PDF(Pubmed)
Abstract：
UNASSIGNED: African American (AA) women have the highest prevalence of obesity in addition to health disparities in preventable diet-related diseases (i.e., diabetes, hypertension), which places them at increased risk for cardiovascular disease. The purpose of this pilot study was to assess the feasibility, acceptability, and preliminary effectiveness of the Keto Prescribed+ (KetoRx+) program on associated physical and psychosocial outcomes among this population. The KetoRx+ program is a healthy eating and thinking educational intervention. The program combined online and in-person community group sessions over 8 weeks. The Keto Prescribed+ was found to be feasible and acceptable with comments on ways to increase acceptability from participants completing program (n = 10). Physical outcomes changed showed an average decrease in weight of 10lbs (SD = 5), baseline average 226lbs. Waist-to-hip ratio and systolic blood pressure also trended down. Psychosocial outcomes showed improvement trends. The KetoRx+ program is feasible and acceptable for overweight or obese AA women. Preliminary efficacy was established for most physical and psychosocial outcomes. However, more research is needed to identify specific program components contributing to healthy lifestyle behavior change and to establish program efficacy and effectiveness. Culturally adapted community-based biopsychosocial interventions using ketogenic nutrition therapy may help improve cardiovascular health of adult AA women.
摘要：
■非洲裔美国人（AA）妇女的肥胖患病率最高，此外，在可预防的饮食相关疾病方面存在健康差异（即，糖尿病,高血压)，这使得他们患心血管疾病的风险增加。这项试点研究的目的是评估可行性，可接受性,以及Keto处方（KetoRx）计划对该人群中相关的身体和心理结果的初步有效性。KetoRx+计划是一个健康的饮食和思维教育干预。该计划结合了在线和面对面的社区小组会议，为期8周。KetoPrescribed+被发现是可行和可接受的，并对完成计划的参与者增加可接受性的方法发表了评论（n=10）。身体结果改变显示体重平均减少10磅（SD=5），基线平均226lbs。腰臀比和收缩压也有下降趋势。社会心理结果显示出改善趋势。KetoRx+计划对于超重或肥胖的AA女性是可行和可接受的。对大多数身体和心理社会结果建立了初步疗效。然而,需要更多的研究来确定有助于健康生活方式行为改变的特定计划组成部分，并确定计划的有效性和有效性。使用生酮营养治疗的文化适应社区的生物心理社会干预措施可能有助于改善成年AA女性的心血管健康。
