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营养教育对肥胖成年人减肥及身体指标的有效性:一项干预性研究。

Effectiveness of Nutrition Education on Weight Loss and Body Metrics Among Obese Adults: An Interventional Study.

作者信息

Faiz Anisa, Nawaz Sadia, Raza Qaisar, Imran Kinza, Batool Rakhshanda, Firyal Sehrish, Bashar Shahana, Imran Maleeha

机构信息

Food Science and Human Nutrition, University of Veterinary and Animal Sciences, Lahore, PAK.

Biochemistry and Biotechnology, University of Veterinary and Animal Sciences, Lahore, PAK.

出版信息

Cureus. 2024 Nov 24;16(11):e74373. doi: 10.7759/cureus.74373. eCollection 2024 Nov.

DOI:10.7759/cureus.74373
PMID:39723262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11668937/
Abstract

Background Obesity has detrimental personal, societal, and economic consequences and raises the risk of developing chronic diseases such as diabetes and cardiovascular diseases. Diet and exercise behaviors are frequently the focus of weight loss programs. Effective nutrition education is associated with a reduced risk of chronic diseases and body weight management. Individualized lifestyle and counseling sessions with follow-ups reduce weight loss compared to single combined sessions Objectives The objective of this study was to assess the effectiveness of nutrition education intervention on weight loss among adults aged 18-40 years in Lahore through an interventional study. Methods This study was conducted in Lahore. According to the inclusion criteria, overweight/obese (Body Mass Index (BMI) ≥ 23 kg/m²), young (18-40 years old) men and women were part of this study. A total of 50 participants were randomized into two groups, one as the control group and the other one as the intervention group. Group counseling was provided to the control group. The intervention group was assessed individually through follow-ups for 3 months of online and on-campus sessions. Data was collected at four intervals at baseline, month 1, month 2, and month 3 through a self-administered assessment form. Data was analyzed using the statistical package for social science, SPSS version 25 (IBM Corp., Armonk, USA). Results Out of the 50 participants, 54% (27) were women while 46% (23) were men (mean age 29.90, SD = 6.26, BMI at baseline 32.18 kg/m², 26. 49 kg/m²), and randomized by a blinded researcher. At three months, the mean differences in BMI, waist circumference, waist-to-hip ratio, and body fat percentage between the groups were 3 kg (23.44 ± 0.58, 95% CI 22.86-24.02), 33.90 cm (95% CI 32.50-35.30), 0.86 (95% CI 0.74-0.98), and 24.79% (95% CI 18.00-31.58), respectively, in favor of the intervention group (p < 0.005).  Conclusion This study demonstrates that a structured dietary intervention combined with physical activity guidance leads to significant weight loss and improved body composition in obese adults. These findings support the effectiveness of comprehensive weight loss strategies for managing obesity.

摘要

背景

肥胖会对个人、社会和经济产生不利影响,并增加患糖尿病和心血管疾病等慢性病的风险。饮食和运动行为常常是减肥计划的重点。有效的营养教育与降低慢性病风险和体重管理有关。与单次联合课程相比,个性化的生活方式和有后续跟进的咨询课程能减少体重减轻。

目的

本研究的目的是通过一项干预性研究,评估营养教育干预对拉合尔18 - 40岁成年人减肥的效果。

方法

本研究在拉合尔进行。根据纳入标准,超重/肥胖(体重指数(BMI)≥23kg/m²)、年龄在18 - 40岁的青年男女参与了本研究。总共50名参与者被随机分为两组,一组为对照组,另一组为干预组。对对照组进行小组咨询。干预组通过线上和校内课程进行为期3个月的个体随访评估。在基线、第1个月、第2个月和第3个月这四个时间点,通过自我评估表收集数据。使用社会科学统计软件包SPSS 25版(美国国际商业机器公司,阿蒙克)对数据进行分析。

结果

在50名参与者中,54%(27名)为女性,46%(23名)为男性(平均年龄29.90岁,标准差 = 6.26,基线时BMI为32.18kg/m²、26.49kg/m²),由一名盲法研究者进行随机分组。三个月时,两组之间BMI、腰围、腰臀比和体脂百分比的平均差异分别为3kg(23.44 ± 0.58,95%置信区间22.86 - 24.02)、33.90cm(95%置信区间32.50 - 35.30)、0.86(95%置信区间0.74 - 0.98)和24.79%(95%置信区间18.00 - 31.58),均有利于干预组(p < 0.005)。

结论

本研究表明,结构化饮食干预结合体育活动指导可使肥胖成年人显著减重并改善身体成分。这些发现支持了综合减肥策略对管理肥胖的有效性。

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