张丽娜,冉利梅,杨星,曹煜
ZHANG Lina,RAN Limei,YANG Xing,CAO Yu

• 1:贵州医科大学公共卫生学院
• 2:贵州医科大学
• 3:贵州医科大学附院健康管理中心

摘要(Abstract)：

目的:探讨健康教育、膳食管理、运动指导及互联网监测对超重(肥胖)合并血脂异常中人群的体质指数(BMI)、体脂肪及内脏脂肪的影响。方法:选择超重(肥胖)合并血脂异常人员140名,随机分为管理组和对照组,对照组采用健康教育管理,管理组采用综合管理(包括健康教育、膳食管理、运动指导及互联网监测),时间均为3个月,收集管理组人群管理前后的腰围、腰臀比、体脂肪、内脏脂肪面积、骨骼肌、基础代谢量以及健康评分,比较2组管理前后BMI、血脂、空腹血糖(FPG)及血尿酸(UA)水平。结果:管理3个月时,管理组人群的腰围、腰臀比、体脂肪、内脏脂肪及基础代谢量均显著低于管理前(P<0.01),健康评分显著高于管理前(P<0.01);管理组人群的BMI、胆固醇、甘油三酯、FPG、UA均低于管理前及管理后对照组(P<0.05),高密度脂蛋白较管理前及管理后对照组显著升高(P<0.05)。结论:对超重(肥胖)合并血脂异常人群进行综合管理,可有效降低BMI、体脂肪、内脏脂肪并改善血脂水平。
Objective: To evaluate the effect of comprehensive management including health education,dietary management,sports instruction,internet monitoring on people with overweight and obesity combined with hyperlipemia. Method: A total of 140 people with overweight and obesity combined with hyperlipemia were selected in the Affiliated Hospital of Guizhou Medical University. The people were randomly divided into the control group( health education) and management group( health education,dietary management,sports instruction,internet monitoring) and were followed up for 3 months,69 people in the control group and 68 in the management group. 1. The waist circumference( WC),waist-to-hip ratio,fat,visceral fat area,skeletal muscle mass,basal metabolic rate and health scores of the two groups were compared. 2. The weight,BMI,cholesterol( TC) and triglycerides( TG) of both groups were compared in before and after management. Result: After the management,the WC,waist-to-hip ratio,fat,visceral fat area and basal metabolic rate of the management group were significantly lower than before management( P < 0. 001),but the health scores of the management group was significantly higher than before management( P < 0. 001). the BMI,TG,FBG and UA of the management group were lower than those of the control group before and after management( P < 0. 05),yet HDL-C of the management group was higher than that of the control group before and after management( P < 0. 05). Conclusion: The comprehensive weight management of people with overweight and obesity combined dyslipidemia is beneficial to BMI,fat,visceral fat area and lipid levels.

关键词(KeyWords)： 超重;肥胖症;血脂异常;人群监测;互联网;综合管理
overweight;obesity;dyslipidemia;crowd monitoring;internet;comprehensive management

Abstract:

Keywords:

基金项目(Foundation): 贵阳市科技类计划(20151001社17号)

作者(Author): 张丽娜,冉利梅,杨星,曹煜
ZHANG Lina,RAN Limei,YANG Xing,CAO Yu

DOI: 10.19367/j.cnki.1000-2707.2018.03.016

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