北京市职工体重控制干预项目效果评价  

Discussion on the effect of Weight Intervention Project Among Workers in Beijing

作　　者：曹远[1] 李玉青[1] 万国峰[1] 刘秀荣[1] Cao Yuan;Li Yuqing;Wan Guofeng;Liu Xiurong(Beijing Centers for Disease Prevention and Control,Beijing Centers for Disease Preventive Medical,Beijing 100013,China)

机构地区：[1]北京市疾病预防控制中心、北京市预防医学研究中心,北京100013

出　　处：《健康教育与健康促进》2021年第5期466-469,547,共5页Health Education and Health Promotion

摘　　要：目的评价北京市集体单位职工体重控制项目的干预效果,为在全市职业人群中开展体重控制工作提供思路和依据。方法共招募到824名集体单位职工。通过组织培训、利用微信群和公众号推送信息等方式传播体重控制知识,同时进行线上运动打卡管理并定期组织线下健步走等活动。干预前后,利用自行设计的调查问卷对参与人员的体重控制知识、运动及膳食行为、活动参与情况等内容进行调查,并对身高、体重等体格指标进行测量。结果干预后,被调查对象正确知晓“成人每年增重限值”“超重或肥胖者每年宜减重比例”“减重不能单纯依靠不吃或少吃主食”“体质指数”的比例,分别由干预前的33.4%、42.8%、51.7%、43.2%提高到52.6%、58.8%、60.5%和75.6%,差异均有统计学意义(P<0.05)。过去1个月有运动行为、每周运动3次及以上、每次运动30 min以上、运动以中等强度为主的比例,分别由80.2%、55.5%、68.2%、48.0%提高到94.6%、66.5%、73.6%、60.0%,差异均有统计学意义(P<0.05)。睡前2 h不再进食的比例由77.2%提高至86.4%,吃零食的比例由48.3%下降至40.2%,吃饭速度较快或很快的比例从45.3%下降到34.1%,差异均有统计学意义(P<0.05)。体重正常的比例由35.3%增加到42.2%,超重或肥胖的比例由63.3%降低到56.3%,差异有统计学意义(χ2=8.39,P=0.015)。结论线上线下相结合的群体干预模式能够在一定程度上提高被干预人群对于科学控制体重的认识,改善其运动和膳食行为,从而达到控制体重的效果。Objective To evaluate the intervention effect of weight control program for collective workers in Beijing, and to provide ideas and basis for weight control among occupational population in Beijing. Methods A total of 824 employees from collective units were recruited. They were trained in organizing, training, using WeChat group and official account to push information, and so on. They spread knowledge of weight control, manage online punching card management and organize daily attendance under the organizational line. Before and after the intervention, the self-designed questionnaire was used to investigate the participants’ weight control knowledge, exercise and dietary behavior, activity participation,and the physical indexes such as height and weight were measured. Results After the intervention, the respondents correctly knew the "adult annual weight gain limit" "the proportion of overweight or obese people who should lose weight every year" "the proportion of weight loss can’t simply rely on not eating or eating less staple food" and "body mass index" increased from 33.4%, 42.8%, 51.7% and 43.2% before the intervention to 52.6%, 58.8%, 60.5% and 75.6%, respectively(P<0.05). In the past month, the proportion of exercise behavior, exercise 3 times or more a week, exercise for more than 30 minutes each time and moderate intensity increased from 80.2%, 55.5%, 68.2% and 48.0% to 94.6%, 66.5%, 73.6% and 60.0%respectively(P<0.05). The proportion of not eating 2 hours before going to bed increased from 77.2% to 86.4%;the proportion of eating snacks decreased from 48.3% to 40.2%;the proportion of eating fast or fast decreased from 45.3% to 34.1%(P<0.05). The proportion of stopping eating at least 2 hours before sleeping was increased from 77.2% to 86.4%.(χ2=23.00, P<0.05). The proportion of having the habit of snacking was decreased from 48.3% to 40.2%(χ2=10.79, P<0.05);fast eating was decreased from 45.3% to 34.1%(χ2=20.71, P<0.05). The proportion of normal weight increased from 35.3% to 42.2%, and the prop

关 键 词：体重控制 集体单位职工 干预效果 

分 类 号：R13[医药卫生—劳动卫生]