Friedman Susan M, Barnett Carol Hee, Franki Robert, Pollock Bruce, Garver Beth, Barnett Ted D
University of Rochester School of Medicine and Dentistry, Rochester, New York.
Rochester Lifestyle Medicine Institute, Rochester, New York.
Am J Lifestyle Med. 2021 Apr 8;16(3):374-381. doi: 10.1177/15598276211006349. eCollection 2022 May-Jun.
The 15-day Jumpstart was developed as an evidence-based, affordable, standardized, replicable, and scalable program, designed to demonstrate quickly to patients that changing what they eat can improve their health. The program was designed using the principles of the self-determination theory of motivation and personality. Patients were instructed to eat an Esselstyn-compliant, whole-food plant-based diet consisting of vegetables, fruits, whole grains, and legumes. Of the 389 participants in the program from September 2018 to February 2020, average weight loss was 5.8 pounds (7.3 for those whose body mass index was >30), average systolic blood pressure drop was 6.8 points (16.8 points for those with systolic blood pressure >140), average drop in cholesterol was 26 points (44 points for those with a cholesterol >200), average drop in low-density lipoprotein was 19 points (33 points for those with a low-density lipoprotein >100), and average drop in fasting blood sugar was 5.1 points (28.4 points for those starting in the diabetic range); value was <.005 for fasting blood sugar and <.001 for all other comparisons. A 15-day program that helps patients adopt an Esselstyn-style whole-food plant-based diet, through education, individualized medical feedback, social support, and facilitated small group work, rapidly improves health.
“15天启动计划”是一个基于证据、价格亲民、标准化、可复制且可扩展的项目,旨在迅速向患者证明改变饮食能改善他们的健康状况。该项目是依据动机与人格的自我决定理论原则设计的。患者被指导采用符合埃塞尔斯坦饮食法的全食物植物性饮食,包括蔬菜、水果、全谷物和豆类。在2018年9月至2020年2月参与该项目的389名参与者中,平均体重减轻了5.8磅(体重指数>30的参与者减轻了7.3磅),平均收缩压下降了6.8个点(收缩压>140的参与者下降了16.8个点),平均胆固醇下降了26个点(胆固醇>200的参与者下降了44个点),平均低密度脂蛋白下降了19个点(低密度脂蛋白>100的参与者下降了33个点),平均空腹血糖下降了5.1个点(起始血糖处于糖尿病范围的参与者下降了28.4个点);空腹血糖的P值<.005,其他所有比较的P值<.001。一个通过教育、个性化医疗反馈、社会支持和有组织的小组活动,帮助患者采用埃塞尔斯坦式全食物植物性饮食的15天项目能迅速改善健康状况。