Sperber A D, Galil A, Sarov B, Stahl Z, Shany S
Unit for Health Promotion and Disease Prevention, Ben-Gurion University of the Negev, Soroka Medical Center, Beer-Sheva, Israel.
Am J Prev Med. 1996 Mar-Apr;12(2):123-8.
Our primary objective was to conduct an integrated program to reduce coronary risk factors in the population of an Israeli kibbutz. The population-based objective was to reduce the mean community total cholesterol level. The individual-based objective was to provide counseling and treatment for individuals at high risk and to reduce individual total and low-density lipoprotein cholesterol levels. The intervention included food policy changes in the central kibbutz kitchen, health education programs aimed at all age groups, and health counseling for individuals at risk. Evaluation was by questionnaire at baseline and at the end of two years, blood lipoproteins, and monitoring of all food purchased by the kibbutz. Fifty-three percent of the adult population (100 of 187) had borderline to high baseline total cholesterol levels. At one year, 27% of these were in the normal category. Egg consumption dropped by 6%, liquid oil by 7%, and red meat by close to 19%. Consumption of fish, chicken meat, and vegetarian patties increased. Consumption of 1% milk increased by almost 300%. We conclude that an integrated health education program targeting individuals and the community together can be effective in reducing risk factors for coronary artery disease.
我们的主要目标是开展一项综合计划，以降低以色列一个基布兹社区人群中的冠心病风险因素。基于人群的目标是降低社区平均总胆固醇水平。基于个体的目标是为高危个体提供咨询和治疗，并降低个体的总胆固醇和低密度脂蛋白胆固醇水平。干预措施包括基布兹中央厨房的食品政策改变、针对所有年龄组的健康教育计划以及对高危个体的健康咨询。通过在基线和两年结束时进行问卷调查、检测血脂蛋白以及监测基布兹购买的所有食品来进行评估。53%的成年人口（187人中的100人）基线总胆固醇水平处于临界至高水平。一年后，其中27%处于正常范围。鸡蛋消费量下降了6%，液态油下降了7%，红肉下降了近19%。鱼类、鸡肉和素肉饼的消费量增加。1%牛奶的消费量增加了近300%。我们得出结论，一项针对个体和社区的综合健康教育计划能够有效降低冠状动脉疾病的风险因素。
