Effect of physician-delivered nutrition counseling training and an office-support program on saturated fat intake, weight, and serum lipid measurements in a hyperlipidemic population: Worcester Area Trial for Counseling in Hyperlipidemia (WATCH)
Authors
Ockene, Ira S.Hebert, James R.
Ockene, Judith K.
Saperia, Gordon M.
Stanek, Edward J. III
Nicolosi, Robert J.
Merriam, Philip A.
Hurley, Thomas G.
UMass Chan Affiliations
Department of Medicine, Division of Cardiovascular MedicineDepartment of Medicine, Division of Preventive and Behavioral Medicine
Document Type
Journal ArticlePublication Date
1999-04-12Keywords
AdultAged
*Body Weight
Counseling
Dietary Fats
Female
Health Maintenance Organizations
Humans
*Hyperlipidemias
Internal Medicine
Lipids
Male
Massachusetts
Middle Aged
Nutrition Physiology
Patient Education as Topic
*Physicians
Primary Health Care
Life Sciences
Medicine and Health Sciences
Women's Studies
Metadata
Show full item recordAbstract
OBJECTIVE: To evaluate the effectiveness of a training program for physician-delivered nutrition counseling, alone and in combination with an office-support program, on dietary fat intake, weight, and blood low-density lipoprotein cholesterol levels in patients with hyperlipidemia. PARTICIPANTS AND METHODS: Forty-five primary care internists at the Fallon Community Health Plan, a central Massachusetts health maintenance organization, were randomized by site into 3 groups: (1) usual care; (2) physician nutrition counseling training; and (3) physician nutrition counseling training plus an office-support program. Eleven hundred sixty-two of their patients with blood total cholesterol levels in the highest 25th percentile, having previously scheduled physician visits, were recruited. Physicians in groups 2 and 3 attended a 3-hour training program on the use of brief patient-centered interactive counseling and the use of an office-support program that included in-office prompts, algorithms, and simple dietary assessment tools. Primary outcome measures included change at 1-year of follow-up in percentage of energy intake from saturated fat; weight; and blood low-density lipoprotein cholesterol levels. RESULTS: Improvement was seen in all 3 primary outcome measures, but was limited to patients in group 3. Compared with group 1, patients in group 3 had average reductions of 1.1 percentage points in percent of energy from saturated fat (a 10.3% decrease) (P = .01); a reduction in weight of 2.3 kg (PCONCLUSION: Brief supported physician nutrition counseling can produce beneficial changes in diet, weight, and blood lipids.Source
Arch Intern Med. 1999 Apr 12;159(7):725-31.
DOI
10.1001/archinte.159.7.725Permanent Link to this Item
http://hdl.handle.net/20.500.14038/50850PubMed ID
10218753Related Resources
ae974a485f413a2113503eed53cd6c53
10.1001/archinte.159.7.725