一个欠发达国家肥胖康复项目的效果

E. Alagnidé, G. Salif, D. N. Natta, G. Houngbédji, Laurence S. Okou, T. Kpadonou
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摘要

背景:肥胖是一个主要的公共健康问题。目的:分析科托诺市成人肥胖康复方案的效果。方法:采用前瞻性、横断面、描述性和分析性研究,于2016年1 - 6月(06个月)在科托努市一些体操俱乐部和协和医院物理医学与康复科招募122名成人肥胖受试者。在20个疗程中进行了一项体育活动计划。在项目前后对这些受试者的临床和生物学参数进行评估。比较这些参数的起始值和结束值,评价它们的演化。结果:患者以女性居多(94.26%),年龄46.3±9.70岁。平均BMI为37.26±5.04 kg/m2,其中重度肥胖(45.9%)和混合型肥胖(54.1%)。脂肪质量指数(FMI)为47.95±7.56%。在项目开始时观察到高胆固醇血症(59.02%)和高甘油三酯血症(9.02%)。在康复计划结束时,患者的人体测量参数比血脂得到了更显著的改善。没有研究的临床或生物学参数与患者BMI和FMI变化有显著相关性(p < 0.05)。结论:锻炼计划已经显示出令人鼓舞的结果,因此很有兴趣将其应用于不发达国家的更多人口。
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Effects of a Program of Obesity's Rehabilitation in an under Developed Country
Background: Obesity is a major public health concern. Objective: To analyze effects of a rehabilitation program on adult obese in Cotonou. Methods: It was a prospective, cross-sectional, descriptive and analytical study, conducted from January to June 2016 (06 months), on 122 adult obese subjects, recruited in some gymnastics clubs and the Department of Physical Medicine and Rehabilitation of the CNHU-HKM of Cotonou. A program of physical activity were done during 20 sessions. Clinical and biological parameters were evaluated in these subjects before and after the program. Comparing the beginning and ending values of those parameters, their evolution were evaluated. Results: Most of these patients were females (94.26%) aged 46.3 ± 9.70 years. Their mean BMI was 37.26 ± 5.04 kg/m2 with an android obesity (45.9%) or a mixed one (54.1%). The fat mass index (FMI) was 47.95 ± 7.56%. Hypercholesterolemia (59.02%) and hypertriglyceridaemia (9.02%) were observed at the beginning of the program. At the end of the rehabilitation program, anthropometric parameters of patients were improved more markedly than those of lipids. No clinical or biological parameters studied were significantly associated with patient’s BMI and FMI changes (p>0.05). Conclusion: The exercise program has shown encouraging results and is therefore interesting to be applied to a larger population in underdeveloped countries.
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