“互联网+健康管理”模型在青年肥胖人群中的应用效果

Application effect of"Internet+health management"model in obese young people

目的探讨“互联网+健康管理”模型在中青年肥胖人群中的应用效果。方法回顾性选取2015年1月~2016年12月在我院健康体检的118例中青年肥胖者的临床资料,体重指数(BMI)≥28 kg/m2,年龄18~59岁,采用自身对照队列用“互联网+健康管理”模型进行干预,观察干预前后肥胖者的体重管理效果。结果运用健康管理模型对118例中青年肥胖者进行为期12个月的体重管理,干预后6、12个月的体重、臀围、腰围、BMI及干预后12个月均低于干预前,差异有统计学意义(P<0.05);干预后6个月的三酰甘油、胆固醇、空腹血糖、收缩压、舒张压均低于干预前,但差异无统计学意义(P>0.05);干预后12个月的胆固醇、收缩压、舒张压低于干预前,差异有统计学意义(P<0.05);干预后12个月的体重、臀围、腰围、BMI、三酰甘油、胆固醇、舒张压均低于干预后6个月,差异有统计学意义(P<0.05)。结论“互联网+健康管理”模型对中青年肥胖者的体重管理应用效果较好,值得临床应用。

Objective To explore the application effect of"Internet+health management"model in young and middle-aged obese people.Methods The clinical data of 118 young and middle-aged obese patients who had physical examination in our hospital from January 2015 to December 2016 were retrospectively selected,with body mass index(BMI)≥28 kg/m2,aged 18 to 59 years old,and a self-controlled cohort was used,intervened with the"Internet+health management"model to observe the weight management effect of obese people before and after intervention.Results The health management model was used to manage weight for 118 young and middle-aged obese persons for 12 months.The body weight,hip circumference,waist circumference,BMI at 6 months and 12 months and triglycerides at 12 months after intervention were lower than those before intervention,and the differences were statistically significant(P<0.05).The triglycerides,cholesterol,fasting blood glucose,systolic blood pressure,and diastolic blood pressure at 6 months after intervention were lower than those before intervention,but the differences were not statistically significant(P>0.05).The cholesterol,systolic blood pressure and diastolic blood pressure at 12 months after intervention were lower than those before intervention,the differencea were statistically significant(P<0.05).The body weight,hip circumference,waist circumference,BMI,triglyceride,cholesterol and diastolic blood pressure values at 12 months after intervention were lower than those at 6 months after intervention,the differences were statistically significant(P<0.05).Conclusion The"Internet+health management"model has a good effect on the weight management of young and middle-aged obese people and is worthy of clinical application.