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一项针对参加过心血管风险筛查的个体的个性化生活方式计划(HealthForce)的可行性研究。

A feasibility study of a personalised lifestyle programme (HealthForce) for individuals who have participated in cardiovascular risk screening.

机构信息

Centre for Public Health Nutrition Research, Division of Clinical and Population Sciences and Education, University of Dundee, Dundee, DD1 9SY, UK.

出版信息

Prev Med. 2011 May;52(5):387-9. doi: 10.1016/j.ypmed.2011.03.010. Epub 2011 Mar 17.

Abstract

OBJECTIVE

To assess the feasibility of a lifestyle intervention, focusing on diet and activity, in adults participating in cardiovascular screening.

METHODS

The 12-week lifestyle intervention comprised three personalised counselling sessions plus telephone contact. Outcome data were collected by anthropometry, activity monitoring and lifestyle questionnaires. Acceptability of study measures was assessed by questionnaire and the intervention delivery by in-depth interviews.

RESULTS

Between June 2008 and March 2009, 75 (62%) of 121 eligible individuals were recruited from Tayside, Scotland. Randomisation was to intervention (IV) (n=55) or comparison group (CG) (n=20). Retention was 99% across both groups. In the IV group, 63% increased moderate-vigorous activity by ≥ 30 minutes/week, 82% successfully maintained or lost weight (mean loss 1.1 kg, and 2.6 cm waist circumference) and 85% reported eating five portions of fruit and vegetables compared with 56% at baseline. No behaviour changes were detected in the CG. Feedback highlighted the value of lifestyle "checks," realising that current habits were sub-optimal, receiving personalised advice on specific behaviours, and feeling "healthier" through participation.

CONCLUSIONS

HealthForce was feasible to deliver and implement, acceptable to participants, and associated with reported changes in health behaviours over a 12-week period.

摘要

目的

评估以饮食和活动为重点的生活方式干预在参加心血管筛查的成年人中的可行性。

方法

为期 12 周的生活方式干预包括三次个性化咨询会议加电话联系。通过人体测量、活动监测和生活方式问卷收集结果数据。通过问卷调查评估研究措施的可接受性,通过深入访谈评估干预措施的实施情况。

结果

2008 年 6 月至 2009 年 3 月期间,从苏格兰泰赛德招募了 121 名符合条件的个体中的 75 名(62%)。随机分配到干预组(IV)(n=55)或对照组(CG)(n=20)。两组的保留率均为 99%。在 IV 组中,63%的人增加了≥30 分钟/周的中度至剧烈活动,82%的人成功保持或减轻体重(平均减轻 1.1 公斤,腰围减少 2.6 厘米),85%的人报告摄入了五份水果和蔬菜,而基线时为 56%。对照组没有检测到行为变化。反馈强调了生活方式“检查”的价值,意识到当前的习惯不是最佳的,获得了关于特定行为的个性化建议,并通过参与感到“更健康”。

结论

HealthForce 易于实施和执行,参与者可接受,并且与在 12 周内报告的健康行为变化相关。

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