Design of a Mediterranean Exchange List Diet Implemented by Telephone Counseling
Autor: | Zora Djuric, Ananda Sen, Lance K. Heilbrun, Nora M. DiLaura, Katherine Radakovich, Glee VanLoon |
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Rok vydání: | 2008 |
Předmět: |
Adult
Counseling Mediterranean climate Michigan Mediterranean diet Breast Neoplasms Health Promotion Diet Mediterranean Diet Records Article law.invention Dietary Fats Unsaturated Randomized controlled trial Telephone counseling law Environmental health Vegetables Humans Medicine Analysis of Variance Nutrition and Dietetics business.industry Repeated measures design Feeding Behavior Middle Aged Dietary pattern Dietary Fats Telephone Fruit Patient Compliance Female Analysis of variance business Food Science |
Zdroj: | Journal of the American Dietetic Association. 108:2059-2065 |
ISSN: | 0002-8223 |
DOI: | 10.1016/j.jada.2008.09.006 |
Popis: | A Greek-Mediterranean dietary pattern has two distinct aspects that differ relative to average intakes in the United States: a high intake of monounsaturated fats and a high intake of fruit and vegetables. The purpose of the study was to develop and test an exchange list Greek-Mediterranean diet that could be used in future clinical trials of breast cancer prevention. A total of 69 women, ages 25 to 59 years, were randomized to either continue their own usual diet or follow an intervention diet for 6 months during 2004 through 2005. Intervention goals were to decrease usual fat intakes by about half and to replace those fats with olive oil and other high–monounsaturated fatty acid foods; increase fruit and vegetable intakes to 7 to 9 servings/day, depending on energy intake; and consume at least one serving per day each of culinary herbs and allium vegetables. Registered dietitians provided exchange goals and individualized telephone counseling, and diets were self-selected using a Mediterranean exchange list developed specifically for this study. Changes in diet were assessed by 7-day food records. Results demonstrated that counseling using the Mediterranean exchange list was effective for large dietary changes relative to the nonintervention group. Repeated measures analysis of variance indicated a statistically significant 48% increase in dietary monounsaturated fat with no appreciable change in total fat intake, and a significant increase in fruit and vegetable intake from 4.0 to 8.6 servings/day (P < 0.05). |
Databáze: | OpenAIRE |
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