Next Article in Journal
Slow Down: Behavioural and Physiological Effects of Reducing Eating Rate
Next Article in Special Issue
Macronutrient and Micronutrient Intake during Pregnancy: An Overview of Recent Evidence
Previous Article in Journal
Effects of Coffee and Tea Consumption on Glucose Metabolism: A Systematic Review and Network Meta-Analysis
Previous Article in Special Issue
Dietary Energy Density and Its Association with Overweight or Obesity in Adolescents: A Systematic Review of Observational Studies
Open AccessArticle

Diet Quality in a Weight Gain Prevention Trial of Reproductive Aged Women: A Secondary Analysis of a Cluster Randomized Controlled Trial

1
Monash Centre for Health Research and Implementation, School of Public Health and Preventative Medicine, Monash University, Melbourne, VIC 3004, Australia
2
Endocrinology and Diabetes Units, Monash Health, Melbourne, VIC 3004, Australia
3
Department of Nutrition and Dietetics, School of Public Health and Preventative Medicine, Monash University, Melbourne, VIC 3004, Australia
*
Author to whom correspondence should be addressed.
Nutrients 2019, 11(1), 49; https://doi.org/10.3390/nu11010049
Received: 18 October 2018 / Revised: 10 December 2018 / Accepted: 18 December 2018 / Published: 27 December 2018
(This article belongs to the Special Issue Diet and Weight Gain)
Reproductive-aged women are at high risk for obesity development. Limited research exploring weight gain prevention initiatives and associated modifiable risk factors, including diet quality exists. In a secondary analysis of a 12 month, cluster randomized controlled trial for weight gain prevention in reproductive-aged women, we evaluated change in diet quality, macronutrient and micronutrient intake, predictors of change and associations with weight change at follow-up. Forty-one rural towns in Victoria, Australia were randomized to a healthy lifestyle intervention (n = 21) or control (n = 20). Women aged 18–50, of any body mass index and without conditions known to affect weight, were recruited. Diet quality was assessed by the Dietary Guideline Index (DGI) and energy, macronutrient, and micronutrient intake as well as anthropometrics (weight; kg) were measured at baseline and 12 months. Results were adjusted for group (intervention/control), town cluster, and baseline values of interest. Of 409 women with matched data at baseline and follow-up, 220 women were included for final analysis after accounting for plausible energy intake. At 12 months, diet quality had improved by 6.2% following the intervention, compared to no change observed in the controls (p < 0.001). Significant association was found between a change in weight and a change in diet quality score over time β −0.66 (95%CI −1.2, −0.12) p = 0.02. The percentage of energy from protein (%) 0.009 (95%CI 0.002, 0.15) p = 0.01 and glycemic index −1.2 (95%CI −2.1, −0.24) p = 0.02 were also improved following the intervention, compared to the control group. Overall, a low-intensity lifestyle intervention effectively improves diet quality, with associated weight gain preventions, in women of reproductive age. View Full-Text
Keywords: diet quality; nutrition; obesity; prevention; lifestyle; intervention; women; rural diet quality; nutrition; obesity; prevention; lifestyle; intervention; women; rural
Show Figures

Figure 1

MDPI and ACS Style

Martin, J.C.; Moran, L.J.; Teede, H.J.; Ranasinha, S.; Lombard, C.B.; Harrison, C.L. Diet Quality in a Weight Gain Prevention Trial of Reproductive Aged Women: A Secondary Analysis of a Cluster Randomized Controlled Trial. Nutrients 2019, 11, 49.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Search more from Scilit
 
Search
Back to TopTop