社区饮食和运动干预对代谢综合征患者糖脂代谢的影响

目的探讨社区饮食和运动干预对代谢综合征患者糖脂代谢的影响。方法对上海市某社区66名代谢综合征患者实施社区饮食和运动干预,饮食干预采用食品交换法,运动干预以步行为主,干预为期3个月,并随访3个月,同时将66名患者作为对照。结果干预组患者空腹血糖、果糖胺显著低于干预前和对照组,总胆固醇显著低于干预前,甘油三酯和高密度脂蛋白胆固醇无显著变化。结论社区饮食和运动干预能改善代谢综合征患者的糖代谢,对脂代谢效果不明显。

THE EFFECTS OF DIET AND EXERCISE INTERVENTION IN COMMUNITY ON GLUCOSE AND LIPOPROTEIN LIPIDS METABOLISM OF PATIENTS WITH METABOLIC SYNDROME

Objective To access the effects of diet and exercise intervention in community on glucose and lipoprotein lipids metabolism of patients with metabolic syndrome. Methods 66 patients with metabolic syndrome in Shanghai participated in 3-months intervention and 3-months follow-up in community, which used food-exchange methods for diet intervention and adopted walking for main exercise mode. And another 66 patients were selected as control. Results Fasting blood glucose(FBG), fructosamine(FA) of intervened group decreased significantly after intervention, and were significantly lower than those of control group. Total cholesterol(TC) of intervened group decreased significantly after intervention, but triglyceride(TG) and high density lipoprotein cholesterol(HDL-ch) had no change. Conclusion The diet and exercise intervention in community can improve glucose metabolism, but has no obvious effects on lipoproptein lipids of patients with metabolic syndrome.