论文部分内容阅读
目的：探讨综合生活方式干预模式对睡眠呼吸暂停综合征( SAS)患者体重和体脂的影响。方法纳入2013年5月至2014年6月北京大学深圳医院干部保健科新确诊的轻度SAS患者为研究对象，分为对照组18例与干预组24例。干预组给予生活干预治疗(营养、运动、心理协同合作)，应用Inbody 720观察3个月内研究对象的体重指数、脂肪、肌肉的变化情况。结果经3个月生活方式干预后，干预组BMI下降( P<0.05)、脂肪减量( P<0.05)、肌肉增加( P<0.05)；而对照组上述三个指标与3个月前比较差异无统计学意义。3个月后干预组BMI下降大于2%的比例为79%(19/24)，高于对照组39%(7/18)(P<0.05)；脂肪减少超过50%的比例为50%(14/24)，高于对照组22%(4/18)(P0.05)。结论生活方式干预可有效地减少脂肪、增加肌肉；BMI不能反映减重效果，需要结合体脂测定指标来制定生活方式干预方案。“,”Objective To explore the effect of life-style intervention on weight and body fat of patients with sleep apnea syndrome (SAS) . Methods From May 2013 to June 2014, a total of 42 patients who were newly diag-nosed as SAS in our department were enrolled in the study. All patients were divided into control group ( n=18 ) and in-tervention group (n=24) . The intervention group were given the life-style intervention (nutrition, exercise and psycho-logical coordinated collaboration ) . The variation of weight, fat and muscle were observed with Inbody 720 in 3 months. Results After 3 months′ intervention, the intervention group showed decreased indexes in BMI ( P<0. 05 ) and body fat (P<0. 05), and increased index in muscle (P<0. 05); while compared with that of 3 months ago, the control group revealed no differences in above 3 indexes . Three months later, 79% ( 19/24 ) patients of intervention group had more than 2% BMI decline, which was 39% (7/18) higher than that of the control group (P<0. 05), 50% (14/24) patients of intervention group had more than 50% fat loss, which was 22% higher than that of the con-trol group (4/18) (P<0. 05) . However, the proportion of 50% muscle-increase was 38%. Compared with the pro-portion of the control group 11% (2/18), there was no statistical significance (P<0. 05) . Conclusion Life-style in-tervention could decrease the fat and increase the muscle effectively;BMI can not reflect the criterion of weight loss, the formulation of the life-style intervention plans should combine with the body fat measurement index.