Key process features of personalized diet counselling in metabolic syndrome: secondary analysis of feasibility study in primary care
Abstract Background Personalized diet counselling, as part of lifestyle change programs for cardiometabolic risk conditions (combinations of prediabetes or type 2 diabetes, hypertension, dyslipidemia and high waist circumference) has been shown to reduce progression to type 2 diabetes overall. To id...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | BMC Nutrition |
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| Online Access: | https://doi.org/10.1186/s40795-022-00540-9 |
| _version_ | 1818211362734604288 |
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| author | Paula Brauer Dawna Royall Airu Li Ariellia Rodrigues Jennifer Green Sharon Macklin Alison Craig Miranda Chan Jennifer Pasanen Lucie Brunelle Rupinder Dhaliwal Doug Klein Angelo Tremblay Caroline Rheaume David M. Mutch Khursheed Jeejeebhoy |
| author_facet | Paula Brauer Dawna Royall Airu Li Ariellia Rodrigues Jennifer Green Sharon Macklin Alison Craig Miranda Chan Jennifer Pasanen Lucie Brunelle Rupinder Dhaliwal Doug Klein Angelo Tremblay Caroline Rheaume David M. Mutch Khursheed Jeejeebhoy |
| author_sort | Paula Brauer |
| collection | DOAJ |
| description | Abstract Background Personalized diet counselling, as part of lifestyle change programs for cardiometabolic risk conditions (combinations of prediabetes or type 2 diabetes, hypertension, dyslipidemia and high waist circumference) has been shown to reduce progression to type 2 diabetes overall. To identify key process of care measures that could be linked to changes in diet, we undertook a secondary analysis of a Canadian pre-post study of lifestyle treatment of metabolic syndrome (MetS). Diet counselling process measures were documented and association with diet quality changes after 3 months were assessed. Results of the primary study showed 19% reversal of MetS after 1 year. Methods Registered dietitians (RDs) reported on contact time, specific food behaviour goals (FBG), behaviour change techniques (BCT; adapted from the Michie CALO-RE taxonomy) and teaching resources at each contact. Diet quality was measured by 2005 Canadian Healthy Eating Index (HEI-C) and assessed for possible associations with individual BCT and FBG. Results Food behaviour goals associated with improved HEI-C at 3 months were: poultry more than red meat, increased plant protein, increased fish, increased olive oil, increased fruits and vegetables, eating breakfast, increased milk and alternatives, healthier fats, healthier snacks and increased nuts, with an adverse association noted for more use (> 2 times/ 3 months) of the balanced meal concept (F test; p < 0.001). Of 16 BCT, goal setting accounted for 15% of all BCT recorded, yet more goal setting (> 3 times/3 months) was associated with poorer HEI-C at 3 months (F test; p = 0.007). Only self-monitoring, feedback on performance and focus on past success were associated with improved HEI-C. Conclusions These results identify key aspects of process that impact diet quality. Documentation of both FBG and BCT is highly relevant in diet counselling and a summary diet quality score is a promising target for assessing short-term counselling success. |
| first_indexed | 2024-12-12T05:31:18Z |
| format | Article |
| id | doaj.art-19ddb248b860471fb7d854b9edf25f27 |
| institution | Directory Open Access Journal |
| issn | 2055-0928 |
| language | English |
| last_indexed | 2024-12-12T05:31:18Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nutrition |
| spelling | doaj.art-19ddb248b860471fb7d854b9edf25f272022-12-22T00:36:18ZengBMCBMC Nutrition2055-09282022-05-018111610.1186/s40795-022-00540-9Key process features of personalized diet counselling in metabolic syndrome: secondary analysis of feasibility study in primary carePaula Brauer0Dawna Royall1Airu Li2Ariellia Rodrigues3Jennifer Green4Sharon Macklin5Alison Craig6Miranda Chan7Jennifer Pasanen8Lucie Brunelle9Rupinder Dhaliwal10Doug Klein11Angelo Tremblay12Caroline Rheaume13David M. Mutch14Khursheed Jeejeebhoy15Department of Family Relations & Applied Nutrition, University of GuelphDepartment of Family Relations & Applied Nutrition, University of GuelphDepartment of Family Relations & Applied Nutrition, University of GuelphDepartment of Family Relations & Applied Nutrition, University of GuelphDepartment