在初级保健中服务不足的人群中的实用集群随机体重减轻试验中的饮食摄入量
John W Apolzan1, Corby K Martin2, Robert L Newton2
1Pennington Biomedical Research Center, Louisiana State University System, 6400 Perkins Road, Baton Rouge, LA, USA. John.Apolzan@pbrc.edu.
Nutrition journal
|August 1, 2023
概括
这项研究发现,初级保健减肥计划没有改善水果和蔬菜的摄入量,但确实减少了服务不足的肥胖个体的脂肪摄入量. 较低的水果和蔬菜摄入量与较少的体重减轻有关,而较高的脂肪摄入量与更多的体重减轻有关.
科学领域:
- 肥胖研究的研究.
- 公共卫生干预措施 公共卫生干预措施
- 营养科学 营养科学
背景情况:
- 有限的数据存在于改善饮食摄入量在实用减肥干预期间在初级保健服务不足的人口.
- 肥胖是一个重要的公共卫生问题,特别是在服务不足的社区.
- 饮食因素在体重管理中起着至关重要的作用.
研究的目的:
- 评估强化生活方式干预 (ILI) 对水果和蔬菜 (F/V) 摄入量和脂肪摄入量的影响.
- 为了确定饮食变化和体重减轻在这个人群中的关联.
- 评估在初级保健机构提供的务实减肥干预措施的有效性.
主要方法:
- 在PROPEL试验中,有18家诊所被随机分为强化生活方式干预 (ILI) 或常规护理 (UC).
- 果蔬 (F/V) 摄入量和脂肪摄入量在基线和6,12和24个月后被测量.
- 结果使用多层模型进行分析,二次分析检查人口统计和社会经济因素.
主要成果:
- 在任何随访点上,在ILI和UC组之间没有观察到F/V摄入量的显著差异.
- 与UC组相比,ILI组在6,12和24个月后显示脂肪摄入量的百分比减少.
- 在ILI组中,F/V摄入量的变化与6个月体重变化有负相关性,而脂肪摄入量的变化与整个干预期间体重变化有积极相关性.
结论:
- 在初级保健中实用性减肥干预措施没有增加F/V摄入量,但在服务不足的肥胖个体中减少了脂肪摄入量.
- 六个月后,F/V摄入量与减肥有负相关性,而百分比脂肪摄入量与减肥有正相关性.
- 未来的干预措施应该旨在提高F / V摄入量和脂肪减少,以提高类似人群的减肥效率.
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