| Background:Overweight and obesity has become the main threat to the health of urban and rural residents in China and showed a trend of rising along with the industrialization progress and the change of life style,the trend of population aging and disease patterns of our country.This phenomenon has leaded to serious harm to the personal health and severe social burden of disease.Containment of the hazard caused by the rising trend of overweight and obesity has been one of the major public health problems of the department of national health.Therefore,the strategies transformation for overweight and obesity from treatment to prevention,from high-risk group to susceptible population are important priorities.Objective:Explore the correlation between different factors and overweight or obesity through health survey data analysis to the urban communities,rural communities and upper nursing institution based on the KAPC view.This can provide health management intervention strategy for the community elderly overweight people.Method:(1)Study the literatures of overweight and obesity retrospectively for the diagnosis criteria,influencing factors and the Chinese medicine cognition---intervention methods and intervention models,which can provide theoretical basis for influencing factors and intervention strategies of overweight people.(2)Count the incidence rate of overweight and obesity people by means of measuring the height,weight and BMI.The respondents were divided into two groups according to BMI of normal weight people and overweight or obesity people after general statistical description.Then the distributions of the attitude,behavioral and state conditional factors of the two groups were described through one-way AVOVA.Those factors that had statistical significance(P<0.05)would be absorbed into logistic regression analysis to analysis the correlation between the factors and overweight or obesity.Then the intervention strategies were put forward combined with the analysis results.Results:(1)A total of 714 people were included into this study according to the inclusion and exclusion criteria,including 160 people of the upper nursing community,288 people of the urban community and 266 people of the rural community.The number of overweight and obesity people was 303 according to the diagnostic criteria,which make up 42.44%of the whole survey people,including 32.35%of the overweight and 10.08%of the obesity.(2)The one-way AVOVA results showed that factors---such as community,education,marital status,health cognition,wills for participating in health education,weight management wills,physical activity,appropriate walking,sleep state,work stress,mood changes,life satisfaction,health assessment,regional,cultural degree,sick---possessed statistical differences between normal group and the overweight or obesity group(P<0.05).(3)The logistic regression analysis showed three results.①Rural community was a protective factor for overweight and obesity.The disease risk of urban community is 0.803 multiple compared with that of upper nursing community,and the risk of rural community is 0.213 multiple compared with that of upper nursing community.Non-marriage state was a protective factor for overweight and obesity.The disease risk of non-marriage state people is 0.330 multiple compared to that of marriage state people.②Higher education was a protection for overweight and obesity people among knowledge factors.With the culture degree going up,the disease risk went down gradually.The disease risk of elementary school and junior high school background people is 0.470 multiple compared to that of illiterate and semiliterate people.The disease risk of high school background or above people is 0.272 multiple compared to that of illiterate and semiliterate people.The overweight and obesity risk of people who had nice cognitive awareness about bad habits leading to disease is 0.352 times compared to those who didn’t.③Wills for participating in health education and weight management wills were favorable factors among attitudinal factors.The disease risk of people who had willing to participate in health education and weight management were 0.618 times and 0.660 times respectively relative to those who didn’t want to.④Among behavioral factors,non-moderate physical activity,non-walking and poor sleep were dangerous factors.The risks of non-moderate physical activity,non-moderate working and poor sleep people were 1.075,1.168,1.547 times respectively than control group.⑤Among state conditional factors,less work pressure,higher life satisfaction and higher self-health evaluation were protective factors for overweight and obesity.Relative to high pressure people,low pressure people have the risk of overweight and obesity for 0.274 times.High life satisfaction people have the risk of overweight and obesity for 0.708 times relative to low life satisfaction people.High self-health evaluation people have the risk of overweight and obesity for 0.175 times relative to low self-health evaluation people.Whereas,sick was risk factors.Relative to the sick,sick people has the risk of overweight and obesity for 2.109 times than those without sichness.Conclusion:(1)KAPC module for the elderly overweight and obese people was tentatively proposed through literature review retrospectively based on the "overall concept" of Chinese medicine.(2)In this study,non-moderate physical activity,non-moderate walking and sickness were dangerous factors for overweight and obese people based on KAPC view,and high degree of education,high healthy cognitive level and preferable physical and mental state condition were favorable factors.(3)Under the guidance of the idea of "Preventive treatment of diseases",combining with literature review and the analysis results of the influence factor about community overweight and obese elderly people based on KAPC perspective,we probe into the intervention strategy for overweight and obesity.We draw conclusions that health education should reflect differentiation,and should be focused on rural community and the appropriate pattern should be family education and peer education.Behavioral interventions should reflect quantification,and should adopt moderate and sustainable way.Therapy of traditional Chinese medicine can help restore a balance of Yin and Yang of the human body,and take count of both life safety and the quality of life,so overweight and obesity people match up traditional Chinese medicine intervention methods according to their own health conditions. |
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