Three-year effects on dietary quality of health education: a randomized controlled trial of people with screen-detected dysglycaemia (The ADDITION study, Denmark)

Helle Terkildsen Maindal; Ulla Toft; Torsten Lauritzen; Annelli Sandbæk

doi:10.1093/eurpub/cks076

Three-year effects on dietary quality of health education: a randomized controlled trial of people with screen-detected dysglycaemia (The ADDITION study, Denmark)

Helle Terkildsen Maindal, Ulla Toft, Torsten Lauritzen, Annelli Sandbæk

Medicinsk Sociologi

Research output: Contribution to journal › Journal article › Research › peer-review

5 Citations (Scopus)

Abstract

BACKGROUND: Healthy diet is a core component in prevention and self-management of type 2 diabetes and cardiovascular disease. The long-term efficacy was assessed of a theory-based health education programme 'Ready to Act' on dietary quality in people with screen-detected dysglycaemia.

METHODS: Five hundred and nine adults with prediabetes (impaired glucose tolerance, impaired fasting glycaemia) or type 2 diabetes were recruited through screening for type 2 diabetes [the ADDITION (Anglo-Danish-Dutch Study of Intensive Treatment in People with Screen-Detected Diabetes in Primary Care) study, DK] and then randomly assigned to health education or to a control group (I = 322; C = 187). The intervention group was offered a 12-week programme in health-related action competence including 2 one-to-one and 8 group sessions (18 h). Dietary quality was measured by the Dietary Quality Score_revised (0-8 points) at baseline and at one- and 3-year follow-up. Changes were analysed by multilevel analyses.

RESULTS: The analysis included data from 444 participants (87%). At the 3-year follow-up, the intervention group had significantly increased dietary quality compared with the control group (net change: 0.39 Dietary Quality Score_revised points, P = 0.04). The intake of unsaturated fats used on bread and for cooking increased in the intervention group compared with the control group at the 3-year follow-up (net change: 31 g/week; P = 0.02). A non-significant tendency toward an increased intake of vegetables in the intervention group compared with the control group was seen (net change: 111 g/week; P = 0.16). No changes were seen in fish intake.

CONCLUSIONS: Health education aiming at action competence improved the long-term dietary quality in a population with dysglycaemia, especially according to the intake of unsaturated fat. The ADDITION trial was registered at ClinicalTrials.gov ID no NCT00237549.

Original language	English
Journal	European Journal of Public Health
Volume	23
Issue number	3
Pages (from-to)	393-8
Number of pages	6
ISSN	1101-1262
DOIs	https://doi.org/10.1093/eurpub/cks076
Publication status	Published - Jun 2013

Keywords

Adult
Aged
Body Mass Index
Cardiovascular Diseases/prevention & control
Cluster Analysis
Denmark/epidemiology
Diabetes Mellitus, Type 2/diagnosis
Diet/psychology
Female
Follow-Up Studies
Glucose Intolerance/diagnosis
Glucose Metabolism Disorders/diagnosis
Glycated Hemoglobin A/analysis
Group Processes
Health Behavior
Health Education
Health Status Disparities
Humans
Male
Mass Screening/psychology
Middle Aged
Primary Health Care/statistics & numerical data
Self Care
Social Class
Surveys and Questionnaires

Access to Document

10.1093/eurpub/cks076

Cite this

Three-year effects on dietary quality of health education : a randomized controlled trial of people with screen-detected dysglycaemia (The ADDITION study, Denmark). / Maindal, Helle Terkildsen; Toft, Ulla; Lauritzen, Torsten; Sandbæk, Annelli.

In: European Journal of Public Health, Vol. 23, No. 3, 06.2013, p. 393-8.

Research output: Contribution to journal › Journal article › Research › peer-review

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abstract = "BACKGROUND: Healthy diet is a core component in prevention and self-management of type 2 diabetes and cardiovascular disease. The long-term efficacy was assessed of a theory-based health education programme 'Ready to Act' on dietary quality in people with screen-detected dysglycaemia.METHODS: Five hundred and nine adults with prediabetes (impaired glucose tolerance, impaired fasting glycaemia) or type 2 diabetes were recruited through screening for type 2 diabetes [the ADDITION (Anglo-Danish-Dutch Study of Intensive Treatment in People with Screen-Detected Diabetes in Primary Care) study, DK] and then randomly assigned to health education or to a control group (I = 322; C = 187). The intervention group was offered a 12-week programme in health-related action competence including 2 one-to-one and 8 group sessions (18 h). Dietary quality was measured by the Dietary Quality Score_revised (0-8 points) at baseline and at one- and 3-year follow-up. Changes were analysed by multilevel analyses.RESULTS: The analysis included data from 444 participants (87%). At the 3-year follow-up, the intervention group had significantly increased dietary quality compared with the control group (net change: 0.39 Dietary Quality Score_revised points, P = 0.04). The intake of unsaturated fats used on bread and for cooking increased in the intervention group compared with the control group at the 3-year follow-up (net change: 31 g/week; P = 0.02). A non-significant tendency toward an increased intake of vegetables in the intervention group compared with the control group was seen (net change: 111 g/week; P = 0.16). No changes were seen in fish intake.CONCLUSIONS: Health education aiming at action competence improved the long-term dietary quality in a population with dysglycaemia, especially according to the intake of unsaturated fat. The ADDITION trial was registered at ClinicalTrials.gov ID no NCT00237549.",

