減重班計畫執行的成效初探－以軍中營區比較爲例

Evaluation of a Weight Control Program Which Was Held in Barracks Area

林錦生(Ching-Shen Lin) ； 陳聲平(Sheng-Pyng Chen) ； 佘振興(Zhen-Xing She) ； 程文琪(Wen-Qi Cheng) ； 洪淵庭(Bao-Chy Chang) ； Yuan-Ting Hung

《中華職業醫學雜誌》 17卷1期 (2010/01) Pp. 59-66

https://doi.org/10.30027/CJOM.201001.0007

摘要

研究目的：軍中營區是一個特別的社區形態，但大致不脫離目前資訊化時代的副產物，造成過重或肥胖的盛行率逐漸增加。本研究欲了解，相關減重班在軍營型社區推行的初步成效，以作為未來預防保健與衛生政策的參考。
方法：在某營區中以「立意取樣」方式收集40位參與12周減重班的人員，進行生理指標、血液生化指標與知識問卷的前後測比較，同時段的另一營區，也以立意取樣43位樣本，進行非侵襲性生理指標與知識問卷的前後測，唯期間未做任何介入。半年後兩組的生理指標進行比較，最後收集相關參數資料以統計方法來了解介入前後的差異。
結果：實驗組經減重計畫介入後體重、身體質量指數、腰圍、收縮壓、糖化血色素、三酸甘油脂與高密度脂蛋白有明顯下降並呈現統計上的差異，知識問卷的前後測也呈現明顯進步的情形，而對照組則無明顯進步的情形；在半年後的體重追蹤與減重課程介入前後差異比較下，實驗組延續性成效仍明顯大於對照組。
結論：以營區當中的軍事官兵為對象的短期計畫課程減重班對於參加學員的許多生理及生化指標有顯著改善同時對於長期的飲食運動對健康的意義與認知也有相當進步，因此減重班計畫對於學員體重減輕進而降低未來慢性病症的發生率應有正面的影響。

關鍵字

減重 ； 軍中營區 ； 肥胖 ； 慢性病

並列摘要

Objectives: Military barracks are a special type of community, but are not immune from the rising of obesity, a contemporary by-product. The research focuses on the initial effect of the weight reduction class in military barracks, as a reference for preventive health and hygiene policy making in the future.
Methods: To make a contrast, 40 members of a 12-week weight reduction class were purposively sampled for their physiological parameters, blood biochemical parameters and to participate in a before-and-after investigation of knowledge survey. Another 43 overweight members were purposively sampled as well for their non-intrusive physiological parameters and to participate in a before-and-after investigation of knowledge survey, but no intervention was taken for this group. After half a year, the two groups were compared with each other for their physiological parameters to observe the variation before and after the intervention.
Results: The experimental group with the intervention of weight loss program was found to have lesser weight, body mass index (BMI), waist circumference, systolic blood pressure, hemoglobin A1c (HbA1c), triglyceride and high density lipoprotein (HDL). The group has also shown statistical difference and improvement on the knowledge survey. On the contrary, the control group has not displayed any progress. The extensive effect of the experimental group is still more obvious than the control group after half a year follow-up and weight loss intervention.
Conclusions: Officers in military barracks attended in the short term program have demonstrated prominent improvement on their physiological and biochemical parameters. Their knowledge on diet and exercise has also progressed very much. As we may see, the weight reduction program has illustrated positive results on reducing weight and minimizing the possibility of chronicle conditions.

並列關鍵字

weight reduction ； barracks area ； obesity ； chronic diseases