Changes in reported food intake in adults with type 2 diabetes in response to a nonprescriptive dietary intervention. Issue 4 (24th August 2013)

• Record Type: Journal Article
• Authors: England, C. Y.; Andrews, R.; Jago, R.; Thompson, J. L.
• Is Part Of: Journal of human nutrition and dietetics. Volume 27:Issue 4(2014)
• Page Start: 311
• Page End: 321
• Publication Date: 2013-08-24
• Subjects: Dietetics -- Periodicals; Nutrition -- Periodicals; 613.205
• DOI: 10.1111/jhn.12154
• Languages: English
• ISSNs: 0952-3871

Abstract

<abstract abstract-type="main" id="jhn12154-abs-0001"> <title>Abstract</title> <sec id="jhn12154-sec-0001" sec-type="section"> <title>Objectives</title> <p>There is a lack of published data about the food intake of patients with type 2 diabetes and the changes that they make in response to patient‐centred dietary advice. The present study describes the changes reported in response to a nonprescriptive dietary intervention based upon UK dietary guidelines.</p> </sec> <sec id="jhn12154-sec-0002" sec-type="section"> <title>Methods</title> <p>Two hundred and sixty‐two patients (87 women and 175 men) from the Early ACTivity in Diabetes (ACTID) trial who received the dietary intervention returned 4 days food diaries at baseline and 6 months. Nonparametric tests were used to examine changes in meal patterns, total energy intake and energy from food groups between baseline and 6 months.</p> </sec> <sec id="jhn12154-sec-0003" sec-type="section"> <title>Results</title> <p>Mean (SD) number of reported meals day<sup>–1</sup> was 3.0 (0.3) and mean (SD) number of snacks was 1.1 (0.6) at both baseline and 6 months for men and women. Men reported decreasing energy intake by a mean (SD) of 912 (1389) KJ/day [218 (332) kcal day<sup>–1</sup>] (<italic>P</italic> < 0.001) and women by 515 (1130) KJ/day [123 (270) kcal day<sup>–1</sup>] (<italic>P</italic> < 0.001). Men reported reducing energy from alcoholic drinks [−234 (527) KJ day<sup>–1</sup>; <italic>P</italic> < 0.001], white bread [−113 (402) KJ day<sup>–1</sup>; <italic>P</italic> = 0.001], biscuits [i.e. cookies −67 (205) KJ day<sup>–1</sup>; <italic>P</italic> < 0.001] and cakes [−50 (410) KJ day<sup>–1</sup>; <italic>P</italic> = 0.0012]. Women reported reducing energy from mixed main meals [−134 (456) KJ day<sup>–1</sup>; <italic>P</italic> = 0.036], pasta and rice [−79 (326) KJ day<sup>–1</sup>; <italic>P</italic> = 0.019], high‐energy drinks [−59 (159) KJ day<sup>–1</sup>; <italic>P</italic> = 0.001] and white bread [−59 (368) KJ day<sup>–1</sup>; <italic>P</italic> = 0.042].</p> </sec> <sec id="jhn12154-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Men and women in the Early ACTID study reported small changes in higher‐energy and lower‐fibre foods and drinks in response to patient‐centred dietary advice.</p> </sec> </abstract>