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author = "Maindal, {Helle Terkildsen} and Ulla Toft and Torsten Lauritzen and Annelli Sandb{\ae}k",

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T1 - Three-year effects on dietary quality of health education

T2 - a randomized controlled trial of people with screen-detected dysglycaemia (The ADDITION study, Denmark)

AU - Maindal, Helle Terkildsen

AU - Toft, Ulla

AU - Lauritzen, Torsten

AU - Sandbæk, Annelli

PY - 2013/6

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N2 - BACKGROUND: Healthy diet is a core component in prevention and self-management of type 2 diabetes and cardiovascular disease. The long-term efficacy was assessed of a theory-based health education programme 'Ready to Act' on dietary quality in people with screen-detected dysglycaemia.METHODS: Five hundred and nine adults with prediabetes (impaired glucose tolerance, impaired fasting glycaemia) or type 2 diabetes were recruited through screening for type 2 diabetes [the ADDITION (Anglo-Danish-Dutch Study of Intensive Treatment in People with Screen-Detected Diabetes in Primary Care) study, DK] and then randomly assigned to health education or to a control group (I = 322; C = 187). The intervention group was offered a 12-week programme in health-related action competence including 2 one-to-one and 8 group sessions (18 h). Dietary quality was measured by the Dietary Quality Score_revised (0-8 points) at baseline and at one- and 3-year follow-up. Changes were analysed by multilevel analyses.RESULTS: The analysis included data from 444 participants (87%). At the 3-year follow-up, the intervention group had significantly increased dietary quality compared with the control group (net change: 0.39 Dietary Quality Score_revised points, P = 0.04). The intake of unsaturated fats used on bread and for cooking increased in the intervention group compared with the control group at the 3-year follow-up (net change: 31 g/week; P = 0.02). A non-significant tendency toward an increased intake of vegetables in the intervention group compared with the control group was seen (net change: 111 g/week; P = 0.16). No changes were seen in fish intake.CONCLUSIONS: Health education aiming at action competence improved the long-term dietary quality in a population with dysglycaemia, especially according to the intake of unsaturated fat. The ADDITION trial was registered at ClinicalTrials.gov ID no NCT00237549.

AB - BACKGROUND: Healthy diet is a core component in prevention and self-management of type 2 diabetes and cardiovascular disease. The long-term efficacy was assessed of a theory-based health education programme 'Ready to Act' on dietary quality in people with screen-detected dysglycaemia.METHODS: Five hundred and nine adults with prediabetes (impaired glucose tolerance, impaired fasting glycaemia) or type 2 diabetes were recruited through screening for type 2 diabetes [the ADDITION (Anglo-Danish-Dutch Study of Intensive Treatment in People with Screen-Detected Diabetes in Primary Care) study, DK] and then randomly assigned to health education or to a control group (I = 322; C = 187). The intervention group was offered a 12-week programme in health-related action competence including 2 one-to-one and 8 group sessions (18 h). Dietary quality was measured by the Dietary Quality Score_revised (0-8 points) at baseline and at one- and 3-year follow-up. Changes were analysed by multilevel analyses.RESULTS: The analysis included data from 444 participants (87%). At the 3-year follow-up, the intervention group had significantly increased dietary quality compared with the control group (net change: 0.39 Dietary Quality Score_revised points, P = 0.04). The intake of unsaturated fats used on bread and for cooking increased in the intervention group compared with the control group at the 3-year follow-up (net change: 31 g/week; P = 0.02). A non-significant tendency toward an increased intake of vegetables in the intervention group compared with the control group was seen (net change: 111 g/week; P = 0.16). No changes were seen in fish intake.CONCLUSIONS: Health education aiming at action competence improved the long-term dietary quality in a population with dysglycaemia, especially according to the intake of unsaturated fat. The ADDITION trial was registered at ClinicalTrials.gov ID no NCT00237549.

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KW - Diabetes Mellitus, Type 2/diagnosis

KW - Diet/psychology

KW - Female

KW - Follow-Up Studies

KW - Glucose Intolerance/diagnosis

KW - Glucose Metabolism Disorders/diagnosis

KW - Glycated Hemoglobin A/analysis

KW - Group Processes

KW - Health Behavior

KW - Health Education

KW - Health Status Disparities

KW - Humans

KW - Male

KW - Mass Screening/psychology

KW - Middle Aged

KW - Primary Health Care/statistics & numerical data

KW - Self Care

KW - Social Class

KW - Surveys and Questionnaires

U2 - 10.1093/eurpub/cks076

DO - 10.1093/eurpub/cks076

M3 - Journal article

C2 - 23132875

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SP - 393

EP - 398

JO - European Journal of Public Health

JF - European Journal of Public Health

SN - 1101-1262

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