部队干部人群体重干预管理模式的建立及其效果  

Research on army cadres population weight scientific intervention management mode and effect

作　　者：毕珣[1] 孙文军[1] 胡役兰[2] 刘淑红[2] 

机构地区：[1]武警后勤学院附属医院健康体检管理中心,天津300162 [2]武警后勤学院部队流行病学教研室

出　　处：《中华健康管理学杂志》2015年第1期36-39,共4页Chinese Journal of Health Management

摘　　要：目的：对部队干部人群进行短期集中减重干预和长期维持减重指导，建立适合该人群的体重管理模式。方法从参加2010年体检的武警军官中随机抽取单纯性超重及肥胖患者142例作为研究对象，干预随访24个月，得到有效样本130例。其中男97例，女33例，年龄27-59岁，平均（47.4±7.6）岁。分别于干预开始、干预后6个月和干预结束时测量相关指标，采用SPSS16.0进行统计学分析。计量资料采用重复测量的方差分析，计数资料采用非参数检验。结果部队干部人群体重干预管理模式分3个阶段，分别为集中减重阶段6个月，巩固减重成果6个月，自我管理维持12个月，共计24个月。经过2年的体重集中干预和管理，研究对象的体质指数从（27.42±2.81）kg/m^2下降到（24.69±2.63）kg/m^2（F=2649.945，P〈0.05），腰围从（91.09±8.24）cm下降到（85.26±7.76）cm（F=1207.248，P〈0.05）；非参数检验结果显示，2年干预管理前后思维行为模式均有改善。运动所占比例从33.8%上升到73.3%（H=68.448，P〈0.05）；称体重习惯从21.5%上升到82.3%（H=134.566，P〈0.05）；吸烟所占比例从38.5%下降到20.0%（H=33.692，P〈0.05）；饮酒比例从50.8%下降到20.8%（H=59.128， P〈0.05）；高盐饮食习惯从39.2%下降到23.1%（H=31.722，P〈0.05）；高脂饮食从46.2%下降到27.7%（H=41.571，P〈0.05）。结论短期集中减重和长期巩固维持，从饮食、运动和心理方面进行干预，实现干部人群由被动控制体重到主动自我管理健康的思维转变，有显著效果。Objective To look for suitable short-term weight loss and long-term maintenance method for army cadres. Method A total of 142 patients with simple overweight and obesity were randomly selected as the research subjects, and were followed up for 2 years, 130 of them were valid for analysis, 97 were male, and 33 female, age 27-59 years, average（47.41±7.55）years. SPSS 16.0 was used for analysis. Repeated measurements analysis of variance was used for data analysis, K-related samples nonparametric test was used for enumeration data. Result The army cadres population weight intervention management model was divided into three stages. They were respectively intensified weight loss stage for 6 months, the consolidation of weight loss for 6 months, and self-management stage maintained for 12 months, totally 24 months. Variance analysis results showed that after two years of focused intervention and health management, the body mass index（BMI）fell from（27.42 ± 2.81）kg/m^2 to（24.69 ± 2.63）kg/m^2 （F=2 649.945, P〈0.05）, waist circumference decreased from（91.09±8.24）cm to（85.26±7.76）cm（F=1 207.248, P〈0.05）. Nonparametric test results showed that after two years intervention management the behavior patterns concerning physical exercise became better. Exercisers increased from 33.8%to 73.3%（H=68.448, P〈0.05）; proportion of smoking decreased from 38.5% to 20.0%（H=33.692, P〈0.05）; drinking alcohol decreased from 50.8%to 20.8%（H=59.128, P〈0.05）;high salt diet decreased from 39.2%to 23.1%（H=31.722, P〈0.05）;high-fat diet decreased from 46.2%to 27.7%（H=41.571, P〈0.05）. Conclusion The practice showed that the short-term intensified weight loss, long-term maintenance, exercise and psychological intervention, changed the cadres population from passive to active on the weight control and self-management with remarkable effects, therefore such intervention is worthy of promoting.

关 键 词：肥胖症 膳食 减重 腰围 人体质量指数 

分 类 号：R82[医药卫生—临床医学]