营养教育与健康咨询对血脂异常人群血脂和膳食结构的影响

Effect of the nutrition education and health consultation on dietary patterns and blood lipids in populations with dyslipidemia

目的:探讨营养教育与健康咨询对中老年血脂异常人群的血脂指标和膳食结构的影响。方法:将确诊为血脂异常的116例中老年病人分为营养教育组和对照组,各58例。营养教育组进行集体授课和营养健康咨询,对照组不采取任何干预措施,干预期6个月,分析营养教育前后2组病人的血脂指标、膳食结构、饮食情况及相关营养指标的改变。结果:干预后,2组维生素C、钙、铁和膳食纤维的摄入量差异均有统计学意义(P<0.05~P<0.01),2组病人食用奶类、水果和豆类的频率差异均有统计学意义(P<0.05),2组女性体质量和体质量指数、胆固醇和三酰甘油差异均有统计学意义(P<0.05)。结论:营养教育和健康咨询相结合的方式能够促进社区血脂异常病人膳食的合理摄入,改善病人自身的健康状况,提高治疗效果。

Objective:To study the effect of the nutrition education and health consultation on dietary patterns and blood lipids in middle-aged and elderly populations with dyslipidemia.Methods:One hundred and sixteen middle-aged and elderly patients with dyslipidemia were divided into nutrition education group and control group(58 cases in each group).The nutrition education group was treated with group teaching and nutrition health consultation for six months,while the control group was not treated with any intervention measures.The changes of blood lipid indicators,dietary patterns,diet and related nutrition indicators in the two groups before and after nutrition education were analyzed.Results:After the intervention,there were significant differences in the intakes of vitamin C,calcium,iron and dietary fiber between the two groups(P<0.05 to P<0.01),there were significant differences in the frequency of eating milk,fruits and beans between the two groups(P<0.05),and there were also significant differences in body mass,body mass index,cholesterol and triglyceride between the two groups(P<0.05).Conclusions:The combination of nutrition education and health consultation can promote the reasonable dietary intake of dyslipidemia patients in community,improve their health status and therapeutic effect.