Effects of nutrition education on cardio-metabolic outcomes: A randomised clinical trial

Abstract

Objective: The aim of this study was to assess the effect of Full Plate Diet (FPD) on the primary prevention of cardio-metabolic risk factors. Design: Randomised clinical trial. Setting: Drayson Center, Loma Linda University, CA, USA. Methods: Forty individuals were randomly assigned to either an intervention group receiving the FPD health education for 10 weeks or to a control group not receiving this intervention. Comprehensive evaluations of clinical and anthropometric outcomes were conducted at baseline and at the end of intervention. To assess within-group changes and between-group differences, a general linear model was used. Results: Significant reductions in weight (−1.54 kg, 95% confidence interval [CI] −2.5, −.54) and total cholesterol (TC) (−11.7 mg/dL; 95% CI −21.4, −2) and non-significant reductions in means for low-density lipoprotein cholesterol (LDL-C) (−7.3 mg/dL, 95% CI −16, 1.5) and triglycerides (−18.7 mg/dL, 95% CI −46, 8.5) were observed in the intervention group after 10 weeks compared with baseline. These reductions were non-significantly higher in the intervention compared with the control group. There were no significant mean changes in systolic and diastolic blood pressure, high-density lipoprotein cholesterol (HDL-C) and haemoglobin A1c (A1c) in the intervention group after 10 weeks. Conclusion: A multi-component programme comprising 10 weeks of health education that emphasised the high intake of fibre failed to significantly reduce cardio-metabolic risk factors. It did show a downward trend in triglycerides, TC and body weight that may be of clinical importance suggesting that a future investigation with a longer intervention duration is needed.

Ketogenic vs plantogenic diets for health: a review article

“…During this period, we compared two groups with and without an education intervention to increase fiber consumption. Our results showed that the intervention group could easily increase the amount of fiber consumed to about 40 g per day compared to control group (Dos Santos et al, 2019). Education of what foods to eat, where to find them, how to prepare them and mostly, how to improve recipes and menus increasing their fiber content was the secret of this clinical trial, which can easily be applied to populations and individuals, independently of cultural background.…”

Patient-centered nutrition education improved the eating behavior of persons with uncontrolled type 2 diabetes mellitus in North Ethiopia: a quasi-experimental study

“…In the current study, however, providing nutrition education for 3 months had no effect on any of the previously listed clinical variables. Consistent with this conclusion, multiple randomized control trials also failed to establish the effectiveness of nutrition education in changing lipid profile, blood pressure, and anthropometric indices ( 48 , 57 , 58 ). Though further research is needed to determine the exact reasons, differences in educational content, delivery method, length, and frequency of intervention may explain this disparity.…”