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营养教育干预对心血管代谢风险个体的影响:一项随机对照试验方案。

Impacts of a nutrition education intervention in individuals with cardiometabolic risk: Protocol of a randomized controlled trial.

机构信息

Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia.

Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia; Institute of Social Science Studies, Putra Infoport, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia.

出版信息

Clin Nutr ESPEN. 2022 Jun;49:536-543. doi: 10.1016/j.clnesp.2022.03.037. Epub 2022 Mar 31.

DOI:10.1016/j.clnesp.2022.03.037
PMID:35623864
Abstract

BACKGROUND

Unhealthy dietary pattern including high dietary sugar intake is responsible for the cardiometabolic-related deaths. Nonetheless, adherence to the recommendation is low, and appropriate nutrition education to reduce sugar consumption is scarce.

OBJECTIVE

This proposed project aims to evaluate the effectiveness of a nutrition education module in modifying sugar consumption and other cardiometabolic risk (CMR)-related outcomes in individuals with CMR.

METHODS

This is an open-label, 3-group parallel-randomized controlled trial that will be conducted in Universiti Putra Malaysia, Serdang, Malaysia. Participants will be equally randomized into three groups. Participants in the Control Group (n = 35) would receive no intervention and undergo usual follow-up. In comparison, those participants in the Intervention Groups (n = 70) would receive nutrition education to modify sugars consumption. They will also be given either refined white sugar (n = 35), or Minimally Refined Brown Sugar (n = 35) for daily consumption throughout a six-month study period. Measurements include socio-demographic status, medical characteristics, nutritional status, lifestyle practices, Health Belief Model constructs, and knowledge of healthy diet will be measured at baseline, first- (V1), third- (V3) and sixth-month (V6) intervals.

CONCLUSION

Participants of both Intervention Group aiming for sugar intake modification, would have lower sugar consumption and better CMR-related outcomes than the Control Group. Since Minimally Refined Brown Sugar contains fair amount of antioxidants, participants of Intervention Group (Minimally Refined Brown Sugar) will have better CMR-related outcomes than participants of Intervention Group (white sugar) at the end of the study.

摘要

背景

不健康的饮食模式,包括高糖摄入,是导致与心血管代谢相关死亡的原因。尽管如此,人们对该建议的遵循程度较低,且缺乏适当的营养教育来减少糖的摄入。

目的

本拟议项目旨在评估营养教育模块在改变心血管代谢风险(CMR)相关个体的糖消耗和其他 CMR 相关结果方面的有效性。

方法

这是一项在马来西亚赛城的马来西亚博特拉大学进行的开放性、3 组平行随机对照试验。参与者将被平均随机分为三组。对照组(n=35)的参与者将不接受任何干预,并进行常规随访。相比之下,干预组(n=70)的参与者将接受营养教育来改变糖的消耗。他们还将在六个月的研究期间内每天食用精制白砂糖(n=35)或最低精制红糖(n=35)。测量包括社会人口统计学状况、医疗特征、营养状况、生活方式实践、健康信念模型结构以及对健康饮食的知识,将在基线、第一次(V1)、第三次(V3)和第六个月(V6)间隔进行测量。

结论

旨在改变糖摄入的两组干预组的参与者的糖摄入量会更低,CMR 相关结果会更好。由于最低精制红糖含有相当数量的抗氧化剂,因此在研究结束时,干预组(最低精制红糖)的参与者的 CMR 相关结果将优于干预组(白糖)的参与者。

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