RANDOMIZED CONTROLLED FOR A NEW DIETARY EDUCATION PROGRAM TO PREVENT ARTERIOSCLEROSIS IN JAPANESE HYPERLIPIDEMIA PATIENTS

随机对照新膳食教育计划以预防日本高脂血症患者的动脉硬化

基本信息

批准号：
15500563
负责人：
WATANABE Mariko
金额：
$ 2.43万
依托单位：
Showa Women's University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2003
资助国家：
日本
起止时间：
2003 至 2004
项目状态：
已结题

项目摘要

In the previous study, we conducted randomized controlled trial (RCT) for a new dietary education (NDE) program reducing plasma glucose levels in Japanese male workers and proved that the NDE can reduce glucose levels by effecting changes in the total energy intake of subjects at high risk for type 2 diabetes (Watanebe, et al., Diabetes Care, 2003;26:3209-14)^<1)>. In the study, each subject in the NDE group received individualized counseling using a booklet explaining the concepts of the NDE. The policies of the NDE were 1) to provide the subject with information on his/her actual dietary practices as revealed by the FFQW65^<2)>, 2) to increase his/her motivation for improving dietary practices, and 3) to help him/her recognition of the necessity of behavior modification. The FFQW65, a self-administered semi-quantitative food frequency questionnaire, consists of 65 food items for each meal, with colored illustrations showing portion sizes. Relatively high validity (correlation coeffic … More ient : r= 0.64) and reproducibility (r= 0.76) for daily energy intake were obtained. From the responses to the FFQW65, energy intake, PFC balance, and other nutrients intakes for each meal and according to food groups were estimated. Special characteristics of the effects of NDE on dietary intakes of each meal were analyzed. The details of results will be presented.This study was to assess the effectiveness of a new dietary education (NDE) program in reducing total cholesterol (TC) levels in Japanese workers at high risk for hyperlipidemia through a randomized controlled trial.We randomly assigned 300 high-risk hyperlipidemia men and women to either the NDE group received two individualized interventions or the control (conventional dietary education) group. Our hypothesis was the NDE group would have reduced more than 10mg/dl TC levels after the start of the education compared to the control group.We developed the NED program based on information on an individual which was obtained through use of the semiquantitative food frequency questionnaire that included lists of 65 food items for each meal (FFQW65).The primary outcome measure was the percent change from baseline in TC values 1 year after initiation of NDE. The controlled group received NDE in each two month. The point of the NED were keeping appropriate energy intake, PFC balance and preventing overconsumption and taking appropriate food groups. The main outline were try to improve the food intake pattern through 1. Understanding the ramifications of food intake and have a motivation, 2. Setting of individual goals in their food life, 3. improvement the food intake pattern through a gradual study for practical knowledge.The NED was shown to provide problem in quality and quantity of individualized food life become established as the food intake pattern for improvements hyperlipidemia. Less

在之前的研究中，我们对一项降低日本男性工人血糖水平的新饮食教育（NDE）计划进行了随机对照试验（RCT），并证明NDE可以通过影响受试者总能量摄入的变化来降低血糖水平。 2 型糖尿病的高风险（Watanebe 等人，Diabetes Care，2003；26：3209-14）^<1)> 在该研究中，NDE 组中的每个受试者都接受了个性化咨询。解释 NDE 概念的小册子。 NDE 的政策是 1) 向受试者提供 FFQW65^<2)> 所揭示的有关他/她实际饮食习惯的信息，2) 增加他/她改善的动力。饮食习惯，以及 3) 帮助他/她认识到行为改变的必要性 FFQW65 是一种自我管理的半定量食物频率调查问卷，每餐包含 65 种食物，并配有彩色插图。从对 FFQW65、能量摄入、PFC 平衡和其他营养素摄入量的反应中获得了相对较高的每日能量摄入量的有效性（相关系数：r= 0.64）和再现性（r= 0.76）。每餐并根据食物类别对 NDE 对每餐膳食摄入量的影响进行了分析。本研究旨在评估其有效性。一项新的饮食教育 (NDE) 计划通过一项随机对照试验降低日本高脂血症高危工人的总胆固醇 (TC) 水平。我们将 300 名高脂血症高危男性和女性随机分配到 NDE 组，接受两组个体化治疗我们的假设是，与对照组相比，NDE 组在教育开始后会降低 10mg/dl 以上的 TC 水平。我们根据信息制定了 NED 计划。通过使用半定量食物频率调查问卷获得的个人数据，其中包括每餐 65 种食物的列表 (FFQW65)。主要结果指标是 NDE 开始一年后 TC 值相对于基线的百分比变化。小组每两个月接受一次 NDE，NED 的重点是保持适当的能量摄入、PFC 平衡和防止过度消费，并采取适当的食物组。主要内容是尝试通过 1. 了解后果来改善食物摄入模式。食物摄入量并有动机，2.设定饮食生活中的个人目标，3.通过实践知识的逐步学习来改善食物摄入模式。NED被证明提供了个性化饮食生活的质量和数量问题建立了改善高脂血症的食物摄入模式。