Clustering of adherence to personalised dietary recommendations and changes in healthy eating index within the Food4Me study

Livingstone, Katherine, Celis-Morales, Carlos, Lara, Jose, Woolhead, Clara, O’Donovan, Clare, Forster, Hannah, Marsaux, Cyril, Macready, Anna, Fallaize, Rosalind, Navas-Carretero, Santiago, San-Cristobal, Rodrigo, Kolossa, Silvia, Tsirigoti, Lydia, Lambrinou, Christina, Moschonis, George, Surwiłło, Agnieszka, Drevon, Christian, Manios, Yannis, Traczyk, Iwona, Gibney, Eileen, Brennan, Lorraine, Walsh, Marianne, Lovegrove, Julie, Martinez, J Alfredo, Saris, Wim, Daniel, Hannelore, Gibney, Mike and Mathers, John (2016) Clustering of adherence to personalised dietary recommendations and changes in healthy eating index within the Food4Me study. Public Health Nutrition, 19 (18). pp. 3296-3305. ISSN 1368-9800

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Abstract

Objective:
To characterise clusters of individuals based on adherence to dietary recommendations and to determine whether changes in Healthy Eating Index (HEI) scores in response to a personalised nutrition (PN) intervention varied between clusters.

Design:
Food4Me study participants were clustered according to whether their baseline dietary intakes met European dietary recommendations. Changes in HEI scores between baseline and month 6 were compared between clusters and stratified by whether individuals received generalised or PN advice.

Setting:
Pan-European, Internet-based, 6-month randomised controlled trial.

Subjects:
Adults aged 18–79 years (n 1480).

Results:
Individuals in cluster 1 (C1) met all recommended intakes except for red meat, those in cluster 2 (C2) met two recommendations, and those in cluster 3 (C3) and cluster 4 (C4) met one recommendation each. C1 had higher intakes of white fish, beans and lentils and low-fat dairy products and lower percentage energy intake from SFA (P<0·05). C2 consumed less chips and pizza and fried foods than C3 and C4 (P<0·05). C1 were lighter, had lower BMI and waist circumference than C3 and were more physically active than C4 (P <0·05). More individuals in C4 were smokers and wanted to lose weight than in C1 (P<0·05). Individuals who received PN advice in C4 reported greater improvements in HEI compared with C3 and C1 (P <0·05).

Conclusions:
The cluster where the fewest recommendations were met (C4) reported greater improvements in HEI following a 6-month trial of PN whereas there was no difference between clusters for those randomised to the Control, non-personalised dietary intervention.

Item Type:	Article
Subjects:	B400 Nutrition
Department:	Faculties > Health and Life Sciences > Applied Sciences
Depositing User:	Becky Skoyles
Date Deposited:	06 Sep 2016 10:18
Last Modified:	10 Oct 2019 17:47
URI:	http://nrl.northumbria.ac.uk/id/eprint/27685

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