干预对超重青少年营养状况、加工食品消费和生活质量的影响

Fabiana A. Poll , Fernanda Miraglia , Helen F. D’avila , Cézane P. Reuter , Elza D. Mello
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引用次数: 0

摘要

目的评价营养干预对超重青少年营养状况、超加工食品消费和生活质量的影响。方法对青少年超重学生进行实验研究,分为干预组和对照组。营养干预持续了六个月,以教育和激励的方式进行。在此期间前后评估营养状况(腰围和体重指数)、生活质量和超加工食品消费。结果超重或肥胖青少年共62例,干预组37例,对照组25例,干预组年龄13.2±1.5岁,对照组年龄13.0±1.8岁,女性参与率均较高。体重指数(干预组Δ:−0.81±2.28,对照组Δ:−0.64±1.28)和腰围(Δ:−3.31±5.47)均有变化。对于超加工前和超加工后的食品消费,干预组的软饮料(Δ:−0.07[−0.27至0.00])、方便面(Δ:−0.03[−0.07至0.00])和三明治饼干(Δ:−0.06[−0.26至0.00])的消费显著减少。干预组的生活质量增加,对照组的生活质量下降,干预前(p = 0.162)和干预后(p = 0.426)没有组内(p = 0.162)或组间(p = 0.249)的统计学相关性,情绪领域得分降低,干预组(前后;Δ:−19.0±40.6)。结论:体重指数和腰围下降(中心性肥胖通常与胰岛素抵抗有关),超加工食品消费(软饮料、三明治饼干和方便面)减少,生活质量有改善的趋势(然而,情绪和学校生活质量领域有所下降)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of intervention on nutritional status, consumption of processed foods, and quality of life of adolescents with excess weight

Objective

To evaluate the impact of a nutritional intervention on nutritional status, ultra‐processed food consumption, and quality of life of adolescents with excess weight.

Methods

Experimental study with adolescent students with excess weight, divided into two groups, an intervention group and a control group. The nutritional intervention lasted six months, with an educational and motivational approach. Nutritional status (waist circumference and body mass index), quality of life, and ultra‐processed food consumption were evaluated before and after the period.

Results

Sixty‐two adolescents with overweight or obesity participated in the study, 37 in the intervention group and 25 in the control group, aged 13.2 ± 1.5 years in intervention group, and 13.0 ± 1.8 years in control group, both of which had a higher female participation. There were changes in the body mass index (intervention group Δ: −0.81 ± 2.28, control group Δ: −0.64 ± 1.28) and in the waist circumference for intervention group (Δ:−3.31 ± 5.47). For the pre‐ and post‐ultra‐processed food consumption, there was a significant reduction in the consumption of soft drinks in the intervention group (Δ: −0.07 [−0.27 to 0.00]), instant noodles (Δ: −0.03 [−0.07 to 0.00]), and sandwich cookies (Δ: −0.06 [−0.26 to 0.00]). The quality of life increased in the intervention group and decreased in the control group, with no intra‐ (p = 0.162) or intergroup statistical relevance in the pre‐ (p = 0.426) and post‐ (0.249) intervention period, with a reduction in the emotional domain score, with a significant variation in the intervention group (pre and post; Δ: −19.0 ± 40.6).

Conclusion

There was a decrease in body mass index and waist circumference (central obesity being more often related to insulin resistance), reduction of ultra‐processed food consumption (soft drinks, sandwich cookies, and instant noodles), and a tendency toward quality of life improvement (however, there was a decrease in the domains of emotional and school quality of life).

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