Rate Your Plate: A Dietary Assessment and Educational Tool for Blood Cholesterol Control

Gans, Kim M.; Hixson, Mary Lynne; Eaton, Charles B.; Lasater, Thomas M.

doi:10.1046/j.1523-5408.2000.00045.x

Cited by 40 publications

(23 citation statements)

References 17 publications

(15 reference statements)

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“…As a dietary assessment instrument we used the RYP test, a self-administered food-frequency questionnaire whose validity was previously established in calibration studies through correlation coefficients relating RPY score and various measures of dietary fat, saturated fat and cholesterol intake [25], and that was successfully used in a variety of settings and demographic groups [25], [40], [41]. Present findings show that the mean total RPY score in daytime workers was significantly, though slightly, higher than that reported by rotating shift workers; however, multinomial regression analysis reveals that quality of nutrition is not an independent factor in determining the risk for overweight in our sample.…”

Section: Discussionmentioning

confidence: 99%

Rotating Shift-Work as an Independent Risk Factor for Overweight Italian Workers: A Cross-Sectional Study

et al. 2013

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BackgroundA job-related factor is attracting a growing interest as a possible determinant of body weight gain in shift-workers.ObjectiveThe aim of the study was to reinvestigate the issue of overweight between rotating shift workers and daytime workers, taking into consideration possible confounding covariate factors.MethodsThis is a cross-sectional study, conducted by reviewing data from subjects participating in an occupational surveillance program in 2008. Participants answered a self-administered questionnaire to retrieve information about socio-demographic factors and working conditions (job schedule type, job-related physical activity, time in job), subjective health status, health care visits during the previous year, and lifestyle factors (dietary habits, leisure time physical activity, alcohol consumption). Participants underwent a medical examination for measurement of BMI, and acquisition of medical history.ResultsCompared to daytime workers (N = 229), rotating shift workers (N = 110) displayed higher BMI (mean BMI was 27.6±3.9 and 26.7±3.6 for shift workers, and daytime workers, respectively; p<0.05). Logistic regression analysis allowed to highlight the role of rotating shift-work as an independent risk factor for increased body weight (OR 1.93, 95%CI 1.01–3.71), being aged between 35 and 54 years was a major determinant of increased BMI (OR 2.39, 95%CI 1.14–5.00). In addition, family history of obesity was the strongest determinant of overweight/obesity (OR 9.79, 95%CI 1.28–74.74). Interestingly, no significant association was found between overweight and other potentially relevant factors, such as diet quality and food choices, alcohol consumption, levels of occupational and leisure-time physical activity.ConclusionsPresent findings seem to support the notion that rotating shift work is an independent risk factor for overweight, regardless of workers' dietary habits and physical activity levels.

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Section: Discussionmentioning

confidence: 99%

Rotating Shift-Work as an Independent Risk Factor for Overweight Italian Workers: A Cross-Sectional Study

et al. 2013

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“…The RYP was developed by Gans et al in the late 1980s (periodically updated thereafter) as a paper-based, self-administered assessment tool of the eating-pattern that would allow a quick evaluation of dietary habits related to heart disease prevention [8,9]. This tool has been validated and shown to be an effective part of a program to lower patient’s cholesterol [10].…”

Section: Methodsmentioning

confidence: 99%

“…The LiveWell intervention was conducted as a pilot study that enrolled patients with dyslipidemia who also scored low on a brief food- frequency screening questionnaire (Rate-Your -Plate) [8]. The counseling requires only 5–6 minutes of contact with the provider (in this case the primary care physician), and can be delivered during a regular office visit for dyslipidemia.…”

Section: Introductionmentioning

confidence: 99%

Live well: a practical and effective low-intensity dietary counseling intervention for use in primary care patients with dyslipidemia - a randomized controlled pilot trial

