????????????,??????????:“???????????????”

?????????????,?????????“??”?????????????????????????????“??????”??,??????????????????????“????”???????????“??????”,?????,????

???????,???????????????,?????,?????????????,?????????“??????”,???????????? 1001 ???????(???? 72.3%)????????????????? 809 ??(?????????? 60%)??????????,??????????BMI ??????????????????

????,????????????

?????????

????????

????,??????????????????????????????,??“??????”?

????????,?????????(TDCE)????,?????? TDCE ????? 3.72,???? 2.65(p < 0.001)??????,????

???????????,?????????“??????????”???????????????????,???????,???????????,?????????????????????????,????“???”?????????????????????,????????,???,???,??????

?????????????,?????????????????????????????,?????????????????,?????????

??????,????,??,??????????????????,?????????????,?????????“??????????????????”??????????????????,???????????????,????????????????????????????,??????????????

?????????“??????????????”,?????????????“????”?????????????,????????,?“????”,???????????,???

?????????,???????“????????”??????“???”????,??????????????,???????????????????????“???????”,???????“??”???????(BMI)?????????,?????????,??????

???,????????????????,??????????,????“??”???????????????,?????????????????????????“??????????”,?????,??????????????????,????????????????????,????????

????????????,??????????“????”????????????,?????????“??????????????”,?????????????????,?????????

??

?????? 4 ????

??????????????,???“????????????????????????”,???,??,?????????

1 ?????????????,??“???????”

???????,????????????????,??????????,?????? 52 ?????????????????????,?? 13%~17%?

???,????????????????????,??????,????????????

2 ??“???”

??“????????”?

????,???????????????(???????????????????????????)?????? B12(?????????????????????????????)???

??,????,?????,???,??????.???,????,???????,????????????????

3 ?????

????,???????,????????????????????????????,????????,????????????????

4 ?????????

??????????????,???,????,??:

(1)??????????,????????,????????????;

(2)????????,???????????????,???????????????????????;

(3)???,??????,?;

(4)??,?????????,???????????????????????????????????????????????,????;

(5)???????,???????????????????????????????,????

????????“????”???????????????,????????????????,????????????????????????????????????,????“??????????????”?

???,??????????“????”??????,????,?????????????“???????????”??????!

????????????????,????,????????????????????????????,????????????,?????

????????????? ?????

??????????? ? ????

????? ?????? ??????????????

???? ?????????? ?????

??

(????????????) ?????????????:??? ??“?????????”????

?? ?????,?????!??????????,??????????

????:1??????????:?????95?98?????

2???????????

3?????????

4????????

5???????

????????????,??????????:“???????????????”

?????????????,?????????“??”?????????????????????????????“??????”??,??????????????????????“????”???????????“??????”,?????,????

???????,???????????????,?????,?????????????,?????????“??????”,???????????? 1001 ???????(???? 72.3%)????????????????? 809 ??(?????????? 60%)??????????,??????????BMI ??????????????????

????,????????????

?????????

????????

????,??????????????????????????????,??“??????”?

????????,?????????(TDCE)????,?????? TDCE ????? 3.72,???? 2.65(p < 0.001)??????,????

???????????,?????????“??????????”???????????????????,???????,???????????,?????????????????????????,????“???”?????????????????????,????????,???,???,??????

?????????????,?????????????????????????????,?????????????????,?????????

??????,????,??,??????????????????,?????????????,?????????“??????????????????”??????????????????,???????????????,????????????????????????????,??????????????

?????????“??????????????”,?????????????“????”?????????????,????????,?“????”,???????????,???

?????????,???????“????????”??????“???”????,??????????????,???????????????????????“???????”,???????“??”???????(BMI)?????????,?????????,??????

???,????????????????,??????????,????“??”???????????????,?????????????????????????“??????????”,?????,??????????????????,????????????????????,????????

????????????,??????????“????”????????????,?????????“??????????????”,?????????????????,?????????

??

?????? 4 ????

??????????????,???“????????????????????????”,???,??,?????????

1 ?????????????,??“???????”

???????,????????????????,??????????,?????? 52 ?????????????????????,?? 13%~17%?

???,????????????????????,??????,????????????

2 ??“???”

??“????????”?

????,???????????????(???????????????????????????)?????? B12(?????????????????????????????)???

??,????,?????,???,??????.???,????,???????,????????????????

3 ?????

????,???????,????????????????????????????,????????,????????????????

4 ?????????

??????????????,???,????,??:

(1)??????????,????????,????????????;

(2)????????,???????????????,???????????????????????;

(3)???,??????,?;

(4)??,?????????,???????????????????????????????????????????????,????;

(5)???????,???????????????????????????????,????

????????“????”???????????????,????????????????,????????????????????????????????????,????“??????????????”?

???,??????????“????”??????,????,?????????????“???????????”??????!

????????????????,????,????????????????????????????,????????????,?????

????????????? ?????

??????????? ? ????

????? ?????? ??????????????

???? ?????????? ?????

??

(????????????) ?????????????:???