改变饮食行为干预措施,以管理社区老年人中的形肥胖症:试点随机对照试验
Yue-Heng Yin1,2, Justina Yat Wa Liu3, Maritta Välimäki4
1School of Nursing, Nanjing Medical University, Nanjing, China. yinyueheng@njmu.edu.cn.
BMC geriatrics
|September 26, 2023
概括
这项研究表明,饮食行为改变干预有效地减少了体重,并改善了老年人与sarcopenic肥胖症的饮食质量. 行为改变技术增强了坚持,证明了社区医疗保健的潜力.
科学领域:
- 老年学和老年医学是老年学和老年医学.
- 营养科学 营养科学
- 行为医学是一种行为医学.
背景情况:
- 在老年人中通过饮食干预来管理形肥胖仍然存在争议.
- 以前的研究往往缺乏行为改变技术,这对于成功的饮食干预至关重要.
- 这项研究解决了在社区居住的老年人群中需要有效策略的需求.
研究的目的:
- 为了评估饮食行为改变 (DBC) 干预对sarcopenic肥胖的可行性.
- 评估DBC干预对社区老年人的初步影响.
- 探索这一人口群体饮食行为变化的障碍和促进因素.
主要方法:
- 一个双臂随机受控试验 (RCT) 涉及60名老年人 (≥60岁) 患有型肥胖症.
- 实验组接受了基于健康行动过程方法模型的15周的DBC干预.
- 对照组定期接受健康谈话;定性访谈探讨了参与者的经历.
主要成果:
- DBC干预证明了可行性,招聘率为57.14%,保留率为83.33%.
- 在实验组中观察到体重显著减少 (p=0.027) 和饮食质量改善 (p<0.001).
- 手握强度,腰围和步行速度的积极趋势被注意到,尽管骨肌肉质量指数下降.
结论:
- DBC干预是可行的和有效的减少体重和改善饮食质量在老年人与sarcopenic肥胖症.
- 干预表明身体功能标志物的积极趋势,需要进一步调查肌肉质量变化.
- 饮食行为改变干预措施显示出将其融入社区医疗保健机构的前景.
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