强化干预对改变代谢综合征及高危人群生活方式的影响研究

目的探讨强化干预对代谢综合征（MS）及高危人群生活方式及人体学指标与生化指标的影响。方法由专职培训的医护人员对60名代谢综合征高危人群进行两年的运动、膳食、心理等一对一强化干预及随访和健康知识讲座，使其建立合理的饮食结构和适当的有效运动量，并保持乐观的心态。结果强化干预后60名MS个体，做到了三餐搭配合理，三种主要营养素、食用油、盐及蔬菜摄入合理，总运动量、有效运动量、体重指数、腰围、血压、TG、LDL、HDL均优于干预前，差异均有显著意义（P〈0．05或P〈0．01）。结论强化干预有助于MS及高危人群逐步建立健康的生活方式，减少发病危险因素，提高自我管理能力，但须长期坚持，持之以恒。

Study for the effect of strengthening intervention on modifying metabolic syndrome and lifestyle of high-risk groups

Objective To discuss the effect of strengthen intervention on metabolic syndrome （MS） and lifestyle of at high-risk groups, and also the effect on indexes of human and biochemical indexes. Method 60 patients of meta-bolic syndrome at high risk were given strengthened intervention, follow-up and lecture of health knowledge on exercise, diet and psychological for two years one-to-one by the medical staff with full-time training, to establish a reasonable diet and appropriate effective exercise, and maintain an optimistic attitude. Result The 60 patients with meta-bolic syndromc have reasonable meals and intake of three major nutrients, edible oil, salt and vegetable,The total amount of exercise, effective exercise, body mass index, waist circumference, blood pressure, TG, LDL, HDL are better than before the intervention, there was statistically difference （P〈0.05 or P〈0.01）. Conclusion Strengthen intervention was helpful to the high risk of MS to establish a healthy lifestyle gradual,to reduce the incidence of risk factors, to improve self-management skills, but have to long-term adherence and perseverance.