合作扩展糖尿病预防计划的饮食质量结果
Hannah K Wilson1, Isaura M Castillo-Hernandez2, Ellen M Evans3
1Department of Nutrition, Dietetics and Exercise Science, Concordia College, Moorhead, MN.
Journal of nutrition education and behavior
|July 22, 2023
概括
国家糖尿病预防计划 (DPP) 在扩展参与者中显示饮食质量的改善有限. 虽然纤维,水果和蔬菜摄入量略有增加,但整体饮食质量变化在临床上没有意义.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 预防慢性疾病 预防慢性疾病
背景情况:
- 国家糖尿病预防计划 (DPP) 是一个广泛实施的改变生活方式的计划.
- 它在改善社区扩展环境中的饮食质量 (DQ) 的有效性尚未得到充分证实.
- 了解DQ变化对于优化DPP干预至关重要.
研究的目的:
- 评估扩展实施DPP的参与者之间饮食质量的变化.
- 评估PreventT2课程对饮食摄入量和遵守建议的影响.
主要方法:
- 采用了单组,重复措施的设计.
- 患糖尿病前期风险较高的超重成年人 (n=88) 参加.
- 用2015年健康饮食指数和饮食选问卷评估饮食质量,并进行混合效应回归分析.
主要成果:
- 在2015年健康饮食指数总体得分中没有观察到任何显著变化.
- 预计纤维,水果和蔬菜的摄入量显示在统计学上显著增加 (P < 0.05).
- 尽管增加了,但纤维,水果和蔬菜的摄入量仍然低于推水平.
结论:
- 扩展实施的DPP导致饮食质量的有限的临床上有意义的改善.
- 建议使用随机对照试验进行进一步的研究,以证实这些发现.
- 修改课程,包括具体的饮食目标和增强的教育工具,可能是必要的,以实现更大的DQ改进.
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