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Effectiveness of a Brief Dietetic Intervention for Hyperlipidaemic Adults Using Individually-Tailored Dietary Feedback

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      Dietary modifications can improve serum lipids and reduce cardiovascular disease (CVD) risk. However, attendance at multiple dietary consultations can be a barrier to achieving behaviour change. This study investigated the effectiveness of a brief dietetic intervention on CVD risk factors in hyperlipidaemic adults. Adults with total cholesterol ≥ 5.0 mmol/L or low density lipoprotein (LDL) cholesterol ≥ 4.0 mmol/L and not currently taking lipid-lowering medication were eligible for a minimum 6-week dietary intervention. Dietary intake data and blood lipids were acquired prior to a single counselling session with an Accredited Practising Dietitian (APD). The intervention used targeted feedback with purpose-developed education materials to supplement advice. CVD risk factors and dietary intakes were used to assess pre-post intervention change using linear mixed model regression analyses. Thirty-nine participants (59.3 ± 11.1 years, n = 28 female) were analysed. Mean ± SD follow-up from baseline time was 9.5 ± 2.5 weeks. Significant ( p < 0.05) reductions in total cholesterol (−0.51 mmol/L), total:HDL (high density lipoprotein) ratio (−0.27 mmol/L), triglycerides (−0.38 mmol/L), total energy (−870 kJ/day), energy from nutrient-poor foods (−1006 kJ/day) and sodium (−325 mg/day), and improved dietary fat quality (−5.1% of energy/day saturated, +5.0% of energy/day polyunsaturated) and body mass index (−0.4 kg/m2) were achieved. A brief intervention by an APD incorporating targeted, personalised dietary feedback and education in a single counselling session can improve lipid profiles in adults with hyperlipidaemia.

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            Author and article information

            [1 ]School of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Callaghan 2308, NSW, Australia; tracy.schumacher@ (T.L.S.); tracy.burrows@ (T.L.B.); megan.rollo@ (M.E.R.)
            [2 ]Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan 2308, NSW, Australia; robin.callister@
            [3 ]Priority Research Centre for Translational Neuroscience and Mental Health & Faculty of Health and Medicine, University of Newcastle, Callaghan 2308, NSW, Australia; neil.spratt@
            [4 ]Hunter New England Local Health District & Hunter Medical Research Institute, New Lambton Heights 2305, NSW, Australia
            [5 ]School of Biomedical Sciences and Pharmacy, University of Newcastle, Callaghan 2308, NSW, Australia
            Author notes
            [* ]Correspondence: clare.collins@ ; Tel.: +61-249-215-646
            Role: Academic Editor
            Healthcare (Basel)
            Healthcare (Basel)
            11 October 2016
            December 2016
            : 4
            : 4
            27727165 5198117 10.3390/healthcare4040075 healthcare-04-00075
            © 2016 by the authors; licensee MDPI, Basel, Switzerland.

            This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license (



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