Dietary advice given by a dietitian versus other health professional or self-help resources to reduce blood cholesterol

Thompson, Rachel; Summerbell, Carolyn; Hooper, Lee; Higgins, Julian P. T.; Little, Paul; Talbot, Diane; Ebrahim, Shah

doi:10.1002/14651858.cd001366

Cited by 60 publications

(56 citation statements)

References 373 publications

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“…While dietitians have the nutrition knowledge and food and counselling skills, the limited evidence regarding nutrition interventions provided by dietitians vs other health professionals is mixed. 23 Predictors of long-term success indicate the importance of intensive initial intervention with regular participant contact and structured dietary protocol to maximise energy restriction. Without regular follow-up, improvements are not maintained.…”

Section: Discussionmentioning

confidence: 99%

Effect of intensive dietetic interventions on weight and glycaemic control in overweight men with Type II diabetes: a randomised trial

et al. 2003

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OBJECTIVE:To investigate the effectiveness of intensive innovative methods for implementing dietary prescriptions on weight management and glycaemic control in overweight men with Type II diabetes. DESIGN: A randomised clinical trial with a 12-week intervention period F three isocaloric dietary intervention groups (intermittent energy restriction, pre-portioned meals and self-selected meals) each with weekly dietitian contact F and a followup visit after 18 months. SUBJECTS: A total of 51 men with Type II diabetes (mean age 54 y, mean body mass index (BMI) 31.7 kg/m 2 ). MEASUREMENTS: Weight, body composition, waist circumference, glycaemic control (HbA 1c ) and blood lipids. RESULTS: For all subjects, intensive diet therapy over the 12-week intervention period resulted in a mean reduction in energy intake of 236072780 kJ/day (5647665 kcal/day) and significant reductions in weight (6.474.6 kg), waist circumference (8.174.6 cm), percent body fat (1.971.5%), HbA 1c (1.071.4%) and triglyceride levels (0.370.6 mmol/l) compared to baseline levels. Intervention group did not affect clinical outcomes, with the exception of percent body fat. A total of 27 (52.9%) subjects attended the 18-month follow-up visit. At this visit, none of the improvements in clinical parameters was maintained, with all parameters returning to preintervention levels. CONCLUSIONS: A dietary prescription of 6000-7000 kJ/day (1400-1700 kcal/day) was effective in achieving a 6% weight loss and improving glycaemic control. The method of implementation made no difference to the outcomes between groups at 12 weeks or 18 months. Thus, we propose that it was the intensive weekly contact with a health professional in combination with moderate energy restriction that facilitated the successful short-term results seen.

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Section: Discussionmentioning

confidence: 99%

Effect of intensive dietetic interventions on weight and glycaemic control in overweight men with Type II diabetes: a randomised trial

et al. 2003

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“…From our limited results, few reviewers reported the correlations they ''borrowed'' from other studies. Furthermore, the few available correlations (reported or gathered from included authors) for change-from-baseline SD did not all exceed the critical value of 0.5 although most did: 0.07 to 0.56 [34], 0.46 to 0.74 [35], 0.63 to 0.90 [36], 0.75 [37], 0.82 [38], 0.9 [39]. Three sets of sensitivity analyses were used: 0.3, 0.4, and 0.5; 0.25, 0.5, and 0.75; and 0, and 0.5.…”

Section: Study-level Imputation Of Correlationmentioning

confidence: 95%

A systematic review identifies a lack of standardization in methods for handling missing variance data

Wiebe

Vandermeer

Platt

et al. 2006

Journal of Clinical Epidemiology

250

193

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“…In this perspective, cardiac rehabilitation is aimed at: a) short-term prevention of disability that may result from heart disease, by appropriate evidence-based prescription of drugs and physical exercise; b) long-term prevention of subsequent cardiovascular events, by strict control of modifiable cardiovascular risk factors [2][3][4][5][6][7][8][9][10].…”

Section: Aims Of Cardiac Rehabilitationmentioning

confidence: 99%

Interactive databases for cardiac rehabilitation: the "CardioDB" electronic archive elaborated by the Don Carlo Gnocchi foundation

Conti

Lova

Ferrari

et al. 2005

Computers in Cardiology, 2005

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The main aim of Cardiac Rehabilitation is the reduction of new clinical events through cardiovascular risk factors control. In the Florence Cardiologic Unit of the Don Gnocchi Foundation IntroductionAccording to the World Health Organization (1993) cardiac rehabilitation is "the sum of activities and interventions required to ensure the best possible physical, mental, and social conditions so that patients with chronic or post-acute cardiovascular disease may, by their own efforts, preserve or resume their proper place in society and lead an active life" [1]. Aims of cardiac rehabilitationIn this perspective, cardiac rehabilitation is aimed at: a) short-term prevention of disability that may result from heart disease, by appropriate evidence-based prescription of drugs and physical exercise; b) long-term prevention of subsequent cardiovascular events, by strict control of modifiable cardiovascular risk factors [2][3][4][5][6][7][8][9][10].A testing of the achievement of these goals ("product indicators"), as well as an outline of user characteristics of any single Rehabilitation Centre ("case mix"), are essential for National Health Service planning. Furthermore, the possibility of correlating clinical and instrumental data, treatment protocols and outcomes is mandatory for research in the cardiac rehabilitation field.The above considerations strongly suggest the need for an effective computer tool. Traditional and computerized DatabasesCurrently available databases for medical use may be classed into two categories: a) computerized medical files; b) traditional databases. Computerized medical files effectively replace paper medical files and have the advantage of allowing quick consultation of previously recorded data and of printing paper documents, when needed. Nevertheless, data are filed as texts and are not suitable for further processing.On the contrary, data recorded in traditional databases are filed as figures and can be easily processed. Furthermore, traditional databases have substantial limits referable to three issues: a) their use implies an overload that is negatively perceived on the part of their users, since the latter have to fill in electronic formats after having already filled in paper documents; b) their informative content is often incomplete and/or unreliable because of the lack of an effective quality control system for inserted data; c) the majority of available data are stocked in text format, precluding future extraction of numerical information for statistical analysis.

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Dietary advice given by a dietitian versus other health professional or self-help resources to reduce blood cholesterol

Cited by 60 publications

References 373 publications

Effect of intensive dietetic interventions on weight and glycaemic control in overweight men with Type II diabetes: a randomised trial

Effect of intensive dietetic interventions on weight and glycaemic control in overweight men with Type II diabetes: a randomised trial

A systematic review identifies a lack of standardization in methods for handling missing variance data

Interactive databases for cardiac rehabilitation: the "CardioDB" electronic archive elaborated by the Don Carlo Gnocchi foundation

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