Premium
Changes in reported food intake in adults with type 2 diabetes in response to a nonprescriptive dietary intervention
Author(s) -
England C. Y.,
Andrews R.,
Jago R.,
Thompson J. L.
Publication year - 2014
Publication title -
journal of human nutrition and dietetics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.951
H-Index - 70
eISSN - 1365-277X
pISSN - 0952-3871
DOI - 10.1111/jhn.12154
Subject(s) - medicine , type 2 diabetes , intervention (counseling) , diabetes mellitus , food intake , food science , physiology , endocrinology , chemistry , psychiatry
Objectives There is a lack of published data about the food intake of patients with type 2 diabetes and the changes that they make in response to patient‐centred dietary advice. The present study describes the changes reported in response to a nonprescriptive dietary intervention based upon UK dietary guidelines. Methods Two hundred and sixty‐two patients (87 women and 175 men) from the Early ACT ivity in Diabetes (ACTID) trial who received the dietary intervention returned 4 days food diaries at baseline and 6 months. Nonparametric tests were used to examine changes in meal patterns, total energy intake and energy from food groups between baseline and 6 months. Results Mean (SD) number of reported meals day –1 was 3.0 (0.3) and mean (SD) number of snacks was 1.1 (0.6) at both baseline and 6 months for men and women. Men reported decreasing energy intake by a mean (SD) of 912 (1389) KJ/day [218 (332) kcal day –1 ] ( P < 0.001) and women by 515 (1130) KJ/day [123 (270) kcal day –1 ] ( P < 0.001). Men reported reducing energy from alcoholic drinks [−234 (527) KJ day –1 ; P < 0.001], white bread [−113 (402) KJ day –1 ; P = 0.001], biscuits [i.e. cookies −67 (205) KJ day –1 ; P < 0.001] and cakes [−50 (410) KJ day –1 ; P = 0.0012]. Women reported reducing energy from mixed main meals [−134 (456) KJ day –1 ; P = 0.036], pasta and rice [−79 (326) KJ day –1 ; P = 0.019], high‐energy drinks [−59 (159) KJ day –1 ; P = 0.001] and white bread [−59 (368) KJ day –1 ; P = 0.042]. Conclusions Men and women in the Early ACTID study reported small changes in higher‐energy and lower‐fibre foods and drinks in response to patient‐centred dietary advice.