Development of exchange lists for Mediterranean and Healthy Eating Diets: Implementation in an intervention trial

E. Sidahmed, M. L. Cornellier, J. Ren, L. M. Askew, Y. Li, N. Talaat, M. S. Rapai, M. T. Ruffin, D. K. Turgeon, D. Brenner, A. Sen, Z. Djuric

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: There has been little research published on the adaptation of diabetic exchange list diet approaches for the design of intervention diets in health research despite their clinical utility. The exchange list approach can provide clear and precise guidance on multiple dietary changes simultaneously. The present study aimed to develop exchange list diets for Mediterranean and Healthy Eating, and to evaluate adherence, dietary intakes and markers of health risks with each counselling approach in 120 subjects at increased risk for developing colon cancer. Methods: A randomised clinical trial was implemented in the USA involving telephone counselling. The Mediterranean diet had 10 dietary goals targeting increases in mono-unsaturated fats, n-3 fats, whole grains and the amount and variety of fruits and vegetables. The Healthy Eating diet had five dietary goals that were based on the US Healthy People 2010 recommendations. Results: Dietary compliance was similar in both diet arms, with 82-88% of goals being met at 6 months, although subjects took more time to achieve the Mediterranean goals than the Healthy Eating goals. The relatively modest fruit and vegetable goals in the Healthy Eating arm were exceeded, resulting in fruit and vegetable intakes of approximately eight servings per day in each arm after 6 months. A significant (P < 0.05) weight loss and a decrease in serum C-reactive protein concentrations were observed in the overweight/obese subgroup of subjects in the Mediterranean arm in the absence of weight loss goals. Conclusions: Counselling for the Mediterranean diet may be useful for both improving diet quality and for achieving a modest weight loss in overweight or obese individuals.

Original languageEnglish (US)
Pages (from-to)413-425
Number of pages13
JournalJournal of Human Nutrition and Dietetics
Volume27
Issue number5
DOIs
StatePublished - Oct 1 2014

Fingerprint

Mediterranean Diet
Vegetables
Diet
Counseling
Weight Loss
Fruit
Healthy People Programs
Unsaturated Fats
Health
Healthy Diet
Research
Telephone
C-Reactive Protein
Colonic Neoplasms
Blood Proteins
Randomized Controlled Trials
Fats

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Sidahmed, E. ; Cornellier, M. L. ; Ren, J. ; Askew, L. M. ; Li, Y. ; Talaat, N. ; Rapai, M. S. ; Ruffin, M. T. ; Turgeon, D. K. ; Brenner, D. ; Sen, A. ; Djuric, Z. / Development of exchange lists for Mediterranean and Healthy Eating Diets : Implementation in an intervention trial. In: Journal of Human Nutrition and Dietetics. 2014 ; Vol. 27, No. 5. pp. 413-425.
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abstract = "Background: There has been little research published on the adaptation of diabetic exchange list diet approaches for the design of intervention diets in health research despite their clinical utility. The exchange list approach can provide clear and precise guidance on multiple dietary changes simultaneously. The present study aimed to develop exchange list diets for Mediterranean and Healthy Eating, and to evaluate adherence, dietary intakes and markers of health risks with each counselling approach in 120 subjects at increased risk for developing colon cancer. Methods: A randomised clinical trial was implemented in the USA involving telephone counselling. The Mediterranean diet had 10 dietary goals targeting increases in mono-unsaturated fats, n-3 fats, whole grains and the amount and variety of fruits and vegetables. The Healthy Eating diet had five dietary goals that were based on the US Healthy People 2010 recommendations. Results: Dietary compliance was similar in both diet arms, with 82-88{\%} of goals being met at 6 months, although subjects took more time to achieve the Mediterranean goals than the Healthy Eating goals. The relatively modest fruit and vegetable goals in the Healthy Eating arm were exceeded, resulting in fruit and vegetable intakes of approximately eight servings per day in each arm after 6 months. A significant (P < 0.05) weight loss and a decrease in serum C-reactive protein concentrations were observed in the overweight/obese subgroup of subjects in the Mediterranean arm in the absence of weight loss goals. Conclusions: Counselling for the Mediterranean diet may be useful for both improving diet quality and for achieving a modest weight loss in overweight or obese individuals.",
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Sidahmed, E, Cornellier, ML, Ren, J, Askew, LM, Li, Y, Talaat, N, Rapai, MS, Ruffin, MT, Turgeon, DK, Brenner, D, Sen, A & Djuric, Z 2014, 'Development of exchange lists for Mediterranean and Healthy Eating Diets: Implementation in an intervention trial', Journal of Human Nutrition and Dietetics, vol. 27, no. 5, pp. 413-425. https://doi.org/10.1111/jhn.12158

Development of exchange lists for Mediterranean and Healthy Eating Diets : Implementation in an intervention trial. / Sidahmed, E.; Cornellier, M. L.; Ren, J.; Askew, L. M.; Li, Y.; Talaat, N.; Rapai, M. S.; Ruffin, M. T.; Turgeon, D. K.; Brenner, D.; Sen, A.; Djuric, Z.

In: Journal of Human Nutrition and Dietetics, Vol. 27, No. 5, 01.10.2014, p. 413-425.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Development of exchange lists for Mediterranean and Healthy Eating Diets

T2 - Implementation in an intervention trial

AU - Sidahmed, E.

AU - Cornellier, M. L.

AU - Ren, J.

AU - Askew, L. M.

AU - Li, Y.

AU - Talaat, N.

AU - Rapai, M. S.

AU - Ruffin, M. T.

AU - Turgeon, D. K.

AU - Brenner, D.

AU - Sen, A.

AU - Djuric, Z.

PY - 2014/10/1

Y1 - 2014/10/1

N2 - Background: There has been little research published on the adaptation of diabetic exchange list diet approaches for the design of intervention diets in health research despite their clinical utility. The exchange list approach can provide clear and precise guidance on multiple dietary changes simultaneously. The present study aimed to develop exchange list diets for Mediterranean and Healthy Eating, and to evaluate adherence, dietary intakes and markers of health risks with each counselling approach in 120 subjects at increased risk for developing colon cancer. Methods: A randomised clinical trial was implemented in the USA involving telephone counselling. The Mediterranean diet had 10 dietary goals targeting increases in mono-unsaturated fats, n-3 fats, whole grains and the amount and variety of fruits and vegetables. The Healthy Eating diet had five dietary goals that were based on the US Healthy People 2010 recommendations. Results: Dietary compliance was similar in both diet arms, with 82-88% of goals being met at 6 months, although subjects took more time to achieve the Mediterranean goals than the Healthy Eating goals. The relatively modest fruit and vegetable goals in the Healthy Eating arm were exceeded, resulting in fruit and vegetable intakes of approximately eight servings per day in each arm after 6 months. A significant (P < 0.05) weight loss and a decrease in serum C-reactive protein concentrations were observed in the overweight/obese subgroup of subjects in the Mediterranean arm in the absence of weight loss goals. Conclusions: Counselling for the Mediterranean diet may be useful for both improving diet quality and for achieving a modest weight loss in overweight or obese individuals.

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