快速连续血糖监测和营养指导对韩国大学生饮食自我效能感和体重管理的影响:一项干预前后研究

Korean journal of community nutrition Pub Date : 2025-06-01 Epub Date: 2025-06-30 DOI:10.5720/kjcn.2025.00073
Soojin Park
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引用次数: 0

摘要

目的:本研究旨在评估为期4周的多组分干预,结合快速连续血糖监测(flash- cgm)、群体营养教育和个性化营养指导,对健康大学生饮食自我效能感(DSE)和体重管理的影响。方法:对27名大学生进行干预前后研究。干预包括一个单独的4小时小组营养教育会议,快速cgm使用(FreeStyle Libre; Abbott Diabetes Care),以及每周一对一的营养指导。参与者佩戴CGM设备28天(14天后更换),并指导他们使用FoodLens应用程序(DoingLab)进行饮食跟踪,并使用与移动应用程序相连的数字秤进行体重监测。干预前后测量的结果包括DSE、体重指数(BMI)、营养商数(NQ)和血糖指标。统计分析采用Wilcoxon符号秩检验和Mann-Whitney u检验,显著性设置为P < 0.05。结果:DSE显著增加(P < 0.05),特别是在压力和疲劳下管理饮食行为。整体组BMI有轻微但显著的下降(P < 0.05),但BMI≥23 kg/m2亚组变化不显著。血糖指标变化很小。总体NQ得分略有提高,水果摄入量显著增加(P < 0.01),营养标签检查显著增加(P < 0.05)。设备可用性和指导服务满意度较高(5分制为4.52±0.65)。结论:多组分干预提高了大学生的DSE、NQ得分,并支持适度的体重减轻。CGM、营养教育和指导的综合效果似乎很有希望;然而,需要进一步的研究来分离每种成分的影响并评估长期结果。试验注册:临床研究信息服务标识:KCT0010255。试验注册:临床研究信息服务标识:KCT0010255。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The impact of flash continuous glucose monitoring and nutrition coaching on dietary self-efficacy and weight management in university students in Korea: a pre-post intervention study.

The impact of flash continuous glucose monitoring and nutrition coaching on dietary self-efficacy and weight management in university students in Korea: a pre-post intervention study.

The impact of flash continuous glucose monitoring and nutrition coaching on dietary self-efficacy and weight management in university students in Korea: a pre-post intervention study.

Objectives: This study aimed to evaluate the impact of a 4-week multicomponent intervention combining flash continuous glucose monitoring (flash-CGM), group nutrition education, and personalized nutrition coaching on dietary self-efficacy (DSE) and weight management in healthy university students.

Methods: A total of 27 university students participated in a pre-post intervention study. The intervention included a single 4-hour group-based nutrition education session, flash-CGM usage (FreeStyle Libre; Abbott Diabetes Care), and weekly one-on-one nutrition coaching. Participants wore the CGM device for 28 days (replaced after 14 days), and were guided in using the FoodLens app (DoingLab) for dietary tracking and a mobile app-linked digital scale for weight monitoring. Outcomes measured before and after the intervention included DSE, body mass index (BMI), nutrition quotient (NQ) and glycemic indicators. Statistical analyses included Wilcoxon signed-rank and Mann-Whitney U-tests with significance set at P < 0.05.

Results: There was a significant increase in DSE (P < 0.05), particularly in managing eating behavior under stress and fatigue. A modest but significant decrease in BMI was observed in the overall group (P < 0.05), though changes were not significant in the BMI ≥ 23 kg/m2 subgroup. Glycemic indicators showed minimal changes. The overall NQ score improved slightly, with significant increases in fruit intake (P < 0.01) and nutrition label checks (P < 0.05). High satisfaction levels (4.52 ± 0.65 on a 5‑point scale) were reported for device usability and coaching services.

Conclusion: The multicomponent intervention improved DSE, NQ scores, and supported modest weight reduction among university students. The combined effect of CGM, nutrition education, and coaching appears promising; however, further studies are needed to isolate the effects of each component and evaluate long-term outcomes. Trial Registration: Clinical Research Information Service Identifier: KCT0010255.

Trial registration: Clinical Research Information Service Identifier: KCT0010255.

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