Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-27T14:40:40.375Z Has data issue: false hasContentIssue false
  • English
  • Français

Beneficial effects of short-term nutritional counselling at the primary health-care level among Brazilian adults

Published online by Cambridge University Press:  27 September 2007

Daniela Saes Sartorelli ,
Elaine Cristina Sciarra ,
Laércio Joel Franco  and
Marly Augusto Cardoso
Daniela Saes Sartorelli
Affiliation:
Department of Nutrition, School of Public Health, University of São Paulo (USP), Av. Dr Arnaldo 715, São Paulo, SP 01246-904, Brazil
Elaine Cristina Sciarra
Affiliation:
Department of Nutrition, School of Public Health, University of São Paulo (USP), Av. Dr Arnaldo 715, São Paulo, SP 01246-904, Brazil
Laércio Joel Franco
Affiliation:
Department of Social Medicine, School of Medicine of Ribeirão Preto, University of São Paulo (USP), Av. Bandeirantes 3900, Ribeirão Preto, SP 14049-900, Brazil
Marly Augusto Cardoso*
Affiliation:
Department of Nutrition, School of Public Health, University of São Paulo (USP), Av. Dr Arnaldo 715, São Paulo, SP 01246-904, Brazil
*
*Corresponding author: Email [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Objective

To evaluate the impact of a low-cost nutritional intervention in changing the lifestyle of adults.

Design

Randomised clinical trial.

Setting

Primary health-care centre in São José do Rio Preto, São Paulo State, Brazil.

Subjects

We randomly assigned 104 adults (83 women and 21 men aged 30–65 years, body mass index 24–35 kg m−2, non-diabetic) into two groups: nutrition counselling and control. Each subject in the intervention group received three individualised nutritional counselling sessions during the first 6 months aimed at increasing intakes of fruits, vegetables and olive oil, reducing saturated fat and improving physical activity. Body composition, biochemical indicators and lifestyle were assessed at baseline and at 6 months and 1 year in both groups.

Results

After 6 months of follow-up, body weight, waist circumference, diastolic blood pressure, fasting blood glucose, total and low-density lipoprotein cholesterol, total and saturated fat, and dietary energy and cholesterol levels showed a more significant decrease among subjects in the intervention group than in the control group (P<05). Moreover, the intervention group showed significantly greater improvement in each intervention goal, such as reduced intake of saturated fat and increased intakes of fruits, vegetables, fibre and olive oil (P<0.05). After 12 months of follow-up, most of the outcomes were maintained.

Conclusions

The low-cost nutritional intervention programme improved serum lipids profile and weight control, and appeared to be feasible for use at a primary health-care centre in a developing country.

Keywords

Prevention of type 2 diabetesNutritional counsellingNutritional intervention trial
Type
Research Article
Information
Public Health Nutrition , Volume 8 , Issue 7 , October 2005 , pp. 820 - 825
Copyright
Copyright © CABI Publishing 2005

References

1King, H, Aubert, RE, Herman, WH. Global burden of diabetes, 1995–2025. Diabetes Care 1998; 21: 1414–31.CrossRefGoogle ScholarPubMed
2World Health Organization (WHO)/Food and Agriculture Organization (FAO). Diet, Nutrition and the Prevention of Chronic Diseases. Joint WHO/FAO Expert Consultation. Geneva: WHO//FAO, 2003.Google Scholar
3Diabetes Prevention Program Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine 2002; 346: 393–403.CrossRefGoogle Scholar
4Tuomilehto, J, Lindstrom, J, Eriksson, JG, Valle, TT, Hamalainen, H, Iianne-Parika, P et al. , for The Finnish Diabetes Prevention Study Group. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. New England Journal of Medicine 2001; 344: 1343–50.CrossRefGoogle Scholar
5American Diabetes Association and National Institute of Diabetes, Digestive and Kidney Diseases. The prevention or delay of type 2 diabetes. Diabetes Care 2001; 25: 742–9.Google Scholar
6Alberti, KGMM, Zimmet, PZ. for the WHO Consultation. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus. Provisional report of a WHO consultation Diabetic Medicine 1998; 15: 539–53.3.0.CO;2-S>CrossRefGoogle ScholarPubMed
7Cardoso, MA, Kida, AA, Tomita, LY, Stocco, PR. Reproducibility and relative validity of a food frequency questionnaire among women of Japanese ancestry living in Brazil. Nutrition Research 2001; 21: 725–33.CrossRefGoogle Scholar
8Ribeiro, AB, Cardoso, MA. Development of a food frequency questionnaire as a tool for programs of chronic diseases prevention. Revista de Nutricao 2002; 15: 201–7. (in Portuguese).Google Scholar
9Block, G, Coyle, LM, Hartman, AM, Scoppa, SM. Revision of dietary analysis software for the health habits and history questionnaire. American Journal of Epidemiology 1994; 139: 1190–6.CrossRefGoogle ScholarPubMed
10Wing, RR, Venditti, E, Jakicic, JM, Polley, BA, Lang, W. Lifestyle intervention in overweight individual with a family history of diabetes. Diabetes Care 1998; 21: 350–9.CrossRefGoogle ScholarPubMed
11Tang, JL, Armitage, JM, Lancaster, T, Silagy, CA, Fowler, GH, Neil, HAW. Systematic review of dietary intervention trials to lower blood total cholesterol in free-living subjects. British Medical Journal 1998; 316: 1213–20.CrossRefGoogle ScholarPubMed
12Lindstrom, J, Louheranta, A, Mannelin, M, Rastas, M, Salminen, V, Eriksson, J et al. , for the Finnish Diabetes Prevention Study Group. Lifestyle intervention and 3-year results on diet and physical activity. Diabetes Care 2003; 26: 3230–6.Google Scholar
13Law, MR, Wald, NJ, Thompson, SG. By how much and how quickly does reduction in serum cholesterol concentration lower risk of ischaemic heart disease? British Medical Journal 1994; 308: 367–72.CrossRefGoogle ScholarPubMed
14Bergholm, R, Tiikkainen, M, Vehkavara, S, Tamminen, M, Teramo, K, Rissanen, A et al. , Lowering of LDL cholesterol rather than moderate weight loss improves endothelium-dependent vasodilatation in obese women with previous gestational diabetes. Diabetes Care 2003; 26: 1667–72.CrossRefGoogle ScholarPubMed
15John, JH, Ziebland, S, Yudkin, P, Roe, LS. Neil HAW for the Oxford Fruit and Vegetable Study Group. Effects of fruit and vegetable consumption on plasma antioxidant concentrations and blood pressure: a randomized controlled trial. Lancet 2002; 359: 1969–74.CrossRefGoogle Scholar
16Manson, JE, Hu, FB, Rich-Edwards, JW, Colditz, GA, Stampfer, MJ, Willett, WC et al. , A prospective study of walking as compared with vigorous exercise in the prevention of coronary heart disease in women. New England Journal of Medicine 1999; 341: 650–8.CrossRefGoogle ScholarPubMed