of Family Relations & Applied Nutrition, University of GuelphEdmonton Oliver Primary Care NetworkEdmonton Oliver Primary Care NetworkEdmonton Oliver Primary Care NetworkEdmonton Oliver Primary Care NetworkDepartment of Kinesiology, Laval UniversityMetabolic Syndrome CanadaDepartment of Family Medicine, University of AlbertaDepartment of Kinesiology, Laval UniversityDepartment of Family Medicine and Emergency Medicine, Laval UniversityDepartment of Human Health & Nutritional Sciences, University of GuelphDepartment of Medicine, University of TorontoAbstract Background Personalized diet counselling, as part of lifestyle change programs for cardiometabolic risk conditions (combinations of prediabetes or type 2 diabetes, hypertension, dyslipidemia and high waist circumference) has been shown to reduce progression to type 2 diabetes overall. To identify key process of care measures that could be linked to changes in diet, we undertook a secondary analysis of a Canadian pre-post study of lifestyle treatment of metabolic syndrome (MetS). Diet counselling process measures were documented and association with diet quality changes after 3 months were assessed. Results of the primary study showed 19% reversal of MetS after 1 year. Methods Registered dietitians (RDs) reported on contact time, specific food behaviour goals (FBG), behaviour change techniques (BCT; adapted from the Michie CALO-RE taxonomy) and teaching resources at each contact. Diet quality was measured by 2005 Canadian Healthy Eating Index (HEI-C) and assessed for possible associations with individual BCT and FBG. Results Food behaviour goals associated with improved HEI-C at 3 months were: poultry more than red meat, increased plant protein, increased fish, increased olive oil, increased fruits and vegetables, eating breakfast, increased milk and alternatives, healthier fats, healthier snacks and increased nuts, with an adverse association noted for more use (> 2 times/ 3 months) of the balanced meal concept (F test; p < 0.001). Of 16 BCT, goal setting accounted for 15% of all BCT recorded, yet more goal setting (> 3 times/3 months) was associated with poorer HEI-C at 3 months (F test; p = 0.007). Only self-monitoring, feedback on performance and focus on past success were associated with improved HEI-C. Conclusions These results identify key aspects of process that impact diet quality. Documentation of both FBG and BCT is highly relevant in diet counselling and a summary diet quality score is a promising target for assessing short-term counselling success.https://doi.org/10.1186/s40795-022-00540-9ImplementationProcessHealth behaviour changeBehaviour change techniquesNutrition care processPersonalized diet counselling |
| spellingShingle | Paula Brauer Dawna Royall Airu Li Ariellia Rodrigues Jennifer Green Sharon Macklin Alison Craig Miranda Chan Jennifer Pasanen Lucie Brunelle Rupinder Dhaliwal Doug Klein Angelo Tremblay Caroline Rheaume David M. Mutch Khursheed Jeejeebhoy Key process features of personalized diet counselling in metabolic syndrome: secondary analysis of feasibility study in primary care BMC Nutrition Implementation Process Health behaviour change Behaviour change techniques Nutrition care process Personalized diet counselling |
| title | Key process features of personalized diet counselling in metabolic syndrome: secondary analysis of feasibility study in primary care |
| title_full | Key process features of personalized diet counselling in metabolic syndrome: secondary analysis of feasibility study in primary care |
| title_fullStr | Key process features of personalized diet counselling in metabolic syndrome: secondary analysis of feasibility study in primary care |
| title_full_unstemmed | Key process features of personalized diet counselling in metabolic syndrome: secondary analysis of feasibility study in primary care |
| title_short | Key process features of personalized diet counselling in metabolic syndrome: secondary analysis of feasibility study in primary care |
| title_sort | key process features of personalized diet counselling in metabolic syndrome secondary analysis of feasibility study in primary care |
| topic | Implementation Process Health behaviour change Behaviour change techniques Nutrition care process Personalized diet counselling |
| url | https://doi.org/10.1186/s40795-022-00540-9 |
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