有组织、半封闭形式社区减肥活动的效果评价

Evaluation of the Outcome of an Organized, Semi-Closed Program for Weight Reduction in Community

通过分析一次有组织、半封闭形式的社区减肥活动 ,观察减肥效果 ,探讨适宜的减肥目标、速度和持续时间 ,适宜的能量摄入量 ,适宜的运动强度和运动量 ,提出建设性意见。结果显示 ,有组织、半封闭的减肥活动是一种有效的社区减肥形式 ,对无法通过自我行动实施减肥的人尤为合适 ;设立的减肥目标以体重指数 (BMI)减少 10 %左右为宜 ;年龄较轻者和体重过大者 ,减肥速度可大于 1～ 3kg/月 ;减肥持续时间以 1个月左右为宜 ;能量摄入量可控制在 16 0 0kcal/d(男 )或130 0kcal/d(女 )以内 ,运动强度中等 (最大运动心率的 5 0 %～ 70 % ) ,运动量达到中等活动水平 ;减肥活动应在有关专家指导监督下进行 ,避免运动性损伤和其它医学问题 ;可适量补充复合维生素和矿物质 ;

The purpose of the present study is to evaluate the outcome of an organized, semi-closed grogram for weight reduction in community, and to provide the helpful suggestions for the reasonable goal, rate, duration, energy intake, exercise intensity and amount for weight-reduction program. The results showed that the organized semi-closed program for weight reduction in community is effective and especially suitable for one who are unable to control body weight by themselves. Reducing 10% of body mass index (BMI) is reasonable target in the program. The rate of 1～3kg per month for reducing weight is acceptable for the young obese adults with severely overweight. The recommendation for the program duration is about one month. It is better to keep dietary energy intake under 1600 kcal/d for man and 1300 kcal/d for woman. It is appropriate to take moderate exercise intensity within 50～70% of maximal heart rate and moderate exercise amount. The weight-reducing program should be supervised under experts or specialists to avoid any exercise-induced injuries and other medical problems. The supplementation of complex of vitamins and minerals is recommended during the period of weight reduction. Certain medicines for inhibiting the sense of hunger can be used if necessary.