Clustering of adherence to personalised dietary recommendations and changes in healthy eating index within the Food4Me study. Issue 18 (8th August 2016)

• Record Type: Journal Article
• Authors: Livingstone, Katherine M; Celis-Morales, Carlos; Lara, Jose; Woolhead, Clara; O'Donovan, Clare B; Forster, Hannah; Marsaux, Cyril FM; Macready, Anna L; Fallaize, Rosalind; Navas-Carretero, Santiago; San-Cristobal, Rodrigo; Kolossa, Silvia; Tsirigoti, Lydia; Lambrinou, Christina P; Moschonis, George; Surwiłło, Agnieszka; Drevon, Christian A; Manios, Yannis; Traczyk, Iwona; Gibney, Eileen R; Brennan, Lorraine; Walsh, Marianne C; Lovegrove, Julie A; Martinez, J Alfredo; Saris, Wim HM; Daniel, Hannelore; Gibney, Mike; Mathers, John C
• Is Part Of: Public health nutrition. Volume 19:Issue 18(2016)
• Page Start: 3296
• Page End: 3305
• Publication Date: 2016-08-08
• Subjects: Clustering, -- Personalised nutrition, -- Dietary recommendations, -- Healthy Eating Index; Nutrition -- Periodicals; Nutrition policy -- Periodicals; Public health -- Periodicals; 613.2
• DOI: 10.1017/S1368980016001932
• Languages: English
• ISSNs: 1368-9800

Abstract

Abstract: Objective: To characterise clusters of individuals based on adherence to dietary recommendations and to determine whether changes in Healthy Eating Index (HEI) scores in response to a personalised nutrition (PN) intervention varied between clusters. Design: Food4Me study participants were clustered according to whether their baseline dietary intakes met European dietary recommendations. Changes in HEI scores between baseline and month 6 were compared between clusters and stratified by whether individuals received generalised or PN advice. Setting: Pan-European, Internet-based, 6-month randomised controlled trial. Subjects: Adults aged 18–79 years ( n 1480). Results: Individuals in cluster 1 (C1) met all recommended intakes except for red meat, those in cluster 2 (C2) met two recommendations, and those in cluster 3 (C3) and cluster 4 (C4) met one recommendation each. C1 had higher intakes of white fish, beans and lentils and low-fat dairy products and lower percentage energy intake from SFA ( P <0·05). C2 consumed less chips and pizza and fried foods than C3 and C4 ( P <0·05). C1 were lighter, had lower BMI and waist circumference than C3 and were more physically active than C4 ( P <0·05). More individuals in C4 were smokers and wanted to lose weight than in C1 ( P <0·05). Individuals who received PN advice in C4 reported greater improvements in HEI compared with C3 and C1 ( P <0·05). Conclusions: The cluster where the fewest recommendations were met (C4) reported greater improvements in HEI following a 6-month trial of PN whereas there was no difference between clusters for those randomised to the Control, non-personalised dietary intervention.