Effects of the PREMIER interventions on health-related quality of life.
Effects of the PREMIER interventions on health-related quality of life.
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DOI：
10.1007/s12160-010-9220-6
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发表时间：
2010-12
影响因子：
3.8
通讯作者：
Brantley, Phillip J.
中科院分区：
文献类型：
--
作者：
Young, Deborah Rohm;Coughlin, Janelle;Jerome, Gerald J.;Myers, Valerie;Chae, Soo Eun;Brantley, Phillip J.
关键词：
健康相关生活质量（HRQOL）是健康的一个重要方面，可以通过健康行为干预来改善。然而，健康行为的改变很难与压力保持现状。本报告探讨了两种生活方式干预措施和一种仅提供建议的条件对HRQOL的影响。达到行为目标和减肥的效果也被检查。参与者是来自PREMIER试验的295名男性和467名女性（34%为非洲裔美国人），患有高血压前期或1期高血压。HRQOL通过简表-36进行评估。参与者被随机分配到（1）仅建议（ADVICE），（2）已建立的血压控制指南（EST），或（3）已建立的指南加上阻止高血压的饮食方法（DASH）饮食模式（EST + DASH）。与ADVICE相比，分配至EST导致6个月时3个HRQOL分量表和18个月时1个HRQOL分量表改善。与ADVICE相比，EST + DASH在6个月和18个月时的两个分量表中有所改善。在各种条件下，总脂肪、饱和脂肪、水果和蔬菜摄入量的变化，沿着≥4 kg体重减轻，导致6个月和18个月时HRQOL改善。体力活动的变化没有改善，只有少数HRQOL分量表与钠和低脂乳制品摄入量的变化相关。强化的生活方式干预可以改善HRQOL。改变饮食摄入量和减肥也很重要。
Health-related quality of life (HRQOL) is an important aspect of well-being that may improve with health behavior interventions. However, health behavior change is difficult with pressure to maintain status quo. This report examines the effects of two lifestyle interventions and an advice-only condition on HRQOL. Effects of meeting behavioral goals and weight loss also were examined. Participants were 295 men and 467 women (34% African American) with pre-hypertension or stage 1 hypertension from the PREMIER trial. HRQOL was assessed by the Short Form-36. Participants were assigned randomly to (1) advice only (ADVICE), (2) established guidelines for blood pressure control (EST), or (3) established guidelines plus the Dietary Approaches to Stop Hypertension (DASH) dietary pattern (EST + DASH). Assignment to EST resulted in improvement in three HRQOL subscales at 6 months and one at 18 months relative to ADVICE. EST + DASH improved in two subscales at 6 and 18 months compared with ADVICE. Across conditions, total fat, saturated fat, fruit, and vegetable intake change, along with ≥4-kg weight loss, resulted in HRQOL improvements at 6 and 18 months. No improvement was found for change in physical activity, and only a few HRQOL subscales were associated with change in sodium and low-fat dairy intake. Intensive lifestyle interventions can result in improvements in HRQOL. Change in dietary intake and weight loss is also important.
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影响因子：
4.9
作者：
Kaukua, J;Pekkarinen, T;Mustajoki, P
通讯作者：
Mustajoki, P
影响因子：
105.7
作者：
MULDOON, MF;MANUCK, SB;MATTHEWS, KA
通讯作者：
MATTHEWS, KA
影响因子：
5.1
作者：
Brown, DW;Balluz, LS;Mokdad, AH
通讯作者：
Mokdad, AH
影响因子：
5
作者：
BLAIR, SN;HASKELL, WL;WOOD, PD
通讯作者：
WOOD, PD
DOI：
10.1046/j.1467-789x.2001.00032.x
发表时间：
2001-08-01
期刊：
Obesity reviews : an official journal of the International Association for the Study of Obesity
影响因子：
--
作者：
Fontaine, K R;Barofsky, I
通讯作者：
Barofsky, I