Social Network Intervention Reduces Added Sugar Intake Among Baltimore Public Housing Residents: A Feasibility Study.

IF 2.3 Q3 NUTRITION & DIETETICS Nutrition and Metabolic Insights Pub Date : 2020-03-02 eCollection Date: 2020-01-01 DOI:10.1177/1178638820909329
Kimberly A Gudzune, Onumara Opara, Jonathan C Martinez, Ruchi S Doshi, David M Levine, Carl A Latkin, Jeanne M Clark
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引用次数: 5

Abstract

Public housing residents have high intake of added sugars, which is associated with sugar-sweetened beverage (SSB) consumption in their social networks. In this feasibility study, we designed and tested a network-oriented intervention to decrease added sugar intake by encouraging reduced SSB consumption. We conducted a 6-month single-arm trial testing a small-group curriculum (9 sessions) that combined behavior change strategies to reduce added sugar intake by promoting SSB reduction with a peer outreach approach. We recruited and trained public housing residents to be "Peer Educators," who then communicated information and made changes to reduce SSB with their network members. We calculated the median number of group sessions attended and determined the percentage of individuals satisfied with the program. We estimated added sugar intake using a 5-factor dietary screener and compared baseline and 6-month median values using Wilcoxon signed rank tests. We recruited 17 residents and 17 of their network members (n = 34). Mean age was 45.7 years, 79.4% were women, and 97.1% were African American. Median number of sessions attended was 9 (interquartile range: 4-9), and 88.2% were very satisfied with the program. Overall, baseline median added sugar intake was 38.0 tsp/day, which significantly declined to 17.2 tsp/day at 6 months (P < .001). Residents and network members achieved similar results at 6 months (17.4 vs 16.9 tsp/day, respectively). In conclusion, our results demonstrate that a social network intervention aimed at reducing SSB consumption is feasible and can produce significant decreases in adult added sugar intake, which warrants further investigation in a randomized controlled trial.

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社会网络干预减少巴尔的摩公共住房居民添加糖摄入量:一项可行性研究。
公屋居民的添加糖摄入量较高,这与他们在社交网络中摄入含糖饮料(SSB)有关。在这项可行性研究中,我们设计并测试了一种以网络为导向的干预措施,通过鼓励减少SSB的摄入来减少添加糖的摄入量。我们进行了一项为期6个月的单臂试验,测试了一个小组课程(9次),该课程结合了行为改变策略,通过促进减少SSB和同伴外展方法来减少添加糖的摄入量。我们招募并培训公共住房居民成为“同伴教育者”,然后他们与他们的网络成员沟通信息并做出改变以减少SSB。我们计算了参加小组会议的中位数,并确定了对该计划满意的个人百分比。我们使用5因素饮食筛选法估计添加糖摄入量,并使用Wilcoxon签名秩检验比较基线值和6个月中位数。我们招募了17名住院医师和17名他们的网络成员(n = 34)。平均年龄45.7岁,79.4%为女性,97.1%为非洲裔美国人。参加会议的中位数为9次(四分位数范围:4-9),88.2%的人对该计划非常满意。总体而言,基线中位数添加糖摄入量为38.0茶匙/天,在6个月时显著下降至17.2茶匙/天(P
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来源期刊
Nutrition and Metabolic Insights
Nutrition and Metabolic Insights NUTRITION & DIETETICS-
CiteScore
3.30
自引率
0.00%
发文量
27
审稿时长
8 weeks
期刊介绍: Nutrition and Metabolic Insights is a peer-reviewed, open-access online journal focusing on all aspects of nutrition and metabolism. This encompasses nutrition, including the biochemistry of metabolism, exercise and associated physical processes and also includes clinical articles that relate to metabolism, such as obesity, lipidemias and diabetes. It includes research at the molecular, cellular and organismal levels. This journal welcomes new manuscripts for peer review on the following topics: Nutrition, including the biochemistry of metabolism, Exercise and associated physical processes, Clinical articles that relate to metabolism, such as obesity, lipidemias and diabetes, Research at the molecular, cellular and organismal levels, Other areas of interest include gene-nutrient interactions, the effects of hormones, models of metabolic function, macronutrient interactions, outcomes of changes in diet, and pathophysiology.
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