خلاصة:
Abstract Aim: Evalute the effect of three weight reduction(WT) systems of obese adults through one of the three systems [nutrition, or nutrition & exercise, or surgery] on serum lipids (cholesterol and triglycerides) and blood pressure level in obese patients. Patients& Methods: 90 obese male or female individuals (weight increases 20% of ideal weight) from Assiut University Hospitals, and follow methods for weight reduction. Their ages ranged from 25-55 years, they did not have any chronic diseases like( diabetes, high blood pressure, heart diseases). They were submitted to socioeconomic history taking, clinical, and laboratory investigations. They were equally devided to three groups as follow: group(1): 30 patients follow the nutritional system only for weight reduction : 17 females 13 males. (2): 30 patients follow the nutritional system beside practicing exercises for weight reduction: 21 females 9 males. (3): 30 patients were treated surgically by liposuction or lipectomy or both: 30 females. Statistical analysis and nutrition education were applied. The sample included 56 individuals from urban and 34 individuals from rural who are coming from different five villages (Abnob, Manfalot, Aboteeg, Albadary, Alfath. Results: It has been revealed that mean level of total cholesterol (chol) was significantly reduced in the all groups post (WT) reduction program at (P<0.01). The Hemoglobin (Hgb) was significantly increased post (WT) reduction program in nutrition and nutrition & exercise groups respectively at (P<0.01) but in surgery group was significantly reduced at (P<0.01) . While mean glucose was significantly decreased in nutrition and nutrition & exercise groups respectively post (WT) reduction program at (P<0.05), but in surgery group was significantly increased at (P<0.05). The three systems for (WT) reduction decreased the blood pressure.
اشتمل هذا البحث علی 90مریض سمنه ( اوزاتهم اکثر من 20عن الوزن المثالی) اعمارهم
مابین(25- )55سنه 2 مستشفی جامعه اسیوط وقد اتبعوا طرق مختلفه لانقاص الوزن ولا
یعاتون من امراض مزمنه مثل ( السکر او الضغط او امراض القلب ). وقد تم دراسه العوامل
الاجتماعیه والاقتصادیه ویعض التحايیل المعملیه وقیاس مستوی ضغط الدم.
تم تقسیم العینه وفقا للطرق المتبعه لاتقاص الوزن الی ثلاث مجموعات متساویه :
المجموعه الاولی: اتبعت النظام الغذايی بمفرده (13ذکور+ 17 اناث )ء المجموعه الثانیه: اتبعت التظام
الغذايی بجانب الریاضه 9( ذکور+ 21اناث ) المجموعه الثالثه: اجریت لهم عملیه شفط الدهون او
استيصالها او کلیهما 30( اناث). واشتملت العینه علی 56مریض من المدینه 34 مریض من قری
ریفیه مختلفه ( ابتوب › متفلوط ء ابوتیج › البداری › الفتح ) بمحافظه اسیوط. کما تم اعطاء
تثقیف غذايی واجریت التحالیل الاحصايیه المناسبه.
اظهرت النتايج ان مستوی الکولیسترول انخفض بوضوح 2 الثلاث مجموعات عقب نظام
انقاص الوزن › بینما الهیموجلوبین ارتفع المجموعتین الاولی والثانیه فقط. کما اظهرت النتايج
ان مستوی الجلوکوز انخفض بمعدل ملحوظ ج المجموعتین الاولی والثانیه علی عکس المجموعه
الثالثه. اما بالنسبه مستوی ضغط الدم فقد اتخفض ی الثلاث مجموعات عقب فتره اتباع نظام
انقاص الوزن