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Efficacy of selective trunk activity in improving trunk control in hemiplegic patients 选择性主干活动对改善偏瘫患者主干控制的疗效
Pub Date : 2019-06-10 DOI: 10.36678/ijmaes.2019.v05i02.001
H. Manjunatha, Jibi Paul, Madan Mohan M.R
Background and objective: Trunk control is a crucial component to perform motor function and also to maintain good posture. Trunk gives background for moving upper limbs and lower limbs. The objective of this study was to find out the effectiveness of selective trunk activities in rehabilitation of hemiplegia. Methods: It is a pre and post experimental design. 30 patients have participated and were divided into two equal groups. i.e, experimental and control group, with 15 subjects in each group. Experimental group received routine neuro-rehabilitation along with selective trunk activities, whereas, control group received only routine neuro-rehabilitation program. Pre and post assessment of trunk balance and impairment was measured by using Trunk Impairment Scale (TIS) and Rivermead Motor Assessment Protocol (RMAP). Results: Before the treatment mean values of both control and experimental groups were approximately equivalent There was a significant increase in the mean value of the TIS and RMAP in the experimental group than that of the control group. Conclusion: Posture and stability are the key factors in maintaining proper balance of the trunk. Hence, selective trunk activity has a significant improvement in trunk balance and postural stability and could be considered as an important part in rehabilitation of hemiplegia.
背景与目的:躯干控制是运动功能的重要组成部分,也是保持良好姿势的重要组成部分。躯干为运动上肢和下肢提供背景。本研究的目的是探讨选择性躯干活动在偏瘫康复中的效果。方法:采用前后实验设计。30例患者参与,分为两组。即实验组和对照组,每组15人。实验组接受常规神经康复治疗,对照组只接受常规神经康复治疗。采用主干损伤量表(TIS)和Rivermead Motor assessment Protocol (RMAP)对躯干平衡和损伤进行前后评估。结果:治疗前对照组和实验组的平均值大致相当,实验组TIS和RMAP的平均值较对照组显著升高。结论:姿势和稳定性是保持躯干平衡的关键因素。因此,选择性躯干活动可以显著改善躯干平衡和姿势稳定性,可以被认为是偏瘫康复的重要组成部分。
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引用次数: 0
An Analysis on the effect of Buteyko Breathing and relaxed postures over the chest exapnsion of asthmatic collegiate population- An experimental study 布捷伊科呼吸法和放松体位对哮喘大学生胸部扩张影响的实验研究
Pub Date : 2019-06-10 DOI: 10.36678/ijmaes.2019.v05i02.002
S. Kamalam, G. Srividya, J. Milton
Background: Over ages; bronchial asthma and its adverse physiological, psychological impacts upon varied group of age, people, and health remains a searchable quest in its depth. Behaviour modification as an emerging outlook of Physical therapy helps to exhibit positive changes in this broad spectrum of asthma. This study aimed to identify the possible potential factors to improve chest expansion by analysing the effect of buteyko breathing and relaxed postures. Methods: Experimental study design; 20 patients of the age group 17-19 years were selected using simple random sampling method. Group A; consisting 10 patients were advocated buteyko relaxation training. Group B; consisting of 10 patients were advocated relaxed postures along with the conventional asthma management. Stop watch, nose clip, inch tape, pediatric asthma quality of life questionnaire [PAQLQ] were used as the operational tools. Paired and Unpaired “t” testing was used to analyze the pretest and the posttest values after a period of 6 months. Results: Analysis of the peak expiratory flow rate and the quality of life over Group “A” and Group “B” at 0.05% level of significance showed positive results for Group “A” when compared with the ‘t’ value. Conclusion: The findings support the multidimensional positive effects of behavior modification over the physiological and psychological parameters that lead to the onset of bronchial asthma.
