奋斗新时代、奋进新征程。由中华医学会、中华医学会健康管理学分会主办，浙江省医学会、浙江省医学会健康管理学分会承办，中国健康促进基金会、《中华健康管理学杂志》协办，承载万众期待，倍受各界瞩目的“第十四届中国健康服务业大会暨中华医学会第十二次全国健康管理学学术会议”云端盛会于2021年12月20—23日胜利召开。大会以“创新学科建设 助力健康中国”为主题，全国健康管理学界和业内外的领导、专家、学者和同道齐聚云端，共襄学术盛举。北京和杭州两个线下直播厅以及全国各品牌健康管理机构分会场收听收看单位数达1 500余家，线上参会人数高达20余万人次。

医疗健康领域科普信息以医疗卫生基本知识、健康的生活方式与行为技能，以及相关的政策法规为主要内容，以公众易于理解、接受和参与的方式呈现和传播。伴随着新媒体环境由Web2.0、3.0向智媒时代的演进，医疗健康领域科普信息传播的整体媒介环境、传播内容形式与公众的媒体使用习惯等，都发生了一系列的演化变迁，呈现出新的大众传播规律。

过去10余年，健康管理适宜技术有力地促进了健康管理学科的发展。通过健康管理适宜技术的应用，提升了健康管理服务能力和水平，实现了套餐式体检向个体化体检的转变，促进了健康管理学科内涵的建设。未来健康管理学科的建设，需要更多的适宜技术支撑。适宜技术的研发与应用，需要科技创新，需要走政产学研用相结合的道路。在健康管理领域的科技创新中，大健康行业的企业和健康管理（体检）机构需要携手合作，朝着高效、精准、智能的方向，促进健康管理适宜技术的研发与应用，进而推动健康管理学科更加蓬勃发展。

追梦新时代,奋进新征程.健康文化就像一颗璀璨的明珠,在健康中国的星空中熠熠生辉.日前,在中华医学会第十一次全国健康管理学学术会议期间,由中华医学会《健康世界》杂志编委会、中华医学会《中华健康管理学杂志》编委会、中华医学会健康管理学分会健康文化科普学组(筹)承办,广州市康立明生物科技有限责任公司支持的首届中华健康管理健康科普演讲比赛决赛盛大开幕.

天府之国,钟灵毓秀;巴山蜀水,俊采星驰.金秋九月,由中华医学会、中华医学会健康管理学分会主办,重庆市医学会、重庆市医学会健康管理学专业委员会承办,中国健康促进基金会、《中华健康管理学杂志》和陆军军医大学第一附属医院协办的"第十一届中国健康服务业大会暨中华医学会第九次全国健康管理学学术会议于9月1—3日在山城重庆隆重开幕了!大会紧紧围绕"推进学科建设,助力健康中国"的主题,来自全国4 000余名从事健康服务业与健康管理的专家、学者及从业者汇聚一堂,交流学术,分享经验,共谋健康管理发展大计,谱写中华健康管理新篇章.

2017年5月6日,中华医学会健康管理学分会第四届委员会第一次常委会在海南成功召开。中华医学会副会长兼秘书长饶克勤委托中华医学会健康管理学分会终身荣誉主任委员白书忠代表中华医学会出席了会议,中华医学会健康管理学分会主任委员曾强等22名常委参加会议。会议由中华医学会健康管理学分会新任主任委员曾强主持。白书忠代表中华医学会为第四届委员会副主委以上

2017年2月25日,《中华健康管理学杂志》编委换届会暨第三届编委会第一次全体会议在北京召开。中华医学会副会长兼秘书长饶克勤、中国健康促进基金会理事长白书忠、中华医学会杂志社社长姜永茂、中华医学会杂志社副社长金东、解放军总医院健康管理研究院曾强以及编委、通讯编委等百余人参加了会议。会议分别由编委会副总编辑李静、姚华、王培玉、于康主持。中华医学会副会长兼秘书长饶克勤,第二届编委会

