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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Effects of the Quebec Heart Health Demonstration Project on adult dietary behaviours.
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Effects of the Quebec Heart Health Demonstration Project on adult dietary behaviours.

机译:魁北克心脏健康示范项目对成人饮食行为的影响。

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BACKGROUND: There are few studies which have evaluated the dietary impact of multiple community-based cardiovascular disease prevention programs. METHODS: A 5-year, multifactorial community-based heart disease prevention program was conducted by regional public health departments in three sites: urban, suburban and rural. The experimental and control communities were composed of independent samples of 4,863 adults in 1993 and 5,260 in 1997. The impact of the program on diet was assessed by a validated, self-administered food frequency questionnaire which yielded a Global Dietary Index (GDI). RESULTS: The urban and suburban sites showed improvements in mean GDI in both exposed and non-exposed groups while the rural site mean GDI showed deterioration in both groups (n.s.). The analysis of variance showed that the group x year interaction terms were not significant for each site and sex, indicating that the intervention did not have measurable effects on dietary behaviours. Inclusion of confounding variables did not alter those findings. Analyses of specific food group indices gave similar results. CONCLUSIONS: Future intervention programs could benefit from considering physical and social environments as well as public policy changes to improve efficacy.
机译:背景:很少有研究评估多种基于社区的心血管疾病预防计划对饮食的影响。方法:由地区公共卫生部门在城市,郊区和农村的三个地点实施了一项基于社区的5年多元心脏病预防计划。实验和对照社区由1993年的4,863名成年人和1997年的5,260名成年人的独立样本组成。该计划对饮食的影响通过一个有效的,自行管理的食物频率问卷进行评估,该问卷产生了全球饮食指数(GDI)。结果:城市和郊区场所的平均GDI在暴露和未暴露的人群中均得到改善,而农村场所的平均GDI在两组中均呈恶化趋势。方差分析表明,每个地点和性别的x年组交互作用项均不显着,表明干预措施对饮食行为没有可测量的影响。包含混杂变量并没有改变那些发现。对特定食物类别指数的分析得出了相似的结果。结论:未来的干预计划可能会受益于考虑物理和社会环境以及公共政策的变化以提高疗效。

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