Intervention of telephone-based support system in the amelioration of metabolic syndrome components for the group weight control

• Main Authors: Pei-Ling Chen, 陳珮玲
• Other Authors: Hui-Ying Huang
• Format: Others
• Language: zh-TW
• Published: 2007
• Online Access: http://ndltd.ncl.edu.tw/handle/76781849607895706944

碩士 === 中國醫藥大學 === 營養學系碩士班 === 95 === As the people’s lifestyle changes with the developing economic status, plus the progress in medical care level, the chronic diseases have replaced the common infectious illness in early times to be the major ones. Recently, metabolic syndrome has attracted interests and attention to be used as a new indicator for the prevention of cardio-vascular diseases. Many studies have shown that obesity is the major cause of metabolic syndrome. Therefore, to control the increase of obese popular becomes an urgent work. The key factor of body-weight control involves the changes in diet, exercise habit, and life style. However, it is difficult to change the accustomed behaviors. Besides, due to the lack of individual counseling, the effect of traditional group body-weight control is often less than that made by the one-to-one counseling. Consequently, how to improve the method used in a group body-weight control to raise the effect is truly important. This research introduced “telephone-based support system” into the operation of group body-weight control to assess its efficacy on the activity. About 111 people whose body mass index (BMI) were greater than 27 were recruited in Taichung as subjects via advertisement on newspapers. The subjects were randomly divided into experimental group using the intervention of the telephone-based support system, and the control group using the traditional group body-weight control method; the experimental group contained 58 subjects and the control group contained 53 subjects. The two groups all took the same body-weight control curriculum except that the experiment group received additional telephone calls from the volunteers at least once a week. Results showed that the body-weight, BMI and body fat in the experiment group were significantly reduced compared with that of control group (p < 0.01). For both groups, the nutrition education helped to improve the waist, triglyceride content and fasting serum sugar concentration, which were among the metabolic syndrome components, and the fasting serum blood sugar and male waist in the experimental group exhibited better improvement (p < 0.01). Each subject took less calories after finishing the body-weight control course. In short, reduction of body weight could ameliorate the metabolic syndrome components, and the intervention of telephone-based support system enhances such efficacy. The present study developed a new and effective model for the group body-weight control that can improve the outcome of such activities.