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张颖, 赵仲堂, 郝凤荣, 贾存显, 王束玫, 冯月秋. 糖尿病社区干预对居民肥胖及相关因素的影响[J]. 中国公共卫生, 2003, 19(11): 1396-1398.
引用本文: 张颖, 赵仲堂, 郝凤荣, 贾存显, 王束玫, 冯月秋. 糖尿病社区干预对居民肥胖及相关因素的影响[J]. 中国公共卫生, 2003, 19(11): 1396-1398.
ZHANG Ying, ZHAO Zhong-tang, HAO Feng-rong, . Effectiveness of diabetes mellitus community intervention on urban population's obesity and related factors[J]. Chinese Journal of Public Health, 2003, 19(11): 1396-1398.
Citation: ZHANG Ying, ZHAO Zhong-tang, HAO Feng-rong, . Effectiveness of diabetes mellitus community intervention on urban population's obesity and related factors[J]. Chinese Journal of Public Health, 2003, 19(11): 1396-1398.

糖尿病社区干预对居民肥胖及相关因素的影响

Effectiveness of diabetes mellitus community intervention on urban population's obesity and related factors

  • 摘要:
      目的   评价糖尿病社区干预对城市居民肥胖状况及相关因素的影响, 为制定社区干预对策与措施提供科学依据.
      方法   按照实验流行病学方法, 选取山东省2个城市社区分别作为干预社区与对照社区.1997年, 收集基线资料, 同时开始在干预社区实施糖尿病综合干预措施.2001年, 再次以相同的方法收集2个社区相关资料, 通过2个社区基线与4年后资料的比较, 分析干预措施对社区健康人群体重指数(BMI)、腰臀比(WHR)、业余体力活动强度和膳食结构的影响.
      结果   干预前后, 干预社区人群BMI均值与WHR均值无显著性差异, 对照社区人群4年后BMI均值与WHR均值均上升(P < 0.05).干预社区人群在干预前后超重与肥胖率无显著性差异, 但对照社区人群超重者增加了12.1%, 肥胖者增加了5.6%(P < 0.01).干预社区干预前后业余体力活动程度构成无显著性差异, 而对照社区人群中度活动组比例从47.6%下降为14.2%(P < 0.01).4年后, 干预社区喜荤食的比例下降了4.8%(P < 0.05), 而对照社区相应比例上升了1.6%(P < 0.01).
      结论   社区水平的糖尿病干预项目对城市居民肥胖及其相关因素, 体力活动强度, 膳食结构均有显著影响, 提示社区居民对糖尿病和相关危险因素的干预有较好的依从性.

     

    Abstract:
      Objective   To evaluate the effectiveness of diabetes mellitus(DM)community intervention on urban population's obesity and related factors in order to provide scientific bases for more effective program of DM community intervention.
      Methods   According to the guideline of experimental epidemiology, two city communities were selected as intervened community and controlled community respectively in Shandong province.In the year of 1997, the baseline data in both of the two communities were collected and a DM community intervention program in the intervened community was implemented.In the year of 2001, the related data were collected again with the same criteria and methods in the two communities.By the comparison of the baseline data and the data of 4 years later, the effectiveness of community intervention on healthy population's body mass index(BMI), waist to hip ratio(WHR), leisure physical activity intensity and dietary composition were analyzed.
      Results   In the intervened community, there was no significant difference between the baseline and 4 years later data in the aver age of BMI or WHR, while the average in the controlled community rose after 4 years(P < 0.05).There was no significant difference was found in the prevalence of over weight or fat in the intervented community, but in the controlled community, overweight raised by 12.1% and fat raised by 5.6%(P < 0.01), No difference in leisure physical activity in intervened community while the proportion of middle level decreased from 47.6% to 14.2%(P < 0.01).
      Conclusion   This community diabetes intervention program had distinct effects on the fat and related factors, leisure physical activity intensity and dietary composition, which suggested good compliance of the intervention project on diabetes and risk factors in urban population.

     

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