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Healthcare 2016, 4(4), 75; doi:10.3390/healthcare4040075

Effectiveness of a Brief Dietetic Intervention for Hyperlipidaemic Adults Using Individually-Tailored Dietary Feedback

1
School of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Callaghan 2308, NSW, Australia
2
Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan 2308, NSW, Australia
3
Priority Research Centre for Translational Neuroscience and Mental Health & Faculty of Health and Medicine, University of Newcastle, Callaghan 2308, NSW, Australia
4
Hunter New England Local Health District & Hunter Medical Research Institute, New Lambton Heights 2305, NSW, Australia
5
School of Biomedical Sciences and Pharmacy, University of Newcastle, Callaghan 2308, NSW, Australia
*
Author to whom correspondence should be addressed.
Academic Editor: Sampath Parthasarathy
Received: 26 July 2016 / Revised: 28 September 2016 / Accepted: 3 October 2016 / Published: 11 October 2016
(This article belongs to the Special Issue Nutrition and Cardiovascular Disease)
View Full-Text   |   Download PDF [566 KB, uploaded 11 October 2016]   |  

Abstract

Dietary modifications can improve serum lipids and reduce cardiovascular disease (CVD) risk. However, attendance at multiple dietary consultations can be a barrier to achieving behaviour change. This study investigated the effectiveness of a brief dietetic intervention on CVD risk factors in hyperlipidaemic adults. Adults with total cholesterol ≥ 5.0 mmol/L or low density lipoprotein (LDL) cholesterol ≥ 4.0 mmol/L and not currently taking lipid-lowering medication were eligible for a minimum 6-week dietary intervention. Dietary intake data and blood lipids were acquired prior to a single counselling session with an Accredited Practising Dietitian (APD). The intervention used targeted feedback with purpose-developed education materials to supplement advice. CVD risk factors and dietary intakes were used to assess pre-post intervention change using linear mixed model regression analyses. Thirty-nine participants (59.3 ± 11.1 years, n = 28 female) were analysed. Mean ± SD follow-up from baseline time was 9.5 ± 2.5 weeks. Significant (p < 0.05) reductions in total cholesterol (−0.51 mmol/L), total:HDL (high density lipoprotein) ratio (−0.27 mmol/L), triglycerides (−0.38 mmol/L), total energy (−870 kJ/day), energy from nutrient-poor foods (−1006 kJ/day) and sodium (−325 mg/day), and improved dietary fat quality (−5.1% of energy/day saturated, +5.0% of energy/day polyunsaturated) and body mass index (−0.4 kg/m2) were achieved. A brief intervention by an APD incorporating targeted, personalised dietary feedback and education in a single counselling session can improve lipid profiles in adults with hyperlipidaemia. View Full-Text
Keywords: cardiovascular disease; hyperlipidaemia; diet; dietitian; food patterns; nutrition; counselling cardiovascular disease; hyperlipidaemia; diet; dietitian; food patterns; nutrition; counselling
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MDPI and ACS Style

Schumacher, T.L.; Burrows, T.L.; Rollo, M.E.; Spratt, N.J.; Callister, R.; Collins, C.E. Effectiveness of a Brief Dietetic Intervention for Hyperlipidaemic Adults Using Individually-Tailored Dietary Feedback. Healthcare 2016, 4, 75.

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