北京市劲松社区职业人群超重肥胖者体质量管理效果评价

Evaluation of weight management of overweight and obesity among occupational populations in Jinsong community in Beijing

目的探讨适合职业人群超重肥胖者的体质量管理措施,并评价其效果。方法招募2016年1—12月劲松社区的职业人群中60名有减重意愿者,由社区医护人员以小组的形式对其进行为期3个月的干预,共9次课程,第1个月1次/周,后2个月每两周1次,课时1 h/次,在干预前后进行体格测量,比较干预前后的体质量、腰围、体成分、体质量分类等的变化情况。结果干预后,研究对象的体质量、腰围、全身体脂肪率、肌肉量和内脏脂肪等级均较干预前显著下降,差异均有统计学意义(P<0.001)。干预后,研究对象中21人由超重转为正常,5人由肥胖转为超重,差异有统计学意义(P<0.001)。结论在社区中对职业人群采取体质量管理小组的形式,可以有效控制体质量、腰围等,有效降低超重肥胖率。

Objective To explore the weight management measures which suitable for overweight and obesity among occupational populations, and evaluate the effects. Methods Sixty overweight and obesity who have intention to participate in the study were selected from the occupational population of Jinsong community and were intervened by community medical staff in the form of groups for 9 courses in 3 months, once a week in the first month and once every two weeks in the two months later, one hour at a time. The changes of weight, waist circumference, body composition and weight classification before and after the intervention were compared. Results After the intervention, the weight, waist circumference, body fat rate, muscle mass and visceral fat level of the subjects were significantly lower than those before the intervention,the differences were statistically significant(P<0.001). After the intervention, 21 of the subjects changed from overweight to normal, and 5 cases changed from obesity to overweight, the differences were statistically significant(P<0.001). Conclusions Taking the form of weight management group in the community can effectively control the weight, waist circumference and so on, effectively reduce the rate of overweight and obesity.