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超重和肥胖大学生脂肪积累关键期前单次营养干预效果:随机对照试验

Effect of a Single Nutritional Intervention Previous to a Critical Period of Fat Gain in University Students with Overweight and Obesity: A Randomized Controlled Trial.

机构信息

IRyS Research Group, School of Physical Education, Pontificia Universidad Católica de Valparaíso, 2374631 Valparaíso, Chile.

Faculty of Education and Social Sciences, Universidad Andres Bello, 2531015 Viña del Mar, Chile.

出版信息

Int J Environ Res Public Health. 2020 Jul 16;17(14):5149. doi: 10.3390/ijerph17145149.

Abstract

BACKGROUND

the present study aimed to investigate the effects of a single nutritional preventive session previous to a critical period linked to fat gain in university students with overweightness and obesity, emulating a nutritional session of a public health system.

METHODS

In this single-blind randomized controlled trial, 23 students met all the criteria to be included (20.91 ± 2.52-year-old; 52.2% women) who were divided into two groups: intervention group (IG) and control group (CG). Fat mass (FM) by dual-energy X-ray absorptiometry (DXA), physical activity by accelerometry, feeding evaluation through three questionnaires, and a set of healthy lifestyle recommendations were evaluated before and after the national holidays (NH).

RESULTS

Our findings showed that FM increased significantly in the CG, but not in the IG (CG = 428.1 g; IG = 321.9 g; Δ = 106.2 g; = 0.654 [95% CI = -379.57, 591.92]). However, no differences were found during the NH between them (Hedges' g effect size = 0.19; = 0.654). In addition, no statistical differences were observed between groups in feeding evaluations, the set of recommendations performed, and physical activity.

CONCLUSION

a single preventive session before a critical period, using a similar counselling approach as used in the public health system, might not be enough to promote changes in eating and physical activity patterns and preventing fat gain in overweight/obese university students. Long-term interventions are a must.

摘要

背景

本研究旨在调查在超重和肥胖大学生与脂肪增加相关的关键时期之前进行单次营养预防干预,模拟公共卫生系统中的营养干预,以研究其效果。

方法

在这项单盲随机对照试验中,共有 23 名学生符合所有纳入标准(20.91±2.52 岁;52.2%为女性),他们被分为两组:干预组(IG)和对照组(CG)。使用双能 X 射线吸收法(DXA)测量脂肪量(FM),通过加速度计测量身体活动,通过三个问卷进行喂养评估,并提供了一系列健康生活方式的建议。在假期前后(NH)评估这些指标。

结果

我们的研究结果表明,CG 组的 FM 显著增加,但 IG 组没有(CG = 428.1 g;IG = 321.9 g;Δ= 106.2 g;= 0.654 [95% CI = -379.57, 591.92])。然而,在 NH 期间,两组之间没有发现差异(Hedges' g 效应大小= 0.19;= 0.654)。此外,两组之间在喂养评估、建议的实施以及身体活动方面没有观察到统计学差异。

结论

在关键时期之前进行单次预防干预,使用与公共卫生系统类似的咨询方法,可能不足以促进超重/肥胖大学生的饮食和身体活动模式的改变,预防脂肪增加。需要长期干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48d1/7400622/3ec481d8e30b/ijerph-17-05149-g001.jpg

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