目的 通过对某企业职业人群高尿酸血症患病率的调查,探讨高尿酸血症与心血管病危险因素的相关性,为职业人群健康管理提供理论依据.方法 采用流行病学横断面研究方法对北京市、河北省唐山市、张家口市某企业18岁～ 60岁员工身体健康状况和生活方式进行了随机、分层、整群抽样问卷调查和体格检查.结果 某企业员工高尿酸血症患病率为22.7％.收缩压、舒张压、低密度脂蛋白、BMI平均值和吸烟、饮酒的发生率在血尿酸正常组和高尿酸血症组间差异有统计学意义(P＜0.05).多因素Logistic回归结果显示性别、年龄、不锻炼、低密度脂蛋白胆固醇与高尿酸血症呈正相关(P＜0.05),教育程度、高密度脂蛋白胆固醇与高尿酸血症呈负相关(P＜0.05).结论 某企业职业人群高尿酸血症比例较高,高尿酸血症与心血管病危险因素有关,对高尿酸血症职业人群进行健康管理具有重要的公共卫生意义.

Objective To investigate the opportunity of laparoscopic cholecystectomy ( LC ) in elderly patients with acute calculous cholecystitis ( ACC ) , so as to improve the clinical outcome of LC . Methods Clinical data of 79 elderly patients with ACC from June 2013 to May 2016, were analyzed retrospectively , including 40 cases in operation group and 39 cases in non-operation group .In the operation group, LC was divided into the early stage group ( <72 h, 10 cases) and the late stage group ( >72 h, 30 cases) based on the preoperative time .Statistical analysis were performed by using SPSS 18.0 software. Measurement data were presented as mean ±SD and examined by using t test, inclduing blood routine , high sensitive C reactive protein , liver function and blood coagulation routine .The efficacy were expressed as rate (%) and test was used for comparison between two groups .A P value of <0.05 was considered as statistically significant difference . Results Results Compared with no-operation group , age of patients in operation group was significantly decreased , and the preoperative serum total protein was significantly higher&nbsp;(P<0.05).There was no significant difference between the two groups (P>0.05), including the coexisting diseases and the other results of preoperative laboratory examination between the two groups .Success rate of LC was all 100%in both early onset group ( <72 h) and late group ( >72 h).There was no significant difference in terms of operation time , blood loss, and postoperative hospital stay between 2 groups ( P >0.05).There were 40 cases cured in the operation group , with the cure rate of 100%, while 27 cases were cured in non-operation group, with the cure rate of 69.2%.The efficacy of the operation group was significantly better than that of non-operation group (χ2 =14.512, P=0.001). Conclusions Although the preoperative time is more than 72 h, LC in elderly patients with ACC is also safe and feasible , the key point is to effectively grasp the opportunity of surgery and to master the skills of LC , so as to further improve the therapeutic effects of LC in elderly patients with ACC .

大道致远,海纳百川.由中华医学会、中华医学会健康管理学分会主办,厦门市医学会、福建省医学会健康管理学分会承办,中国健康促进基金会、《中华健康管理学杂志》、厦门市医学会健康管理学分会和厦门大学附属中山医院协办的"第十二届中国健康服务业大会暨中华医学会第十次全国健康管理学学术会议"于2018年10月12—14日在福建省厦门市隆重召开!大会紧紧围绕"推进学科建设,助力健康中国"的主题,来自全国的5 000余名从事健康服务业与健康管理专家、学者及从业者汇聚一堂,交流学术,分享经验,共谋健康管理发展大计,谱写中华健康管理新篇章.