et al. 2013

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BackgroundDiet is the first line of treatment for elevated cholesterol. High-intensity dietary counseling (≥360 minutes/year of contact with providers) improves blood lipids, but is expensive and unsustainable in the current healthcare settings. Low-intensity counseling trials (≤ 30 minutes/year) have demonstrated modest diet changes, but no improvement in lipids. This pilot study evaluated the feasibility and the effects on lipids and diet of a low-intensity dietary counseling intervention provided by the primary care physician (PCP), in patients at risk for cardiovascular diseases.MethodsSix month study with a three month randomized-controlled phase (group A received the intervention, group B served as controls) followed by three months of intervention in both groups.Sixty-one adults age 21 to 75 years, with LDL-cholesterol ≥ 3.37 mmol/L, possessing Internet access and active email accounts were enrolled. Diet was evaluated using the Rate-Your-Plate questionnaire. Dietary counseling was provided by the PCP during routine office visits, three months apart, using printed educational materials and a minimally interactive counseling website. Weekly emails were sent reminding participants to use the dietary counseling resources. The outcomes were changes in LDL-cholesterol, other lipid subclasses, and diet quality.ResultsAt month 3, group A (counseling started at month 1) decreased their LDL-cholesterol by −0.23 mmol/L, (−0.04 to −0.42 mmol/L, P = 0.007) and total cholesterol by −0.26 mmol/L, (−0.05 to −0.47 mmol/L, P = 0.001). At month 6, total and LDL-cholesterol in group A remained better than in group B (counseling started at month 3). Diet score in group A improved by 50.3 points (38.4 to 62.2, P < 0.001) at month 3; and increased further by 11.8 (3.5 to 20.0, P = 0.007) at month 6. Group B made the largest improvement in diet at month 6, 55 points (40.0 to 70.1, P < 0.001), after having a small but significant improvement at month 3, 22.3 points (12.9 to 31.7, P < 0.001). No significant changes occurred in HDL-cholesterol in either group.ConclusionsA low-intensity dietary counseling provided by the PCP in patients at risk for cardiovascular diseases produced clinically meaningful improvements in both diet and lipids of magnitude similar to changes reported with high intensity interventions.Trial registrationClinicalTrials.gov: NCT01695837

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“…This instrument was designed to be completed independently by adolescents and was based on literature review, expert feedback, and feasibility testing, which found it to be feasible in public health and primary care settings, similar to the performance of the longer Food Habits Questionnaire and Rate Your Plate. 19,20 Physical activity was assessed by accelerometer using the ActiGraph Model GT1M for a 7-day period; average daily minutes of light, moderate, and vigorous activity were calculated using published cut points. 21 Sedentary behavior, TV watching and playing computer or video games on an average school day was measured using 2 items from the Youth Risk Behavior Survey (YRBS).…”

Section: At Each Visitmentioning

confidence: 99%

A School Nurse‐Delivered Intervention for Overweight and Obese Adolescents

Pbert

Druker

Gapinski

et al. 2013

Journal of School Health

169

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BACKGROUND Models are needed for implementing weight management interventions for adolescents through readily accessible venues. This study evaluated the feasibility and efficacy of a school nurse-delivered intervention in improving diet and activity and reducing BMI among overweight and obese adolescents. METHODS Six high schools were randomized to either a 6-session school nurse-delivered counseling intervention utilizing cognitive-behavioral techniques or nurse contact with provision of information. Eighty-four overweight or obese adolescents in grades 9 through 11 completed behavioral and physiological assessments at baseline and 2- and 6-month follow-ups. RESULTS At 2 months, intervention participants ate breakfast on more days/week (difference = 1.01 days; 95% CI 0.11, 1.92), and had a lower intake of total sugar (difference = −45.79g; 95% CI −88.34, −3.24) and added sugar (difference = −51.35g; 95% CI −92.45, −10.26) compared to control participants. At 6 months, they were more likely to drink soda ≤ one time/day (OR 4.10: 95% CI 1.19, 16.93) and eat at fast food restaurants ≤ one time/week (OR 4.62: 95% CI 1.10, 23.76) compared to control participants. There were no significant differences in BMI, activity or caloric intake. CONCLUSION A brief school nurse-delivered intervention was feasible, acceptable, and improved selected obesogenic behaviors, but not BMI.

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Rate Your Plate: A Dietary Assessment and Educational Tool for Blood Cholesterol Control

Cited by 40 publications

References 17 publications

Rotating Shift-Work as an Independent Risk Factor for Overweight Italian Workers: A Cross-Sectional Study

Rotating Shift-Work as an Independent Risk Factor for Overweight Italian Workers: A Cross-Sectional Study

Live well: a practical and effective low-intensity dietary counseling intervention for use in primary care patients with dyslipidemia - a randomized controlled pilot trial

A School Nurse‐Delivered Intervention for Overweight and Obese Adolescents

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