随机移动医疗减肥试验中饮食质量改善的感知和计算。

IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES
Behavioral Medicine Pub Date : 2024-04-01 Epub Date: 2023-02-15 DOI:10.1080/08964289.2023.2178374
Jessica Cheng, Tina Costacou, Bonny Rockette-Wagner, Susan M Sereika, Molly B Conroy, Andrea M Kriska, Jacob K Kariuki, Mary Lou Klem, Bambang Parmanto, Lora E Burke
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引用次数: 0

摘要

美国成年人的饮食质量很差,横断面分析表明,健康饮食摄入量的自我感知可能被高估。本分析评估了计算得出的饮食质量与感知的饮食质量之间的一致性,以及寻求减肥并参加为期 12 个月随机行为试验的成年人的饮食质量变化。健康饮食指数-2015 饮食质量(HEI)是通过自我管理的 24 小时回忆计算得出的。感知饮食质量(PDQ)按 100 分制测量。得分越高表示饮食质量越好。采用一致性相关系数和布兰-阿尔特曼图评估一致性。有完整饮食数据的 105 名参与者大多为女性和白人。在不到三分之一的参与者中,12 个月时 HEI 和 PDQ 分数的一致性很好。大部分不一致的原因是 PDQ 分数高于 HEI 分数。在 HEI 变化和 PDQ 变化之间达成良好一致的参与者更少。参与者认为饮食质量的改善大于 HEI 分数的变化。在 12 个月时,饮食质量变化的一致性较低。尽管寻求减肥的成年人的饮食质量并不理想,也没有得到改善,但许多人认为他们的饮食质量和饮食质量改善情况比计算的要好。未来的研究可能会探讨错误认知对减肥结果的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perceived and calculated diet quality improvements in a randomized mHealth weight loss trial.

The diet quality of US adults is poor and cross-sectional analyses suggest self-perception of healthful dietary intake may be overestimated. This analysis assessed the concordance between calculated and perceived diet quality and changes in diet quality among adults seeking weight loss and enrolled in a 12-month randomized behavioral trial. Healthy Eating Index-2015 diet quality (HEI) was calculated from self-administered 24-hour recalls. Perceived diet quality (PDQ) was measured on a 100-point scale. Higher scores indicate better diet quality. Concordance was assessed using the concordance correlation coefficient and Bland-Altman plots. The one hundred and five participants with complete dietary data were mostly female and white. There was good agreement between HEI and PDQ scores at 12 months for less than a third of participants. Most of the disagreement arose from PDQ scores being higher than HEI scores. Even fewer participants had good agreement between HEI changes and PDQ changes. Participants perceived greater improvement in diet quality than indicated by HEI score changes. Concordance was low at 12 months and for change in diet quality. Despite the diet quality of adults seeking weight loss being suboptimal and not improving, many perceived their diet quality and diet quality improvements as better than calculated. Future studies might explore the effect of misperceptions on weight loss outcomes.

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来源期刊
Behavioral Medicine
Behavioral Medicine 医学-行为科学
CiteScore
5.30
自引率
4.30%
发文量
44
审稿时长
>12 weeks
期刊介绍: Behavioral Medicine is a multidisciplinary peer-reviewed journal, which fosters and promotes the exchange of knowledge and the advancement of theory in the field of behavioral medicine, including but not limited to understandings of disease prevention, health promotion, health disparities, identification of health risk factors, and interventions designed to reduce health risks, ameliorate health disparities, enhancing all aspects of health. The journal seeks to advance knowledge and theory in these domains in all segments of the population and across the lifespan, in local, national, and global contexts, and with an emphasis on the synergies that exist between biological, psychological, psychosocial, and structural factors as they related to these areas of study and across health states. Behavioral Medicine publishes original empirical studies (experimental and observational research studies, quantitative and qualitative studies, evaluation studies) as well as clinical/case studies. The journal also publishes review articles, which provide systematic evaluations of the literature and propose alternative and innovative theoretical paradigms, as well as brief reports and responses to articles previously published in Behavioral Medicine.
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