許多研究指出，體重過重和肥胖會造成許多健康上的問題。由於國內肥胖的比例逐漸增高，衛生署及國民健康局也極力呼籲國人重視肥胖問題。本研究旨在了解社區民眾肥胖者自覺體重狀況及體重控制情形並追蹤其減重行為的階段改變狀況，以期能較貼切的獲知民眾的需求及障礙，做為未來進一步介入之參考。

本研究選取台南市安南區16個里，並舉辦六場成人健康體能檢查活動，首先以結構式問卷，收集民眾飲食、運動及體重控制行為相關資料，再檢測其體能及肥胖狀況，並由醫師及營養師予以諮詢。在檢測完後六個月，再以電話追蹤完成減重行為改變階段之探討。

本研究完成追蹤757位有效樣本，以BMI值≧25為肥胖的判定標準時，研究對象中有38.2％為肥胖者；若合併BMI及WC（男≧90㎝、女≧80㎝）來看，則有28.0％的人屬於肥胖高危險組（BMI及WC均過高），另有16.3％的人為低危險組（BMI及WC其一過高）。肥胖者的年齡大部分在45歲以上、低教育程度。肥胖者其規律運動的比例較理想組來得高，且認為其體重太重的比例也顯著高於理想組。進一步運用多變項分析後發現，想減重者主要是年齡較輕，且為肥胖者。肥胖者曾使用的減重方法以飲食（30％）及運動（20%）為主，但仍有10％的民眾曾使用不健康的減重方法。

整體而言，前測時在「前思期」及「準備期」的肥胖者比較會有向前改進的現象。然而，低危險組民眾在6個月後之追蹤，都有明顯的回退現象（p<.001）。而高危險組部分，則以前測時為「準備期」的民眾有顯著的改變階段（前進為行動期或維持期）。
對於停留在思考期的民眾而言，主要的問題是「不知如何減重」及「沒時間」。他們對想獲得什麼樣的減重訊息，大部分都沒有表達太多的意見及需求，但希望使用的健康減重方式。

Many studies have indicated that overweight and obesity affect health significantly. The purposes of the study were to explore the obesity status, weight perception, and weight control behavior of adults in a community and to understand their needs and barriers concerning weight control.

Six sessions of the health fitness test were provided in 16 neighborhoods in An-Nan District, Tainan City. A self-administrated questionnaire was conducted to collect the information of participants’ sociodemographic status, eating habits, physical activity and weight control behaviors first. After the test, each participant got health advice tailored by health professionals. Six months later, all participants were followed by telephone interviews and their changes in weight control behaviors were recorded.

Among the 757 valid samples, 38.2% were obesity (BMI≧25). If combining the standards of Body Mass Index (BMI) and Waist circumference (WC), we found that 28% of subjects were in high-risk group and 16.3% were in low-risk group. The prevalence of obesity was high in the group of lower education and aged more than 45 years. High-risk obesity group undertook more physical activity than normal group, and most of them considered themselves overweight. For those who considered themselves overweight would try to loss their weight more. Diet control and exercise were two of the most common weight-reduction strategies. Still 10% of subjects have used unhealthy weight-reduction strategies.

The follow-up interviews found that obesity people in stages of Precontemplation and Preparation were more active after 6 months. The major problems of people who stayed in the “Contemplation” stage were having no idea about weight control and having no time.

It was concluded that future intervention programs for weight control in the community must consider the barriers of subjects, such as level of education, time and persistence.

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網頁資料：
體委會：http://163.29.141.191/spo/teach/成人/home.htm
衛生署：http://www.doh.gov.tw
WHO（World Health Organization）：http://www.who.int/en/
美國 疾病管制局 BRFSS（Behavioral Risk Factor Surveillance System）：http://www.cdc.gov/brfss/