一个随机的等候名单控制试验10周的社区计划使用植物性饮食在Tairāwhiti (Gisborne) 主要毛利人群
Morgen Smith1, Nicholas Wright2, Patrick McHugh3
1Te Whatu Ora Health New Zealand, Wellington, New Zealand morgensm@gmail.com.
BMJ open
|June 25, 2025
概括
一个为期10周的全食植物性 (WFPB) 计划显著降低了体重,并改善了肥胖成年人的2型糖尿病标志物. 减肥持续长达36个月,显示出长期的健康益处.
科学领域:
- 社区卫生干预措施 社区卫生干预
- 营养科学 营养科学
- 慢性疾病管理 慢性疾病管理
背景情况:
- 2型糖尿病和肥胖症是严重的公共卫生问题.
- 饮食干预措施在管理这些疾病方面表现有前途.
- 基于社区的项目可以提高可访问性和遵守性.
研究的目的:
- 调查为期10周的全食植物性 (WFPB) 社区计划的长期影响.
- 为了评估体重,BMI和HbA1c在干预后36个月的变化.
- 评估包括胆固醇,腰围和饮食遵守在内的二次结果.
主要方法:
- 随机等候名单对照试验涉及56名肥胖和2型糖尿病的成年人.
- 一个为期10周,40小时的社区WFPB基于技能的学习和健康教育计划.
- 主要结局:体重,BMI,HbA1c.主要结局:体重,BMI,HbA1c.主要结局:体重,BMI,HbA1c.主要结局:体重,BMI,HbA1c.主要结局:体重,BMI,HbA1c.主要结局:体重. 随访时间为10周,6个月和36个月.
主要成果:
- 干预组在10周后显著减肥3.3公斤,在36个月后持续减肥3公斤.
- 观察到HbA1c降低的趋势,尽管在10周后没有统计学意义.
- 较大的饮食坚持与治疗后更大的体重减轻相关.
结论:
- 一个为期10周的WFPB社区干预有效地降低了体重,BMI,HbA1c和胆固醇.
- 显著的体重减轻得到实现并持续36个月.
- 这些发现支持WFPB饮食作为在社区环境中管理肥胖和2型糖尿病的可行策略.
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