■世界贸易中心(WTC)灾难的响应者遭受合并症。在超重/肥胖和创伤后应激障碍(PTSD)的WTC反应者中实施了地中海饮食(MedDiet)营养干预和身体活动。
■WTC健康计划成员(N=62),45-65岁,男性87%,体重指数(BMI)27-45kg/m2随机分配到MedDiet(n=31)或常规营养咨询(n=31)。为期10周的干预包括在线营养教育,短信,和小组体验式烹饪;两组都有三个面对面的个人营养咨询。人体测量学,血清生物标志物,社会心理因素,MedDiet评分,在基线时评估PTSD症状,干预后,3个月(随访)。主要结局是干预的可行性,次要结局是干预后和随访时所有措施的组内和组间变化。用于组间比较的非参数Wilcoxon秩和检验和用于组间比较的Wilcoxon符号秩检验。
■共有58名(94%)和46名(74%)参与者完成了干预后和随访测量,分别。两组在人体测量方面都有了显着改善,MedDiet评分,氧化低密度脂蛋白,和PTSD症状。基线中位数(范围)为体重100.42(73.66-135.17)kg,BMI33.20(27.50-41.75)kg/m2,腰围(WC)109.22(90.17-150.62)cm。干预后体重减轻的中位数百分比为MedDiet:-3%(-11%-7%),p=0.0002;对照:-1%(-13%-4%),p=0.008,随访时MedDiet:-2%(-14%-12%),p=0.07;对照:-2%(-20%-3%),p=0.006。总体BMI在干预后降低-0.68kg/m2(-4.61-2.09)kg/m2p<0.0001,在随访时降低-0.60kg/m2(-6.91-3.39)kg/m2,p<0.0009。总的来说,中位WC降低(p<0.0001);干预后-3.81cm(-33.00-3.30)cm,随访-4.45cm(-38.10-4.57)cm.干预后HbA1c(p=0.019)和血清ω6/ω3(p=0.029)存在组间差异。
■在该人群中进行个人咨询的在线干预是可行的。人体测量学的改进,MedDiet评分,在两组中均发现了选定的血清生物标志物和PTSD症状;HbA1c和血清ω6/ω3的组间差异。需要进行更大的延迟控制研究,以更好地评估干预效果。
UNASSIGNED: Responders of the World Trade Center (WTC) disaster suffer from co-morbidities. A Mediterranean Diet (MedDiet) nutrition intervention with physical activity was implemented among WTC responders with overweight/obesity and post-traumatic stress disorder (PTSD).
UNASSIGNED: WTC Health Program members (N = 62), 45-65 years, males 87%, body mass index (BMI) 27-45 kg/m2 randomized to MedDiet (n = 31) or usual nutrition counseling (n = 31). The 10-week intervention included online nutrition education, text messages, and group experiential cooking; both groups had three in-person individual nutrition counseling. Anthropometrics, serum biomarkers, psychosocial factors, MedDiet score, and PTSD symptoms were assessed at baseline, post-intervention, and 3-months (follow-up). The primary outcome was intervention feasibility and secondary outcomes were within- and between-group changes of all measures at post-intervention and follow-up. Nonparametric Wilcoxon rank sum tests for between-group comparisons and Wilcoxon signed rank tests for pre-post within-group comparisons.
UNASSIGNED: A total of 58(94%) and 46(74%) participants completed the post-intervention and follow-up measurements, respectively. Both groups experienced significant improvements in anthropometrics, MedDiet score, oxidized low-density lipoprotein, and PTSD symptoms. Baseline median (range) were weight 100.42 (73.66-135.17) kg, BMI 33.20 (27.50-41.75) kg/m2, and Waist circumference (WC) 109.22 (90.17-150.62) cm. Median % weight loss at post-intervention was MedDiet: -3% (-11%-7%), p = 0.0002; Control: -1% (-13%-4%), p = 0.008 and at follow-up MedDiet: -2% (-14%-12%), p = 0.07; Control: -2% (-20%-3%), p = 0.006. The overall BMI was reduced by -0.68 kg/m2 (-4.61-2.09) kg/m2 p < 0.0001 at post-intervention and by -0.60 kg/m2 (-6.91-3.39) kg/m2, p < 0.0009 at follow-up. Overall, median WC was reduced (p < 0.0001); post-intervention -3.81 cm (-33.00-3.30)cm and follow-up -4.45(-38.10-4.57)cm. There were group differences in HbA1c (p = 0.019) and serum ω6/ω3 (p = 0.029) at post-intervention.
UNASSIGNED: Online intervention with personal counseling was feasible in this population. Improvements in anthropometrics, MedDiet score, selected serum biomarkers and PTSD symptoms were found in both groups; group differences in HbA1c and serum ω6/ω3. A larger study with a delayed control is needed to better assess intervention effects.