Effect of nutrition education package on dietary modification and anthropometry among attendees of a noncommunicable disease clinic at a rural primary health-care facility in Delhi

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
R. Katre, B. Banerjee, P. Lal, Pragya Sharma
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Abstract

Context: The global burden and threat of noncommunicable diseases (NCDs) constitutes a major public health challenge that undermines social and economic development throughout the world. NCDs are one of the leading causes of adult morbidity and mortality globally. The disease burden in India due to NCDs has increased from 30% to 55% between 1990 and 2016. Aims: We aimed to assess the effect of nutrition education intervention on dietary awareness, practices, and anthropometry. Settings and Design: This design was a facility-based before-and-after intervention study without control. Materials and Methods: This study was conducted in five phases: planning and recruitment, preintervention, intervention, washout, and postintervention. Data were collected using a pretested, semi-structured interview schedule under the following heads – personal, sociodemographic, and behavioral risk factors of NCDs. Anthropometric examination included weight, height, waist, and hip circumference measurement. Statistical Analysis: Collected data were entered into MS Excel and analyzed using IBM SPSS 25 for descriptive and inferential statistics. Results: There was a significant increase in mean score for dietary practices and knowledge regarding different food items in the study group. The mean number of servings of fruits and vegetables increased significantly following intervention in the study group (P = 0.001). Significant change in body mass index before and after intervention was found to be in the age group of >60 years (P = 0.041). Conclusions: The study has shown the usefulness of intervention aimed at improving dietary behavior among patients of NCDs. With growing burden, there is a need for such innovative and cost-effective measures for halting the rising burden.
营养教育包对德里一家农村初级保健机构非传染性疾病诊所参与者饮食调整和人体测量的影响
背景:非传染性疾病的全球负担和威胁构成了一项重大的公共卫生挑战,破坏了全世界的社会和经济发展。非传染性疾病是全球成人发病和死亡的主要原因之一。1990年至2016年期间,印度由非传染性疾病造成的疾病负担从30%增加到55%。目的:我们旨在评估营养教育干预对饮食意识、实践和人体测量的影响。设置和设计:本设计是一项以设施为基础的无对照干预前后研究。材料与方法:本研究分为五个阶段进行:计划和招募、干预前、干预、洗脱期和干预后。数据收集采用预先测试,半结构化的访谈时间表在以下标题下收集-非传染性疾病的个人,社会人口和行为风险因素。人体测量包括体重、身高、腰围和臀围测量。统计分析:将收集到的数据输入MS Excel,使用IBM SPSS 25进行描述性统计和推断性统计。结果:研究小组在饮食习惯和不同食物知识方面的平均得分显著增加。干预后,研究组的水果和蔬菜的平均食用量显著增加(P = 0.001)。干预前后体重指数变化在0 ~ 60岁年龄组有显著性差异(P = 0.041)。结论:该研究显示了旨在改善非传染性疾病患者饮食行为的干预措施的有效性。随着负担的增加,有必要采取这种创新和具有成本效益的措施来制止日益增加的负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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