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在一项基于教会的多成分生活方式研究“Delta Body and Soul III”中,干预剂量对饮食质量和身体活动变化影响的调节因素

Moderators of intervention dose effects on diet quality and physical activity changes in a church-based, multicomponent, lifestyle study: Delta Body and Soul III.

作者信息

Thomson J L, Zoellner J M, Tussing-Humphreys L M, Goodman M H

机构信息

United States Department of Agriculture (USDA), Agricultural Research Service, Stoneville, MS, 38776, USA,

Virginia Tech, Department of Human Nutrition, Foods, and Exercise, Blacksburg, VA, 24060, USA and.

出版信息

Health Educ Res. 2016 Jun;31(3):339-49. doi: 10.1093/her/cyw008. Epub 2016 Mar 3.

Abstract

Many community-based lifestyle interventions targeting African Americans have reported positive effects on participants' dietary choices and physical activity habits. However, these effects vary and not all participants will have outcome changes. Moderation analysis can help explain differential effects observed, but are not often reported. Hence, the objective of this secondary analysis was to explore potential moderators of intervention dose effects on diet quality and physical activity outcomes in an effective lifestyle intervention. Delta Body and Soul III, conducted from 2011 to 2012, was a 6-month, church-based, multicomponent, educational intervention designed to improve diet quality and increase physical activity in rural Southern African American adults. Generalized linear mixed models were used to determine associations among indicators of intervention dose received by participants, potential moderators and health outcome changes. Results indicated only three baseline characteristics-employment status, food shopping frequency and individual with primary responsibility for meal preparation-moderated the effects of education session attendance on diet quality changes. No evidence for moderation of exercise class attendance effects on physical activity changes was found. Thus, this culturally targeted, multicomponent lifestyle intervention did induce positive health changes in participants with a range of sociodemographic characteristics and food shopping and eating behaviors.

摘要

许多针对非裔美国人的社区生活方式干预措施都报告了对参与者饮食选择和身体活动习惯的积极影响。然而,这些影响各不相同,并非所有参与者都会有结果变化。调节分析有助于解释观察到的差异效应,但这类分析并不常被报告。因此,本次二次分析的目的是在一项有效的生活方式干预中,探索干预剂量对饮食质量和身体活动结果影响的潜在调节因素。“Delta Body and Soul III”项目于2011年至2012年开展,是一项为期6个月、以教会为基础的多组分教育干预措施,旨在改善美国南部农村非裔美国成年人的饮食质量并增加身体活动。使用广义线性混合模型来确定参与者接受的干预剂量指标、潜在调节因素与健康结果变化之间的关联。结果表明,只有三个基线特征——就业状况、食品购物频率以及负责做饭的个人——调节了参加教育课程对饮食质量变化的影响。未发现有证据表明参加健身课程对身体活动变化的影响存在调节作用。因此,这项针对特定文化的多组分生活方式干预确实在具有一系列社会人口特征以及食品购物和饮食行为的参与者中引发了积极的健康变化。

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