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基于群体的行为干预对老年人饮食行为的影响。

Effects of a Group-Based Behavioral Intervention on Dietary Behaviors in Older Adults.

作者信息

Schlaff Rebecca A, Baruth Meghan, Adams Valerie J, Goldufsky Tatum M, Peters Nathan A, Kerr Graceson, Boggs Ashley, Ewald Ashley

机构信息

1 Saginaw Valley State University, University Center, MI, USA.

2 Duke University, Durham, NC, USA.

出版信息

J Aging Health. 2018 Jan;30(1):105-117. doi: 10.1177/0898264316668936. Epub 2016 Sep 14.

Abstract

OBJECTIVE

The aim of this study is to examine the effects of a 12-week, behavioral nutrition intervention on dietary behaviors.

METHOD

Inactive older adults ( N = 50) were randomized to a 12-week, behavioral nutrition or physical activity intervention, delivered in a group-based format. Questionnaires assessed fruit and vegetable (FV) consumption, and fat- and fiber-related behaviors at baseline and postintervention. Height and weight were measured. Repeated-measures ANOVAs examined changes in dietary behaviors over time between groups, controlling for age, gender, and education.

RESULTS

Participants averaged 64.1 ± 8.4 years of age and had a body mass index (BMI) of 33.3 ± 7.5 kg/m. Group × Time interactions were significant for FV consumption ( p = .003), and fat- ( p = .02) and fiber-related ( p = .008) behaviors at 12 weeks. At 12 weeks, dietary behaviors improved significantly in the nutrition but not in the physical activity group. Effect sizes were medium to large.

DISCUSSION

A 12-week, behavioral nutrition intervention improved dietary behaviors. Behavioral interventions may be a low-cost way to improve dietary behaviors among older adults, potentially affecting population health significantly.

摘要

目的

本研究旨在探讨为期12周的行为营养干预对饮食行为的影响。

方法

将50名不活跃的老年人随机分为两组,一组接受为期12周的行为营养干预,另一组接受体育活动干预,均以小组形式进行。通过问卷调查评估基线和干预后的水果和蔬菜(FV)摄入量以及与脂肪和纤维相关的行为。测量身高和体重。采用重复测量方差分析,在控制年龄、性别和教育程度的情况下,比较两组随时间变化的饮食行为差异。

结果

参与者平均年龄为64.1±8.4岁,体重指数(BMI)为33.3±7.5kg/m²。在12周时,两组在FV摄入量(p = 0.003)、脂肪相关行为(p = 0.02)和纤维相关行为(p = 0.008)方面的组×时间交互作用显著。在12周时,营养干预组的饮食行为有显著改善,而体育活动组则没有。效应大小为中等至较大。

讨论

为期12周的行为营养干预改善了饮食行为。行为干预可能是改善老年人饮食行为的低成本方式,可能对人群健康产生重大影响。

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