Primary Barriers of Adherence to a Structured Nutritional Intervention in Patients with Dyslipidemia
| Autor: | Marco Antonio Melgarejo-Hernández, Carlos A. Aguilar-Salinas, Donaji V. Gómez-Velasco, Fabiola Mabel Del Razo-Olvera, Daniel Elías-López, Griselda X Brito-Córdova, Angélica J Martin-Vences, Ivette Cruz-Bautista, María Victoria Landa-Anell, Iliana Manjarrez-Martínez |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty macronutrients Psychological intervention Diet adherence 030209 endocrinology & metabolism 030204 cardiovascular system & hematology Article 03 medical and health sciences 0302 clinical medicine Mexico city Intervention (counseling) dietary adherence strategies medicine Humans TX341-641 In patient Mexico Site Visit Dyslipidemias Nutrition and Dietetics blood lipids Nutrition. Foods and food supply business.industry Feeding Behavior Middle Aged medicine.disease Metabolic control analysis Family medicine Patient Compliance Female Nutrition Therapy business Dyslipidemia Food Science |
| Zdroj: | Nutrients Nutrients, Vol 13, Iss 1744, p 1744 (2021) Volume 13 Issue 6 |
| ISSN: | 2072-6643 |
| DOI: | 10.3390/nu13061744 |
| Popis: | Purpose: To describe the primary barriers to adequately adhering to a structured nutritional intervention. Patients and methods: A total of 106 participants diagnosed with dyslipidemia and without a medical nutrition therapeutic plan were included in this two-year study conducted at the INCMNSZ dyslipidemia clinic in Mexico City. All patients were treated with the same structured strategies, including three face-to-face visits and two telephone follow-up visits. Diet plan adherence was evaluated at each site visit through a 3-day or 24-h food recall. Results: Barriers to adhere to the nutritional intervention were: lack of time to prepare their meals (23%), eating outside the home (19%), unwillingness to change dietary patterns (14%), and lack of information about a correct diet for dyslipidemias (14%). All barriers decreased significantly at the end of the intervention. Female gender, current smoking, and following a plan of more than 1500 kcal (R2 = 0.18 and p-value = 0.004) were associated with good diet adherence. Participants showed good levels of adherence to total caloric intake at visit 2 and 3, reporting 104.7% and 95.4%, respectively. Adherence to macronutrient intake varied from 65.1% to 126%, with difficulties in adhering to recommended carbohydrate and fat consumption being more notable. Conclusion: The study findings confirm that a structured nutritional intervention is effective in reducing barriers and improving dietary adherence and metabolic control in patients with dyslipidemias. Health providers must identify barriers to adherence early on to design interventions that reduce these barriers and improve adherence. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|