Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
BMC Public Health. 2024 May 17;24(1):1332. doi: 10.1186/s12889-024-18805-2.
Acute Coronary Syndrome is the most common heart disease and the most significant cause of death and disability-adjusted life years worldwide. Teaching a healthy eating style is one preventive measure to prevent the disease's recurrence. This study aimed to determine the effect of healthy nutrition education with the help of traffic light labels on food selection, preference, and consumption in patients with acute coronary syndrome.
This randomized, single-blinded clinical trial was conducted with 139 participants (66 in the intervention group and 73 in the control group) from January 2021 to August 2021 in Shaheed Rajaie Hospital, Tehran, Iran. The control group received standard training. The intervention group, besides this, received additional bedside training with an educational poster on traffic light labels from the research team during their final hospitalization days. Data were collected using a researcher-made questionnaire on food selection, preference, and consumption.
The Brunner-Munzel test showed no significant difference between the two groups in terms of selection (P = 0.127), preference (P = 0.852), and food consumption (P = 0.846) in the baseline, while after the intervention, there were significant differences in selection (P > 0.001), preference (P > 0.001), and consumption (p < 0.004). Comparing the difference between the two groups in the difference between the before and after scores for selection (p < 0.001), preference (p < 0.001), and food consumption (p = 0.011) with the Brunner-Munzel test indicated a significant difference in all outcome variables.
Teaching healthy eating styles with the help of traffic light labels affected food selection, preference, and consumption and led to healthier diets in these patients.
Clinical trial registration: It was prospectively registered in the Iran Clinical Trials Registration Center on this date 30/10/2020 (IRCT20200927048857N1).
急性冠状动脉综合征是全球最常见的心脏病，也是导致死亡和伤残调整生命年的主要原因。教授健康的饮食习惯是预防疾病复发的一种预防措施。本研究旨在确定在红绿灯标签的帮助下进行健康营养教育对急性冠状动脉综合征患者食物选择、偏好和食用的影响。
本随机、单盲临床试验于 2021 年 1 月至 8 月在伊朗德黑兰沙希德·拉贾伊医院进行，共有 139 名参与者（干预组 66 名，对照组 73 名）。对照组接受标准培训。干预组在此基础上，在住院的最后几天，由研究小组提供有关红绿灯标签的教育海报，进行额外的床边培训。使用研究人员制作的关于食物选择、偏好和消费的问卷收集数据。
Brunner-Munzel 检验显示，两组在基线时的选择（P=0.127）、偏好（P=0.852）和食物消费（P=0.846）方面无显著差异，而在干预后，选择（P>0.001）、偏好（P>0.001）和消费（p<0.004）方面有显著差异。比较两组在选择（p<0.001）、偏好（p<0.001）和食物消费（p=0.011）前后得分差值的 Brunner-Munzel 检验差异，表明所有结局变量均有显著差异。
在红绿灯标签的帮助下教授健康的饮食习惯影响了这些患者的食物选择、偏好和食用，导致了更健康的饮食。
该临床试验于 2020 年 10 月 30 日在伊朗临床试验注册中心前瞻性注册（IRCT20200927048857N1）。
