海上石油作业人员体质量管理及效果评价  

Evaluation of body mass management and effect in offshore oil workers

作　　者：丁洁 李燕君 韩海军[2] 吕晓华[1] DING Jie;LI Yanjun;HAN Haijun;LU Xiaohua(West China School of Public Health,Sichuan University,Chengdu,Sichuan 610041,China)

机构地区：[1]四川大学华西公共卫生学院,四川成都610041 [2]四川大学体育学院,610065

出　　处：《中国职业医学》2018年第5期563-567,共5页China Occupational Medicine

基　　金：四川省科技支撑项目(2014FZ0090)

摘　　要：目的探索海上石油作业人员体质量管理的有效措施。方法采用整群随机抽样法,选取570名男性海上石油作业人员为研究对象,根据体质指数(BMI)将作业人员分为一、二、三级3个健康管理级别,采用能量控制、划船机、八段锦和有氧运动量化训练及健康教育等个体化综合措施进行为期280 d的体质量管理。以体质量、BMI、腰围、臀围、血压、血糖和血脂等指标作为效果评价指标。结果干预后一、二级健康管理人员的体质量、BMI、腰围、臀围、血压、总胆固醇和空腹血糖较其干预前下降(P <0. 05),一级健康管理作业人员的高密度脂蛋白胆固醇较其干预前升高(P <0. 05);三级健康管理作业人员干预前后体质量、BMI、腰围、臀围、腰臂比、血压、血糖和血脂等指标无明显变化(P> 0. 05)。干预后一、二级健康管理作业人员减重有效率分别为37. 7%(29/77)和25. 3%(45/178)。结论营养与运动相结合的综合体质量管理措施对海上石油作业人员中的超重和肥胖者有一定效果。Objective To explore the effective measures for body weight management in offshore oil workers. Methods A total of 570 male offshore oil workers were selected as study subjects by cluster random sampling method. According to the body mass index（ BMI）,the workers were divided into 3 health management levels（ the first,second and the third）. The individualized comprehensive measures including energy control,rowing machine,baduanjin exercise,aerobic exercise quantitative training and health education were used for a 280-day body mass management program. Body mass,BMI,waist circumference,hip circumference,blood pressure,fasting blood-glucose and blood lipid were used as effect evaluation indexes. Results The body mass,BMI,waist circumference,hip circumference,blood pressure,total cholesterol and fasting blood glucose of first and second level health management subjects decreased compared with that before intervention（ P〈0. 05）. High-density lipoprotein cholesterol of first level health management subjects increased（ P〈0. 05）. There was no significant difference in body mass,BMI,waist circumference,hip circumference waist-hip ratio,blood pressure,fasting blood-glucose and blood lipid of the third level health management subjects（ P〈0. 05）. The effective rates of body mass loss of first and second level health management subjects were 37. 7%（ 29/77） and 25. 3%（ 45/178）. Conclusion The integrated body mass management combined with nutrition and exercise are effective on overweight and obese subjects of offshore oil workers.

关 键 词：海上石油作业人员 体质量 健康管理 效果评估 

分 类 号：R151.4[医药卫生—营养与食品卫生学]