Lifestyle changes through the use of delivered meals and dietary counseling in a single-blind study. The STYLIST study.

Lifestyle changes through the use of delivered meals and dietary counseling in a single-blind study. The STYLIST study.
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DOI:
10.1253/circj.cj-12-0164
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发表时间:
2012
期刊:
Circulation journal : official journal of the Japanese Circulation Society
影响因子:
--
通讯作者:
Keita Noda;Bo Zhang;A. Iwata;H. Nishikawa;M. Ogawa;T. Nomiyama;S. Miura;H. Sako;K. Matsuo;E. Yahiro;T. Yanase;K. Saku
Keita Noda;Bo Zhang;A. Iwata;H. Nishikawa;M. Ogawa;T. Nomiyama;S. Miura;H. Sako;K. Matsuo;E. Yahiro;T. Yanase;K. Saku
中科院分区:
其他
文献类型:
--
作者:
Keita Noda;Bo Zhang;A. Iwata;H. Nishikawa;M. Ogawa;T. Nomiyama;S. Miura;H. Sako;K. Matsuo;E. Yahiro;T. Yanase;K. Saku

文献摘要

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饮食习惯与肥胖有关,两者都是生活方式相关疾病的重要促成因素。STYLIST研究检查了注册营养师的饮食咨询和提供适当的热量控制膳食的效果(UMIN注册号:000006582)。方法与结果200例成年高血压合并糖尿病患者随机分为2组,饮食指导组和饮食指导组。然后将每组再分为2组,有/没有饮食咨询,并在接下来的4周内接受热量控制的午餐和晚餐盒。所提供膳食中的卡路里基于受试者的理想体重(BW)和体力活动水平。在第0、4和8周测量BW、腰围、血压和实验室数据,包括糖蛋白。通过纵向数据的线性混合模型评估,在研究期间,在普通饮食期和/或送餐期接受饮食咨询的患者的体重和其他参数显著降低,但在未接受饮食咨询的患者中没有降低。结论:营养师的饮食咨询和热量控制餐的提供相结合,可有效降低高血压和/或糖尿病患者的体重,以及血压和糖化白蛋白。
BACKGROUND Dietary habits are associated with obesity, and both are important contributing factors to lifestyle-related diseases. The STYLIST study examined the effects of dietary counseling by registered dietitians and the delivery of proper calorie-controlled meals (UMIN Registration No: 000006582). METHODS AND RESULTS Two-hundred adult patients with hypertension and/or diabetes mellitus were randomly divided into 2 groups with/without dietary counseling and consumed an ordinary diet for 4 weeks. Each group was then subdivided into 2 groups with/without dietary counseling and received calorie-controlled lunch and dinner boxes for the next 4 weeks. The calories in the delivered meals were based on the subject's ideal body weight (BW) and physical activity level. BW, waist circumference, blood pressure, and laboratory data, including glycoalbumin, were measured at 0, 4, and 8 weeks. BW and the other parameters were significantly reduced during the study period in patients who received diet counseling in the ordinary diet period and/or delivered meal period but not in patients without dietary counseling, as assessed by linear mixed models for longitudinal data. CONCLUSIONS The combination of dietary counseling by dietitians and delivery of calorie-controlled meals was effective in reducing BW, as well as blood pressure and glycoalbumin, in patients with hypertension and/or diabetes mellitus.