超重及肥胖老年人体重管理的非药物营养干预探究  

Research on body weight management with non- drug intervention for the overweight and obesity elder people

作　　者：陆小香[1] 张强 

机构地区：[1]江苏经贸职业技术学院老年产业管理学院,江苏南京211168 [2]杭州诺特营养中心南京分中心,江苏南京210000

出　　处：《中国卫生工程学》2015年第2期162-166,共5页Chinese Journal of Public Health Engineering

基　　金：江苏经贸职业技术学院重点课题(3242141223550)

摘　　要：目的探究非药物营养干预对于超重或肥胖老年人进行体重管理的可行性和推广性。方法对2012-2013年,超重及肥胖的68位老年人进行为期4个月的非药物营养干预,以诺特营养为例,比较干预前后内脏脂肪面积、体质指标、血压值、部分生化指标:空腹血糖、甘油三酯、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇的变化情况。结果在经过为期4个月非药物营养干预之后,体质指标中BMI指标较干预前下降,差异有统计学意义(P<0.05);内脏脂肪面积较干预前下降,差异有统计学意义(P<0.01);干预后腰臀比、收缩压均下降,差异有统计学意义(P<0.05);干预后空腹血糖较干预前下降,差异有统计学意义(P<0.05);干预后老年人脂肪肝患病率较干预前有所改善,且差异有统计学意义(P<0.05)。结论非药物营养干预对于老年人体重管理是可行的,值得推广。Objective To explore the feasibility of non - drug interventions for weight management nutrition promotion of the elderly , nutrition as an example to Knott. Methods Overweight and obesity in the 68 elderly people was researched for a period of four months of non - drug nutritional interventions to Knott nutrition during 2012 and 2013, the indexes of the visceral fat area, body mass index, blood pressure and some biochemical indicators such as fasting plasma glucose （GLU）, triglyceride （TG）, total cholesterol （CHOL）, high density lipoprotein cholesterol （HDL- C） and low density lipoprotein cholesterol （LDL- C） were detected and compared before and after the intervention. Results After a four - month non - drug nutritional intervention, BMI index decreased than before the intervention, the difference was statistically significant （ P 〈 O. 05 ） ; Former visceral fat area decreased over the intervention, there was a significant difference （ P 〈 O. 01 ） ; Hip ratio and systolic blood pressure decreased, the difference was statistically significant （ P 〈 0.05 ） ; Fasting blood glucose decreased than before the intervention, the difference was statistically significant （P 〈 0.05 ） ;The incidence of fatty liver decreased than before the intervention, the difference was statistically significant （ P 〈 0.05 ）. Conclusion It is feasible for non - drug nutritional interventions for the elderly weight management and is worth promoting.

关 键 词：老年人 超重 肥胖 体重管理 非药物营养干预 

分 类 号：R473[医药卫生—护理学]