大学营养科学课程对预防大一女生体重增加的干预作用

Oksana Matvienko, Douglas S. Lewis, Elisabeth Schafer
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引用次数: 172

摘要

这项研究的目的是验证这样一个假设,即在大学生活的前16个月里,强调人体生理学、能量代谢和遗传学基本原理的营养课程有助于防止体重增加。从1997年1月到1998年5月,对志愿者进行了随机对照试验。40名女大学新生参加干预组(大学课程组,n = 21)和对照组(无课程组,n = 19)。干预是一个学期的大学营养科学课程。在基线、干预结束(距基线4个月)和1年后(距基线16个月)测量体重、营养摄入和知识。统计分析采用重复测量方差分析。身体质量指数(BMI)较高的学生(BMI >24)干预组(n = 11)的脂肪(p = 0.04)、蛋白质(p = 0.03)和碳水化合物(p = 0.008)的摄入量较对照组(n = 6)的高BMI学生低。与体重增加9.2±6.8 kg (p = 0.012)的高BMI学生相比,高BMI干预组(n = 11)的饮食改变与1年的基线体重维持相关。研究结果表明,强调人体生理学和能量代谢的营养教育是预防高危大学生体重增加的有效策略。
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A College Nutrition Science Course As An Intervention To Prevent Weight Gain In Female College Freshmen

The objective of this study was to test the hypothesis that a nutrition course that stresses fundamental principles of human physiology, energy metabolism, and genetics helps prevent weight gain during the first 16 months of college life. A randomized control trial was conducted from January 1997 to May 1998 using volunteers. Forty female college freshmen participated in the intervention (college course, n = 21) and control (no course, n = 19) groups. The intervention was a one-semester nutrition science college course. Body weight, nutrient intakes, and knowledge were measured at baseline, the end of the intervention (4 months from baseline), and 1 year later (16 months from baseline). Statistical analysis was conducted using a repeated-measure analysis of variance. Higher Body Mass Index (BMI) students (BMI > 24) in the intervention group (n = 11) reported lower fat (p = .04), protein (p =.03), and carbohydrate (p = .008) intakes compared with the higher BMI students in the control group (n = 6). Dietary changes reported by the higher BMI intervention students were associated with the maintenance of baseline body weight for 1 year in contrast with the higher BMI control students who gained 9.2 ± 6.8 kg (p = .012). The findings suggest that nutrition education emphasizing human physiology and energy metabolism is an effective strategy to prevent weight gain in at-risk college students.

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