Poles Jillian, Tiozzo Eduard, Konefal Janet, Rodriguez Allan, Woolger Judi M, Lewis John E
Department of Kinesiology and Sport Sciences, University of Miami School of Education and Human Development, Miami, Florida.
Department of Physical Medicine and Rehabilitation, University of Miami Miller School of Medicine, Miami, Florida.
Am J Lifestyle Med. 2021 Jan 15;16(4):511-520. doi: 10.1177/1559827620986790. eCollection 2022 Jul-Aug.
People living with HIV (PLWH) have increased risk of cardiovascular disease (CVD). Dietary behavior modification may assist in the treatment of CVD, but the optimal dose of nutrition education is unknown. The current aim was to determine if a weekly 1-hour nutrition education program would improve multiple outcomes among PLWH. Participants (n = 62) were assessed on dietary intake, serum biomarkers, and physical characteristics at baseline and 3 months, and percent change was calculated. Participants were grouped into 3 attendance categories of the classes: none, fair, or good. Analyses of covariance were performed on the outcomes. Calories, protein, fat, saturated fat, carbohydrate, sugar, added sugar, and glycemic load were significantly different (all values <.05). Those who attended no class typically had increases in these variables versus those with fair or good attendance. High-density lipoprotein cholesterol (HDL-C; = .006) and total cholesterol/HDL-C ratio ( = .083) were different, as those who attended no class or had fair attendance worsened, but those with good attendance improved. Several outcomes improved more so among those with good class attendance versus those with either fair or no attendance. Thus, an interactive nutrition education program may be an effective tool to help improve the health of PLWH.
人类免疫缺陷病毒感染者(PLWH)患心血管疾病(CVD)的风险增加。改变饮食行为可能有助于治疗CVD,但营养教育的最佳剂量尚不清楚。当前的目标是确定每周1小时的营养教育计划是否会改善PLWH的多种健康指标。在基线和3个月时对参与者(n = 62)的饮食摄入量、血清生物标志物和身体特征进行评估,并计算百分比变化。参与者被分为课程出勤的3个类别:无出勤、出勤一般或出勤良好。对这些健康指标进行协方差分析。卡路里、蛋白质、脂肪、饱和脂肪、碳水化合物、糖、添加糖和血糖负荷存在显著差异(所有p值<.05)。与出勤一般或出勤良好的人相比,未上课的人这些变量通常会增加。高密度脂蛋白胆固醇(HDL-C;p = .006)和总胆固醇/HDL-C比值(p = .083)存在差异,因为未上课或出勤一般的人情况恶化,但出勤良好的人情况改善。与出勤一般或未出勤的人相比,出勤良好的人在几个健康指标上改善得更多。因此,互动式营养教育计划可能是帮助改善PLWH健康状况的有效工具。