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Health and Wellness Coaching Improves Weight and Nutrition Behaviors

机译:健康和健康教练提高了体重和营养行为

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摘要

Most Americans have an eating pattern inconsistent with the Dietary Guidelines, putting them at risk for obesity and chronic disease. Health and wellness coaching (HWC) for lifestyle behavior change is emerging as a potentially effective tool to prevent and treat chronic disease. A systematic literature review identified 11 randomized controlled trials studying the use of HWC for improving nutrition-related biomarkers and eating behaviors. These trials demonstrate efficacy of HWC across diverse populations and treatment modalities. Almost all (82%) of the trials showed an improvement in at least one outcome. The most commonly studied outcomes were weight, blood pressure, and fruit, vegetable, and fat intake. There are several gaps in the research. The assessment of nutrition-related behaviors can be expanded to include assessment of diet quality and eating patterns associated with chronic disease prevention. Research is needed to evaluate HWC for nutrition-related biomarkers and behaviors in understudied populations with known health disparities. In addition, the health coaching dosage for long-term maintenance of changed outcomes and behaviors is inconsistent or unknown. These gaps will be important to address to determine policies and best practices for future application of HWC.
机译:大多数美国人都有一个与饮食指南不一致的饮食模式,使它们面临肥胖和慢性疾病的风险。生活方式行为变化的健康和健康教练(HWC)是预防和治疗慢性疾病的潜在有效工具。系统文献综述确定了11项随机对照试验,研究了HWC改善营养相关的生物标志物和食用行为。这些试验表明了高潮跨越各种人口和治疗方式的疗效。几乎所有(82%)的试验都表现出至少一个结果的改善。最常见的结果是体重,血压和水果,蔬菜和脂肪摄入量。研究中有几个差距。可以扩展营养相关行为的评估,包括评估与慢性疾病预防相关的饮食质量和饮食模式。需要研究营养有关的营养相关的生物标志物和行为的研究,其中包括已知健康差异的群体。此外,健康教练用于长期维护改变成果和行为的用法不一致或未知。这些差距对于解决HWC未来申请的政策和最佳实践,这是重要的。

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