Title
Impact of Mediterranean diet education versus posted leaflet on dietary habits and serum cholesterol in a high risk population for cardiovascular disease
Author
Bemelmans, W.J.E.
Broer, J.
de Vries, J.H.M.
Hulshof, K.F.A.M.
May, J.F.
Meyboom-de Jong, B.
Centraal Instituut voor Voedingsonderzoek TNO
Publication year
2000
Abstract
Objective: To investigate the impact of intensive group education on the Mediterranean diet on dietary intake and serum total cholesterol after 16 and 52 weeks, compared to a posted leaflet with the Dutch nutritional guidelines, in the context of primary prevention of cardiovascular disease (CVD). Design: Controlled comparison study of an intervention group given intensive group education about the Mediterranean diet and a control group of hypercholesterolaemic persons given usual care by general practitioners (GPs). Setting: A socioeconomically deprived area in the Netherlands with an elevated coronary heart disease (CHD) mortality ratio. Subjects: Two hundred and sixty-six hypercholesterolaemic persons with at least two other CVD risk factors. Results: After 52 weeks, the intervention group decreased total and saturated fat intake more than the control group (net differences were 1.8 en% (95%CI 0.2-3.4) and 1.1 en% (95%CI 0.4-1.9), respectively). According to the Mediterranean diet guidelines the intake of fish, fruit, poultry and bread increased in the intervention group, more than in the control group. Within the intervention group, intake of fish (+100%), poultry (+28%) and bread (+6%) was significantly increased after 1 year (P < 0.05). The intensive programme on dietary education did not significantly lower serum cholesterol level more (-3%) than the posted leaflet (-2%) (net difference 0.06 mmoll-1, 95%CI -0.10 to 0.22). Initially, the body mass index (BMI) decreased more in the intervention group, but after 1 year the intervention and control group gained weight equally (+1%). Conclusions: Despite beneficial changes in dietary habits in the intervention group compared with the control group, after 1 year BMI increased and total fat and saturated fat intake were still too high. Chemicals/CAS: Cholesterol, 57-88-5; Dietary Fats
Subject
Nutrition
Medicine
Geneeskunde
Anatomy
Health
Gezondheid
Dietetics
Voedingsleer
Body mass index
Cardiovascular disease
Dietary education
High risk approach
Primary prevention
Serum cholesterol
Adult
Aged
Body mass
Cardiovascular disease
Cholesterol blood level
Dietary intake
Disease association
Eating habit
Female
Health education
Human
Major clinical study
Male
Prevalence
Priority journal
Risk assessment
Risk factor
Adult
Aged
Cardiovascular Diseases
Cholesterol
Diet
Dietary Fats
Female
Follow-Up Studies
Food Habits
Humans
Intervention Studies
Male
Middle Aged
Netherlands
Obesity
Patient Education
Smoking
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http://resolver.tudelft.nl/uuid:8307e69a-3659-455c-aefd-eab7368bc2b2
TNO identifier
41671
ISSN
1368-9800
Source
Public Health Nutrition, 3 (3), 273-283
Document type
article