Cavallaro Vanessa, Dwyer Johanna, Houser Robert Francis, Shores Kevin, Cañez Isabel, Hong Annie, Altman Kimberly, Helmick Elaine, Murphy Jennifer Noonan
Massachusetts Department of Public Health, Nutrition and Physical Activity Unit, Massachusetts Partnership for Healthy Weight, Cambridge, 02139, USA.
J Am Diet Assoc. 2004 Apr;104(4):611-4. doi: 10.1016/j.jada.2004.01.009.
To describe variations in nutrition services offered in a nationally representative sample of out-patient cardiac rehabilitation programs by presence of a registered dietitian (RD), a survey was conducted of 250 randomly selected centers from 1,111 US outpatient cardiac rehabilitation centers in the 1998/1999 Cardiac Rehabilitation Directory of the American Association of Cardiovascular and Pulmonary Rehabilitation. A total of 190 of the 250 surveys (76%) were returned. Nutrition services offered by programs polled included distribution of nutrition pamphlets, one-on-one nutrition counseling, group nutrition classes, guest lectures on nutrition, and cooking demonstrations. Cardiac rehabilitation programs with an RD offered significantly more nutrition services on average (4.2+/-1.2) than programs without an RD (3.5+/-1.1, P=.01). Programs with RDs were more likely to offer one-on-one nutrition counseling than programs without them (98% and 80% respectively, P<.001), and they were also more likely to offer cooking demonstrations (43% and 17% respectively, P=.02). More, and a greater variety of, nutrition services are offered in cardiac rehabilitation programs that have an RD. Without an RD, exercise physiologists and registered nurses often provide some, but fewer and different, nutrition services.
为了描述在全国具有代表性的门诊心脏康复项目样本中，根据是否配备注册营养师（RD）提供的营养服务差异，我们从美国心血管和肺康复协会1998/1999年心脏康复名录中的1111家美国门诊心脏康复中心中随机抽取了250家中心进行调查。250份调查问卷共收回190份（76%）。参与调查的项目提供的营养服务包括发放营养宣传册、一对一营养咨询、团体营养课程、营养主题客座讲座以及烹饪示范。配备注册营养师的心脏康复项目平均提供的营养服务（4.2±1.2项）显著多于未配备注册营养师的项目（3.5±1.1项，P = 0.01）。配备注册营养师的项目比未配备的项目更有可能提供一对一营养咨询（分别为98%和80%，P < 0.001），并且也更有可能提供烹饪示范（分别为43%和17%，P = 0.02）。配备注册营养师的心脏康复项目提供的营养服务更多且种类更多样。在没有注册营养师的情况下，运动生理学家和注册护士通常会提供一些营养服务，但数量较少且种类不同。