背景:超龄;支气管哮喘及其对不同年龄组、人群和健康的不良生理、心理影响仍然是一个可深入探索的问题。行为改变作为一种新兴的物理治疗前景,有助于在这种广泛的哮喘中表现出积极的变化。本研究旨在通过分析buteyko呼吸和放松姿势的效果,找出可能改善胸部扩张的潜在因素。方法:实验研究设计;选取年龄17 ~ 19岁的患者20例,采用简单随机抽样方法。A组;本组10例患者均采用手腹放松训练。B组;10例患者在常规哮喘治疗的同时提倡放松体位。以秒表、鼻夹、寸带、儿童哮喘生活质量问卷(PAQLQ)为操作工具。采用配对和非配对“t”检验分析6个月后的前测和后测值。结果:A组和B组患者的呼气峰流速和生活质量在0.05%的显著水平上分析,A组与t值比较,结果均为阳性。结论:研究结果支持行为矫正对导致支气管哮喘发病的生理和心理参数的多维积极作用。
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引用次数: 1
An analytical study of Vo2 Max, resting heart rate, waist hip ratio and flexibility changes on combined effects of dynamic core stability exercises and stretching in middle aged overweight men population in Chennai 金奈地区中年超重男性Vo2 Max、静息心率、腰臀比和柔韧性变化对动态核心稳定性训练和拉伸联合效果的分析研究
Pub Date : 2019-06-10 DOI: 10.36678/ijmaes.2019.v05i02.004
R. Radhakrishnan, R. Venkatesan, Kiran, P. Senthil, K. Sharmila
Purpose: To investigate the changes that occurs in the cardiovascular system and to measure the anthropometric changes on administering combined dynamic core stability exercises and flexibility exercises in middle aged overweight men population in Chennai. Methodology: Overweight middle aged male subjects (n = 15) who were desk bourne working for long hours in their office and had not been into regular exercising and lack flexibility were selected based on the BMI who scored more than 25. All were treated with dynamic core stability exercises, stretching exercises of hamstring muscles and treadmill training without elevation for four weeks. Outcomes was measured for Vo2 max, resting heart rate, sit and reach test values, and waist to hip ratio (WHR). At the end of four weeks of training again post test measurement was made and the results were compared using ttest. Results: The pretest and postest mean difference of sit and reach test for flexibility is 4.6, resting heart rate is 3.73, while Vo2 max had moderate difference of 1.77 and a very minimal difference of 0.03 in waist to hip ratio. It was found that the results of flexibility, resting heart rate were more statistically significant with (p<0.001) whereas Vo2 max and waist to hip ratio were marginally significant. Conclusion: It is concluded that Dynamic core stability exercises, treadmill exercises and stretching was found to be useful in improving the muscle strength and flexibility. The training was effective in controlling the resting heart rate, however the anthropometric values of WHR and Vo2 max needs to be focused for better improvement.
目的:探讨钦奈地区中年超重男性进行动态核心稳定性和柔韧性联合锻炼后心血管系统发生的变化,并测量人体测量学的变化。研究方法:根据BMI指数大于25的超重中年男性受试者(n = 15)选择在办公室长时间坐在办公桌前工作,没有定期锻炼和缺乏灵活性的受试者。所有人都进行了为期四周的动态核心稳定性练习、腿筋拉伸练习和跑步机训练。结果测量了最大摄氧量、静息心率、坐姿和伸展测试值以及腰臀比(WHR)。在四周训练结束时,再次进行测试后测量,并使用ttest对结果进行比较。结果:柔韧性坐伸测试前后的平均差值为4.6,静息心率为3.73,最大摄氧量的中等差值为1.77,腰臀比的最小差值为0.03。结果发现,柔韧性、静息心率的结果有统计学意义(p<0.001),而最大摄氧量和腰臀比的结果有统计学意义(p<0.001)。结论:动态核心稳定性训练、跑步机训练和拉伸训练对提高肌肉力量和柔韧性有一定的作用。训练在控制静息心率方面是有效的,但是为了更好的改善,需要关注WHR和Vo2 max的人体测量值。
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引用次数: 0
Effects of muscle energy techniques on knee joint mobilization in an early stage following fracture 肌肉能量技术对骨折后早期膝关节活动的影响
Pub Date : 2019-03-10 DOI: 10.36678/ijmaes.2019.v05i01.001
A. Moorthy, Jibi Paul, G. Muthuraj
Background of the study: Knee joint stiffness is one of the commonest complications in patients who had fractures in the femur and upper tibia. Stiffness, restrict range of motion of joint caused by soft tissue tightness and intra articular adhesions. The aim of study is to understand the effects of Muscle Energy Techniques on early knee joint mobilization to improve the range of motion by reducing post traumatic stiffness. Methodology: A pretest-post test control group design was used for this study. Thirty patients from orthopedic physical therapy outpatient department of Sri Gokulam hospital, Salem were selected for this study and equally divided into two groups. Patients in group-A (Experimental) received wax therapy, static quadriceps exercise, active assisted mobilization and muscle energy techniques. Patients in group-B (control) who received wax therapy, static quadriceps exercise and active assisted knee mobilization. Pain was measured by Visual Analogue Scale, Range of motion by Universal Goniometer and muscle strength by Manual Muscle Testing. Result: The mean post test values for group A and group B are 2.2 and 4.4 for Pain, 103 and 78 for Active Knee Flexion, 7.7 and 6.2 for Quadriceps strength respectively. Conclusion: The study concluded that Muscle Energy Technique is more effective in improving range of motion, strength of quadriceps muscles and reducing pain in knee joint.
