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Background <p>As a&#xa0;preventive measure, particularly to avoid cardiovascular diseases, medical care was supported in the Medical Support Center (SanUstgZ) in Cochem by introducing a&#xa0;nutritional advice concept. The study aimed to answer the question of how nutritional counseling can be standardized in the German Armed Forces (Bundeswehr) Regional Medical Service (RegSanVers) and how initial insights into preventative medical benefits can be gained.</p> Methods <p>Included in the study were 59&#xa0;participants (15&#xa0;female/44&#xa0;male). A verum group/participation in nutritional advice: 31&#xa0;(8&#xa0;female/23&#xa0;male) and a control group: 28&#xa0;(7&#xa0;female/21&#xa0;male). The variables gender, age, height, weight, waist circumference, waist to height ratio (WHtR) and body mass index (BMI) were collected. The measurement times were the start and end of the nutritional advice (verum group) or comparable periods (control group).</p> Results <p>The WHtR decreased by more than 6% in the verum group over the period of the study and increased by around 0.5% in the control group (<i>p</i> &lt; 0.001). Regarding BMI, there was also a&#xa0;significant difference between the verum and control groups (<i>p</i> &lt; 0.001). Gender had a&#xa0;significant influence on weight: weight reduction for male participants 4.5 kg; female subjects 1.6 kg (<i>p</i> = 0.041). The nutritional advice showed no significant gender-dependent effect with respect to the target variables waist circumference, WHtR and BMI (<i>p</i> = 0.088–0.935).</p> Discussion <p>For the verum group a&#xa0;significant reduction in weight, waist circumference, WHtR and BMI could be determined in comparison to the control group. There were no relevant gender-specific differences. The introduction of a&#xa0;standardized nutritional counseling concept in the RegSanVers of the Bundeswehr as primary prevention has opened up as an opportunity to achieve a&#xa0;preventive effect to prevent damage to the health of those at risk of being overweight. A&#xa0;comprehensive introduction appears to be sensible.</p>

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Etablierung und Analyse von Effekten einer Ernährungsberatung in der regionalen sanitätsdienstlichen Versorgung der deutschen Bundeswehr

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年1月8日

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  • Thomas Emser,
  • Kyra Celine Brabänder,
  • Roland Girgensohn,
  • Johannes Jäger,
  • Ute Dederichs-Masius,
  • Nina Diederichs,
  • Manuela Andrea Hoffmann

摘要

Background

As a preventive measure, particularly to avoid cardiovascular diseases, medical care was supported in the Medical Support Center (SanUstgZ) in Cochem by introducing a nutritional advice concept. The study aimed to answer the question of how nutritional counseling can be standardized in the German Armed Forces (Bundeswehr) Regional Medical Service (RegSanVers) and how initial insights into preventative medical benefits can be gained.

Methods

Included in the study were 59 participants (15 female/44 male). A verum group/participation in nutritional advice: 31 (8 female/23 male) and a control group: 28 (7 female/21 male). The variables gender, age, height, weight, waist circumference, waist to height ratio (WHtR) and body mass index (BMI) were collected. The measurement times were the start and end of the nutritional advice (verum group) or comparable periods (control group).

Results

The WHtR decreased by more than 6% in the verum group over the period of the study and increased by around 0.5% in the control group (p < 0.001). Regarding BMI, there was also a significant difference between the verum and control groups (p < 0.001). Gender had a significant influence on weight: weight reduction for male participants 4.5 kg; female subjects 1.6 kg (p = 0.041). The nutritional advice showed no significant gender-dependent effect with respect to the target variables waist circumference, WHtR and BMI (p = 0.088–0.935).

Discussion

For the verum group a significant reduction in weight, waist circumference, WHtR and BMI could be determined in comparison to the control group. There were no relevant gender-specific differences. The introduction of a standardized nutritional counseling concept in the RegSanVers of the Bundeswehr as primary prevention has opened up as an opportunity to achieve a preventive effect to prevent damage to the health of those at risk of being overweight. A comprehensive introduction appears to be sensible.