Randomized controlled trial: Effect of nutritional counselling in general practice

Università degli Studi di Torino, Torino, Piedmont, Italy
International Journal of Epidemiology (Impact Factor: 9.18). 05/2006; 35(2):409-15. DOI: 10.1093/ije/dyi170
Source: PubMed


To investigate the effectiveness of a non-structured 15-min educational intervention by general practitioners (GPs) on modifications of daily diet among healthy adults.
Two arms randomized trial lasting 12 months.
Italian general practitioner wards. Subjects A total of 3,186 men and women aged 18-65 years recruited in the medical ward by their GPs.
An educational intervention and a brochure on the basics of a healthy diet based on the Italian Guidelines for a Correct Nutrition, 1998. The main study goal was to attain an intake of fruits and vegetables >5 servings per day. Follow-up visit every 6 months. Main outcome measures Weight, blood pressure, and a 40-items Food Frequency Questionnaire.
The intervention group showed a slightly reduced net intake of meat and a slightly increased net intake of fruits and vegetables, fish products, and olive oil. Body mass index (BMI) changed only in the treatment arm [-0.41 95% confidence interval (95% CI) -0.11 to -0.53]. The net change at 1 year in the intervention arm was +1.31 (CI 0.90-4.39) for fruits and vegetables, and -0.22 (-0.11 to -0.69) for meat (portions per week). We also computed a 'healthy diet score' reflecting compliance with recommended dietary habits. In the intervention group, the mean score at recruitment was significantly lower than the mean score at the end of follow-up (Crude score change = 0.29; CI 0.19-0.48). No differences were observed in the control group (Crude score change = -0.04; CI -0.22-0.02). The difference in score from baseline to the final visit, comparing the intervention vs the control group, was statistically significant (P < 0.001) (MANOVA adjusted by sex, BMI, education, and time).
A brief educational intervention by GPs can induce multiple diet changes that may lower BMI and potentially reduce chronic disease risk in generally healthy adults.

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Available from: Rosalba Rosato, Mar 25, 2015
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    • "Seven of the studies were carried out in the United States (Djuric et al., 2008; Kim et al., 2010; Masley et al., 2001; Pierce et al., 2007; Sternfeld et al., 2009; Tuttle et al., 2008; Walker et al., 2009), four in the United Kingdom (Baron et al., 1990; Hardcastle et al., 2008; Logan et al., 2010; Roderick et al., 1997), and one each in Spain (Zazpe et al., 2008), The Netherlands (Bemelmans et al., 2000), and Italy (Sacerdote et al., 2006). "
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