Effect of NICE weight loss management model on weight and related indexes of overweight and obese people
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摘要:
目的 分析NICE减重管理模式对超重及肥胖人群体重及相关指标的管理效果。 方法 采用便利抽样法选取2019年5月—2021年7月在浙江省台州医院接受健康体检的超重及肥胖人群作为研究对象，以随机数字表法分为观察组(100例)和对照组(100例)。对照组应用常规体重管理模式，观察组使用NICE减重管理模式。比较2组干预前、干预后3个月、干预后6个月体重变化和糖脂代谢指标及自我管理能力。 结果 干预前2组体重、糖脂代谢指标及自我管理能力得分比较差异无统计学意义(均P>0.05)；干预后6个月，观察组体重、腰围、臀围明显小于对照组，重复测量方差分析结果显示：随着时间的延长，观察组体重、腰围、臀围呈逐渐下降趋势(均P < 0.05)；干预后6个月，观察组体重下降10%的人数比例为60%，明显高于对照组的41%(P < 0.05)；干预后6个月，观察组空腹血糖、总胆固醇及甘油三酯水平低于对照组(均P < 0.05)；干预后6个月，观察组患者自我管理能力总分为(44.17±4.85)分，明显高于对照组的(39.96±5.60)分(P < 0.05)。重复测量方差分析结果显示：随着时间的延长，观察组自我管理能力呈逐渐上升趋势(P < 0.05)。 结论 NICE减重管理模式可有效管理超重及肥胖人群体重，对血糖、血脂等均有一定的改善作用，且能提高其自我管理能力。 -
关键词:
- NICE减重管理模式 /
- 超重 /
- 肥胖 /
- 体重管理 /
- 糖脂代谢
Abstract:Objective To analyse the effect of NICE weight loss management model on weight and related indexes of overweight and obese people. Methods Overweight and obese people who underwent physical examination in Taizhou Hospital of Zhejiang Province from May 2019 to July 2021 were randomly divided into the observation group (100 cases) and control group (100 cases). The control group used the conventional weight management mode, whereas the observation group used the NICE weight loss management mode. The weight changes, glucose and lipid metabolism indexes and self-management ability scores of the two groups before, 3 months and 6 months after the intervention were compared. Results No significant difference was observed in body weight, glucose and lipid metabolism indexes and self-management ability between the two groups before intervention (all P>0.05). After 6 months of intervention, the body weight, waist circumference and hip circumference of the observation group were significantly lower than those of the control group. The results of repeated measurement analysis of variance showed that the body weight, waist circumference and hip circumference of the observation group decreased gradually with the extension of time (P < 0.05). After 6 months of intervention, the proportion of people with weight loss of 10% in the observation group was 60%, which was significantly higher than that in the control group (41%), P < 0.05. The levels of fasting blood glucose, total cholesterol and triglyceride in the observation group were lower than those in the control group (all P < 0.05). The total score of self-management ability in the observation group was (44.17±4.85) points, which was significantly higher than that in the control group [(39.96±5.60) points, P < 0.05]. The results of repeated measurement analysis of variance showed that the self-management ability of the observation group increased gradually with the extension of time (P < 0.05). Conclusion The NICE weight loss management model can effectively manage the body mass index of overweight and obese people, improve blood glucose and blood lipid, improve their self-management ability and help to improve the quality of life of patients. -
Key words:
- NICE weight loss management mode /
- Overweight /
- Obesity /
- Weight management /
- Glycolipid metabolism
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表 1 2组超重及肥胖患者干预前后体重、腰围及臀围比较(x±s)
