中年以上成人肥胖與飲食攝取及代謝症候群之相關及飲食運動減重介入計畫之成效

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Title:	中年以上成人肥胖與飲食攝取及代謝症候群之相關及飲食運動減重介入計畫之成效
Authors:	林正介(Lin,Cheng-Chieh);林文元(Lin,Wen-Yuan);李采娟(Li,Tsai-Chung);吳鴻文(Wu,Hong-Wen);劉秋松(Liu,Chiu-Shong);黃惠煐(Huang,Hui-Ying)
Contributors:	醫學院醫學系學士班家庭醫學科;中國附醫社區醫學部家庭醫學科
Keywords:	肥胖;代謝症候群;飲食攝取;減重介入計畫;obesity;metabolic syndrome;food intake;weight control intervention program
Date:	2007-12-31
Issue Date:	2009-09-01 16:14:13 (UTC+8)
Abstract:	由於肥胖與代謝症候群都會增加許多慢性病發生的危險，如新血管疾病、糖尿病、高血壓、中風等，而且肥胖與代謝症候群普遍存在在世界各地，儼然已成為全球的重要健康問題。而飲食攝取與運動被認為是減少肥胖與代謝症候群發生的第一線方法，但是，肥胖、飲食攝取與代謝症候群彼此間的關係卻鮮少被探討。因此，本研究第一年將以參加台中市社區篩檢計畫之四十歲以上民眾為研究對象，採橫斷面的研究設計，估算肥胖及代謝症候群之盛行率，並探討肥胖、代謝症候群及飲食攝取、運動狀況彼此間的關係；第二年將採用隨機控制試驗(Randomized Controlled Trial, RCT)的研究設計，將肥胖之受試者隨機安排接受三種飲食運動減重介入計畫，預計每組人數為80人，經過run-in period和隨機分派後，每隔三個月做一次評估，總共需接受為期一年之介入與追蹤；而第三年將評估不同減重介入計畫之遵循情形與其對於肥胖指標、生理生化檢查結果、體適能、飲食及運動行為、代謝症候群及其組成指標異常盛行率等之成效。本研究完成後，可瞭解參與四十歲以上民眾之肥胖、代謝症候群及其組成指標異常的盛行率，以及肥胖、食攝取狀況與代謝症候群之相關性，提供醫院肥胖、代謝症候群相關照護介入或篩檢措施及訂定肥胖、代謝症候群之相關飲食營養建議及改善計畫時之參考。此外，藉由飲食運動減重介入計畫，了解飲食營養狀態和運動之改變、肥胖狀態之變化、生理生化檢查變化及代謝症候群及其組成指標異常改變間之動態變化相關；亦可藉由飲食運動減重介入計畫之遵從情形，瞭解介入計畫推行之困難之處，以作為日後政府或醫療機構推行相關之社區活動之借鏡。 In consequence of that obesity and metabolic syndrome increases the risk of developing cardiovascular disease, type 2 diabetes mellitus, hypertension and stroke etc. Besides, they prevail around the world and certainly become the most important health problem in the global. Dietary intake and exercise are regarded as the first line approach to reduce the occurrence of obesity and metabolic syndrome, but the association of obesity with food intake and metabolic syndrome are rarely explored. In the first year, this study estimates the prevalence of obesity and metabolic syndrome and explores the relationship among obesity, metabolic syndrome, dietary intake and exercise status using the cross-sectional framework on subjects aged 40 years and over of participating in the Taichung Community Screening Program. In the second year, we will conduct a Randomized Controlled Trial (RCT). Obese subjects will be randomly allocate into one of three kinds of diet- and exercise- related weight control intervention program and the sample size for each group is set at 80. After run-in period and random allocation, all subjects will receive one of three interventions and follow-up for 1 year and will be assessed at each 3-month interval. In the third year, we will assess subject’s adherence to different weight control intervention program and the effect of intervention program on obesity, results of physical and biochemical examinations, physical fitness, food intake and exercise behaviors and the prevalence of metabolic syndrome and its components’ abnormalities. From our study findings, we expect we can understand the prevalence of obesity, metabolic syndrome and its components’ abnormalities and realize the association of obesity with food intake and metabolic syndrome. In addition, we can provide information for hospitals regarding clinical care, dietary recommendations and prevention programs on obesity and metabolic syndrome. Furthermore, herewith diet- and exercise- related weight control intervention program, we can understand the relationship among change of food intake, exercise, obesity status, physical and biochemical examinations, metabolic syndrome and its components abnormal. By surveying subjects’ difficulty in adhering to diet- and exercise- related weight control intervention program, it will provide useful information for the government or medical institutions on implementation of community activities.
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