A high quality Aotearoa New Zealand dietary pattern adapting a Mediterranean diet for metabolic health: a feasibility study.

Autor: Parry-Strong A; Centre for Endocrine, Diabetes and Obesity Research, Te Whatu Ora New Zealand Capital, Coast and Hutt Valley, PO Box 7902, Wellington, New Zealand. amber.parry-strong@ccdhb.org.nz.; The Liggins Institute, University of Auckland, Auckland, New Zealand. amber.parry-strong@ccdhb.org.nz., Gearry R; Department of Medicine, University of Otago, Christchurch, New Zealand., Merry TL; Department of Nutrition and Dietetics, School of Medical Sciences, University of Auckland, Auckland, New Zealand., Weatherall M; Department of Medicine, University of Otago, Wellington, PO Box 7343, Wellington South, 6242, New Zealand., Davies C; Tū Kotahi Māori Asthma and Research Trust, Kōkiri Marae, Lower Hutt, New Zealand., Worthington A; Department of Nutrition and Dietetics, School of Medical Sciences, University of Auckland, Auckland, New Zealand., Bishop R; Centre for Endocrine, Diabetes and Obesity Research, Te Whatu Ora New Zealand Capital, Coast and Hutt Valley, PO Box 7902, Wellington, New Zealand., Wright SR; Edible Research Ltd, RD2 Kaiapoi, Ohoka Christchurch, 7692, New Zealand., Lithander FE; The Liggins Institute, University of Auckland, Auckland, New Zealand.; Department of Nutrition and Dietetics, School of Medical Sciences, University of Auckland, Auckland, New Zealand.; New Zealand National Science Challenge High Value Nutrition, Liggins Institute, University of Auckland, Building 505, 85 Park Road, Auckland, 1023, New Zealand., Foster M; Edible Research Ltd, RD2 Kaiapoi, Ohoka Christchurch, 7692, New Zealand., Krebs J; Centre for Endocrine, Diabetes and Obesity Research, Te Whatu Ora New Zealand Capital, Coast and Hutt Valley, PO Box 7902, Wellington, New Zealand.; Department of Medicine, University of Otago, Wellington, PO Box 7343, Wellington South, 6242, New Zealand.
Jazyk: angličtina
Zdroj: BMC nutrition [BMC Nutr] 2023 Dec 08; Vol. 9 (1), pp. 146. Date of Electronic Publication: 2023 Dec 08.
DOI: 10.1186/s40795-023-00805-x
Abstrakt: Aim: To assess the feasibility of a family-based dietary intervention study using a meal kit home delivery service, in people at risk of cardio-metabolic disease.
Methods: A 12-week dietary intervention feasibility study of adults (termed the index participants) at increased risk of metabolic and cardiovascular disease, enriched for Māori who are indigenous New Zealanders. The study sample also included the household/whānau members living with the index participant. All participants received a 12 week intervention using weekly home delivery of meal kits and groceries consistent with a Mediterranean dietary pattern. Outcomes were the metabolic syndrome severity score (MetSSS); feasibility and acceptability of the intervention; dietary intake; and other clinical and anthropometric measures.
Results: There were 29 index participants recruited and in addition, 50 household/whānau members took part in the feasibility study. The mean (SD) household/whānau size was 3.45 (1.4) people, and the mean (SD) number of people in each household/whānau who participated in the study was 2.84 (1.2). The feasibility of intervention to households/whānau was proven in this context. The mean (SD) change in MetSSS was 0.03 (0.33), N = 27, P = 0.69 and there was a statistically significant decrease in body weight of 1.37 kg (95% CI 0.11 to 2.62), p = 0.034. The food deliveries were well received, the dinner kits more so than the grocery items.
Conclusion: It is feasible to recruit individuals and households/whānau to a family-based dietary intervention. Use of a meal kit home delivery service to provide food which is consistent with the intervention dietary pattern was well received. This feasibility study identified improvements to be made such as nutrition behaviour change support, more variety in food provided, more recipes, and better matching of food quantity to family size.
Trial Registration: ANZCTR-ACTRN12621000856819p registered 2.JUN.2021 https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=382021&isReview=true.
(© 2023. The Author(s).)
Databáze: MEDLINE
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