학술논문
Effectiveness of Individual Nutrition Education Compared to Group Education, in Improving Anthropometric and Biochemical Indices among Hypertensive Adults with Excessive Body Weight: A Randomized Controlled Trial.
Document Type
Academic Journal
Author
Gajewska D; Department of Dietetics, Faculty of Human Nutrition, Warsaw University of Life Sciences - SGGW (WULS), 159C Nowoursynowska Str, 02-776 Warsaw, Poland.; Kucharska A; Human Nutrition Department, Warsaw Medical University, 02-776 Warsaw, Poland.; Kozak M; Department of Botany, Warsaw University of Life Sciences - SGGW (WULS), 159C Nowoursynowska Str, 02-776 Warsaw, Poland.; Wunderlich S; Department of Nutrition and Food Studies, Montclair State University, 1 Normal Avenue Montclair, Montclair, NJ 07043, USA.; Niegowska J; Department of Dietetics, Faculty of Human Nutrition, Warsaw University of Life Sciences - SGGW (WULS), 159C Nowoursynowska Str, 02-776 Warsaw, Poland.
Source
Publisher: MDPI Publishing Country of Publication: Switzerland NLM ID: 101521595 Publication Model: Electronic Cited Medium: Internet ISSN: 2072-6643 (Electronic) Linking ISSN: 20726643 NLM ISO Abbreviation: Nutrients Subsets: MEDLINE
Subject
Language
English
Abstract
Objective: The study aims to compare the effectiveness of individual and group nutrition education methods in improving key anthropometric and biochemical markers in drug-treated, overweight-obese hypertensive adults.
Methods: The randomized trial included 170 patients with pharmacologically well-controlled primary hypertension and body mass index (BMI) ≥ 25 kg/m2 . For six months, the patients received six sessions, either one-to-one individual nutrition education (IE, n = 89) or group education (GE, n = 81), developed by dietitians. Anthropometric measurements, body composition, and fasting measures of biochemical parameters were obtained at baseline and after six months of intervention.
Results: 150 patients completed the nutrition education program. The IE group significantly improved in many parameters compared to the GE group, including weight ( p < 0.001), waist circumference ( p < 0.001), BMI ( p < 0.001), systolic and diastolic blood pressure (BP) ( p < 0.001), fasting plasma glucose ( p = 0.011), oral glucose tolerance test (OGGT) ( p = 0.030), and insulin resistance (homeostatic model assessment of insulin resistance, HOMA-IR) ( p < 0.001). The groups did not differ in terms of total cholesterol, high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C) concentrations.
Conclusion: Individual nutrition education is more effective than group education in terms of improving anthropometric and biochemical indices in overweight-obese hypertensive adults.
Competing Interests: The authors declare no conflict of interest.
Methods: The randomized trial included 170 patients with pharmacologically well-controlled primary hypertension and body mass index (BMI) ≥ 25 kg/m
Results: 150 patients completed the nutrition education program. The IE group significantly improved in many parameters compared to the GE group, including weight ( p < 0.001), waist circumference ( p < 0.001), BMI ( p < 0.001), systolic and diastolic blood pressure (BP) ( p < 0.001), fasting plasma glucose ( p = 0.011), oral glucose tolerance test (OGGT) ( p = 0.030), and insulin resistance (homeostatic model assessment of insulin resistance, HOMA-IR) ( p < 0.001). The groups did not differ in terms of total cholesterol, high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C) concentrations.
Conclusion: Individual nutrition education is more effective than group education in terms of improving anthropometric and biochemical indices in overweight-obese hypertensive adults.
Competing Interests: The authors declare no conflict of interest.