首页> 中文期刊> 《解放军医院管理杂志》 >军队干部疗养员个性化营养处方的效果分析

军队干部疗养员个性化营养处方的效果分析

         

摘要

Objective To design and implement of individualized nutrition prescription and evaluate its ap-plication effect according to the army officers examination situation.All of these are in order to investigate the nutri-tion intervention programs and promote officers'health.Methods 152 abnormal health examination officers were randomly selected as the intervention objects.The nutrition knowledge, attitudes and dietary behavior of the officers were intervened by designed individualized nutrition prescription.Nutrition KAP ( knowledge-attitude-practice) survey and physical examination were performed after a year of intervention.Results Nutritional KAP score was 52.49 ±6.55, physical examination score was 8.14 ±1.49 after a year of nutrition prescription implementation.Be-fore the implementation, nutrition KAP score was 50.86 ±6.47, physical examination score was 8.14 ±1.49.The difference was statistically significant(P<0.05).The overweight, obesity, fatty liver, hyperlipidemia, hyperurice-mia detection rates were 36.2%, 13.8%, 49.3%, 42.8%, 38.8%before the nutrition prescription implementation. After one year of implementation, the overweight, obesity, fatty liver, hyperlipidemia, hyperuricemia detection rates were 23.0%、6.6%、37.5%、31.6%、26.9%,which were significantly lower than before.Conclusion Army officers'chronic metabolic disease detection rate is higher.The intervention of individualized nutrition prescription on the nu-trition knowledge, attitudes, dietary behavior and the way of life can effectively promote the turnover of chronic meta-bolic diseases, inhibit the development of chronic diseases and promote the army officers'health.%目的:根据军队干部的体检状况,设计并实施个性化营养处方并观察分析其应用效果,探讨适宜的营养干预方案,促进干部身体健康。方法选取152名体检异常的干部作为干预对象。采用自行设计的个性化营养处方对干部的营养知识、态度和饮食行为进行干预,在干预1年后分别进行营养KAP调查和体格检查。结果营养处方实施1年后,干部的营养KAP得分为52.49±6.55,健康状况得分8.14±1.49,分别与实施前的50.86±6.47、7.81±1.34比较,差异有统计学意义(P<0.05)。疾病检出率比较,营养处方实施前超重、肥胖、脂肪肝、高脂血症、高尿酸血症的检出率分别为36.2%、13.8%、49.3%、42.8%、38.8%,均显著高于营养处方实施一年后的23.0%、6.6%、37.5%、31.6%、26.9%( P<0.05)。结论军队干部慢性代谢性疾病检出率较高,通过实施个性化营养处方对其营养知识、态度及饮食行为和生活方式进行干预,可有效促进慢性代谢性疾病的转归,抑制慢性病的发生发展,促进其身体健康。

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