健康促進減重活動策略之成效探討：以北部某地區醫院為例

Body Weight Reduction Program of Hospital Employees: a Case of Regional Hospital

林士傑(Shih-Chieh Lin) ； 曹又中(Yu-Chung Tsao) ； 蔡依紋(Yi-Wen Tsai) ； 張詩鑫(Shy-Shin Chang) ； 陳昭源(Jau-Yuan Chen)

《中華職業醫學雜誌》 22卷2期 (2015/04) Pp. 115-121

摘要

目的：身為醫院員工卻有比一般人更高的過重或肥胖盛行率，因此該醫院於102年七月至九月舉辦員工減重活動，藉由獎勵措施、健康飲食及有氧運動協助員工減重。本研究針對該活動成效做分析探討供未來減重活動參考。方法：邀請醫院員工參加八週減重競賽，依員工意願分自主管理與積極介入兩組。自主管理成員自由參加4場健康飲食講座及每週一次有氧運動；積極介入組要求務必參加4場健康飲食講座，每週二次有氧運動及重量訓練。收集資料含前後測身高、體重、BMI值、腰圍、血壓。結果：共70位員工參加，有效樣本數52位（自主管理27位，積極介入25位）。八周後平均減重3.2kg（自主管理減重2.9kg，積極介入減重3.6kg）；整體BMI下降1.2（自主管理BMI減少1.1，積極介入減少1.2）；整體腰圍平均減少4.2cm（自主管理減少4.1cm，積極介入減少4.4cm）。經統計分析後，比較前後測積極介入與否只有BMI及腰圍改善有統計上顯著差異。結論：運動介入及飲食控制計劃確實可降低員工體重，但是積極介入與否與自主管理並無統計顯著差異。未來減重活動是否需要積極介入才能看見介入成效，值得思考。

關鍵字

肥胖 ； 減重 ； 減重班 ； 醫院

並列摘要

Introduction: Obesity is well-known for its correlation with high risk of diabetes and cardiovascular disease. Previous studies have shown a higher prevalence of obesity in hospital employees. In our hospital, we also have a higher prevalence of obesity than common people in Taiwan. Since the prevalence of obesity continues to increase, there is a demand for effective and safe weight-reduction program that can produce and maintain weight loss. Therefore, we design a 8-week weight-loss program for hospital employees, including the overweight (BMI 24-27 kg/m^2) and obese (BMI≥27 kg/m^2) hospital employees. Purpose: The purpose of this study aims to understand the body composition change of hospital employees of both genders after 2 days a week's aerobic exercise and once a week's nutrition programs which altogether lasts for 8 weeks (Experiment group). Besides, we also arrange a 1 days a week's aerobic exercise and once a week's nutrition programs as a control group. A total of 70 hospital employees were included. (From September 1, 2013, to October 31, 2013). Main Outcome Measures: Change in body weight, BMI, waist circumference, and blood pressure. Results: A total of 70 hospital employees were included. were included and completed the intervention. After 2 months of weight loss program, all the participants gain an mean 3.2 kg of weight reduction among 70 people. The experiment-group participants had a 3.6 kg mean reduction in weight and the control-group participants had a 2.9 kg mean reduction in weight. There were also decreases in BMI and waist circumference. Conclusion: The method of aerobic exercise and dietary intervention lasts 8 weeks can effectively reduce Body weight, BMI and waist circumference. We recommend that hospital employees do exercise on a regular basis, maintain a healthy diet and ideal body weight, especially for men, to reduce the risk and progression of age-related chronic diseases such as diabetes and heart disease. However, whether doing more aerobic exercise is useful in helping participants achieved the goal of weight loss or not deserves consideration.

並列關鍵字

Body Weight Reduction ； Hospital Employees ； weight control program