基于智能手机应用程序的饮食和身体活动计划对患有血脂异常的艾滋病毒感染者的影响:一项随机对照试验

IF 1.7 4区 医学 Q2 NURSING
Maki Aomori, Chiharu Matsumoto, Sanae Takebayashi, Nao Matsuyama, Yukiko Uto, Miho Tanaka, Sei Samukawa, Hideaki Kato, Hideaki Nakajima, Hitomi Maeda
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引用次数: 1

摘要

目的艾滋病毒感染者由于使用抗逆转录病毒治疗和慢性炎症,患心血管疾病的风险很高。通过改变生活方式来评估血脂水平的证据有限。这项研究旨在评估基于智能手机应用程序的饮食和运动改善计划对感染艾滋病毒和血脂异常的男性的影响。方法:随机对照试验,招募患有血脂异常的日本HIV感染者:干预组(n = 19)和对照组(n = 19)。干预组在6个月的干预期间接受了第三次个人指导,并被鼓励在智能手机应用程序上记录他们的饮食。对结果进行意向治疗分析。结果干预组低密度脂蛋白水平从基线到干预后6个月的变化明显低于对照组(- 4.00±20.2 mg/dL vs. 10.11±21.1 mg/dL) (p = 0.042)。其他血脂水平无显著差异。从基线到干预后6个月,干预组的腹围显著下降(p = 0.048)。干预组的总能量、蛋白质、碳水化合物、脂肪和盐摄入量、饮食和身体活动行为改变阶段、社会支持、饮食自我效能和孤独感从基线到干预后6个月显著改善(p < 0.05)。结论:基于日本特定健康指导的智能手机应用程序的饮食和身体活动改善计划可能降低该人群的低密度脂蛋白胆固醇水平。需要进一步扩大样本并检验长期影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of a smartphone app-based diet and physical activity program for men living with HIV who have dyslipidemia: A pilot randomized controlled trial

Aims

People living with HIV are at a high risk for cardiovascular disease owing to antiretroviral therapy use and chronic inflammation. There is limited evidence on the evaluation of serum lipid levels through lifestyle modification. This study aims to evaluate the effect of a smartphone application-based diet and exercise improvement program on men living with HIV and dyslipidemia.

Methods

This was a randomized controlled trial recruiting Japanese men living with HIV who have dyslipidemia: intervention group (n = 19) and control group (n = 19). The intervention group received a third individual guidance session during the 6-month intervention and was encouraged to record their diet on a smartphone application. An intention-to-treat analysis of the results was conducted.

Results

The intervention group showed significantly reduced change in low-density lipoprotein levels compared to the control group (−4.00 ± 20.2 mg/dL vs. 10.11 ± 21.1 mg/dL) (p = .042) from baseline to 6 months post-intervention. No significant differences were found in other serum lipid levels. Abdominal circumference decreased significantly in the intervention group (p = .048) from baseline to 6 months post-intervention. Total energy, protein, carbohydrate, fat, and salt intake, dietary and physical activity behavior change stages and social support, dietary self-efficacy, and loneliness significantly improved in the intervention group (p < .05) from baseline to 6 months post-intervention.

Conclusions

A diet and physical activity improvement program using a smartphone application based on Japanese-specific health guidance may reduce low-density lipoprotein cholesterol levels in this population. Further sample expansion and examination of long-term effects are needed.

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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
55
审稿时长
>12 weeks
期刊介绍: The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.
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