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Clustering of adherence to personalised dietary recommendations and changes in healthy eating index within the Food4Me study

Lookup NU author(s): Dr Katherine Livingstone, Dr Carlos Celis Morales, Dr Jose Lara-Gallegos, Eileen Gibney, Professor Lorraine Brennan, Professor John Mathers

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This is the authors' accepted manuscript of an article that has been published in its final definitive form by Cambridge University Press, 2016.

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Abstract

© The Authors 2016. 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.


Publication metadata

Author(s): Livingstone KM, Celis-Morales C, Lara J, Woolhead C, O'Donovan CB, Forster H, Marsaux CF, Macready AL, Fallaize R, Navas-Carretero S, San-Cristobal R, Kolossa S, Tsirigoti L, Lambrinou CP, Moschonis G, Surwillo A, Drevon CA, Manios Y, Traczyk I, Gibney ER, Brennan L, Walsh MC, Lovegrove JA, Martinez JA, Saris WH, Daniel H, Gibney M, Mathers JC

Publication type: Article

Publication status: Published

Journal: Public Health Nutrition

Year: 2016

Volume: 19

Issue: 18

Pages: 3296-3305

Print publication date: 11/02/2016

Online publication date: 08/08/2016

Acceptance date: 20/06/2016

Date deposited: 03/07/2018

ISSN (print): 1368-9800

ISSN (electronic): 1475-2727

Publisher: Cambridge University Press

URL: https://doi.org/10.1017/S1368980016001932

DOI: 10.1017/S1368980016001932


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