Therapeutic Actions DIETARY MODIFICATION

NCBI pubmed

Effect of AHA dietary counselling on added sugar intake among participants with metabolic syndrome.

Related Articles Effect of AHA dietary counselling on added sugar intake among participants with metabolic syndrome. Eur J Nutr. 2018 Apr;57(3):1073-1082 Authors: Zhang L, Pagoto S, May C, Olendzki B, L Tucker K, Ruiz C, Cao Y, Ma Y Abstract BACKGROUND: High added sugar consumption has been associated with the development of metabolic syndrome (MetS). The American Heart Association (AHA) diet is designed to prevent and treat MetS; however, it remains unclear whether the AHA diet is effective on decreasing added sugar consumption. The aim of our study was to evaluate the effect of the AHA dietary counselling on added sugar consumption among participants with MetS. METHODS: The AHA dietary counselling was conducted among 119 participants with MetS from June 2009 to January 2014 (ClinicalTrials.gov: NCT00911885). Unannounced 24-hour recalls were collected at baseline, 3, 6 and 12 months. Added sugar consumption patterns over time were examined using linear mixed models. RESULTS: After 1-year dietary counselling, intake of added sugars decreased by 23.8 g/day (95% CI 15.1, 32.4 g/day); intake of nonalcoholic beverages dropped from the leading contributor of added sugar intake to number 7 (from 11.9 to 4.4%); the Alternative Healthy Eating Index (AHEI) score increased by 5.4 (95% CI 2.9, 8.0); however, added sugar intake for 48% participants still exceeded the recommendation. Added sugar intake per meal among different meal type was similar (24.2-25.8%) at baseline. After the 1-year dietary counselling, breakfast became the major resource of added sugar intake (33.3%); the proportion of added sugar intake from snacks decreased from 25.8% (CI 23.1, 28.5%) to 20.9% (CI 19.6, 22.3%). CONCLUSION: Although the consumption of added sugars in participants with MetS decreased after the 1-year AHA dietary counselling, added sugar intake from majority of participants still exceeds recommended limits. Actions of successful public health strategies that focus on reducing added sugar intake are needed. PMID: 28353070 [PubMed - indexed for MEDLINE]

Prevention of Non-communicable Diseases by Balanced Nutrition: Population- specific Effective Public Health Approaches in Developing Countries.

Related Articles Prevention of Non-communicable Diseases by Balanced Nutrition: Population- specific Effective Public Health Approaches in Developing Countries. Curr Diabetes Rev. 2017;13(5):461-476 Authors: Passi SJ Abstract INTRODUCTION: Currently, the developing countries are afflicted with the dual burden of disease - non-communicable diseases (NCDs) becoming a major public health challenge. It is projected that in near future, NCDs will account for nearly 70% of the mortality in developing world. Caused due to lifestyle related factors, there is an upsurge in the incidence of overweight/obesity, cardiovascular diseases, type 2 diabetes mellitus, cancers, respiratory diseases and mental illnesses. Appropriate dietary practices, increased physical activity, weight management, abstinence from tobacco/substance use and alcohol abuse play an important role in their prevention and management. This narrative review highlights the role of various dietary components - both nutrient and non-nutrient, in the prevention and risk reduction of NCDs. METHOD: It is a comprehensive overview of various experimental researches, observational studies, clinical trials, epidemiological studies, pooled/meta-analyses and reviews carried out globally, particularly the developing nations. Studies were retrieved by an extensive search of the online PubMed/Medline, SciVerse Scopus databases using individual/combination of several keywords like non-communicable diseases, energy, various nutrients, sugar sweetened beverages, functional foods, tea, coffee, spices/condiments/herbs, animal foods, nuts and oil seeds, physical activity, dietary practices, cancer, cardiovascular diseases, T2DM, respiratory diseases, lifestyle modifications, tobacco, smoking, alcohol and public health approaches. The review also highlights several preventive approaches for curbing NCDs in the developing world with special emphasis on dietary factors. CONCLUSION: Since the occurrence of NCDs is marked by a cumulative effect of various risk factors, urgent collective actions are needed to avert/prevent the same effectively. PMID: 27593512 [PubMed - indexed for MEDLINE]