Tershakovec A M, Shannon B M, Achterberg C L, McKenzie J M, Martel J K, Smiciklas-Wright H, Pammer S E, Cortner J A
Division of Gastroenterology and Nutrition, Children's Hospital of Philadelphia, PA 19104-4399, USA.
Am J Public Health. 1998 Feb;88(2):258-61. doi: 10.2105/ajph.88.2.258.
This study evaluated retention of the effect of a home-based, practitioner-initiated nutrition education model.
Children with elevated low-density lipoprotein (LDL) cholesterol levels were randomly assigned to one of two nutrition interventions or to an at-risk control group. Intervention effects were evaluated 3, 6, and 12 months postbaseline.
The parent-child autotutorial group demonstrated significant increases in knowledge and, along with the counseling group, decreases in total and saturated fat intake. Also, the autotutorial and counseling groups retained a majority of their initial LDL cholesterol decrease.
Knowledge of heart-healthful eating and dietary fat intake as well as dietary change can be affected and retained via home-based, practitioner-initiated nutrition interventions with hypercholesterolemic children, although some form of ongoing intervention may be necessary to produce lasting decreases in LDL cholesterol levels.
本研究评估了由从业者发起的家庭式营养教育模式的效果持续性。
将低密度脂蛋白（LDL）胆固醇水平升高的儿童随机分为两种营养干预组之一或风险对照组。在基线后3个月、6个月和12个月评估干预效果。
亲子自学组的知识有显著增加，并且与咨询组一样，总脂肪和饱和脂肪摄入量减少。此外，自学组和咨询组保持了大部分最初降低的LDL胆固醇水平。
通过对高胆固醇血症儿童进行由从业者发起的家庭式营养干预，可以影响并保持对有益心脏健康饮食和膳食脂肪摄入的认知以及饮食变化，不过可能需要某种形式的持续干预才能使LDL胆固醇水平持续下降。
