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Utility of a Web-Based Weight Loss Program with Auto-Extraction of Behavioural Objectives and Recording of Daily Weight and Steps in Pre-Obese Outpatients

适用于肥胖前期门诊病人智能提取减肥目标和记录每日体重及具体实施步骤的网络减肥方案

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摘要


目前,肥胖是世界上许多地方的一个重要的公共卫生问题。通过面对面地制定个性化生活方式来治疗肥胖是一个非常重要的方法。但是时间和人员的短缺导致此方法难以推广。我们制订了一套针对肥胖病人基于网络的减肥方案,此方案从2010年7月到2012年1月间开展,期间,6个月内仅需要与病人会面两次。该方案使用一套可以智能提取减肥目标和智能记录每日体重以每日所采用的步骤。参与此方案的有3位肥胖男性(平均年龄:35.7±2.3岁,平均身高体重指数(BMI):30.4±0.8 kg/m^2)和17位肥胖女性(平均年龄:39.3±9.5岁,平均BMI:28.1±1.8 kg/m^2),均自愿参与此项方案。在此项方案实施中,体重明显减轻(平均下降2.7%,p=0.047),腹部内脏脂肪面积(VFA)也有显著下降(平均下降12.6%,p=0.017),血清胆碱酯酶和丙氨酸氨基转移酶升高明显(分别为33 U/L,p=0.003;7 IU/L,p=0.033)。代谢综合征指标也有所下降。有关食物频率问卷调查显示饮食和营养的摄入水平都有所提高。6个月体重降低率和初始体重降低率显著相关。此项可以智能提取减肥目标和记录每天体重及具体实施步骤的网络减肥方案在节约人力资源的情况下,能够有效减轻体重、减少VFA。

並列摘要


The epidemic of obesity is now a major public health concern in many parts of the world. Face-to-face tailored lifestyle modification therapy is one of the major approaches used for weight loss. However, the lack of time for multiple visits and the lack of resources for administering therapy hinder its implementation. We administered a web-based weight loss program for obese patients from July 2010 to January 2012 that required only 2 personal interviews over 6 months. The program used a system of auto-extraction of behavioural objectives and autorecording of daily weight and number of steps taken. The subjects included 3 obese men (mean age, 35.7±2.3 years; mean body mass index (BMI), 30.4±0.8 kg/m^2) and 17 obese women (mean age, 39.3±9.5 years; mean BMI, 28.1±1.8 kg/m^2) who volunteered to participate in this weight loss program. Weight loss achieved through this program was significant (mean, 2.7%, p=0.047). Abdominal visceral fat area (VFA) decreased significantly (mean, 12.6%, p=0.017), and the serum cholinesterase and alanine aminotransferase levels improved (mean, 33 U/L, p=0.003; mean, 7 IU/L, p=0.033 respectively). Metabolic syndrome criteria number had a tendency to decrease. Dietary and nutrient intake levels on the food frequency questionnaire improved. Weight loss ratio after 6 months and initial weight loss ratio were strongly significantly correlated. A web-based weight loss program with auto-extraction of behavioural objectives and recording of daily weight and steps can achieve weight loss, as determined by VFA reduction, on low manpower.

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