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健康农场概念在冠状动脉疾病一级预防中的应用

The health farm concept in the primary prevention of coronary artery disease.

作者信息

Ahmad A M

机构信息

Meer Ahmad Health-Care Consultancy, Petaling Jaya, Selangor, Malaysia.

出版信息

Singapore Med J. 1995 Dec;36(6):600-5.

PMID:8781629
Abstract

The purpose of the study is as a preliminary outline of the effectiveness of initiating high-risk individuals into the Health Farm concept in the primary prevention of coronary artery disease (CAD). Thirty-five (35) Army personnel, all male, with risk-factors for CAD were brought together on a Health Farm concept to go through a predesigned ten-day Farm programme comprising CAD risk-assessment, comprehensive medical examination, relevant blood chemistry analysis, physical fitness evaluation, individualised weekly exercise routine, physical fitness workouts, individualised diet, lectures, group discussion and individual counselling. Description of the participants (as measurements of various relevant parameters) are made at the start and as participant-achievement. The results show general participant-compliance to the programme which was reflected by significant changes in weight (p < 0.005), percentile VO2Max (p < 0.005), percentile push-ups (p < 0.005) and girth-difference (p < 0.005). The study showed that the Health Farm concept is effective in initiating high-risk individuals into lifestyles conducive to the primary prevention of CAD. Sustained results towards primary prevention of CAD can be expected with compliance to a long-term follow-up that has been identified and to which participants have been made aware of. Other previous intervention studies are briefly discussed.

摘要

本研究的目的是初步概述将高危个体引入健康农场概念对冠状动脉疾病(CAD)一级预防的有效性。35名均为男性的陆军人员,具有CAD风险因素,他们被聚集在一个健康农场概念中,参加一个预先设计的为期十天的农场计划,该计划包括CAD风险评估、全面体检、相关血液化学分析、体能评估、个性化每周锻炼计划、体能训练、个性化饮食、讲座、小组讨论和个人咨询。在开始时以及作为参与者的成果对参与者进行描述(作为各种相关参数的测量)。结果显示参与者总体上遵守了该计划,这体现在体重(p < 0.005)、VO2Max百分位数(p < 0.005)、俯卧撑百分位数(p < 0.005)和围度差异(p < 0.005)的显著变化上。该研究表明,健康农场概念在引导高危个体形成有利于CAD一级预防的生活方式方面是有效的。如果遵守已确定的长期随访且参与者已了解该随访,预计对CAD一级预防会有持续的效果。还简要讨论了其他先前的干预研究。

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