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一项关于饮食计划对卡塔尔初级卫生保健中心超重和肥胖受试者人体测量及代谢参数影响的4年回顾性研究。

A 4-year Retrospective Study on the Impact of the Dietary Program on Anthropometric and Metabolic Parameters among Overweight and Obese Subjects in Primary Health Care Centers in Qatar.

作者信息

Alam Muhammad T, Veettil Shajitha T, Abdulmajeed Jazeel, Sait Neelufur S, Krishnan Jeyaram I

机构信息

Airport Health Center, Consultant Family Medicine, Primary Health Care Corporation, Doha, Qatar.

Clinical Research Department, Primary Health Care Corporation, Doha, Qatar.

出版信息

Am J Lifestyle Med. 2022 Aug 22;19(4):600-610. doi: 10.1177/15598276221120786. eCollection 2025 May-Jun.

DOI:10.1177/15598276221120786
PMID:40248664
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12000833/
Abstract

. Obesity is a worldwide epidemic and one of the risk factors for many diseases including heart disease, diabetes mellitus, kidney disease, and cancer. The aim of this study was to review the impact of the local dietary program on anthropometric and metabolic parameters among overweight and obese subjects attending Primary Health Care Centers in Qatar from 2016 to 2019. . A 4-year retrospective cohort study. . Among 10451 patients, the overall success rate of BMI reduction was 10% while 22.22% of population had ≥5% reduction in BMI from baseline. The median time for weight reduction was 3.2 years, with women showing earlier significant weight loss than men. The patients with 3-5 number of visits had earlier significant weight reduction than those with ≤3 visits and >5 number of visits. Greater weight reduction was seen in those with chronic diseases and who had constant follow up visits in the dietetic clinic during the study period. . Our results are encouraging, showing improvement in the management of adult obesity with medical nutrition therapy through involvement and guidance in the community dietetic clinics. The dietetic clinic services could be an operative strategy to prevent expensive diabetic and cardiovascular events, mainly in high-risk patients.

摘要

肥胖是一种全球性的流行病,是包括心脏病、糖尿病、肾病和癌症在内的许多疾病的风险因素之一。本研究的目的是回顾2016年至2019年期间,当地饮食计划对卡塔尔初级卫生保健中心超重和肥胖受试者的人体测量和代谢参数的影响。

  • 一项为期4年的回顾性队列研究。

  • 在10451名患者中,BMI降低的总体成功率为10%,而22.22%的人群BMI较基线降低了≥5%。体重减轻的中位时间为3.2年,女性比男性更早出现显著体重减轻。就诊3至5次的患者比就诊次数≤3次和>5次的患者更早出现显著体重减轻。在患有慢性病且在研究期间在饮食诊所持续接受随访的患者中,体重减轻幅度更大。

  • 我们的结果令人鼓舞,表明通过社区饮食诊所的参与和指导,医学营养疗法在成人肥胖管理方面有所改善。饮食诊所服务可能是预防昂贵的糖尿病和心血管事件的有效策略,主要针对高危患者。

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Is HbA1c an ideal biomarker of well-controlled diabetes?糖化血红蛋白(HbA1c)是否是血糖控制良好的理想生物标志物?
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Effect of the look AHEAD study intervention on medication use and related cost to treat cardiovascular disease risk factors in individuals with type 2 diabetes.Look AHEAD 研究干预对 2 型糖尿病患者心血管疾病风险因素治疗药物使用及相关费用的影响。
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