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艾因夏姆斯大学医学院营养教育项目对医学生体重增加管理的有效性:健康信念模型的应用

Effectiveness of a nutritional educational program for weight gain management among medical students in the faculty of medicine at Ain Shams University: an application of the health belief model.

作者信息

Abd El Samad Nourhan B, Ghanem Eman A, Dewedar Sahar A, Hassan Azza M

机构信息

Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, 1181, Egypt.

出版信息

J Health Popul Nutr. 2025 Apr 2;44(1):101. doi: 10.1186/s41043-025-00803-8.

Abstract

BACKGROUND

Obesity and overweight are widespread among individuals in both developed and emerging nations. Obesity is a global health issue, and its prevalence has been increasing in Egypt for several decades. The health belief model (HBM) is a comprehensive framework model that has an important role in preventing disease and promoting health.

OBJECTIVES

This study aims to measure the prevalence of overweight and obesity among medical students in the faculty of medicine at Ain Shams University and to determine the effect of nutritional educational program on body mass index and health belief model scales among them.

METHODS

This study was conducted in the Faculty of Medicine at Ain Shams University among medical students in 2 phases: phase 1, a descriptive cross-sectional study to calculate the prevalence of the disease; and phase 2, an intervention study that included a sample of 100 medical students whose body mass index was greater than or equal to 25. The study tool is a self-administered questionnaire based on the health belief model for weight control behavior that is tested by the participants before and after the intervention program.

RESULTS

Most participants had a normal BMI, while 40% were overweight or obese. There was a statistically significant difference in the HBM scores before and after the intervention sessions. The mean BMI before the intervention was 29 ± 0.25 and had improved after the intervention session to 29, where there was a highly statistically significant difference (p-value < 0. 001).

CONCLUSIONS

Nutritional education sessions based on the health belief model help in improving the knowledge and habits of high-risk medical students for weight gain. There were substantial changes between before and after the nutrition program interventions.

摘要

背景

肥胖和超重现象在发达国家和新兴国家的人群中都普遍存在。肥胖是一个全球性的健康问题,在埃及,其患病率几十年来一直在上升。健康信念模型(HBM)是一个全面的框架模型,在预防疾病和促进健康方面发挥着重要作用。

目的

本研究旨在测量艾因夏姆斯大学医学院医学生中超重和肥胖的患病率,并确定营养教育计划对他们的体重指数和健康信念模型量表的影响。

方法

本研究在艾因夏姆斯大学医学院对医学生分两个阶段进行:第一阶段,进行描述性横断面研究以计算疾病患病率;第二阶段,进行干预研究,纳入100名体重指数大于或等于25的医学生作为样本。研究工具是一份基于健康信念模型的自我管理问卷,用于体重控制行为,参与者在干预计划前后进行测试。

结果

大多数参与者的体重指数正常,而40%的人超重或肥胖。干预前后健康信念模型得分存在统计学上的显著差异。干预前的平均体重指数为29±0.25,干预后改善至29,存在高度统计学显著差异(p值<0.001)。

结论

基于健康信念模型的营养教育课程有助于提高高危医学生体重增加方面的知识和习惯。营养计划干预前后有很大变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6c5/11967057/33a235e4956a/41043_2025_803_Fig1_HTML.jpg

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