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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型糖尿病高风险（Watanebe等人，Diabetes Care，2003;26：3209-14）^<1）>.在这项研究中，濒死体验组的每个受试者都接受了一本解释濒死体验概念的小册子的个性化咨询。NDE的政策是：1）向受试者提供FFQW 65 ^<2）>所揭示的他/她实际饮食习惯的信息，2）增加他/她改善饮食习惯的动机，3）帮助他/她认识到行为矫正的必要性。FFQW 65是一种自我管理的半定量食物频率问卷，每餐包括65种食物，并配有彩色插图显示份量大小。相对较高的有效性（相关系数 ...更多信息结果表明：（1）日能量摄入量的相关系数r= 0.64;（2）日能量摄入量的相关系数r= 0.76。根据对FFQW 65的回答，估计了每餐和食物组的能量摄入量、PFC平衡和其他营养素摄入量。分析了NDE对每餐膳食摄入量影响的特殊性。本研究通过随机对照试验，评估新的饮食教育（NDE）计划在降低高脂血症高危日本工人总胆固醇（TC）水平方面的有效性。我们将300名高脂血症高危男性和女性随机分配到接受两种个性化干预的NDE组或对照组（传统饮食教育）。我们的假设是，与对照组相比，NDE组在教育开始后将降低超过10 mg/dl的TC水平。我们根据通过使用半定量食物频率问卷（FFQW 65）获得的个人信息制定了NED计划，该问卷包括每餐65种食物的列表。主要结果测量是NDE开始后1年TC值较基线的百分比变化。对照组每两个月进行一次NDE检查。NED的要点是保持适当的能量摄入，PFC平衡，防止过度消费和采取适当的食物组。主要内容是通过1.了解食物摄入的后果，并有一个动机，2。3.在饮食生活中设定个人目标。通过逐步学习实践知识来改善食物摄入模式。NED显示出提供个性化食物生活的质量和数量问题，成为改善高脂血症的食物摄入模式。少