Stages of change for dietary fat reduction: associations with food intake, decisional balance and motives for food choice

Steptoe, Andrew; Wijetunge, Sonalee; Doherty, Sheelagh; Wardle, Jane

doi:10.1177/001789699605500111

Cited by 66 publications

(54 citation statements)

References 25 publications

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“…The relatively small number of subjects were highly motivated, predominantly female, and from non-manual worker households. Such characteristics have been found in other studies (Sigman-Grant, 1996;Steptoe et al, 1996) to be typical of those contemplating dietary change. It has recently become recognised that interventions should be designed to match subjects`stage of change' and, as this intervention was intended to measure the consequences of action, this method was adopted.…”

Section: Discussionsupporting

confidence: 76%

Measuring fruit and vegetable intake: is five-a-day enough?

et al. 1997

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Objective: Validation of a self-monitoring`portions' measurement of fruit and vegetable (F&V) consumption against a standard of weighed intakes. Design: Component of a randomized controlled trial. Setting: Subjects attended research centres in Reading and Glasgow for instruction and monitoring but undertook free-living dietary changes at home. Subjects: A study sample of 42 adult men and women ful®lling the main recruitment criterion of eating less than ®ve F&V portions/day but contemplating increasing intakes and providing weighted baseline reported energy intakes exceeding (estimated basal metabolic rate 6 1.1). Interventions: Subjects attended an intensive group advice session which included the speci®c relationship of high F&V intake with reduced risk of disease; practicalities; portion de®nition and measurement recording. The target was to exceed ®ve F&V portions/day for 8 weeks. Main outcome measures: Self-recorded simultaneous weighed inventories and F&V portion measures. Results: Data from subjects who were not evident under-recorders showed correlations between portion and weighed intakes of r 0.73, (P`0.000), although the portions measure tended to under-estimate intakes. Using 80 g/portion the`5-a-day' concept tends to create false negatives (namely consumption could be greater than 400 g whilst recording fewer than ®ve discrete portions) but rarely false positives (namely recorded consumption of less than 400 g did not give measures of more than ®ve discrete portions). Conclusions: The data suggest that the ®ve portions F&V/day health message, if used in conjunction with de®ned discrete portions, would encourage desirable consumption exceeding 400 g.

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Section: Discussionsupporting

confidence: 76%

Measuring fruit and vegetable intake: is five-a-day enough?

et al. 1997

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“…Many studies of the relationships between stages of diet and actual dietary intake have been performed in relation to low-fat diets (24,26) or fruit and vegetable intake (27)(28)(29). Additionally, in this paper, salt intake was not measured by dietary questionnaire, but by a biological measurement of urinary salt.…”

Section: Discussionmentioning

confidence: 99%

Stages of Change for Salt Intake and Urinary Salt Excretion: Baseline Results from the High-Risk and Population Strategy for Occupational Health Promotion (HIPOP-OHP) Study

et al. 2004

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“…Thus, users who reported being in the action and maintenance stages for any of the above parameters and presented an inappropriate diet were reclassified into the pseudo-maintenance stage as suggested by Steptoe et al 15 .…”

Section: E T H O D Smentioning

confidence: 99%

“…To solve potential controversies between self-assessment and actual intake, Steptoe et al 15 suggested a reclassification of individuals with the parallel implementation of tools that quantitatively assess food intake. A pseudo-maintenance stage, which includes individuals who are classified in the advanced stages of readiness to change behavior but do not have appropriate food habits, is therefore proposed.…”

Section: Introductionmentioning

confidence: 99%

Stages of change and factors associated with misperceived eating behavior in obese individuals

2016

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Objective: To evaluate the stages of behavior change related to fat and fruit/vegetable intakes and the factors associated with misperceived eating behavior (pseudo-maintenance). Methods: This cross-sectional study collected sociodemographic, socioeconomic, health, and food intake data from obese individuals (n=103) aged ≥20 years. Stages of behavior change according to the Transtheoretical Model were measured for fat and fruit/vegetable intakes. The pseudo-maintenance stage was reclassified in subjects in the action/maintenance stage who had inappropriate food habits. Multiple logistic regression models were proposed to assess the factors associated with misperceptions. Results: The prevalences of pseudo-maintenance for fat and fruit/vegetable intakes were 23.3 and 19.4%, respectively. The factors associated with misperceived fat intake were overconsumption of saturated fatty acids (OR=3.84; 1.18-12.56) and age (OR=1.06; 1.02-1.11), and with fruit and vegetable intake, income (OR=0.99; 0.98-0.99). Conclusion: The results reveal that perceived eating behavior and actual food intake diverge from anthropometric and health data, signaling the need of different intervention strategies to raise awareness in this group for the need of modifications.

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Stages of change for dietary fat reduction: associations with food intake, decisional balance and motives for food choice

Cited by 66 publications

References 25 publications

Measuring fruit and vegetable intake: is five-a-day enough?

Measuring fruit and vegetable intake: is five-a-day enough?

Stages of Change for Salt Intake and Urinary Salt Excretion: Baseline Results from the High-Risk and Population Strategy for Occupational Health Promotion (HIPOP-OHP) Study

Stages of change and factors associated with misperceived eating behavior in obese individuals

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