目的 观察营养替餐干预和远程随访对肥胖者减重的效果。方法 选取我院体检中心体检的肥胖者150人, 应用替餐营养棒进行体重管理, 通过电话、互联网对其进行长达1年的健康生活方式教育及营养指导, 收集其替餐前、替餐后30、90、180、360 d体重、腰围、臀围等数据并进行比较。结果 经营养干预和远程随访, 肥胖者平均减重(7.09±6.57) kg, 且多在干预后90 d达到目标体重, 其中8人提前终止干预, 5人失访, 12人出现体重反弹。结论 营养干预和远程随访可有效地帮助肥胖者改变不健康行为, 减轻体重。

Objective To investigate the effects of nutritional therapy and remote follow-up intervention on weight loss in obese subjects. Methods A total of 150 obese subjects were randomly selected from health medical center of the Armed Police General Hospital between 2011 and 2012. All their daily meals were replaced with nutrition bars. These subjects were given nutrition guidance and a healthy lifestyle was established via telephone and Internet. The data of weight, waist, hip circumference before meal replacement were collect on the 30 th day, 90 th day, 180th day and 360 th day after the replacement. These indexes were collected and analyzed. Results After the nutritional therapy and remote follow-up intervention, the average weight was reduced by (7.09± 6.57) kg. And most people achieved the target weight at the 90th day after interventions, intervention terminated early in 8 of them and 5 people were lost to follow-up, 12 people showed weight rebound. Conclusions Nutritional therapy and remote follow-up intervention can effectively help obese patients improve their health-related behaviors and reduce body weight.