Tristar Medical Group, Mildura, Australia.
Royal Melbourne Hospital, Victorian Infectious Diseases Service, Melbourne, Australia.
J Immigr Minor Health. 2023 Jun;25(3):589-595. doi: 10.1007/s10903-022-01446-1. Epub 2023 Feb 6.
Obesity and chronic disease are increasing problems in refugee populations. Afghani refugees undergoing hepatitis B vaccination between January 2015 and December 2017 at a general practice clinic received dietary counselling sessions in Dari by native speaking clinicians. Anthropometry, blood pressure, fasting lipids and liver function tests were measured at both visits with results compared over time. 110/119 refugees requiring hepatitis B vaccination were recruited into the study. Mean BMI was lower at follow up visits (25.4 vs 26.1 by wilcoxon signed rank test p 0.04) with 72 of 110 participants losing a median of 2 kg between visits (range 0.5-14 kg) a mean of 206 days after the initial consultation. Median triglyceride levels were lower at the second visit than the first (1.4 vs 1.3 mmol/L Wilcoxon signed rank test Z = 3.5, p 0.0004). This cohort of refugees lost weight and showed a small improvement in triglyceride levels between visits.
肥胖和慢性病是难民群体中日益严重的问题。2015 年 1 月至 2017 年 12 月期间，在一家普通诊所接受乙型肝炎疫苗接种的阿富汗难民由讲达里语的本土临床医生提供饮食咨询。在两次就诊时都测量了人体测量学、血压、空腹血脂和肝功能检查结果，并随时间进行比较。110/119 名需要乙型肝炎疫苗接种的难民被招募到研究中。随访时的平均 BMI 较低（25.4 对 wilcoxon 符号秩检验 p 0.04），110 名参与者中有 72 名在两次就诊之间平均体重减轻 2 公斤（范围为 0.5-14 公斤），平均在首次咨询后 206 天。第二次就诊时的中位数甘油三酯水平低于第一次（1.4 对 1.3mmol/L Wilcoxon 符号秩检验 Z=3.5，p0.0004）。这群难民体重减轻，两次就诊之间甘油三酯水平略有改善。
