WONCA研究论文摘要汇编——对基层医疗中肥胖、久坐不动患者进行量身定制的生活方式干预的随机临床试验

发布时间：2018-02-22 15:35

本文关键词： 基层医疗生活方式干预 WONCA 随机临床试验等强度罗得岛州体质量 　出处：《中国全科医学》2016年28期 　论文类型：期刊论文

【摘要】：目的本文旨在验证量身定制的生活方式干预能够帮助基层医疗中肥胖、久坐不动患者实现减肥和身体活动增加。方法在罗得岛州进行24个月的随机临床试验。基层医疗医生选取积极减肥和增加中等强度身体活动的肥胖、久坐不动患者。将患者随机分为增强干预(EI)组和标准干预(SI)组。两组均进行3次面对面减肥会议。结果从24家基层医疗机构中共纳入211例肥胖、久坐不动患者,其中女性占79%,少数民族占16%,平均年龄为48.6岁,平均BMI为37.8 kg/m2,每周进行21.2 min的中等强度身体活动。EI组基线体质量减轻5%的患者多于SI组,差异有统计学意义(P0.001)。EI组中等强度身体活动时间长于SI组,差异有统计学意义(P=0.04)。结论以家庭为基础的量身定制生活方式干预能够有效促进基层医疗中肥胖、久坐不动患者减肥,提升其中等强度身体活动。
[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.
【分类号】：R589.2

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