(A조)29례즉채취운동간예연합기출약물치료,기출약물간예조(B조)29례부채취기출약물치료,량조병례분별우간예전、간예후3개월、6개월검측체질량지수、혈압、혈당、혈지,관찰량조간예료효.결과적겁운동생활방식조MS발병솔위12.3%,명현저우정좌생활방식조MS발병솔(31%),양화운동간예조체질량지수하강명현,기3개월、6개월MS공제체표솔분별위86.2%、93.1%,명현고우기출약물간예조적69.0%、82.8%(P<0.05).결론적겁운동생활방식시MS적보호인소,다식소동적생활방식시MS발생적불량인소,가강건강교육,개변불건강생활방식,가유효예방MS발생.
Objective To investigate the influence of life style on incidence of the metabolic syndrome (MS) , and to explore the exercise intervention effect in the metabolic syndrome .Methods 256 employees who taken health examination from January 2008 to December 2009 in shenzhen center of chronic disease control were collected and an‐alyzed .All subjects were divided into active lifestyle group and sedentary lifestyle group .The influence of lifestyle on MS was analyzed .58 new patients with MS were randomly divided into the based therapy group with 29 patients and the intervention group with 29 patients .50 healthy adults were taken as control group .The body mass index ,blood pressure ,blood glucose ,blood lipid of the three groups were observed and compared before intervention ,3 months and 6 months after intervention .Results The incidence of MS in the patients with sedentary lifestyle was 31% ,which was higher than the active lifestyle group of 12 .3% (P<0 .05) .The body mass index of in the intervention group de‐creased significantly than the based therapy group ( P< 0 .05) .The control rates after intervention 3 months and 6 months were 86 .2% ,93 .1% respectively in intervention group ,these were higher than based therapy group 69 .0% , 82 .8% respectively(P<0 .05) .Conclusion Active exercise lifestyle is one of the protective factors ,the lack of exer‐cise and sedentary lifestyle is one of risk factors .Strengthening the health care education and changing the unhealthy styles of living can efficiency reduce incidence of MS .Exercise and diet intervention treatment can effectively improve insulin sensitivity .