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糖尿病社区干预对居民肥胖及相关因素的影响 被引量:5

Effectiveness of diabetes mellitus community intervention on urban population's obesity and related factors
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摘要 目的 评价糖尿病社区干预对城市居民肥胖状况及相关因素的影响 ,为制定社区干预对策与措施提供科学依据。方法 按照实验流行病学方法 ,选取山东省 2个城市社区分别作为干预社区与对照社区。 1997年 ,收集基线资料 ,同时开始在干预社区实施糖尿病综合干预措施。 2 0 0 1年 ,再次以相同的方法收集 2个社区相关资料 ,通过2个社区基线与 4年后资料的比较 ,分析干预措施对社区健康人群体重指数 (BMI)、腰臀比 (WHR)、业余体力活动强度和膳食结构的影响。结果 干预前后 ,干预社区人群BMI均值与WHR均值无显著性差异 ,对照社区人群 4年后BMI均值与WHR均值均上升 (P <0 0 5)。干预社区人群在干预前后超重与肥胖率无显著性差异 ,但对照社区人群超重者增加了 12 1% ,肥胖者增加了 5 6% (P <0 0 1)。干预社区干预前后业余体力活动程度构成无显著性差异 ,而对照社区人群中度活动组比例从 47 6%下降为 14 2 % (P <0 0 1)。 4年后 ,干预社区喜荤食的比例下降了 4 8% (P<0 0 5) ,而对照社区相应比例上升了 1 6% (P <0 0 1)。结论 社区水平的糖尿病干预项目对城市居民肥胖及其相关因素 ,体力活动强度 ,膳食结构均有显著影响 。 Objective To evaluate the effectiveness of diabetes melli tus (DM) community intervention on urban population's obesity and related factor s in order to provide scientific bases for more effective program of DM communit y intervention.Methods According to the guideline of experimental epidem iology,two city communities were selected as intervened community and controlled community respectively in Shandong province.In the year of 1997,the baseline dat a in both of the two communities were collected and a DM community intervention program in the intervened community was implemented.In the year of 2001,the rela te d data were collected again with the same criteria and methods in the two commun ities.By the comparison of the baseline data and the data of 4 years later, the effectiveness of community intervention on healthy population's body mass index (BMI),waist to hip ratio (WHR),leisure physical activity intensity and dietary c omposition were analyzed. Results In the intervened community,there was no signif icant difference between the baseline and 4 years later data in the average of B MI or WHR,while the average in the controlled community rose after 4 years ( P <0.05).There was no significant difference was found in the prevalence of over weight or fat in the intervented community,but in the controlled community,overweight rais ed by 12.1% and fat raised by 5.6% ( P <0.01),No difference in leisure physica l activity in intervened community while the proportion of middle level decrease d from 47.6% to 14.2%( P <0.01). Conclusion This community diabetes intervention program h ad distinct effects on the fat and related factors,leisure physical activity int ensity and dietary composition,which suggested good compliance of the interventi on project on diabetes and risk factors in urban population.
出处 《中国公共卫生》 CAS CSCD 北大核心 2003年第11期1396-1398,共3页 Chinese Journal of Public Health
基金 山东省医药卫生"九五"攻关项目资助
关键词 2型糖尿病 社区干预 肥胖 效果评价 体重指数 腰臀比 业余体力活动强度 膳食结构 type 2 diabetes mellitus community interventio n obesity effectiveness evaluation
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