| 王政和,杨宜婷,付连国,阳益德,王烁,马冬梅,马蕊,从仁怀,林晓亮,马军.健康管理方案对超重/肥胖人群的减肥效果分析[J].中华流行病学杂志,2016,37(4):491-495 |
| 健康管理方案对超重/肥胖人群的减肥效果分析 |
| Effects of health management programs on weight among overweight or obese adults |
| 收稿日期:2015-09-20 出版日期:2016-04-13 |
| DOI：10.3760/cma.j.issn.0254-6450.2016.04.010 |
| 中文关键词: 肥胖 体脂率 健康管理 减重 |
| 英文关键词: Obesity Body fat rate Health management programs Weight loss |
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| 中文摘要: |
| 目的 探索健康管理方案对超重/肥胖人群的减肥效果,为制订安全有效的减肥方案提供依据。方法 通过志愿招募的方式于2013年9月1日至10月15日招募在北京居住满1年、年龄在22~55岁之间、BMI≥24 kg/m2且无器质性病变的志愿者738人,将其随机分为一般管理组和健康管理组,进行为期6个月的减肥干预;在基线和干预6个月时测量身高、体重、腰围和体成分指标,通过比较干预前、后各指标的差异评价健康管理方案的减肥效果。结果 共有618名研究对象完成了随访,其中健康管理组297人,一般管理组321人。与干预前相比,干预后健康管理组和一般管理组的体重和体脂率均有所下降,干预前后差异有统计学意义(P<0.001),健康管理组的体重下降量(2.19 kg)和体脂率下降量(2.19%)均高于一般管理组的0.97 kg和1.28%,差异有统计学意义(P<0.001)。健康管理组的减重有效率(24.2%)和减脂肪有效率(52.5%)高于一般管理组的11.8%和34.3%,差异有统计学意义(P<0.001)。结论 健康管理方案能够有效降低超重/肥胖者的体重和体脂率。 |
| 英文摘要: |
| Objective To explore the effect of weight-loss for overweight or obese population under the health management programs, and to provide evidence for the development of safe and effective weight-loss programs. Methods 738 participants who resided in Beijing longer than one year, under 22 to 55 years of age, with BMI≥24 kg/m2 and without organic diseases were voluntarily recruited, from September 1st to October 15th 2013. All the participants were randomly divided into general management group or under health management group, in which all the subjects received intervention measures for 6 months. Anthropometry and body composition were measured at baseline and 6 months for all the subjects. Weight-loss effect from the health management programs was evaluated through analyzing the changes on weight and body fat. Results 618 participants completed the follow-up process, including 321 in the general management group and 297 in the health management group. 6 months after the intervention process, values of weight and body fat rate in the two groups appeared both significantly lower than that at the baseline levels. Difference before and after the intervention program was statistically significant(P<0.001). However, the differences of those with reduction value as 2.19 kg or 2.19% among health management group were higher than that in the general management group, which were 0.97 kg and 1.28% respectively, with difference statistically significant(P<0.001). The effective rate of 24.2% loss-weight and the 52.5% losing rate on body fat among the health management group were both higher than 11.8% and 34.3%, seen in the general management group, respectively, with difference statistically significant(P<0.001). Conclusion The healthy management programs could effectively control the weight and body fate rate among the overweight or obese adults. |
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