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首页> 外文期刊>International Journal of Preventive Medicine >EFFECTIVENESS OF COMMUNITY-BASED INTERVENTION TO PROMOTE IRAN’S FOOD-BASED DIETARY GUIDELINES
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EFFECTIVENESS OF COMMUNITY-BASED INTERVENTION TO PROMOTE IRAN’S FOOD-BASED DIETARY GUIDELINES

机译:以社区为基础的干预对促进伊朗基于食物的饮食指南的有效性

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摘要

Background: Dietary Guidelines are considered as a useful tool for the promotion of healthy dietary behaviors. In Iran, despite the development of the latest National Food-Based Dietary Guidelines, in 2006, it has not been introduced at the community level yet. The present study aims to evaluate the effectiveness of an intervention program to promote Iran’s Food-Based Dietary Guidelines (IFBDGs) in urban adult women.Methods: A sample of 435 healthy women, aged 26 to 54 years, was randomly assigned to the intervention or control groups. The intervention group was designed based on the Health Belief Model (HBM). Each subject in the intervention group received three sessions of group education on IFBDGs and the food guide pyramid and participated in a healthy cooking class. Dietary intake, cognitive outcomes related to the constructs of the HBM, physical activity, and the BMI were measured in both groups before, immediately, and one month after the intervention. The outcome measures were compared with the analysis of covariance (ANCOVA), by adjusting for baseline values.Results: The intervention group had a significantly lower total daily energy intake than the control group after the intervention (P=.000). The adjusted differences in the changes of body mass index from the baseline were significant in both post intervention measurements in the intervention group compared to the controls.Conclusions: The intervention designed based on the Health Belief Model was effective in improving the adherence to FBDGs and could serve as a basic model for the promotion of healthy nutrition behavior among women in the primary health care setting.
机译:背景:《饮食指南》被认为是促进健康饮食行为的有用工具。在伊朗,尽管在2006年制定了最新的《国家食品饮食指南》,但尚未在社区一级引入。本研究旨在评估一项干预计划在城市成年女性中推广伊朗基于食物的饮食指南(IFBDGs)的有效性。方法:将435名年龄在26至54岁之间的健康女性随机分配到该干预措施中。对照组。干预小组是根据健康信念模型(HBM)设计的。干预组中的每个受试者均接受了三场关于IFBDG和食品指南金字塔的小组教育,并参加了健康烹饪班。在干预前,干预后和干预后一个月,对两组的饮食摄入量,与HBM结构,身体活动和BMI相关的认知结果进行了测量。通过调整基线值,将结果指标与协方差分析(ANCOVA)进行比较。结果:干预后,干预组的每日总总能量摄入显着低于对照组(P = .000)。与对照组相比,在干预组的两次干预后测量中,与基线相比,体重指数变化的调整差异均具有显着性。结论:基于健康信念模型设计的干预措施可有效提高对FBDG的依从性,并且可以作为在初级卫生保健机构中促进妇女健康营养行为的基本模型。

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