A simple dietary message to improve dietary quality: Results from a pilot investigation
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Authors
Olendzki, Barbara C.Ma, Yunsheng
Schneider, Kristin L.
Merriam, Philip A.
Culver, Annie L.
Ockene, Ira S.
Pagoto, Sherry L.
UMass Chan Affiliations
Clinical and Population Health Research ProgramDepartment of Medicine, Division of Cardiovascular Medicine
Department of Medicine, Division of Preventive and Behavioral Medicine
Document Type
Journal ArticlePublication Date
2009-04-11Keywords
AdultCounseling
Diet
Dietary Fats
Dietary Fiber
Fatty Acids
Feasibility Studies
Female
*Health Education
Humans
Male
Middle Aged
Patient Compliance
Pilot Projects
Weight Loss
Behavioral Disciplines and Activities
Behavior and Behavior Mechanisms
Community Health and Preventive Medicine
Preventive Medicine
Metadata
Show full item recordAbstract
OBJECTIVE: The present study compared the feasibility of two simple messages (a high-fiber diet or a low saturated fat diet) to a combination message (high fiber/low saturated fat) on their potential to affect dietary quality and metabolic health. METHODS: Thirty-six subjects were randomized to one of three intervention conditions and received individual dietary counseling sessions. Study assessments occurred at baseline, 3 mo, and 6 mo. RESULTS: The sample was 84% female and 94% Caucasian. Mean body mass index was 31kg/m(2). At the 6-mo assessment phase, we retained all 12 patients in the high-fiber diet condition, 10 of 12 in the low saturated fat condition, and 9 of 12 in the combination condition. Participants reported that the dietary fiber intervention was easier to maintain compared with the other two intervention conditions (83% for high dietary fiber versus 60% for low saturated fat versus 33% for the combination, P=0.008). Overall dietary quality improved in all three conditions during the study (P=0.01). In addition to increasing fiber, the high-fiber condition decreased their saturated fat intake, even though a reduction in saturated fat was not a part of that intervention condition. Participants in all three conditions lost an average of 9 lb from baseline weight (P<0.001). CONCLUSION: A simple dietary message is feasible and can improve overall dietary quality. Results support the need for a larger randomized controlled trial that is powered to detect the efficacy of a simplified dietary recommendation for dietary quality and metabolic health.Source
Nutrition. 2009 Jul-Aug;25(7-8):736-44. Epub 2009 Apr 9. Link to article on publisher's siteDOI
10.1016/j.nut.2009.01.009Permanent Link to this Item
http://hdl.handle.net/20.500.14038/44952PubMed ID
19359142Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1016/j.nut.2009.01.009