Table 1. Comparison of weight, waist circumference and hip circumference of overweight and obese patients in two groups before and after intervention (x±s)
组别 例数 体重(kg) F值 P值 腰围(cm) F值 P值 臀围(cm) F值 P值 干预前 干预后3个月 干预后6个月 干预前 干预后3个月 干预后6个月 干预前 干预后3个月 干预后6个月 对照组 100 88.47±9.29 82.33±6.42 78.62±4.19 51.175 ＜0.001 101.34±8.96 98.52±7.55 96.43±6.82 9.910 ＜0.001 112.37±10.55 111.23±10.24 109.59±9.82 1.874 0.155 观察组 100 88.20±10.61 81.03±5.17 75.55±3.53 79.533 ＜0.001 101.45±8.01 96.77±7.81 92.32±7.03 35.819 ＜0.001 112.84±9.83 108.93±9.73 105.43±8.66 15.480 ＜0.001 t值 0.192 1.577 5.603 0.092 1.611 4.196 0.326 1.628 3.177 P值 0.848 0.116 ＜0.001 0.927 0.109 ＜0.001 0.745 0.105 0.002 
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表 2 2组超重及肥胖患者干预后6个月体重变化比较(例)
Table 2. Comparison of weight changes of overweight and obese patients in two groups in 6 months after intervention (cases)
组别 例数 体重下降5% 体重下降10% 体重下降15% 对照组 100 20 41 5 观察组 100 18 60 7 χ2值 0.130 7.221 0.355 P值 0.718 0.007 0.552
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表 3 2组超重及肥胖患者干预前后糖脂代谢指标比较(x±s, mmol/L)
Table 3. Comparison of glucose and lipid metabolism indexes between two groups of overweight and obese patients before and after intervention (x±s, mmol/L)
组别 例数 FPG F值 P值 PBG F值 P值 干预前 干预后3个月 干预后6个月 干预前 干预后3个月 干预后6个月 对照组 100 5.22±0.31 5.08±0.27 4.91±0.35 24.803 ＜0.001 6.41±0.47 6.43±0.53 6.41±0.45 0.057 0.945 观察组 100 5.23±0.42 5.01±0.35 4.11±0.21 307.988 ＜0.001 6.40±0.43 6.42±0.56 6.02±0.47 21.184 ＜0.001 t值 0.192 1.584 19.600 0.157 0.130 5.994 P值 0.848 0.115 ＜0.001 0.875 0.897 ＜0.001 组别 例数 TG F值 P值 TC F值 P值 干预前 干预后3个月 干预后6个月 干预前 干预后3个月 干预后6个月 对照组 100 2.23±0.15 2.20±0.14 2.20±0.22 0.994 0.371 4.90±0.63 4.90±0.71 4.88±0.54 0.034 0.967 观察组 100 2.23±0.27 2.19±0.23 1.98±0.17 34.971 ＜0.001 4.92±0.73 4.91±0.63 4.32±0.74 23.968 ＜0.001 t值 < 0.001 0.371 7.913 0.207 0.105 6.113 P值 0.999 0.711 ＜0.001 0.836 0.916 ＜0.001 组别 例数 LDL-C F值 P值 HDL-C F值 P值 干预前 干预后3个月 干预后6个月 干预前 干预后3个月 干预后6个月 对照组 100 3.42±0.49 3.42±0.51 3.43±0.56 0.012 0.988 1.61±0.14 1.60±0.15 1.61±0.23 0.105 0.900 观察组 100 3.42±0.55 3.44±0.44 3.42±0.41 0.060 0.942 1.61±0.20 1.61±0.10 1.60±0.21 0.106 0.899 t值 < 0.001 0.297 0.144 < 0.001 0.555 0.321 P值 0.999 0.767 0.886 0.999 0.580 0.749
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表 4 2组超重及肥胖患者干预前后自我管理能力比较(x±s，分)
Table 4. Comparison of self-management ability between two groups of overweight and obese patients before and after intervention (x±s, score)
组别 例数 运动锻炼 F值 P值 认知性症状管理实践 F值 P值 干预前 干预后3个月 干预后6个月 干预前 干预后3个月 干预后6个月 对照组 100 12.35±2.48 14.22±2.05 15.83±2.13 61.114 ＜0.001 14.67±2.13 14.60±2.82 15.42±3.47 2.527 0.082 观察组 100 12.90±2.31 15.85±2.55 17.22±3.04 69.358 ＜0.001 14.42±3.04 15.91±3.07 17.24±2.55 23.722 ＜0.001 t值 1.623 4.982 3.745 0.674 3.143 4.227 P值 0.106 ＜0.001 ＜0.001 0.501 0.002 ＜0.001 组别 例数 与医生的沟通 F值 P值 总分 F值 P值 干预前 干预后3个月 干预后6个月 干预前 干预后3个月 干预后6个月 对照组 100 8.53±1.03 9.02±1.25 9.01±1.16 5.928 0.003 35.57±4.86 37.55±4.31 39.96±5.60 19.713 ＜0.001 观察组 100 8.57±1.13 9.41±1.81 10.27±2.42 20.823 ＜0.001 35.79±4.63 40.53±5.61 44.17±4.85 69.305 ＜0.001 t值 0.262 1.773 4.695 0.328 4.212 5.683 P值 0.794 0.078 ＜0.001 0.743 ＜0.001 ＜0.001
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