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家庭食品环境干预对健康饮食的影响和成本效益
Michelle C Kegler1, David Howard2, Lucja Bundy3
1Emory Prevention Research Center, Department of Behavioral, Social and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, Georgia.
American journal of preventive medicine
|March 7, 2025
概括
健康家庭计划通过改善家庭食品环境,改善了饮食质量. 这种具有成本效益的干预措施显示了适度但显著的饮食变化,使其成为一种有价值的公共卫生工具.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 健康 行为 健康行为
背景情况:
- 家庭食品环境显著影响饮食模式.
- 以前的干预措施需要可扩展和具有成本效益的方法来促进健康饮食.
- 了解家庭食品环境修改的影响对于公共卫生战略至关重要.
研究的目的:
- 测试一种可扩展的干预措施 (健康家庭/健康家庭),旨在改善家庭食品环境,以获得更健康的饮食.
- 为了确定这种干预措施的成本效益.
主要方法:
- 一个为期3个月的随机对照试验 (RCT),涉及每周的辅导电话和短信.
- 干预侧重于8项健康行动,以创造更健康的家庭食品环境.
- 通过健康饮食指数 (HEI-2015) 通过24小时的饮食回忆来衡量主要结果.
- 基线后4个月和9个月的后续评估.
主要成果:
- 干预组9个月后HEI-2015分数 (3.26个单位,p=0.005) 显著改善.
- 在水果摄入量和减少添加糖消费方面观察到积极的变化.
- 家庭食品环境方面的改善,如减少不健康的零食和增加家庭饮食频率.
- 干预表明了成本效益,平均成本为每位参与者85美元,每单位HEI成本增加了26美元.
结论:
- 健康家庭干预有效地促进了饮食质量的适度改善.
- 改善家庭食品环境是改变饮食行为的可行策略.
- 这种干预是具有成本效益和潜在的成本节约,提供了有价值的公共卫生方法.
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