本文關(guān)鍵詞： 基層醫(yī)療 生活方式干預(yù) WONCA 隨機(jī)臨床試驗(yàn) 等強(qiáng)度 羅得島州 體質(zhì)量 　出處：《中國(guó)全科醫(yī)學(xué)》2016年28期 　論文類(lèi)型：期刊論文

【摘要】：目的本文旨在驗(yàn)證量身定制的生活方式干預(yù)能夠幫助基層醫(yī)療中肥胖、久坐不動(dòng)患者實(shí)現(xiàn)減肥和身體活動(dòng)增加。方法在羅得島州進(jìn)行24個(gè)月的隨機(jī)臨床試驗(yàn)�；鶎俞t(yī)療醫(yī)生選取積極減肥和增加中等強(qiáng)度身體活動(dòng)的肥胖、久坐不動(dòng)患者。將患者隨機(jī)分為增強(qiáng)干預(yù)(EI)組和標(biāo)準(zhǔn)干預(yù)(SI)組。兩組均進(jìn)行3次面對(duì)面減肥會(huì)議。結(jié)果從24家基層醫(yī)療機(jī)構(gòu)中共納入211例肥胖、久坐不動(dòng)患者,其中女性占79%,少數(shù)民族占16%,平均年齡為48.6歲,平均BMI為37.8 kg/m2,每周進(jìn)行21.2 min的中等強(qiáng)度身體活動(dòng)。EI組基線體質(zhì)量減輕5%的患者多于SI組,差異有統(tǒng)計(jì)學(xué)意義(P0.001)。EI組中等強(qiáng)度身體活動(dòng)時(shí)間長(zhǎng)于SI組,差異有統(tǒng)計(jì)學(xué)意義(P=0.04)。結(jié)論以家庭為基礎(chǔ)的量身定制生活方式干預(yù)能夠有效促進(jìn)基層醫(yī)療中肥胖、久坐不動(dòng)患者減肥,提升其中等強(qiáng)度身體活動(dòng)。
[Abstract]:Objective to verify that tailor-made lifestyle intervention can help obesity in primary health care. Sedentary patients achieved weight loss and increased physical activity. Methods Twenty-four months of randomized clinical trials were conducted in Rhode Island. Primary care physicians chose obesity that was active in weight loss and increased in moderate physical activity. The patients were randomly divided into two groups: enhanced intervention group (EI) and standard intervention group (SI). The two groups had three face-to-face weight loss meetings. Results 211 obese and sedentary patients were enrolled from 24 primary medical institutions. The average age was 48.6 years, the average BMI was 37.8 kg / m ~ (2). The patients with moderate physical activity of 21.2 min / week and baseline body mass reduction of 5% in ei group were more than those in SI group. The difference was statistically significant (P 0.001). Ei group had longer moderate physical activity than SI group, and the difference was statistically significant. Conclusion Family based custom-made lifestyle intervention can effectively promote obesity in primary medical care and reduce weight in sedentary patients. Increases its moderate intensity of physical activity.
【分類(lèi)號(hào)】：R589.2

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1 曲衛(wèi)華;王若賓;;我國(guó)老年人、基層醫(yī)療所與政府的博弈分析[J];太原大學(xué)學(xué)報(bào);2014年02期

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