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德克萨斯大学健康科学中心的故事(休斯顿乌西顿)

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烹饪医学教育计划显示低收入糖尿病患者的积极成果

2型糖尿病患者在学习休斯顿Uthealth的健康生活烹饪医学课程后表现出积极的结果。(盖蒂图像照片)
2型糖尿病患者在学习休斯顿Uthealth的健康生活烹饪医学课程后表现出积极的结果。(盖蒂图像照片)
Shreela V. Sharma博士,RDN,UTHealth公共卫生学院流行病学教授
Shreela V. Sharma博士,RDN,UTHealth公共卫生学院流行病学教授

德克萨斯大学的研究人员称beplay苹果手机能用吗休斯敦的健康科学中心(休斯顿乌西卫生)。

一项试点研究的结果由Shreela V. Sharma博士,RDN,professor of epidemiology at UTHealth School of Public Health and in partnership with Harris Health System and the Houston Food Bank, were recently published in营养,借助有关该研究发展的定性信息,最近也发表了营养与饮食学院杂志

beplay苹果手机能用吗研究人员招募了来自哈里斯卫生系统草莓健康中心的40名糖尿病患者,参加了由公共卫生学院的滋养计划领导的项目,该计划教授了健康生活处方(APHL),这是一项烹饪医学课程。The patients were also enrolled in a nine-month food prescription program through the Strawberry Health Center’s co-located food pantry, which gave them a bi-weekly redemption of 30 pounds of fruits, vegetables, lean protein and other healthy items at no cost with brief nutrition counseling by a registered dietitian. The study group was compared to patients who received the food prescription only, with no culinary medicine education, from the same clinic in 2019-2020.

夏尔马说:“我们发现,虽然仅一项食品处方计划确实对患者糖尿病结果产生积极且临床上有意义的影响,但当您对烹饪技能和教育成分进行分层时,会产生更大的影响。”

烹饪医学将烹饪的艺术与医学科学融合在一起,以灌输健康的饮食模式。五节APHL计划旨在向参与者证明健康食品的味道很好,而且负担得起,易于准备,并且与所有文化相关。这些90分钟的会议实际上是由于190分钟的大流行而实施的 - 包括有关刀技能的课程,计数碳水化合物,阅读标签,餐饮计划和食谱建设,重新利用剩菜以及在家外面的食用等其他技能。

总体而言,在研究过程中,APHL参与者看到其糖基化血红蛋白水平的大幅度降低,更好地控制其糖尿病。与仅食品处方群体相比,参加APHL的参与还导致水果和蔬菜的消费量显着增加,从头开始烹饪的频率以及在进餐计划和烹饪中的自我效能感。此外,较少的参与者报告说,烹饪健康食品很困难。

These findings come one year after previous focus group sessions, recently highlighted in the营养与饮食学院杂志,透露,患者对来自不同医疗保健提供者的混合饮食信息感到沮丧,并且缺乏文化包容的建议,同时也表达了对准备美味和健康食品的技能的渴望。

随着食品处方和烹饪医学计划在全国范围内获得流行,Sharma呼吁对营养师进行烹饪医学的培训。

“Ultimately, we would like to scale this work across Harris Health clinics and hospitals and expand it to other settings and partners as well,” Sharma said. “It’s important for us to analyze and document the impact of this solution so that hopefully, one day, insurance companies will reimburse food prescription programs.”

Broadly, the recent study underscores the significance of the partnership between UTHealth Houston and Harris Health System, according to Sharma and Denise LaRue, MPH, director of care integration and population health transformation for Harris Health System.

“The greatest benefits of the Nourish program are that it provides our system dietitians with proven dynamic ways to connect with our patients in ways that are both practical and relevant, while delivering results that will measurably impact our patients’ – and their families’ – health,” LaRue said. “This ongoing partnership with UTHealth School of Public Health, and the success of our joint work, demonstrates that a collaborative ‘village’ approach is the right way to think about health.”

Study co-authors included John Wesley McWhorter, DrPH, RDN, assistant professor in the Department of Health Promotion and Behavioral Sciences with UTHealth School of Public Health and director of culinary nutrition for the Nourish program; Melisa P. Danho, MPH, RDN, program manager with the Michael & Susan Dell Center for Healthy Living at the School of Public Health; and Laura S. Moore, MEd, RDN, executive director of the Nourish program and member of the Nutrition faculty at the School of Public Health.

有关滋养计划的更多信息,请访问https://sph.uth.edu/beplay苹果手机能用吗research/centers/dell/nourish/index.htm

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