目的 描述供电职业人群焦虑、抑郁的现状,探讨影响供电职业人群焦虑、抑郁的相关因素及有效的干预方法,为职业人群心理健康管理提供理论依据.方法 采用流行病学随访研究的方法,应用一般信息问卷、幸福度量表、社会支持评定量表、焦虑和抑郁量表对北京市、河北省唐山市、张家口市18～60岁职业人群进行了分层整群抽样调查,第一层为地区,第二层为电力公司,第三层为部门.2 782名职业人群随机分为干预组和对照组.干预组采用健康教育、企业支持、个体心理疏导、团体心理指导和小组讨论干预方法进行干预;对照组观察其自然变化.结果 2782名职业人群中127名员工(4.57％)有焦虑情绪;299名员工(10.75％)有抑郁心境.焦虑标准分与工作时间、住房、朋友、沟通、幸福度总分和抑郁标准分相关.抑郁标准分与体质指数、甘油三酯、幸福度总分、社会支持总分和焦虑标准分相关.干预前干预组和对照组各项得分差异无统计学意义,干预后干预组焦虑标准分、抑郁标准分明显低于干预前的评分(P＜0.05).结论 供电职业人群焦虑、抑郁症状评分与其生活质量、幸福度、社会支持等因素有关,干预6个月后其焦虑、抑郁评分与对照组比较明显降低.

Objective To explore the serum lipid trends and to assess the association between the change in serum lipid level and the cumulative incidence of diabetes mellitus among occupational population in a functional community of Beijing, and to provide suggestions for health management. Methods One way repeated measures ANOVA and multiple logistic regression analysis were carried out using data from year 2010 to 2012,which was repeated measurement data of blood lipid and fasting plasma glucose from 373 occupational subjects aged 26 to 60 in a functional community of Beijing. Results From 2010 to 2012,the abnormal number of total cholesterol( TC) was accounted for 3. 49%,4. 83% and 5. 90% respectively; abnormal triglyceride( TG) 20. 91%,22. 79% and 21. 98% respectively; abnormal high density lipoprotein cholesterol( HDL- C) 13. 40%,29. 76% and 21. 72% respectively; abnormal low density lipoprotein cholesterol( LDL-C) 0. 54%,2. 41% and 3. 49% respectively; and abnormal fasting plasma glucose( FPG) 1. 07%,1. 34% and 2. 95% respectively. The average male TC increased with year and age( P 0. 01). The mean TG level was significantly higher in men in three years than that of women( P 0. 01),and the mean HDL- C level in men was lower than that of women( P 0. 01). Logistic regression analysis showed that the risk of diabetes mellitus among the elders was 1. 165 times of younger people,and the risk of diabetes mellitus among people with abnormal TG was 2. 987 times of those with normal TG. Conclusion High serum lipid level was common in occupational population. TG level is associated with cumulative incidence of diabetes,and the change of TG level in several years could predict the risk of diabetes.

Objective To explore the post training needs,training content,training mode and the advantages and disadvantages of the existing training from the general practitioner perspective,in order to provide reasonable suggestions for the management institutions to improve the quality and effect of the post training for all general practitioners.Methods In October,2013 a questionnaire survey was conducted to 197 family physicians for their post training needs,training content and training mode.According to the interview outline,an in-depth individual interview was conducted to 20 leaders and general practitioners from the community health service center in Beijing Xicheng District on the advantages and disadvantages of general medical training.All survey information databases were established using FoxPro 6.0 software and double entry.Package was statistically analyzed with SPSS 19.0 statistical software,qualitative data using rate to represent; interviews with text descriptions,coding classification analysis.Results More than 70％ of general practitioners had the demand for strengthening the training of the clinical medicine,the knowledge of humanities and social sciences as well as clinical research methods,but the demand for the training of general medical theory and basic medicine was small,only accounting for 22.50％ general practitioners.More than 90.00％ of general practitioners were in favor of targeted flexible training methods.More than 85.00％ of general practitioners believed that existing training teachers' teaching abilities were very good,and they agreed to open general practitioner training project in medical colleges and universities.The surveyed physicians also made some criticism about too many training departments,low training quality,too many training programs,and training content repetition etc..Conclusion According to the general medical post training needs,human and scientific research of targeted training should be increased by using case discussion,site visit and many flexible and diverse teaching methods and various departments should also be coordinated and the training incentive and evaluation mechanism should be improved to guarantee the quality of training.

