【摘要】 目的探讨饮食运动干预对社区围绝经期妇女体成分的影响。方法选择符合入组条件的北京某三级甲等医院所辖社区定期随访体检的40~55岁围绝经期妇女100例,随机分为干预组(n=53)和对照组(n=47),干预组采用饮食运动干预,发放并讲解干预手册,组织参加社区健康讲座,并定期进行随访;对照组不进行干预。在干预前、干预后3个月、6个月和1年分别进行体质量、体质指数(BMI)、腰围和腰臀比测定。在干预前和干预后1年进行体成分测定。结果干预后3个月与干预前相比,干预组无变化,对照组体质量、BMI、腰围和腰臀比升高;干预组与对照组相比,干预后3个月与干预前差值的差异有统计学意义的指标有体质量(-0.28kg vs 0.68kg,P=0.002)、BMI(-0.06kg/m2vs 0.44kg/m2,P=0.003)、腰围(-0.28cm vs1.43cm,P=0.001)和腰臀比(-0.01 vs 0.01,P=0.045)。干预后6个月与干预前相比,干预组体质量、腰臀比降低;对照组无变化;干预组与对照组相比,干预后6个月与干预前差值的差异有统计学意义的指标有腰围(-0.73cm vs 1.02cm,P=0.012)和腰臀比(-0.02 vs-0.003,P=0.020)。干预后1年与干预前相比,干预组各指标无差异;对照组腰围增加。结论饮食运动干预可有效控制社区围绝经期妇女的体成分。更多还原

【Abstract】 Objective To evaluate the efficacy of dietary and exercise intervention on body composition in perimenopausal women. Methods One hundred community-based healthy perimenopausal women aged 40 to 55 years were randomly assigned to either experimental group(n=53) or control group(n=47). Women in the experimental group received diet and exercise intervention including a booklet,community-based health lectures and follow-up service. The women’s body weight(BW),body mass index(BMI),waist circumference(WC) and waist-hip ratio(WHR) were recorded at baseline,3 months,6 months and 12 months after intervention;the body composition was measures at baseline and 12 months after intervention. Results The data from biophysical outcome measures supported the efficacy of the intervention,with significant decreases seen in BW,BMI,WC,and WHR. At 3 months,there were significant differences in BW(-0.28 vs 0.68kg,P=0.002),BMI(-0.06 vs 0.44kg/m2,P=0.003),WC(-0.28 vs 1.43cm,P=0.001) and WHR(-0.01 vs 0.01,P=0.045) between the two groups. At 6 months,there were significant differences in WC(-0.73 vs 1.02cm,P =0.012) and WHR(-0.02 vs-0.003,P =0.020) between the two groups. At 12 months,there were no significant differences between the two groups,but WC increased in the control group. Conclusion Dietary and exercise intervention can effectively maintain the body composition in perimenopausal women.更多还原