Department of Midwifery and Women's Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan.
Department of Children and Women's Health, Division of Health Sciences, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan.
Nutrients. 2021 Sep 19;13(9):3272. doi: 10.3390/nu13093272.
No dietary intervention that focuses on the diet quality of postpartum women has been developed in Japan, although most postpartum women experience an insufficient intake of vitamins and minerals. We aimed to examine whether dietary intervention, based on the health belief model, at both 1 and 3 months postpartum affects nutrient intake and food group consumption at 6 months postpartum. A randomized controlled trial was conducted at a university hospital in Tokyo between 2015 and 2016. Healthy women at 1 month postpartum were randomly allocated to either an intervention group ( = 100) or a control group ( = 94). Dietary intervention included dietary assessment, individual feedback, and dietary guidance. The dietary intakes between the two groups were compared using the Mann-Whitney test. At 6 months postpartum, the energy-adjusted intakes of protein, total dietary fiber, potassium, magnesium, phosphorus, zinc, vitamin B, and β-carotene were significantly higher in the intervention group than in the control group. The changes in energy-adjusted intakes of total dietary fiber and iron from 1 month postpartum to 6 months postpartum were significantly different between the two groups. Dietary intervention based on the health belief model improved nutrition at 6 months postpartum, although the impact was limited.
日本尚未针对产后女性的饮食质量制定专门的饮食干预措施,尽管大多数产后女性都存在维生素和矿物质摄入不足的问题。我们旨在研究产后 1 个月和 3 个月时基于健康信念模式的饮食干预是否会影响产后 6 个月时的营养素摄入和食物组消费。2015 年至 2016 年,在东京的一家大学医院进行了一项随机对照试验。产后 1 个月健康的女性被随机分配到干预组(n=100)或对照组(n=94)。饮食干预包括饮食评估、个体反馈和饮食指导。使用曼-惠特尼 U 检验比较两组的饮食摄入。产后 6 个月时,干预组的能量校正蛋白质、总膳食纤维、钾、镁、磷、锌、维生素 B 和β-胡萝卜素的摄入量明显高于对照组。两组间从产后 1 个月到 6 个月时能量校正的总膳食纤维和铁的摄入量变化有显著差异。基于健康信念模式的饮食干预改善了产后 6 个月时的营养状况,尽管影响有限。