2018 年第 5 期 第 13 卷

饮食运动干预对职工体重指数及血压血糖和血脂代谢指标的影响

Effect of diet and exercise intervention on body mass index, blood pressure, blood glucose and blood lipid metabolism indicators in staffs

作者：崇凯芳李俨

英文作者：

单位：100029首都医科大学附属北京安贞医院工会（崇凯芳），口腔科（李俨）

英文单位：

关键词：饮食运动干预；体重指数；血压；血糖；血脂

英文关键词：

• 摘要：

• 目的    探讨饮食运动干预对职工体重指数及血压、血糖和血脂代谢指标的影响。方法    2017年3月 6日至6月4日根据2016年首都医科大学附属北京安贞医院职工体检结果，筛选出具有超重（肥胖）、高血压、高血糖、高血脂一项或复合特征的受试者95人。由专业的团队进行为期12周的健康教育及饮食运动干预。观察比较干预前后受试者的体质量、体重指数、血压、血糖、血脂代谢指标的变化。同时观察脂肪肝比例、脂肪肝评分的变化。结果    干预后受试者体重指数、三酰甘油明显低于干预前［（27.2±2.6）kg/m2比（28.0±2.8）kg/m2、（1.3±0.7）mmol/L比（1.7±0.9）mmol/L］，差异均有统计学意义（均P<0.05）。体质量、收缩压、舒张压、血糖、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇与干预前比较差异虽无统计学意义（P>0.05），但均低于干预前。干预后脂肪肝评分低于干预前［（0.8±0.7）分比（1.1±0.7）分］，差异有统计学意义（P<0.05）。结论    饮食运动干预是降低超重和肥胖人群体重指数，改善人群血压、血糖、血脂的有效手段。

• 【Abstract】Objective    To analyze the effect of diet and exercise intervention on body mass index, blood pressure, blood glucose and blood lipid metabolism indicators in staffs. Methods    A total of 95 subjects with overweight/obesity, hypertension, hyperglycaemia or hyperlipemia were enrolled according to the physical examination results of staffs in Beijing Anzhen Hospital, Capital Medical University from March 6 to June 4 in 2017. A 12 weeks health education and diet and exercise intervention was conducted by a professional team. Changes of body weight, body mass index, blood pressure, blood glucose and blood lipid metabolism indicators, hepatic lipidosis rate and hepatic lipidosis score were analyzed before and after intervention. Results    Body mass index and triacylglycerol level after intervention were significantly lower than those before intervention［（27.2±2.6）kg/m2 vs （28.0±2.8）kg/m2, （1.3±0.7）mmol/L vs （1.7±0.9）mmol/L］（P<0.05）. Body weight, systolic blood pressure, diastolic blood pressure, blood glucose, total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol after intervention were lower than those before intervention without significant differences（P>0.05）. Hepatic lipidosis score after intervention was significantly lower than that before intervention［（0.8±0.7）vs（1.1±0.7）］(P<0.05). Conclusion    Diet and exercise intervention is an effective mean to reduce body mass index and improve blood pressure, blood glucose and blood lipid metabolism in obese people.

  【Key words】Diet and exercise intervention;Body mass index;Blood pressure;Blood sugar;Blood lipid