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Education and exercise program improves osteoporosis knowledge and changes calcium and vitamin D dietary intake in community dwelling elderly

机译:教育和运动计划改善了社区居民的骨质疏松知识并改变了钙和维生素D的饮食摄入量

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Several educational intervention programs have been designed and developed to improve osteoporosis diagnosis and treatment. However, most of the prior studies focused on how educational intervention programs affected diagnosis and treatment of condition of osteoporosis. The purpose of this prospective and educational intervention study was to evaluate the changes in osteoporosis knowledge, osteoporosis self-efficacy, fall self-efficacy, physical exercise and changes in dietary pattern of calcium and vitamin D intake after osteoporosis education. From November 1, 2015 to August 31, 2016, 271 eligible candidates (who were over 50?years old and from 23 different community centers) were recruited through an announcement made by the public office, by two health care providers. The intervention involved an individualized education program to allow for differences in antecedent educational levels regarding several aspects of osteoporosis, including osteoporosis knowledge, osteoporosis self-efficacy, awareness of self-efficacy risk factors relating to an accidental fall and nutritional education (including the importance of sufficient calcium and vitamin D intake). The researchers revisited the community centers three months after the initial visit. Of the 271 potential participants, 199 (73.4%; 43 men and 156 women) completed the education program and the second questionnaire. After education intervention, parameters including osteoporosis knowledge, osteoporosis self-efficacy and fall self-efficacy were improved (P?
机译:已经设计并开发了一些教育性干预计划,以改善骨质疏松症的诊断和治疗。然而,大多数先前的研究集中于教育干预计划如何影响骨质疏松症的诊断和治疗。这项前瞻性和教育性干预研究的目的是评估骨质疏松症教育后骨质疏松症知识,骨质疏松症自我效能感,跌倒自我效能感,体育锻炼以及饮食中钙和维生素D摄入量变化的变化。从2015年11月1日到2016年8月31日,两名医疗保健提供者通过公共办公室的公告招募了271名合格候选人(年龄在50岁以上,来自23个不同的社区中心)。干预措施包括一项个性化的教育计划,以允许就骨质疏松症几个方面的先前教育水平有所差异,包括骨质疏松症知识,骨质疏松症自我效能感,对与意外摔倒有关的自我效能感危险因素的认识以及营养教育(包括足够的钙和维生素D摄入量)。研究人员在首次访问后三个月重新访问了社区中心。在271名潜在参与者中,有199名(73.4%; 43名男性和156名女性)完成了教育计划和第二份问卷。经过教育干预,包括骨质疏松症知识,骨质疏松症自我效能感和跌倒自我效能感在内的参数得到改善(P 0.0001)。在接受了关于钙和维生素D摄入量低于建议阈值的百分比的教育之后,饮食中钙和维生素D摄入不足的比例从89.4%(178/199)和84.4%(168/199)降至79.9,降低了(P 0.0001)在三个月的随访中,分别为%(159/199)和65.8%(131/199)。 (p≤0.038,p = 0.017)。这项前瞻性干预研究表明,对骨质疏松症知识和定期锻炼计划的教育可以提高骨质疏松症的自我效能,降低自我效能并增加饮食中钙和维生素D的摄入量。

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