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目的:对7名肥胖男性青少年进行为期21天的封闭式综合干预(运动、营养、生活方式、心理教育等)减肥。通过比较综合干预前后研究对象身体形态指标、血液生化指标和生活习惯的变化,探讨综合干预对肥胖青少年健康的改善和促进作用。方法:以2011年参加沈阳体育学院运动智能控重中心减肥夏令营的7名体脂率>29%的男性肥胖青少年为研究对象,综合干预开始时测试身高、体重、体脂百分比(PBF)、身体质量指数(BMI)、脂肪体重、瘦体重、腰围、臀围等身体形态指标和血脂四项、血清葡萄糖(Glu)和血清胰岛素(FIN)等血液生化指标。经运动负荷试验和体格检查,排除心血管机能障碍等危险因素后确定个体减肥方案。采取运动干预、营养干预、心理干预以及生活方式干预等综合干预方案,21天后测定相同指标并与刚入营时进行比较。结果:经过21天的综合干预,肥胖青少年体重、身体质量指数(BMI)、体脂百分比(PBF)、脂肪体重、腰围、臀围等身体形态指标和空腹血脂、血清胰岛素(FIN)指标明显改善,空腹血糖(Glu)没有变化。结论:21天的综合干预对肥胖男性青少年身体形态和血液生化指标有明显改善作用。
OBJECTIVE: To reduce obesity in seven obese male adolescents for 21 days in closed comprehensive intervention (exercise, nutrition, life style, psychological education, etc.). By comparing the body shape index, blood biochemical indexes and living habits before and after the comprehensive intervention, to explore the comprehensive intervention on the improvement and promotion of obesity adolescent health. Methods: Seven male obese adolescents with body fat percentage> 29% who participated in the weight loss summer training camp of the Sports Intelligence Control Center of Shenyang Institute of Physical Education in 2011 were selected as the research objects. The height, weight, body fat percentage (PBF) Body mass index (BMI), weight of body fat, lean body mass, waist circumference, hip circumference and other blood biochemical indicators such as four blood lipids, serum glucose (Glu) and serum insulin (FIN) After exercise load test and physical examination, excluding cardiovascular risk factors such as risk factors to determine individual weight loss program. Adopting comprehensive intervention programs such as exercise intervention, nutrition intervention, psychological intervention and life style intervention, the same indexes were measured after 21 days and compared with the time of the first camp. Results: After 21 days of comprehensive intervention, obesity adolescents’ body weight, body mass index (BMI), body fat percentage (PBF), fat body weight, waist circumference, hip circumference and other body shape indexes and fasting blood lipids, serum insulin (FIN) , Fasting blood glucose (Glu) did not change. Conclusion: The comprehensive intervention of 21 days can significantly improve the body shape and blood biochemical indexes of obese male adolescents.