Objective To explore the relation of physical indicators to cardiovascular risk factors in occupation population of power transmission workplace to provide evidence for their health management.Methods A cross-section study was carried out in Beijing,Tangshan and Zhangjiakou.Multi-phase,stratified,unequal proportional and cluster sampling was adopted to investigate occupation population of power transmission workplace aged 18-60 years.Two sample or multiple samples were compared using x2 test.Multivariate linear regression was used for data analysis.Results In Beijing,Tangshan and Zhangjiakou,the distribution rate of overweight,obesity,high systolic blood pressure,high systolic blood pressure,high diastolic blood pressure,high diastolic blood pressure,impaired fasting glucose,fasting blood glucose,high total cholesterol,abnormal cholesterol,high triglyceride,abnormal triglyceride,high lowdensity lipoprotein,abnormal low-density lipoprotein,reduced high-density lipoprotein,abnormal interleukin,abnormal alanine transaminase and abnormal creatinine were 38.9％,9.7％,30.1％,17.4％,34.8％,24.4％,7.1％,6.6％,19.8％,7.9％,17.2％,21.8％,14.5％,3.8％,15％,2.7％,6.7％ and 4.6％,respectively.In multivariable liner regression analysis,systolic blood pressure,diastolic blood pressure,BMI,fasting blood glucose,triglyceride,total cholesterol,low density lipoprotein and alanine aminotransferase were significantly related to several risk factors of chronic disease.Conclusion The abnormal rate of physical indicators in occupation population aged 18-60 years was high.Health management for power supply occupation population should be strongly advocated.

Objective To explore the related factors of anxiety and gloomy mentality people aged 60-80 years and investigate the effectiue methods to intervention.Methods A follow-up study was proportional and carried out in Xicheng district of Beijing.Multi-phase,stratified,unequal cluster sampling was adopted to investigate old people in 2011 with WHO-QOL,Memorial University of Newfoundl and Scale of Happiness,Social Support Rating Scale,Self-Rating Anxiety Scale and Self-rating Depression Scale.2342 old people were randomly divided into control group and trial group.The trial group received health education,community social support,lightening the psychological stress in face to face,psychology guiding and group discussion.The control group received general observation only.Results Among 2342 old people,126 (5.3％) obtained anxiety and 201(8.6％) had gloomy mentality.The anxiety in the elderly was significantly related to age,marriment,culture,job,family type,family relationship,housing,income,medical insurance,retirement type,reading,keeping pets,character,training,feeling adjusting,life quality,subjective well-being,social support,depression (all P ＜ 0.05).The depression in the elderly was significantly related to gender,marriment,culture,job,family type,family relationship,housing,income,medical insurance,retirement type,reading,watching plays,character,feeling adjusting,drinking,training,life quality,subjective well-being,social support,anxiety (all P＜0.05).Scores of two groups had no significant difference before intervention.The change in scores of anxiety and depression in the trial group was obviously lower than in control group (P＜0.05).Conclusions The anxiety and gloomy mentality are common in old people aged 60-80 years in Xicheng District,which independently associated with related factors such as life quality,subjective well-being,social support and so on.After 6 months of treatment,the scores of anxiety and depression in the trial group is obviously lower than in control group.

Objective To describe the present situation of life quality among elderly people in urban communities,and to explore the related factors.Methods A survey on quality of life was carried out among elderly people aged 60-80 years old selected with stratified cluster random sampling in Xicheng district,by using WHO quality of life scale and Social Support Rating Scale.Results Of 2342 elderly people,91.9% might obtain the social support,and 6.3% with anxiety and 8.6% with mentality gloomy.The elderly people's life quality was significantly related to many related factors such as family types,family relationship,monthly income,retirement adjustment,emotion regulation,training,anxiety,gloomy and social support.(P0.05).Conclusion The elderly people aged 60-80 years old in Xicheng District have higher life quality and social support;the life quality is independently associated with some related factors.

