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在大型综合医疗保健系统中实施基于植物的营养计划:一项试点计划的结果。

Implementation of a Plant-Based, Nutrition Program in a Large Integrated Health Care System: Results of a Pilot Program.

作者信息

Rahman Vanita J, Horberg Michael A, Hu Haihong, Vupputuri Suma

机构信息

Barnard Medical Center, Physicians Committee for Responsible Medicine, Washington, DC, USA.

Associate Medical Director Research, Medical Education, Community Health, Medicaid, HIV & STD, Genetics, Transgender Health, Executive Director, Mid-Atlantic Permanente Research Institute, Rockville, MD, USA.

出版信息

J Prim Care Community Health. 2021 Jan-Dec;12:21501327211053198. doi: 10.1177/21501327211053198.

Abstract

INTRODUCTION

Despite the proven efficacy of plant-based diets in the management of cardiometabolic diseases, most healthcare providers do not incorporate them into treatment plans.

OBJECTIVE

Conduct a post-hoc evaluation of a novel plant-based nutrition program in a large integrated health care system, including the impact on health care outcomes.

METHODS

A large integrated health care system launched an innovative 12-week plant-based nutrition program that included weekly nutrition education, peer mentoring, and support. Plasma cholesterol levels, hemoglobin A1C, blood pressure, body weight, and healthcare utilization parameters were measured before and after the program. The current study is a pre- and post-descriptive analysis of the health metrics of individuals who participated in the program and a matched comparison group.

RESULTS

A total of 408 patients, across a wide range of weight categories, demographics, and co-morbidities, participated in a plant-based nutrition program, and program completers experienced mean reductions in total and LDL plasma cholesterol levels of 11.0 and 8.1 mg/dL, respectively, as well as reductions in medication usage, office visits, and body weight.

CONCLUSION

Implementation of a novel plant-based, nutrition program in a large integrated health care system was associated with improvements in health outcomes.

摘要

引言

尽管植物性饮食在管理心血管代谢疾病方面已被证明具有疗效,但大多数医疗服务提供者并未将其纳入治疗方案。

目的

对一个大型综合医疗系统中一项新型植物性营养计划进行事后评估,包括对医疗保健结果的影响。

方法

一个大型综合医疗系统推出了一项为期12周的创新型植物性营养计划,其中包括每周的营养教育、同伴指导和支持。在该计划前后测量血浆胆固醇水平、糖化血红蛋白、血压、体重和医疗保健利用参数。本研究是对参与该计划的个体以及匹配的对照组的健康指标进行的前后描述性分析。

结果

共有408名患者参与了植物性营养计划,这些患者体重类别、人口统计学特征和合并症各不相同。计划完成者的血浆总胆固醇和低密度脂蛋白胆固醇水平平均分别降低了11.0和8.1mg/dL,同时药物使用、门诊就诊次数和体重也有所下降。

结论

在一个大型综合医疗系统中实施一项新型植物性营养计划与健康结果的改善相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ec9/8543561/bace7e377ef2/10.1177_21501327211053198-fig1.jpg

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