中国职业人群肥胖强化健走处方干预效果评价  

Effect of short-term intensive brisk walking prescription on obesity in Chinese occupational population:a pair matched-control study

作　　者：郭凯明 赵一凡[1] 赵平平 刘芳[1] 徐溪 张朝 林永青 周脉耕[1] 姜莹莹[1] 蒋炜[1] GUO Kai-ming;ZHAO Yi-fan;ZHAO Ping-ping(不详;Center for the Prevention and Control of Chronic Noncommunicable Diseases,Chinese Center for Disease Control and Prevention,Beijing 100050,China)

机构地区：[1]中国疾病预防控制中心慢性非传染性疾病预防控制中心,北京100050 [2]中国疾病预防控制中心环境与健康相关产品安全所

出　　处：《中国公共卫生》2022年第12期1533-1537,共5页Chinese Journal of Public Health

摘　　要：目的评价中国职业人群肥胖强化健走处方干预效果,为推广适合中国职业人群适宜的体重控制方案提供借鉴。方法基于2021年5—8月中国职业人群健走项目,招募来自全国12个省份的31528名在职人员进行为期100 d的健走干预,根据是否接受强化干预分为强化干预组和阳性对照组(强化干预组实施4个健走处方,阳性对照组实行3个健走处方),对完成基线问卷调查和体格检查且健走数据完整的28285名在职人员采用倾向得分匹配,共得到5208对10416名研究对象,比较2组职业人群干预前后体重、体质指数、腰围、臀围和体脂率的变化情况以对中国职业人群肥胖强化健走处方的干预效果进行评价。结果强化干预组职业人群万步率、集中健走率、4个处方完成率、体重监测完成率及阳性对照组万步率、集中健走率、3个处方完成率P_(25)值和平均值均>85%,2组职业人群的干预依从性均较好;强化干预组和阳性对照组职业人群的体重、体质指数、腰围、臀围、体脂率在干预前分别为(65.98±11.86)kg和(65.23±11.87)kg、(23.77±3.29)和(23.78±3.30)、(82.75±10.25)cm和(82.54±10.14)cm、(96.15±7.37)cm和(96.06±7.17)cm、(27.92±6.18)%和(27.75±6.37)%,在干预后分别为(64.18±11.50)kg和(63.86±11.58)kg、(23.18±3.16)和(23.31±3.19)、(81.33±10.05)cm和(81.09±9.99)cm、(95.16±6.88)cm和(94.97±6.70)cm、(26.89±6.11)%和(27.00±6.29)%;干预前后强化干预组和阳性对照组职业人群分别比较,干预前、后2组职业人群的体重、体质指数、腰围、臀围和体脂率差异均有统计学意义(均P<0.01);干预前、后2组职业人群比较,干预前强化干预组职业人群的体重高于阳性对照组职业人群(t=-3.25,P=0.001);协方差分析结果显示,干预后强化干预组职业人群的体重、体质指数和体脂率均低于阳性对照组职业人群(均P<0.01)。通过多水平模型结合倍差法校正性别、年龄、文化程度�Objective To evaluate intervention effect of intensive brisk walking prescription on obesity in Chinese occupational population and to provide a reference for popularizing appropriate weight control program among occupational population in China.Methods All the participants of the study were from a 100-day vigorous walking program conducted among 31528 in service employees in 12 provincial-level administrative divisions of China during May-August 2021 and the participants were divided into an intervention group required to complete a 4 sets of walking schedule in a day(10,10,15,15 minutes of walking continuously at the speed of 100-150 steps per minute)and a positive control group with the same requirement as the intervention group but only 3 sets of waling schedule(10,10,15 minutes);the body weight in kg(BW)of the participants were measured at least once a week during the program period.From the 28285 participants with complete information on baseline questionnaire survey and data on physical examination and vigorous waling,5208 pairs of intervention and control individuals were matched by tendency scores.The changes in BW,body mass index(BMI),waist circumference in cm(WC),hip circumference in cm(HC)and body fat rate in%(BFR)of the intervention and control individuals before and after the intervention were compared to evaluate the effect of intensive brisk walking prescription on the obesity indicators.Results For both the intervention and positive control group,the percentages and the 25th percentiles of the proportions of individuals having 10000 steps walking per day,group walking,completing 4/3 sets of walking schedule,and BW measuring once a week were all more than 85%,indicating a good compliance with the program of the participants.Compared to those at the beginning of the intervention program,there were significant differences at the end of the intervention for both the intervention and the positive control groups in the average values of BW(64.18±11.50 vs.65.98±11.86 and 63.86±11.58 vs.65.23±11.87),

关 键 词：强化健走处方 肥胖 干预效果 职业人群 

分 类 号：R161[医药卫生—公共卫生与预防医学]