TY - JOUR
T1 - Clustering of adherence to personalised dietary recommendations and changes in healthy eating index within the Food4Me study
AU - Livingstone, Katherine
AU - Celis-Morales, Carlos
AU - Lara, Jose
AU - Woolhead, Clara
AU - O’Donovan, Clare
AU - Forster, Hannah
AU - Marsaux, Cyril
AU - Macready, Anna
AU - Fallaize, Rosalind
AU - Navas-Carretero, Santiago
AU - San-Cristobal, Rodrigo
AU - Kolossa, Silvia
AU - Tsirigoti, Lydia
AU - Lambrinou, Christina
AU - Moschonis, George
AU - Surwiłło, Agnieszka
AU - Drevon, Christian
AU - Manios, Yannis
AU - Traczyk, Iwona
AU - Gibney, Eileen
AU - Brennan, Lorraine
AU - Walsh, Marianne
AU - Lovegrove, Julie
AU - Martinez, J Alfredo
AU - Saris, Wim
AU - Daniel, Hannelore
AU - Gibney, Mike
AU - Mathers, John
PY - 2016/12
Y1 - 2016/12
N2 - 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.
AB - 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.
KW - clustering
KW - personalised nutrition
KW - dietary recommendations
KW - healthy eating index
U2 - 10.1017/S1368980016001932
DO - 10.1017/S1368980016001932
M3 - Article
SN - 1368-9800
VL - 19
SP - 3296
EP - 3305
JO - Public Health Nutrition
JF - Public Health Nutrition
IS - 18
ER -