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| Study on weight management model of overweight and obesity among young people in primary hospital |
| LIU Fang XU Jin′gang LOU Yanhui HE Jin▲ |
| Health Management Center, Yiwu Fuyuan Affiliated Teaching Hospital of Zhejiang Chinese Medical Uniwersity, Zhejiang Province, Yiwu 322000, China |
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Abstract Objective To study how to manage weight for overweight and obese young people in primary hospital. Methods from June 2015 to December 2016, in Yiwu Fuyuan Affiliated Teaching Hospital of Zhejiang Chinese Medical Uniwersity, 150 overweight and obese patients were collected, they were divided into three groups by random number table: control group, telephone follow-up group and face to face group, with 50 cases in each group. Three groups were given obesity related health education, diet and exercise guidance, body weight index, body weight, waist circumference, fasting plasma glucose, total cholesterol, low-density lipoprotein cholesterol, triglyceride and uric acid were measured. The control group followed up automatically, telephone follow-up group and face to face group were followed up by telephone and face to face at 2nd, 4th, 6th, 8th, 12th, 16th, 20th, and 24th week respectively. Meanwhile body weight, waist circumference, situation of diet and exercise was recorded. The next phase of the diet exercise program was developed. The three groups were notified to the hospital to check body weight, waist circumference, and metabolic indicators at 24th week. Results Compared with baseline, there was no significant improvement in the control group at 24th week（P ＞ 0.05), body weight, waist circumference, and low-density lipoprotein cholesterol were significantly improved in telephone follow-up group (P ＜ 0.01), body weight, waist circumference, total cholesterol, low-density lipoprotein cholesterol, and uuric acid significantly improved in face to face group (P ＜ 0.01). Compared with telephone follow-up group, body weight,）, LDL-C（P ＜ 0.05）low-density lipoprotein cholesterol, waist circumference, body weight index, total cholesterol improved more in face to face group (P < 0.05 or P < 0.01). Conclusion Health education and diet exercise therapy with continual follow-up can improve body weight and metabolic markers in overweight and obese young adults at primary hospital. Face-to-face follow-up is better than telephone follow-up.
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