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运用正念饮食自我管理饮食摄入,以改善早期慢性肾脏病患者的饮食摄入。

Self-management of dietary intake using mindful eating to improve dietary intake for individuals with early stage chronic kidney disease.

机构信息

School of Nursing, The University of Texas at Austin, 1710 Red River, Austin, TX, 78701, USA.

Department of Nutritional Sciences, The University of Texas at Austin, Austin, TX, USA.

出版信息

J Behav Med. 2017 Oct;40(5):702-711. doi: 10.1007/s10865-017-9835-1. Epub 2017 Feb 15.

Abstract

Using mindful eating to improve specific dietary recommendations has not been adequately studied. This feasibility study examined an intervention, self-management of dietary intake using mindful eating, with 19 participants that had mild to moderate chronic kidney disease, using a prospective, single group, pretest-posttest design. The intervention had six weekly classes focused on self-management using mindful eating, goal-setting, problem-solving, and food label reading. Weight, body mass index (BMI), 3-day 24-h dietary recalls and fasting blood samples were measured. Participants improved significantly in mean weight (203.21 ± 42.98 vs 199.91 ± 40.36 lbs; P = 0.03) and BMI (32.02 ± 5.22 vs 31.57 ± 5.27 kg/m; P = 0.04), but not in dietary intake nor blood measures with the exception of cis-beta-carotene levels (0.020 + 0.012 vs 0.026 + 0.012 mcg/mL; P = 0.008), which correlates to fruit and vegetable servings. These promising results warrant further testing of the intervention in randomized control trials.

摘要

使用正念饮食来改善特定的饮食建议尚未得到充分研究。本可行性研究使用前瞻性、单组、前后测设计,检验了一项针对 19 名患有轻至中度慢性肾病患者的干预措施,即使用正念饮食进行饮食摄入的自我管理。干预措施包括六节每周的课程,重点是使用正念饮食、设定目标、解决问题和阅读食品标签来进行自我管理。测量了体重、体重指数(BMI)、3 天 24 小时饮食回忆和空腹血样。参与者的平均体重(203.21 ± 42.98 磅与 199.91 ± 40.36 磅;P = 0.03)和 BMI(32.02 ± 5.22 千克/平方米与 31.57 ± 5.27 千克/平方米;P = 0.04)显著改善,但饮食摄入和血液测量没有改善,除了顺式-β-胡萝卜素水平(0.020 + 0.012 微克/毫升与 0.026 + 0.012 微克/毫升;P = 0.008),这与水果和蔬菜的摄入量有关。这些有希望的结果证明,该干预措施在随机对照试验中进一步测试是合理的。

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