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基于马来西亚砂拉越超重和肥胖成年人的行为改变阶段、健康状况及身体活动水平的干预措施——一项可行性研究

An intervention based on the stages of change, health profiles and physical activity levels of overweight and obese adults in Sarawak, Malaysia - a feasibility study.

作者信息

Cheah W L, Chang C T, Helmy H, Wan Manan W M

机构信息

PhD Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia. E-mail:

PhD Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia.

出版信息

Malays Fam Physician. 2019 Dec 31;14(3):46-54. eCollection 2019.

PMID:32175040
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7067510/
Abstract

INTRODUCTION

Physical inactivity is the one of the leading causes of major non-communicable diseases in the world. The aim of this study is to assess the feasibility of an intervention program based on the stages of change, physical activity levels and health profiles of selected overweight and obese adults in Sarawak.

METHODS

This intervention study was carried out using selected overweight and obese adults in Sarawak. A total of 75 participants were placed in the intervention group, and 80 respondents were placed in the control group participated. Respondent-determined weekly aerobic exercise sessions were conducted for six months. The Malay version of the long-form International Physical Activity Questionnaire (IPAQ) and Transtheoretical model of change (TTM) questionnaire were used, together with anthropometric measurements and the collection of venous fasting blood profiles. Data was entered and analyzed using SPSS Version 20.

RESULTS

The intervention group had significant better stage transitions compared to the control group (p<0.01). They also had significantly lower total cholesterol, although both groups showed significant results (difference= 0.53, p<0.01; difference= 0.38, p=0.01). The respondent-determined intervention program was effective in improving stage transition; however, an intervention of longer duration could provide more conclusive health outcomes.

CONCLUSION

Physical activity plays a role in assisting overweight and obese adults to be more active and healthier.

摘要

引言

缺乏身体活动是全球主要非传染性疾病的主要成因之一。本研究旨在评估一项基于转变阶段、身体活动水平以及砂拉越选定超重和肥胖成年人健康状况的干预计划的可行性。

方法

本干预研究以砂拉越选定的超重和肥胖成年人开展。共有75名参与者被纳入干预组,80名受访者被纳入对照组。由受访者自行决定每周进行有氧运动课程,为期六个月。使用马来文版的国际体力活动问卷长表(IPAQ)和跨理论转变模型(TTM)问卷,同时进行人体测量并采集空腹静脉血样。数据使用SPSS 20版本录入和分析。

结果

与对照组相比,干预组的阶段转变显著更好(p<0.01)。他们的总胆固醇也显著更低,尽管两组均显示出显著结果(差异=0.53,p<0.01;差异=0.38,p=0.01)。由受访者自行决定的干预计划在改善阶段转变方面是有效的;然而,持续时间更长的干预可能会带来更具决定性的健康结果。

结论

身体活动有助于超重和肥胖成年人变得更加活跃和健康。

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