西班牙语随机对照糖尿病预防试验中孕妇拉丁裔人群的饮食结果。
Dietary outcomes in a Spanish-language randomized controlled diabetes prevention trial with pregnant Latinas.
机构信息
Edith C. Kieffer, Diana B. Welmerink, and Brandy R. Sinco are with the School of Social Work University of Michigan, Ann Arbor. Kathleen B. Welch is with the Center for Statistical Consultation and Research (CSCAR), University of Michigan. Erin M. Rees Clayton is with the School of Public Health, University of Michigan. Christina Y. Schumann is with the Community Health and Social Services (CHASS) Center, Inc, Detroit, MI. Virginia E. Uhley is with the Department of Internal Medicine, Metabolism, Endocrinology and Diabetes, University of Michigan.
出版信息
Am J Public Health. 2014 Mar;104(3):526-33. doi: 10.2105/AJPH.2012.301122. Epub 2013 Jun 13.
OBJECTIVES
We evaluated the effectiveness of a community-based healthy lifestyle intervention in improving dietary behaviors of pregnant Latinas from 2004 to 2006 in Detroit, Michigan.
METHODS
The 11-week, culturally tailored, Spanish-language Healthy Mothers on the Move (MOMs) intervention offered home visits, group classes, related activities, and social support from trained community health workers (CHWs) and peers. Dietary behaviors were measured by food frequency questionnaire. Linear mixed models estimated pre- and post-intervention changes, within and between MOMs intervention and minimal intervention (MI) groups.
RESULTS
MOMs (n = 139) and MI (n = 139) participants had similar baseline characteristics and dietary intake. Post-intervention, MOMs participants showed significant improvement in all dietary behaviors, except fruit and fiber consumption. Compared with MI participants, MOMs participants had significantly decreased consumption of added sugar (P = .05), total fat (P < .05), saturated fat (P < .01), percentage of daily calories from saturated fat (P < .001), solid fats and added sugars (P < .001), and had increased vegetable consumption (P < .001). Their increase in fiber consumption (P < .05) was significant relative to MI participants' decrease in fiber intake.
CONCLUSIONS
We confirmed the hypothesis that a community-planned, CHW-led healthy lifestyle intervention could improve dietary behaviors of low-income Latina women during pregnancy.
目的
我们评估了从 2004 年到 2006 年在密歇根州底特律市，以社区为基础的健康生活方式干预对改善拉丁裔孕妇饮食行为的效果。
方法
为期 11 周、具有文化针对性、西班牙语的健康母亲在行动（MOMs）干预措施提供了家访、小组课程、相关活动以及来自经过培训的社区卫生工作者（CHW）和同伴的社会支持。饮食行为通过食物频率问卷进行测量。线性混合模型估计了干预前和干预后的变化，包括 MOMs 干预组和最小干预（MI）组内和组间的变化。
结果
MOMs（n=139）和 MI（n=139）参与者具有相似的基线特征和饮食摄入。干预后，MOMs 参与者除了水果和纤维摄入量外，所有饮食行为均有显著改善。与 MI 参与者相比，MOMs 参与者的添加糖摄入量显著减少（P=0.05），总脂肪（P<0.05）、饱和脂肪（P<0.01）、饱和脂肪占每日卡路里的百分比（P<0.001）、固体脂肪和添加糖（P<0.001）显著减少，而蔬菜摄入量显著增加（P<0.001）。与 MI 参与者的纤维摄入量减少相比，MOMs 参与者的纤维摄入量增加具有显著意义（P<0.05）。
结论
我们证实了一个假设，即社区规划、CHW 主导的健康生活方式干预可以改善低收入拉丁裔妇女在怀孕期间的饮食行为。
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