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护士主导的低碳水化合物方案对代谢综合征患者人体测量和实验室指标的影响:一项准实验研究。

The effect of a nurse-led low carbohydrate regimen on anthropometric and laboratory parameters of patients with metabolic syndrome: a quasi-experimental study.

作者信息

Abdulghani Mohammed Faris, Al-Fayyadh Sadeq

机构信息

Nursing College, University of Baghdad, Baghdad, Iraq.

出版信息

Front Public Health. 2024 Jul 17;12:1415916. doi: 10.3389/fpubh.2024.1415916. eCollection 2024.

Abstract

INTRODUCTION

Metabolic syndrome is a global health concern. It is a condition that includes a cluster of various risk factors for type 2 diabetes and cardiovascular disease. This quasi-experimental study investigates the effect of a nurse-led low-carbohydrate regimen on anthropometric and laboratory parameters in metabolic syndrome patients.

METHODS

The study used a quasi-experimental design conducted at the University of Mosul; 128 participants meeting the metabolic syndrome criteria were recruited and divided into the intervention and control groups. The intervention group received personalized counseling and support in implementing a low-carb regime, while the control group received standard advice. The study participants were assessed by anthropometry, and laboratory parameters were evaluated pre- and post-intervention. Statistical data analysis was conducted using IBM-SPSS 27, including chi-square, Fisher's exact test, -tests, and the Mcnemar test, which were performed to compare the changes within and between groups.

RESULTS

The mean age of the participants in the intervention and control groups was 50.72 ± 6.43 years and 49.14 ± 6.89 years, respectively. Compared to the control group, the intervention group experienced a significant positive reduction in anthropometric measures and laboratory parameters, including weight, body mass index (BMI), waist circumference, lipid profiles, and HbA1c.

CONCLUSION

A tangible effect of nurse-led interventions based on low-carbohydrate regimens in managing metabolic syndrome was empirically authenticated. Positive changes were observed in the intervention group regarding anthropometric measures and laboratory parameters. However, future research may require a larger sample size and a longer follow-up to confirm these effects and evaluate long-term metabolic impacts.

摘要

引言

代谢综合征是一个全球关注的健康问题。它是一种包含一系列2型糖尿病和心血管疾病风险因素的病症。这项准实验研究调查了由护士主导的低碳水化合物饮食方案对代谢综合征患者人体测量和实验室指标的影响。

方法

该研究采用在摩苏尔大学进行的准实验设计;招募了128名符合代谢综合征标准的参与者,并将其分为干预组和对照组。干预组在实施低碳水化合物饮食方案时接受个性化咨询和支持,而对照组接受标准建议。通过人体测量对研究参与者进行评估,并在干预前后评估实验室指标。使用IBM-SPSS 27进行统计数据分析,包括卡方检验、费舍尔精确检验、t检验和 McNemar 检验,以比较组内和组间的变化。

结果

干预组和对照组参与者的平均年龄分别为50.72±6.43岁和49.14±6.89岁。与对照组相比,干预组在人体测量指标和实验室指标方面有显著的正向降低,包括体重、体重指数(BMI)、腰围、血脂谱和糖化血红蛋白(HbA1c)。

结论

基于低碳水化合物饮食方案的由护士主导的干预措施在管理代谢综合征方面的切实效果得到了实证验证。干预组在人体测量指标和实验室指标方面出现了积极变化。然而,未来的研究可能需要更大的样本量和更长的随访时间来证实这些效果并评估长期代谢影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1787/11288854/52002a051fb0/fpubh-12-1415916-g001.jpg

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