研究背景:膝关节僵硬是股骨和胫骨上部骨折患者最常见的并发症之一。僵硬,由于软组织紧绷和关节内粘连导致关节活动受限。研究的目的是了解肌肉能量技术对早期膝关节活动的影响,通过减少创伤后僵硬来提高活动范围。方法:本研究采用前测后测对照组设计。选取塞勒姆Sri Gokulam医院骨科物理治疗门诊患者30例,平均分为两组。a组(实验组)患者接受蜡疗法、静态股四头肌运动、主动辅助动员和肌肉能量技术。b组(对照组)患者接受蜡疗法、静态四头肌运动和主动辅助膝关节活动。疼痛用视觉模拟量表测量,运动范围用通用角计测量,肌肉力量用手工肌肉测试。结果:A组和B组疼痛的平均后测值分别为2.2和4.4,主动屈曲的平均后测值分别为103和78,股四头肌力量的平均后测值分别为7.7和6.2。结论:肌肉能量技术在提高运动范围、股四头肌力量、减轻膝关节疼痛等方面有较好的效果。
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引用次数: 0
Comparative study between static stretching and dynamic stretching on mechanical neck pain 静态拉伸与动态拉伸治疗机械性颈痛的比较研究
Pub Date : 2019-03-10 DOI: 10.36678/ijmaes.2019.v05i01.005
Jibi Paul, S. Thenmozhi
Back and objective of the study: Individual with neck pain that lack an identifiable patho-anatomic cause for their symptoms are usually classified as having mechanical neck pain. Stretching is believed to provide many physical benefits including improved flexibility, injury prevention, improved muscle or athletic performance. Aim of the study was to find out the effects of static stretching and dynamic stretching on mechanical neck pain and also to compare the effectiveness between static and dynamic stretching on mechanical neck pain. Methodology: Comparative study with Quasi Experimental design conducted at ACS Medical College and hospital, Chennai. Both genders of thirty patients were selected for the study. Convenient sampling method used to select the samples on the basis of selection criteria. Visual analogue scale and neck disability index were used as measurement tools for data collection. The study conducted for duration of four weeks. Results: The results shows significant difference in neck pain and neck function between static stretching and dynamic stretching with F value 1733 and <0.0001. Static stretching found more effective than and dynamic stretching with more mean difference of VAS and NDI scores 5.33 and 22.8 compared to 1.73 and 12 respectively. Conclusion: The static stretching is more effective than dynamic stretching in improving pain and functional disability in patients with mechanical neck pain.
