两个社区肥胖成人干预措施研究

目的 ]　研究成人肥胖特点 ,探索有效干预措施。　 方法 ]　对上海市卢湾区 2个社区体重指数 (BMI)≥ 2 5的肥胖成人采取整群抽样法、询问法和问卷式调查 ,并随机抽取其中 3 0 %的肥胖者进行干预前后的对比分析。　 结果 ]　干预后干预组的健康认知程度提高 ,同时有行为发生改变的趋势。表现在对肥胖危害认识和中国居民膳食指南的知晓率明显提高 (P <0 .0 1) ,脂肪摄入量明显下降 ,且摄入总量低于对照组 (P <0 .0 5 ) ;运动频率明显提高 ,完全不运动者由干预前的 5 2 .3 8%下降至干预后的 19.0 5 % (P <0 .0 5 ) ;血清生化方面 ,高密度脂蛋白 -C(HDL -C)有显著上升且明显高于对照组 (P <0 .0 0 5 ) ,而低密度脂蛋白 -C(LDL -C)明显的下降 (P <0 .0 0 1)。　 结论 ]　脂肪摄入过量、运动频率过低、对肥胖控制和预防相关知识的缺乏是当前成人肥胖特点也是控制的关键点。提示在社区进行肥胖干预是可行有效的

Obesity survey community adult and research for the intervention measures

Objective To study the characteristics of obesity in adult and to investigate the effective community intervention project. Methods] All adult with BMI≥25 in 2 communities were sampled and inquired with questionnaire, 30% of them were randomly taken for contrast analysis before and after the intervention. Results] After intervention the health consciousness and sports frequency rose with fat intake dropped, lriacyl glycerol were obviously lower than those in the control group(P<0.05). Conclusion] Excessive fat intake with few exercises and shortage of the related knowledge are the characteristics in current adult obesity. Intervention measures should be focused on these points.