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

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        Livingstone_PHN_Clustering.pdf (PDF, 713Kb)
        Author
        Livingstone, Katherine M
        Celis-Morales, Carlos
        Lara, Jose
        Woolhead, Clara
        O'Donovan, Clare B
        Forster, Hannah
        Marsaux, Cyril Fm
        Macready, Anna L
        Fallaize, Rosalind
        Navas-Carretero, Santiago
        San-Cristobal, Rodrigo
        Kolossa, Silvia
        Tsirigoti, Lydia
        Lambrinou, Christina P
        Moschonis, George
        Surwiłło, Agnieszka
        Drevon, Christian A
        Manios, Yannis
        Traczyk, Iwona
        Gibney, Eileen R
        Brennan, Lorraine
        Walsh, Marianne C
        Lovegrove, Julie A
        Martinez, J Alfredo
        Saris, Wim Hm
        Daniel, Hannelore
        Gibney, Mike
        Mathers, John C
        Attention
        2299/17421
        Abstract
        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 date
        2016-12-01
        Published in
        Public Health Nutrition
        Published version
        https://doi.org/10.1017/S1368980016001932
        Other links
        http://hdl.handle.net/2299/17421
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