背部和研究目的:颈部疼痛缺乏可识别的病理解剖原因的个体通常被归类为机械性颈部疼痛。拉伸被认为对身体有很多好处,包括提高柔韧性,防止受伤,改善肌肉或运动表现。研究的目的是找出静态拉伸和动态拉伸对机械颈痛的影响,并比较静态和动态拉伸对机械颈痛的效果。方法:与在金奈ACS医学院和医院进行的准实验设计进行比较研究。本研究选取了30名男女患者。采用方便抽样的方法,根据选择标准选择样本。采用视觉模拟量表和颈部残疾指数作为数据收集的测量工具。这项研究持续了四周。结果:静态拉伸与动态拉伸在颈部疼痛和颈部功能方面存在显著差异,F值分别为1733和<0.0001。静态拉伸比动态拉伸更有效,VAS和NDI评分的平均差值分别为5.33和22.8,分别为1.73和12。结论:在改善机械颈痛患者的疼痛和功能障碍方面,静态拉伸比动态拉伸更有效。
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引用次数: 0
Nightshift and its effect on the health of working women in BPO Chennai 金奈BPO工作妇女夜班及其对健康的影响
Pub Date : 2019-03-10 DOI: 10.36678/ijmaes.2019.v05i01.002
B. Divya, A. Michael, Jibi Paul
Background of the study: Business Process Outsourcing (BPO) is the fastest growing segment of information technology enabled service industry in India. This research will focus on nightshift work and try to give a brief outline of the health problem faced by employees. Objectives of the study are to understand the health status of the women working in BPOs, to examine how the nightshift duty affects the health of the women working in BPOs and to analyze consequences of the nightshift on the social life of the women working in BPOs. Methodology: It is a qualitative study which helps the researcher for an in-depth understanding. The study was conducted in Tata Consultancy service (TCS), Chennai. Primary data were collected through interview guide and secondary data from Books, Journals, Published articles, etc. Descriptive research design was employed to study the stated objectives. Result: Social life of women employees has been affected and they are facing more mental pressure and depression; majority of the respondents faces various health problems like obesity, eye irritation, irregular menstrual cycle, etc. Conclusion: Night shift has influenced the lifestyle and health of women primarily due to its contemporary work settings.
研究背景:业务流程外包(BPO)是印度信息技术服务行业中增长最快的部分。这项研究将重点放在夜班工作上,并试图简要概述员工面临的健康问题。本研究的目的是了解在BPOs工作的妇女的健康状况,检查夜班如何影响在BPOs工作的妇女的健康,并分析夜班对在BPOs工作的妇女的社会生活的后果。方法论:这是一种定性研究,有助于研究人员深入了解。这项研究是在金奈的塔塔咨询服务(TCS)进行的。主要资料通过访谈指南收集,次要资料通过书籍、期刊、已发表文章等收集。采用描述性研究设计来研究既定的目标。结果:女性员工的社交生活受到影响,心理压力和抑郁程度增加;大多数受访者面临各种健康问题,如肥胖、眼睛刺激、月经周期不规律等。结论:夜班影响了妇女的生活方式和健康,主要是由于其当代工作环境。
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引用次数: 1
Effect of Otago Exercise Program (OEP) and Strength Training Program (STP) on leg strength and risk of fall among bilateral knee osteoarthritis patients 奥塔哥运动计划(OEP)和力量训练计划(STP)对双侧膝骨关节炎患者腿部力量和跌倒风险的影响
Pub Date : 2019-03-10 DOI: 10.36678/ijmaes.2019.v05i01.004
Kanchan A. Katre, Vijayakumari Pushparaj, Jibi Paul
Introduction: The objective of the study was to determine the effectiveness of Otago exercise program (OEP) and strength training program (STP) on lower limb strength and risk of fall among bilateral knee osteoarthritis patients and compare its effects. Method: Subjects diagnosed with bilateral knee osteoarthritis were included and randomly assigned into group A ( N=20) and group B ( N=20). Subjects in Group A received otago exercise program and strength training program in group B. All the subjects were assessed with baseline and post intervention outcome measure for risk of fall with The Time up and Go test (TUG) and lower limb strength with 30-sec Chair Stand Test. Result: This study shows that the mean score Inter-group analysis of time up go test (TUG) in between Otago Exercise Program and Strength Training Program group shows (p < 0.05) with significant improvement and with mean score of 30sec Chair Stand Test (30sec CST) on the Lower limb strength in between Otago Exercise Program and Strength Training Program group shows no significant improvement with p value of 0.0570 (p>0.05) .In intra group analysis the time up go test shows significant result in OEP group but not in STP group and with the 30 – sec chair stand test showed significant result in both the groups. Conclusion: The study showed that otago exercise program is effective in reducing the risk of fall and improving lower limb strength among bilateral knee osteoarthritis than Strength training program.
