IMPACT ON DIET QUALITY AND RESILIENCE IN URBAN COMMUNITY DWELLING OBESE WOMEN WITH A NUTRITION AND PHYSICAL ACTIVITY INTERVENTION

A. Taetzsch, D. Quintanilla, S. Maris, J. Letendre, L. Mahler, Furong Xu, M. Delmonico, I. Lofgren
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引用次数: 3

Abstract

Objective: To examine the effect of a Tai Chi, resistance training, and behaviorally-based diet education intervention on dietary quality as well as resilience and physical resilience in obese older women. Design: Community health outreach with a quasi-experimental design. Setting: An urban senior center in Rhode Island. Participants: Thirty-three women, 85% were minorities, with mean age of 65±8.2 years and BMI of 37.3±4.6 kg/m2, were enrolled in the study at baseline however only 17 women in the intervention (EXD) group and 9 women in the wait-list control (CON) group completed the study. Measurement: Dietary quality and nutrition risk were measured using the Dietary Screening Tool (DST), resilience was measured by the Resilience Scale, and physical resilience was examined using the Physical Resilience Scale. Intervention: Participants in the EXD group engaged in 12 weeks of Tai Chi, resistance training, and behaviorally-based diet education. The diet education was based off of the modified Dietary Approaches to Stop Hypertension (DASH) diet and led by a Registered Dietitian. Results: There was no change in dietary quality by group or time. However the EXD group had significantly higher dietary quality compared to the control group (p=0.025) at post intervention, although there was no difference in nutrition risk category. There was no change seen in overall resilience, however the EXD group improved physical resilience (p=0.048). Conclusion: A community health outreach that involved Tai Chi, resistance training, and behaviorally-based diet education may promote higher dietary quality as well as improve physical resilience in obese older women.
营养和身体活动干预对城市社区肥胖妇女饮食质量和恢复力的影响
目的:探讨太极、抗阻训练和行为饮食教育干预对肥胖老年妇女饮食质量、弹性和身体弹性的影响。设计:采用准实验设计的社区卫生外展。环境:罗德岛的一个城市老年中心。参与者:33名女性,85%为少数民族,平均年龄为65±8.2岁,BMI为37.3±4.6 kg/m2,在基线时被纳入研究,但干预组(EXD)只有17名女性完成了研究,等待名单对照组(CON)只有9名女性完成了研究。测量方法:采用膳食筛选工具(Dietary Screening Tool, DST)测量膳食质量和营养风险,采用弹性量表(resilience Scale)测量弹性,采用物理弹性量表(physical resilience Scale)检测身体弹性。干预:EXD组的参与者进行了12周的太极、阻力训练和基于行为的饮食教育。饮食教育是基于改进的饮食方法来停止高血压(DASH)饮食,并由注册营养师领导。结果:各组患者饮食质量无明显变化。然而,在干预后,EXD组的饮食质量显著高于对照组(p=0.025),尽管营养风险类别没有差异。总体弹性没有变化,但EXD组提高了身体弹性(p=0.048)。结论:社区健康推广包括太极、阻力训练和基于行为的饮食教育,可以提高肥胖老年妇女的饮食质量,提高身体弹性。
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