Objective To understand the status of social support to the elderly in Xicheng district of Beijing,and to explore the related factors and effective intervention method,so as to provide theoretical basis for improving their mental health.Methods A total of 2342 seniors aged 60-80 years were randomly selected using stratified cluster sampling method.All subjects were surveyed and assessed using Memorial University of Newfoundland Scale of Happiness(MUNSH),Social Support Rating Scale(SSRS),Self-Rating Anxiety Scale(SRAS)and Self-rating Depression Scale(SDS).They were randomly divided into control group and trial group.Subjects in the trial group received social intervention as health education,community support,psychological consultation and group discussion.Results The total score of social support was 39.67(6.59).Objective support score was 9.47(2.47)and subjective support score was 22.90(4.23).Out of 2342 seniors surveyed,only 19.2% received high level of social support,majority of them received medium level,but still there was 18.1% of seniors who obtained low level of social support.The total support score was significantly related to marriage,job,family type and relationship,watching TV,reading,breeding pet,singing and dancing,personality,life quality,happiness,anxiety and depression(P0.05).Scores of each factor between two groups had no significant difference before intervention.However,after intervention,the scores of objective and subjective support,as well as total score of support were much higher compared to those before intervention(P0.05).Conclusions Social support is independently associated with factors as life quality,happiness,anxiety and depression.It is suggested that mental health intervention should be applied to seniors with low social support.

Objective To explore the correlation between the borderline high or low levels of blood lipids and cardiovascular risk factors,cardiac function based on analyzing the distribution of high-normal levels of TC,TG,LDL-C and low level of HDL-C in the adults of two provinces and one autonomous region in China,and to provide the theoretical evidence for adults' health management.Methods A cross-sectional epidemiological study was conducted among the adults aged 18-74 years in Hebei Province,Zhejiang Province and Guangxi Zhuang Autonomous Region of China.With a randomized,stratified and cluster sampling method,questionnaire surveys and health check-up were performed to investigate the health status of the adults.Results The incidence rates of high-normal levels of TC,TG,LDL-C and low level of HDL-C in the surveyed adults were 15.0%,0.7%,9.5% and 18.5%,respectively.The high-normal levels of TC,TG,LDL-C and low level of HDL-C were related to many cardiovascular risk factors.Multivariable linear regression analysis showed that the high-normal level of TC was positively related to age,while the low level of HDL-C was negatively correlated with living in rural areas,obesity,and peasant occupation.Multifactor Logistic regression analysis showed that the high-normal level of TC was positively related to age and educational background with junior middle school,while the high-normal level of TC was negatively correlated with living in rural areas.The low level of HDL-C was negatively related to living in rural areas,waist circumference,and the wid-owed.The high-normal level of LDL-C was positively correlated with age,educational backgrounds with junior or senior middle school and college degree,but negatively correlated with peasant occupation.The average levels of CO,CI,SI,SV,LVET,SVR and LCW in the group of high-normal TC level were decreased.The average levels of CI,SV and LCW in the group with low level of HDL-C were also reduced(P0.05),while the average levels of SI,SVR and LVET were increased(P0.05).The average levels of CI and SI in the group of high-normal LDL-C level were decreased(P0.05),while the average levels of LCW,SVR,LVET and SV were increased(P0.05).Conclusions High-normal TC,high-normal TG,low HDL-C and high-normal LDL-C are common in the surveyed adults,which are independently associated with cardiovascular risk factors and cardiac function.Health management for the adults with high-normal TC,high-normal TG,low HDL-C and high-normal LDL-C is strongly advocated.