前言:本研究的目的是确定奥塔哥运动计划(OEP)和力量训练计划(STP)对双侧膝骨关节炎患者下肢力量和跌倒风险的有效性,并比较其效果。方法:将确诊为双侧膝骨关节炎的患者随机分为A组(N=20)和B组(N=20)。A组受试者接受奥塔哥运动方案,b组受试者接受力量训练方案。所有受试者均采用the Time up and Go test (TUG)进行跌倒风险基线和干预后结局测量,并采用30秒椅子站立测试进行下肢力量评估。结果:这项研究表明,平均分数的部落之间的分析时间去测试(拉)在奥塔哥运动和力量训练程序组显示了显著改善(p < 0.05),平均得分30秒椅子站测试(30秒CST)下肢力量在奥塔哥运动和力量训练程序组没有显著改善p值为0.0570 (p > 0.05)在集团内的时间去测试分析显示OEP的重要结果在STP组和30秒椅架试验中,两组均有显著的结果。结论:奥塔哥运动方案比力量训练方案更能有效降低双侧膝骨关节炎患者的跌倒风险和提高下肢力量。
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引用次数: 1
Comparative analysis of self image on body shape among obese college students and employees of corporate sector 肥胖大学生与企业员工体型自我形象的比较分析
Pub Date : 2019-03-10 DOI: 10.36678/ijmaes.2019.v05i01.003
D. P. Nicoluas, Jibi Paul
Background of the study: Overweight and obesity are due to abnormal or excessive fat accumulation which causes problems in health. Body mass index (BMI) is a simple tool which is used for the classification of overweight and obesity in adults. It is defined as a person's weight in kilograms divided by the square of his height in meters (kg/m 2 ). The sole motto of this study would be to compare the self-image on body shape among college students and corporate sector employees. Methodology: Subjects fitting into the inclusion criteria were selected and screened for their BMI after obtaining a proper consent. They were allocated into two groups, among which, one group with college students and the other group with employees of corporate sector (White Collars). Study Setting did at TCS, Chennai and Faculty of Physiotherapy, Dr. MGR. Educational and Research Institute University, Velappanchavadi, Chennai. Subjects were provided with a BSQ-34 questionnaire and asked to respond to each items. At the end, final scores were arrived, which were analyzed & compared statistically between the groups. Body Shape Questionnaire (BSQ)-34 score used as Outcome measure to collect the data. Result: The result of the study shows that there is a considerable difference between the BSQ-34scores of obese college students and employees of corporate sector. Since the P value is <0.05, the difference is significant. Conclusion: The present study shows that there is a significant difference between the self image of obese college students and employees of corporate sector. The corporate sector employees being affected more on self image of obesity.
研究背景:超重和肥胖是由于脂肪堆积异常或过多而引起的健康问题。身体质量指数(BMI)是一个简单的工具,用于分类超重和肥胖的成年人。它的定义是一个人的体重(公斤)除以他的身高(米)的平方(kg/ m2)。本研究的唯一目的是比较大学生和企业员工的体型自我形象。方法:选择符合纳入标准的受试者,并在获得适当同意后对其BMI进行筛选。他们被分为两组,一组是大学生,另一组是企业员工(白领)。研究设置在TCS,金奈和物理治疗学院,MGR博士。教育和研究所大学,Velappanchavadi,金奈。为受试者提供一份BSQ-34问卷,并要求受试者对每个项目进行回答。最后得出最终分数,并在组间进行分析和统计比较。采用身体形状问卷(BSQ)-34分作为结果测量来收集数据。结果:研究结果表明,肥胖大学生的bsq -34得分与企业部门员工的bsq -34得分存在较大差异。P值<0.05,差异有统计学意义。结论:本研究显示肥胖大学生自我形象与企业员工存在显著差异。企业员工的肥胖自我形象受到的影响更大。
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引用次数: 0
The relationship between smartphone addiction and upper body discomfort among youth 青少年智能手机成瘾与上半身不适的关系
Pub Date : 2018-12-10 DOI: 10.36678/ijmaes.2018.v04i04.002
Izham Zain, Tham Sze Kei
Background and objectives: Smartphone is ubiquitous in this digital era and the remarkably evolved of technologies is an evident of heavy usage of such gadget in daily life. Recent evidence indicate that there is significant association between upper arm discomfort and smart phone user. However, there is limited finding on the smart phone addiction on upper body discomfort. Therefore, this study aimed to investigate level of smartphone addiction among Kuala Lumpur young adults. Methods: This is a cross sectional analytical type of study. Self-administer questionnaire is used to determine the level of smartphone addiction level and body discomfort. Results: A total of 290 subjects (80.7% females and 19.3% males) are involve in this study. Majority of respondents (69.7%) suffer mild smartphone addiction and there is significant association with neck and shoulder discomfort (p<0.05). Respondent’s belief that the discomfort experience were due to prolonged smartphone usage (74.1%). Furthermore, 84.5% of respondents noted that discomfort experienced was relieved when not using smartphone. There is significant differences between between time spent on smartphone with age categories, gender, occupation and smartphone addiction level (p<0.05). Conclusion: Time spent on smartphone is consistent to smartphone addiction level. A higher level of smartphone addiction will increase the risk in developing upper body discomfort.
