临床荟萃

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应用手机APP进行健康减重互动管理的随访实践

  

  1. 1.天津医科大学总医院  a.健康管理中心;b.消化科,天津  300052;2.武警后勤学院 流行病学教研室,天津 300039
  • 出版日期:2017-05-05 发布日期:2017-05-05
  • 通讯作者: 通信作者:王邦茂,Email: gi.tmuh@sohu.com

Followup of interactive management mode of healthy weight loss using mobile phone APP platform

  1. 1a.Department of Health Management Center; b.Department of Gastroenterology,Tianjin Medical University
    General Hospital,Tianjing  300052,China;2.Department of Epidemiology,
    University of People's Armed Police Force, Tianjing  300039,China
  • Online:2017-05-05 Published:2017-05-05
  • Contact: Correspondign author: Wang Bangmao, Email: gi.tmuh@sohu.com

摘要: 目的探讨采用手机APP服务平台进行减重人群互动管理与随访的可行性,为临床实践提供依据。方法选取我中心进行体检并做健康减重管理的志愿者60例,男30例,女30例,年龄26~64岁,平均年龄(46.2±10.6)岁。随机分为两组,两组均30例且性别比例均衡。两组均以极低碳水化合物饮食搭配运动的方法进行减重3个月,其中一组辅以手机APP进行互动随访管理(APP组),另一组辅以门诊常规随访(门诊组),随访时间为9个月。对两组减重依从性、减重效果进行对比性分析。停止减重干预6个月后,再次对两组减重反弹程度进行比较。结果与门诊组比较,手机APP减重管理模式,极大的提高了客户的依从性,体检客户的自我减重管理能力明显提高;经过健康减重3个月后,两组体重指数(BMI)、脂肪肝、血脂、血糖、血压、受控衰减参数(CAP)等各项指标较初次体检时均有不同程度的提高,APP组减重效果优于门诊组(P<0.05)。停止自我管理6个月后,再次进行数据比较,两组各项指标均有一定程度反弹,APP组反弹程度低于门诊组(P<0.05)。结论应用手机APP进行健康减重互动管理是健康减重管理的有效手段,能有效提高减重者的饮食运动依从性,提高自我管理的能力,防止反弹,值得推广应用。

关键词: 超重, 健康教育, 手机APP互动管理

Abstract: ObjectiveTo explore the feasibility of the mobile phone APP service platform for carrying out the interactive management and followup of patients with weight loss  in order to provide the basis for clinical practice. MethodsA total of  30 men and 30 women were selected from the center for physical examination and healthy weight loss management, age from 26 to 64 years (average age of 46.2±10.6 years). The 60 participants were randomly divided into two groups.Each group was 30 participants and balanced  in the gender ratio.The participants in two groups  were all given a very low carbohydrate diet with exercise method for weight loss for three months, including the test group of mobile phone APP for interactive followup management control group with routine followup for nine months. The weight loss compliance and weight loss effect between groups were comparatively analyzed. After six months of weight loss intervention, the degree of weight loss rebound  was compared between the two groups. Results
Compared with the outpatient group, the mobile phone APP weight management mode greatly improved the compliance of the customers, and enhaned the customers′ self weight management ability; After three months of healthy weight loss,the two groups of subjects showed differenr improvement in, BMI, fatty liver, blood lipid, blood glucose, blood pressure, CAP and other indicators were improved in different degrees, while weight loss in the APP group was better than that in the outpatient group compared with the initial (P<0.05).  At six months after self management, the indicators of two groups had  certain degree of rebound, the degree of rebound in APP group was lower than that of outpatient group(P<0.05). ConclusionThe mobile phone APP in healthy weight loss interactive management is an effective means of health weight management, diet and exercise compliance can effectively improve the weight, the ability to prevent the rebound and self management, it is worthy of popularization and application.

Key words: overweight, health education, mobile , APP , interactive management