Objective Inadequate nutrition literacy within families is a barrier for healthy dietary choices and influences chronic disease risk. This pilot study examined the feasibility of providing an in-person nutrition intervention for families at high risk of developing prediabetes or type 2 diabetes and cardiovascular risk-factors. Methods Eligible families had at least one member with a non-communicable disease (NCD) or metabolic risk factor, fluency in English, willingness to attend all three educational sessions and complete questionnaires as a family unit. Sessions included didactic and experiential activities on food label reading, portion sizing, physical activity and modifiable lifestyle factors to reduce NCD risk. Demographics and fruit and vegetable screeners were collected from all participants at baseline and after completion of sessions. Families participated in focus groups to evaluate the program. Results Twelve families (n=35;17 adults;18 children) were recruited from New York City. Participants self-identified as Asian, Hispanic or Black. Adults had a mean age of 40y, BMI of 32.29kg/m2, household income of $35,000-$49,000y, and 13 of 17 adult participants had college degrees. Children ranged from 1-17y. Based on focus group feedback, three sessions were acceptable, families reported enjoying interactive activities and group learning and requested child-friendly activities. They reported improved knowledge of food labels, strategies for grocery shopping, portion-sizing, and increased awareness of the links between diet quality and NCDs. Conclusions and Implications The study met recruitment goals within 4 months. The educational intervention was acceptable and may be scaled-up for future studies on NCD prevention, particularly prediabetes and type 2 diabetes.

中文翻译：

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针对非传染性疾病的健康饮食和生活研究：一项创新的基于家庭的干预措施

目的 家庭内营养素养不足是健康饮食选择的障碍，并影响慢性病风险。这项试点研究检查了为有患前驱糖尿病或 2 型糖尿病和心血管危险因素的高风险家庭提供面对面营养干预的可行性。方法 符合条件的家庭至少有一名成员患有非传染性疾病 (NCD) 或代谢危险因素，英语流利，愿意参加所有三个教育课程并作为一个家庭单位完成问卷调查。会议包括关于食品标签阅读、份量大小、体育活动和可改变的生活方式因素的教学和体验活动，以降低非传染性疾病风险。在基线和会议结束后，从所有参与者那里收集了人口统计学和水果和蔬菜筛选器。家庭参加了焦点小组来评估该计划。结果从纽约市招募了 12 个家庭（n=35；17 名成人；18 名儿童）。参与者自称为亚裔、西班牙裔或黑人。成年人的平均年龄为 40 岁，BMI 为 32.29kg/m2，家庭收入为 $35,000-$49,000y，17 名成年参与者中有 13 人拥有大学学位。儿童的范围为 1-17 岁。根据焦点小组的反馈，三个会议是可以接受的，家庭报告说喜欢互动活动和小组学习，并要求参加儿童友好活动。他们报告说，他们对食品标签、杂货店购物策略、份量大小的了解有所提高，并提高了对饮食质量与非传染性疾病之间联系的认识。结论和意义 该研究在 4 个月内达到了招募目标。