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[促进牛奶及奶制品消费的干预措施,作为墨西哥青少年减重的一项策略]

[Intervention for the promotion on the consumption of milk and dairy products as a strategy to reduce overweight in adolescents of México].

作者信息

Radilla Vázquez Claudia Cecilia, Gutiérrez Tolentino Rey, Vega Y León Salvador, Radilla Vázquez María, Coronado Herrera Marta, Del Muro Delgado Rubén

机构信息

Universidad Autónoma Metropolitana.

Secretaría de Salud de la Ciudad de México. Fundación Aprende con Reyhan A.C.

出版信息

Nutr Hosp. 2019 Jul 1;36(3):526-537. doi: 10.20960/nh.02270.

Abstract

Introduction: the consumption of milk and dairy products can play an important role in the maintenance of healthy body weight, since, under normal conditions of individuals, a negative association has been observed between daily intake of calcium contained in milk and dairy products and adiposity markers. Objective: to determine if the consumption of milk and dairy products affects the body weight reduction of adolescents in high school in Mexico City. Methods: community trial with 2,368 adolescents in three phases: description of the initial nutritional status, multidisciplinary educational intervention in the intervention group and evaluation of the changes observed. A food frequency and reminder questionnaire of 24 hours was applied to the participants, anthropometric measures were taken and the Who Anthro Plus® program was used to obtain the nutritional diagnosis. Results: it was found, in the intervention group, that adolescents who never consume whole milk, skimmed milk, fresh cow's cheese and natural yogurt have a higher prevalence of obesity (15.8%, 12.5%, 19.0% and 19.0%, respectively), compared to the adolescents who consume them daily (0.0%, 0.0%, 2.3% and 5.6%, respectively), there being a highly significant difference for the consumption of cheese fresh cow's milk and natural yogurt (p ≤ 0.01). It was possible to increase the frequency of dairy consumption and changes in nutritional status were observed in the intervention group, where the prevalence of obesity decreased from 13.8% to 6.1%. Conclusions: adolescents with higher milk consumption and its dairy products had a lower prevalence of obesity.

摘要

引言

食用牛奶及奶制品在维持健康体重方面可发挥重要作用,因为在个体的正常情况下,已观察到牛奶及奶制品中所含钙的每日摄入量与肥胖指标之间呈负相关。目的:确定食用牛奶及奶制品是否会影响墨西哥城高中生的体重减轻情况。方法:对2368名青少年进行社区试验,分三个阶段:描述初始营养状况、对干预组进行多学科教育干预以及评估观察到的变化。向参与者发放一份24小时食物频率及提醒问卷,进行人体测量,并使用Who Anthro Plus®程序进行营养诊断。结果:在干预组中发现,从不食用全脂牛奶、脱脂牛奶、新鲜农家干酪和天然酸奶的青少年肥胖患病率较高(分别为15.8%、12.5%、19.0%和19.0%),相比之下,每天食用这些奶制品的青少年(分别为0.0%、0.0%、2.3%和5.6%),新鲜农家干酪、牛奶和天然酸奶的食用情况存在极显著差异(p≤0.01)。干预组能够提高奶制品的食用频率,并观察到营养状况的变化,肥胖患病率从13.8%降至6.1%。结论:牛奶及其奶制品食用量较高的青少年肥胖患病率较低。

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