中山地区个体化生活习惯干预对超重及“三高症”治疗的有效性研究

Effectiveness Study of Individual Lifestyle Intervention in the Treatment of Overweight and " Three High Disease" in Zhongshan Region

目的通过健康体检抽样发现干预人群,制定相应的个体化健康体重管理报告书和合理膳食建议书,评价健康生活习惯干预措施的有效性。方法选取本市2015年7月至2016年11月的300例体检者,随机分为实验组和对照组各150例。实验组使用个体化生活习惯干预,对照组未使用个体化生活习惯干预。观察两组的临床效果。结果干预后,实验组的超重率、BMI异常检出率、高血压检出率、糖脂代谢异常检出率均明显下降,且低于对照组,差异均有统计学意义(P<0.05)。实验组各年龄段的检出率也显著低于对照组,差异有统计学意义(P<0.05)。随着肥胖人群年龄的不断增加,高血压检出率和糖脂代谢异常检出率明显增加。结论健康体重管理报告书或合理膳食建议书的个体化生活习惯干预可有效控制目标人群的体重、血压、血脂,实现对代谢异常的一级预防,并能够将其推广到基础保健措施。

Objective To find the intervention population by physical examination sampling, develop the appropriate individual healthy weight management report and reasonable diet recommendation, and evaluate the effectiveness of healthy lifestyle intervention measures. Methods 300 people with physical examination in our city from July 2015 to November 2016 were selected and randomly divided into experimental group and control group, with 150 cases in each group. The experimental group received individual lifestyle intervention while the control group did not. The clinical effects of two groups were observed. Results After intervention, the overweight rate and detection rates of abnormal BMI, high blood pressure and abnormal glycolipid metabolism of experimental group significantly decreased and were lower than those of control group, with statistical differences （P〈0.05）. The detection rates in different ages of experimental group were also significantly lower than those of control group, with statistical differences （P 〈0.05）. The detection rates of high blood pressure and abnormal glycolipid metabolism increased significantly with age of people with obesity. Conclusions Individual lifestyle intervention of healthy weight management report and reasonable diet recommendation can effectively control the weight, blood pressure and blood lipid to achieve the primary prevention of metabolic abnormality, and can be extended to primary health care measures.