Baron J A, Gleason R, Crowe B, Mann J I
Dartmouth-Hitchcock medical centre, Hanover, New Hampshire.
Br J Gen Pract. 1990 Apr;40(333):137-41.
Despite formal recommendations for dietary change to reduce the incidence of ischaemic heart disease, the acceptability and effectiveness of the proposed diets have not been well investigated in population based studies. In this preliminary investigation of nutritional advice in a well population, subjects in one group practice were randomized to receive either dietary instruction or simple follow up without instruction. The dietary recommendations were well received, and a substantial proportion of subjects reported altering their diets in accordance with them. There were modest beneficial changes in plasma lipid levels among men. Thus, using general practice as an avenue for promoting dietary change is feasible, and may be effective among men.
尽管有关于饮食改变以降低缺血性心脏病发病率的正式建议,但在基于人群的研究中,所提议饮食的可接受性和有效性尚未得到充分调查。在这项针对健康人群营养建议的初步调查中,一组医疗实践中的受试者被随机分配,要么接受饮食指导,要么接受无指导的简单随访。饮食建议受到了广泛欢迎,相当一部分受试者报告称已根据建议改变了饮食。男性的血浆脂质水平有适度的有益变化。因此,利用普通医疗实践作为促进饮食改变的途径是可行的,并且可能对男性有效。