某驾校教练超重与肥胖人群体重管理效果分析

目的针对某驾校教练中存在超重与肥胖问题开展控制体重的健康教育，提高驾校教练的自我保健意识。方法对昌平区某驾校116名教练进行体格检查和生化检验，对筛查出的79名超重与肥胖教练开展控制体重管理。结果经过3年的综合管理，79名超重与肥胖人群干预前后腰围为（93．5±8．4）cm和（92．0±9．5）cm、血糖为（5．6±1．5）mmol／L和（5．4±1．6）mmol／L，收缩压为（130．8±12．4）mmHg（1mmHg=0.133kPa）和（127．8±11．6）mmHg、舒张压为（87．0±9．7）mmHg和（85．6±9．3）mmHg、高密度脂蛋白为（1．1±0．4）mmol／L和（1．2±0．3）mmol／L，经t检验，差异均有统计学意义（P〈0．05）；21项肥胖及相关知识知晓率在干预前后差异均有统计学意义（P〈0．05）。3年管理人群慢性病及相关异常检测指标无变化（P〉0．05）。结论中年人超重肥胖问题应开展干预工作，体重控制需要个人与卫生行政管理部门共同努力，体重管理工作具有长期性和渐进性。

Effects of health management on driving coaches with overweight or obesity

Objective Health education was provided among driving coaches with overweight or obesity to improve their self-heahhcare awareness. Methods Of 116 driving coaches from Changping District who underwent physical examinations and biochemical tests, 79 were confirmed to have overweight or obesity and received body weight management. Results Following 3 years of health management, 79 overweight or obese participants showed significant improvement in waist circumference （ （93.5±8.4 ） vs （92. 0 ±9. 5 ） em）, systolic blood pressure （（130.8 ±12.4） vs （127.8 ±11.6） mm Hg, 1 mm Hg =0. 133 kPa）, diastolic blood pressure （ （ 87.0 ±9. 7 ） vs （ 85.6 ±9. 3 ） mm Hg）, high-density lipoprotein cholesterol （（1.1±0.4） vs （1.2±0.3） mmol/L）, and glucose （（5.6±1.5） vs （5.4±1.6） mmol/L） （allP〈0. 05 ）. Awareness of obesity-related knowledge showed significant difference before and after the intervention （P 〈0.05）, although no changes of chronic diseases and abnormal measurements were found （P 〉0.05）. Conclusion Overweight and obesity in middle-aged adults is of concern and needs long-term effective interventions.