OBJECTIVE: To examine stage-matched nutrition counseling by family physicians and its effect on dietary intake, anthropometry, and serum lipid levels in patients at elevated risk for cardiovascular disease. METHODS: In this controlled trial, patients randomized to intervention practices received nutrition information following the Stages-of-Change Model, and patients randomized to control practices received usual care. RESULTS: At both 6 and 12 months after baseline, total fat intake and saturated fat intake declined significantly more in the intervention group than in the control group: -5.7% and -2.6% of energy, respectively, at 6 months, and -3.6% and -1.7% of energy, respectively, at 12 months. For energy intake, body weight, and BMI, there were significant differences between groups only at 6 months: -0.8 megajoules (MJ), -0.7 kg, and -0.3 kg/m(2), respectively. None of the serum lipid values changed significantly between groups at 12 months. CONCLUSIONS:Nutritional counseling based on stages of change led to reductions in dietary fat intake and weight loss in the short term. However, we found no corresponding changes in serum lipid concentrations.
RCT Entities:
OBJECTIVE: To examine stage-matched nutrition counseling by family physicians and its effect on dietary intake, anthropometry, and serum lipid levels in patients at elevated risk for cardiovascular disease. METHODS: In this controlled trial, patients randomized to intervention practices received nutrition information following the Stages-of-Change Model, and patients randomized to control practices received usual care. RESULTS: At both 6 and 12 months after baseline, total fat intake and saturated fat intake declined significantly more in the intervention group than in the control group: -5.7% and -2.6% of energy, respectively, at 6 months, and -3.6% and -1.7% of energy, respectively, at 12 months. For energy intake, body weight, and BMI, there were significant differences between groups only at 6 months: -0.8 megajoules (MJ), -0.7 kg, and -0.3 kg/m(2), respectively. None of the serum lipid values changed significantly between groups at 12 months. CONCLUSIONS: Nutritional counseling based on stages of change led to reductions in dietary fat intake and weight loss in the short term. However, we found no corresponding changes in serum lipid concentrations.
Authors: Marieke W Verheijden; J Carel Bakx; Ine C G Delemarre; Anne J Wanders; Nellie M van Woudenbergh; Ben Jam Bottema; Chris van Weel; Wija A van Staveren Journal: Br J Gen Pract Date: 2005-06 Impact factor: 5.386
Authors: Ki Young Son; Cheol Min Lee; BeLong Cho; Youl Lee Lym; Seung Won Oh; Wonjoo Chung; Jin-Seok Lee; DuShin Park; Han Suk Kim Journal: J Korean Med Sci Date: 2012-10-30 Impact factor: 2.153
Authors: Marieke Verheijden; J Carel Bakx; Reinier Akkermans; Henk van den Hoogen; N Marshall Godwin; Walter Rosser; Wija van Staveren; Chris van Weel Journal: J Med Internet Res Date: 2004-12-16 Impact factor: 5.428