The Study On Diet,Exercise And Behavior Education Comprehensive Intervention Of Overweight And Obesity Patients

Objective:Through the diet intervention,exercise intervention,behavior education on overweight and obesity patients,to correct their bad habits and improve their blood glucose,blood lipid,blood pressure and blood uric acid levels,reduce or delay the development of chronic metabolic diseases.To explore a comprehensive intervention model for the promotion of weight loss in overweight and obese adults in our country,so as to provide scientific basis and guidance for overweight and obesity patients to take the initiative to carry out weight management.Methods:41 voluntary patients who meet the diagnostic criteria of overweight or obesity were selected from the harmonious health examination center in Shanxi.Participants of study were given the comprehensive intervention for 8 weeks,included:(1)dietary intervention;(2)exercise intervention;(3)behavior education.The control group was taken no measures.The study participants were detected observation indexes before and after the intervention.The observation indexes include the physiological indexes of height,weight,waist circumference and blood pressure and the blood biochemical indexes of blood glucose,blood lipids,blood uric acid,blood urea nitrogen,serum creatinine.To analyze and compare the test results,and process the data.Results:(1).After the whole intervention experiment,the study participants’ weight,BMI,WC,systolic blood pressure(SBP),diastolic blood pressure(DBP),fasting plasma glucose(FPG),2-hour postprandial plasma glucose(2h PG),triglyeride(TG),total cholesterol(TC),low density lipoprotein cholesterol(LDL-C)and blood urea nitrogen(BUN)were lower obviously than those before intervention(P<0.05).The other change of observation indexes were improved,but the difference had no statistical significance(P>0.05).(2).At the end of the fourth week,the study participants’ weight,BMI,WC,SBP,FPG,2h PG,TG and BUA were lower obviously than those before intervention(P<0.05),and the other indexes had a trend of improvement,but the difference had no statistical significance(P>0.05).(3).At the end of the eighth week,the study participants’ weight,BMI,WC,FPG,2h PG,TC,TG and BUA were lower obviously than those at the end of the 4week(P< 0.05).The other change of observation indexes were improved,but the difference had no statistical significance(P>0.05).(4).After 8 weeks of intervention experiment,there are 8 overweight patients’ BMI<24 kg/m2,and the turnover rate is 53.3%;there are 11 overweight obesity patients’ BMI<28 kg/m2,and the turnover rate is 42.3%;there are 18 patients’ glucose level return to normal,and the turnover rate is 69.2%;there are 16 patients’ TG return to normal,and the turnover rate is 69.6%;there are 11 patients’ blood pressure return to normal level,and the turnover rate is 61.1%;there are 14 patients’ BUA return to normal level,and the turnover rate is 60.9%.Conclusion:Giving the overweight and obesity patients for the comprehensive intervention of diet,exercise and behavior education can reduce their weight,improve their glucose and lipid metabolism,relieve insulin resistance,decrease the blood pressure and blood uric acid levels,and prevent or delay the occurrence and development ofthe complications of obesity.The patients are well compliant with the comprehensive intervention model for weight loss.It is worth to popularization and application.