Strategies to address the nutritional needs of adolescent girls and young women often focus on supplementation. In this study, an action-research approach involving a nutrition education and entrepreneurship intervention was carried out among adolescent girls and young women in poor neighborhoods of Medellín, Colombia. The intervention group significantly increased its intake of several nutrients, including energy, protein, total fat, saturated fat, monounsaturated fat, polyunsaturated fat, cholesterol, dietary fiber, calcium, zinc, and vitamins A, B2, B3, B9, and C. A significant increase was observed in the intake of the Global Diet Quality Score (GDQS) healthy food groups (other fruits, other vegetables, legumes, high-fat dairy products), accompanied by a decrease in the consumption of some unhealthy food groups (sweets and ice creams). A multivariate regression controlling for age, socioeconomic status, occupation, Household Hunger Scale, mean probability of adequacy, physical activity, and body self-perception showed that the nutrition intervention improved the total GDQS by 33% in the intervention group—a substantial improvement notwithstanding the study group's precarious social and economic conditions. We conclude that nutrition education and entrepreneurship models based on this approach may improve the dietary profile of this population and reduce future pressures from nutrition-related chronic diseases.

中文翻译：

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行动研究营养干预对哥伦比亚青少年全球饮食质量评分的影响

解决青春期女孩和年轻女性营养需求的策略通常侧重于补充。在这项研究中，对哥伦比亚麦德林贫困社区的少女和年轻妇女进行了一项涉及营养教育和创业干预的行动研究方法。干预组显着增加了多种营养素的摄入量，包括能量、蛋白质、总脂肪、饱和脂肪、单不饱和脂肪、多不饱和脂肪、胆固醇、膳食纤维、钙、锌以及维生素A、B2、B3、B9和C。全球饮食质量评分（GDQS）健康食品类别（其他水果、其他蔬菜、豆类、高脂肪乳制品）的摄入量显着增加，同时一些不健康食品类别（糖果）的摄入量减少和冰淇淋）。控制年龄、社会经济地位、职业、家庭饥饿量表、平均充足概率、体力活动和身体自我感知的多变量回归表明，营养干预将干预组的总 GDQS 提高了 33%，尽管这是一个实质性的改善研究小组不稳定的社会和经济状况。我们的结论是，基于这种方法的营养教育和创业模式可以改善该人群的饮食状况，并减少与营养相关的慢性疾病的未来压力。