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基于社区的食物教育计划对 2 型糖尿病患者饮食模式的影响:葡萄牙一项试点随机对照试验的结果。

The impact of a community-based food education programme on dietary pattern in patients with type 2 diabetes: Results of a pilot randomised controlled trial in Portugal.

机构信息

Department of Sports Sciences, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal.

School of Education of Viseu, Polytechnic Institute of Viseu, Viseu, Portugal.

出版信息

Health Soc Care Community. 2021 Nov;29(6):e318-e327. doi: 10.1111/hsc.13356. Epub 2021 Mar 24.

Abstract

The purpose of this study was to analyse the effects of a food education programme, with easy-to-implement strategies integrated in a community-based exercise programme, on dietary pattern of patients with type 2 diabetes (T2D). Thirty-three patients (65.4 ± 5.9 years old) were engaged in a 9-month randomised controlled trial: a supervised exercise programme (control group [CON]; n = 15; combined exercise; three sessions per week; 75 min per session) or the same exercise programme plus a concomitant 16-week food education programme (experimental group [EXP]; n = 18; 15-min. group classes and dual-task strategies during exercise). Dietary pattern was assessed using a 3-day food record at baseline and at 9 months. The intake of total fat, polyunsaturated fat, and the daily servings of vegetables significantly increased in EXP compared with the CON group. Retention and adherence to the programme were 54% and 49.5 ± 27.2%, respectively. This food education programme improved dietary pattern of patients with T2D. Special attention should be given to strategies that support participants' attendance.

摘要

本研究旨在分析一项食物教育计划的效果,该计划将易于实施的策略整合到基于社区的运动计划中,以改善 2 型糖尿病(T2D)患者的饮食模式。33 名患者(65.4±5.9 岁)参与了为期 9 个月的随机对照试验:监督运动计划(对照组 [CON];n=15;联合运动;每周 3 次;每次 75 分钟)或相同的运动计划加 16 周的食物教育计划(实验组 [EXP];n=18;15 分钟。小组课程和运动期间的双重任务策略)。在基线和 9 个月时使用 3 天食物记录评估饮食模式。与 CON 组相比,EXP 组的总脂肪、多不饱和脂肪和每日蔬菜摄入量显著增加。对该计划的保留率和依从率分别为 54%和 49.5±27.2%。该食物教育计划改善了 T2D 患者的饮食模式。应特别注意支持参与者参与的策略。

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