背景:尽管在COVID-19大流行中,远程饮食咨询做法有所增加,不知道哪种方法更有效。在这项研究中,目的是确定通过电话或视频进行饮食咨询对减肥的影响,并将其与传统的随访方法进行比较。
方法:46名肥胖患者随机进入电话咨询(n=15),视频咨询(n=15),和传统随访组(n=16),随访10周。人体测量,生活质量问卷(SF-36)得分,在基线和研究结束时记录并比较总卡路里/大量营养素摄入量.
结果:在电话咨询中,视频咨询,与传统随访组相比,参与者的体重(分别为-4.8±0.9;-5.7±1.8;和-3.3±0.8kg)和SF-36一般健康评分(分别为14.2±4.2;15.9±3.6;和10.2±3.7)与基线(组*时间相互作用,p<0.05)。与传统随访组相比,电话咨询和视频咨询组的体重和SF-36一般健康评分的变化更多(组*时间互动,p<0.01)。与其他组相比,视频咨询组的总卡路里(-301.4±112.2kcal)和碳水化合物(-26.6±11.2(g)摄入量下降幅度最大(组*时间相互作用,p<0.01)。
结论:视频和电话咨询对COVID-19大流行的体重减轻有效。当无法进行面对面会议时,保持远程饮食咨询做法以支持体重管理非常重要。本文受版权保护。保留所有权利。
BACKGROUND: Although remote dietary counselling practices have increased in the COVID-19 pandemic, it is not known which method is more effective. This study aimed to determine the effect of diet counselling by phone or video on weight loss and to compare it with the traditional follow-up method.
METHODS: Forty-six participants living with obesity were randomised into the phone counselling (n = 15), video counselling (n = 15), and traditional follow-up groups (n = 16), and were followed for 10 weeks. The anthropometric measurements, quality-of-life questionnaire (SF-36) scores and total calorie/macronutrient intakes were recorded and compared at baseline and at the end of the study.
RESULTS: In the phone counselling, video counselling and traditional follow-up groups body weight (-4.8 ± 0.9, -5.7 ± 1.8 and -3.3 ± 0.8 kg, respectively) and SF-36 general health scores (14.2 ± 4.2, 15.9 ± 3.6 and 10.2 ± 3.7, respectively) of the participants changed significantly compared to baseline (group × time interaction, p < 0.05). The change in the body weight and SF-36 general health score was more in the phone counselling and video counselling groups relative to the traditional follow-up group (group × time interaction, p < 0.01). The highest decrease in total calorie (-301.4 ± 112.2 kcal) and carbohydrate (-26.6 ± 11.2 g) intake was in the video counselling group compared to the other groups (group × time interaction, p < 0.01).
CONCLUSIONS: Video counselling and phone counselling were effective in weight loss in the COVID-19 pandemic. It is important to maintain remote dietary counselling practices to support weight management when face-to-face meetings are not possible.