论文部分内容阅读
目的评价高校教职工代谢病行为干预效果,为高校教职工慢性病防治提供依据。方法选择2012年4月粤西某高校20~59岁在编教职工为研究对象,进行生活方式调查和体质量指数、血脂、血糖、血尿酸和腹部彩超等检查。对该人群实施为期1 a行为干预,比较被试干预前后不良生活行为持有情况及体检结果。结果 2012年教职工超重与肥胖、脂肪肝、血脂异常、糖代谢异常(空腹血糖升高)和高尿酸血症总检出率分别为31.11%,28.15%,41.30%,12.67%和17.56%。实施行为干预1 a后,嗜酒、喜食海鲜、喜食肥肉和动物内脏、常在外聚餐、睡眠不足、运动缺乏和饮水过少等不良行为较干预前分别下降了2.4,9.84,5.6,5.24,8.03,18.61,4.45百分点(P值均<0.05),以男性下降明显。脂肪肝、血脂异常和糖代谢异常(空腹血糖升高)检出率分别比干预前下降5.28,6.3和3.24百分点(P值均<0.05),以男性和20~49岁年龄段人群下降显著。干预前,男性不良生活行为持有率和代谢病检出率均高于女性,干预后差异明显缩小。结论健康管理和不良生活行为干预是代谢性疾病防治最经济有效的途径,值得推广;干预时机越年轻效果越好。
Objective To evaluate the intervention effect of college students’ metabolic disease behaviors and provide evidences for the prevention and treatment of chronic diseases among college faculty members. Methods In April 2012, a college aged from 20 to 59 years in a university in western Guangdong was selected as the research object to conduct lifestyle survey and examination of body mass index, blood lipid, blood sugar, serum uric acid and abdominal ultrasonography. A 1 a behavioral intervention was performed on this population, and the unhealthy living behaviors before and after the intervention were compared with the physical examination results. Results The total detection rates of overweight and obesity, fatty liver, dyslipidemia, abnormal glucose metabolism (fasting blood glucose) and hyperuricemia were 31.11%, 28.15%, 41.30%, 12.67% and 17.56% respectively in 2012. After the behavioral interventions were performed for 1 year, adverse behaviors such as alcohol abuse, seafood consumption, fattening of flesh and animal internal organs, frequent outing meals, lack of sleep, lack of exercise and drinking water decreased by 2.4, 9.84 and 5.6 respectively, 5.24, 8.03, 18.61 and 4.45 percentage points respectively (all P <0.05), and decreased significantly in males. The detection rates of fatty liver, dyslipidemia and abnormal glucose metabolism (fasting blood glucose) decreased by 5.28, 6.3 and 3.24 percentage points respectively (P <0.05) before intervention, but decreased significantly in males and 20-49 age groups. Pre-intervention, men’s poor behavior and metabolic rate of possession of the detection rate were higher than women, significantly reduced the difference after intervention. Conclusion The intervention of health management and adverse life behavior is the most economical and effective way to prevent and control metabolic diseases. It is worth popularizing. The younger the intervention time is, the better the effect is.