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：基于家庭的创新干预

目的

家庭内部营养素养不足是健康饮食选择的障碍，并影响慢性病风险。这项前瞻性研究探讨了为罹患前驱糖尿病或2型糖尿病和心血管危险因素的高风险家庭提供亲自营养干预的可行性。

方法

符合条件的家庭至少有一名患有非传染性疾病（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家庭单元填写问卷的成员。会议包括关于食品标签阅读，份量确定，体育锻炼和可改变的生活方式因素的教学和体验活动，以减少NCD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数据和水果和蔬菜筛选者。家庭参加了焦点小组以评估该计划。

结果

从纽约市招募了12个家庭（n = 35； 17个成年人； 18个孩子）。自我识别为亚裔，西班牙裔或黑人的参与者。成人的平均年龄为40岁，BMI为32.29kg / m2，家庭收入在$ 35,000- $ 49,000y之间，在17位成年人中，有13位具有大学学历。儿童年龄从1-17岁不等。根据焦点小组的反馈意见，可以接受三场会议，家庭报告说他们喜欢进行互动活动和小组学习，并要求儿童友善活动。他们报告说，他们对食品标签的知识，杂货店购物策略，份量确定以及饮食质量与非传染性疾病之间联系的认识得到了提高。

结论与启示

该研究在4个月内达到了招募目标。教育干预是可以接受的，并且可以扩大用于NCD预防的未来研究，尤其是糖尿病前期和2型糖尿病。