Staff Publications

Staff Publications

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    'Staff publications' is the digital repository of Wageningen University & Research

    'Staff publications' contains references to publications authored by Wageningen University staff from 1976 onward.

    Publications authored by the staff of the Research Institutes are available from 1995 onwards.

    Full text documents are added when available. The database is updated daily and currently holds about 240,000 items, of which 72,000 in open access.

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Record number 63951
Title Impact of Mediterranean diet education versus posted leaflet on dietary habits and serum cholesterol in a high risk population for cardiovascular disease
Author(s) Bemelmans, W.E.; Broer, J.; Vries, J.H.M. de; Hulshof, K.F.A.M.; May, J.F.; Meyboom-de Jong, B.
Source Public Health Nutrition 3 (2000)3. - ISSN 1368-9800 - p. 273 - 283.
Department(s) Human Nutrition (HNE)
Publication type Refereed Article in a scientific journal
Publication year 2000
Abstract Objective: To investigate the impact of intensive group education on the Mediterranean diet on dietary intake and serum total cholesterol after 16 and 52 weeks, compared to a posted leaflet with the Dutch nutritional guidelines, in the context of primary prevention of cardiovascular disease (CVD). Design: Controlled comparison study of an intervention group given intensive group education about the Mediterranean diet and a control group of hypercholesterolaemic persons given usual care by general practitioners (GPs). Setting: A socioeconomically deprived area in the Netherlands with an elevated coronary heart disease (CHD) mortality ratio. Subjects: Two hundred and sixty-six hypercholesterolaemic persons with at least two other CVD risk factors. Results: After 52 weeks, the intervention group decreased total and saturated fat intake more than the control group (net differences were 1.8 enø95Ò 0.2-3.4) and 1.1 enø95Ò 0.4-1.9), respectively). According to the Mediterranean diet guidelines the intake of fish, fruit, poultry and bread increased in the intervention group, more than in the control group. Within the intervention group, intake of fish ( 100Œ poultry ( 28€and bread ( 6€was significantly increased after 1 year (P < 0.05). The intensive programme on dietary education did not significantly lower serum cholesterol level more (-3€than the posted leaflet (-2€(net difference 0.06 mmol l-1, 95Ò -0.10 to 0.22). Initially, the body mass index (BMI) decreased more in the intervention group, but after 1 year the intervention and control group gained weight equally ( 1Ž Conclusions: Despite beneficial changes in dietary habits in the intervention group compared with the control group, after 1 year BMI increased and total fat and saturated fat intake were still too high.
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