背景和目标:智能手机在这个数字时代无处不在,科技的显著发展是日常生活中大量使用智能手机的一个明显迹象。最近的证据表明,上臂不适与智能手机使用者之间存在显著关联。然而,智能手机成瘾对上半身不适的影响研究有限。因此,本研究旨在调查吉隆坡年轻人的智能手机成瘾水平。方法:这是一个横断面分析型的研究。使用自我管理问卷来确定智能手机成瘾程度和身体不适程度。结果:共纳入受试者290人,其中女性80.7%,男性19.3%。大多数受访者(69.7%)患有轻度智能手机成瘾,且与颈肩不适有显著关联(p<0.05)。受访者认为不适体验是由于长时间使用智能手机(74.1%)。此外,84.5%的受访者表示,不使用智能手机时的不适体验得到了缓解。智能手机使用时间与年龄、性别、职业、智能手机成瘾程度存在显著差异(p<0.05)。结论:花在智能手机上的时间与智能手机成瘾程度是一致的。对智能手机的依赖程度越高,上身不适的风险就越大。
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引用次数: 0
Changes in eating habits among youth: A study on college students in Chennai City 青年饮食习惯的变化:对钦奈市大学生的研究
Pub Date : 2018-12-10 DOI: 10.36678/ijmaes.2018.v04i04.003
S LeenaV, S. Lazar, Jibi Paul
Back ground of the study: As the adolescence grows the food habits also changes accordingly. Eating healthy food promotes good healthy development among the young citizen called youth. Physical, mental, emotional and social behaviors also get altered due to the junk food habit. This study was aimed to examine the extent which the youth seek junk food, reasons for this craving among youth, impact of junk food eating habit and to study the efforts made to respond the problem of obesity. Methodology: Exploratory research design with the aims to establish the most basic criteria of the research topic, often before the actual study was started. Convenient sampling method was used for different group of samples. Seventy (70) subjects were participated in the study. Samples selected from college students of 2 different cities in Chennai; Nungambakkam and Avadi. Validated questionnaire were used to find the outcome of the study. Result: Many responded that the junk food is a solid food it is clearly found with the ratio (65.71%), many finding were observed that the junk food culture and that changes in eating pattern. Conclusion: The complex and evolving nature of youth attitudes towards obesity prevention efforts and their understanding of the causes and consequences of obesity.
研究背景:随着青少年的成长,饮食习惯也随之改变。吃健康的食物促进被称为青年的年轻公民的良好健康发展。吃垃圾食品的习惯也会改变身体、精神、情感和社会行为。这项研究的目的是调查年轻人寻求垃圾食品的程度,年轻人渴望垃圾食品的原因,垃圾食品饮食习惯的影响,并研究为应对肥胖问题所做的努力。方法论:探索性研究设计,目的是建立研究主题的最基本标准,通常在实际研究开始之前。对不同组别的样本采用方便抽样的方法。70名受试者参与了这项研究。样本选自金奈2个不同城市的大学生;Nungambakkam和Avadi。采用有效的问卷调查来发现研究结果。结果:许多人回答垃圾食品是固体食品,这是明显发现的比例(65.71%),许多发现是观察到垃圾食品的文化和饮食习惯的变化。结论:青少年对肥胖预防工作的态度及其对肥胖原因和后果的理解具有复杂和不断变化的性质。
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引用次数: 0
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International Journal Medical and Exercise Science
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