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Long-term changes in dietary and food intake behaviour in the Diabetes Prevention Program Outcomes Study

Jaacks, L. M.; Ma, Y.; Davis, N.; Delahanty, L. M.; Mayer-Davis, E. J.; Franks, Paul LU ; Brown-Friday, J.; Isonaga, M.; Kriska, A. M. and Venditti, E. M., et al. (2014) In Diabetic Medicine 31(12). p.1631-1642
Abstract
Aims To compare change in dietary intake, with an emphasis on food groups and food intake behaviour, over time across treatment arms in a diabetes prevention trial and to assess the differences in dietary intake among demographic groups within treatment arms. Methods Data are from the Diabetes Prevention Program and Diabetes Prevention Program Outcomes Study. Participants were randomized to a lifestyle intervention (n = 1079), metformin (n = 1073) or placebo (n = 1082) for an average of 3 years, after which the initial results regarding the benefits of the lifestyle intervention were released and all participants were offered a modified lifestyle intervention. Dietary intake was assessed using a food frequency questionnaire at baseline and... (More)
Aims To compare change in dietary intake, with an emphasis on food groups and food intake behaviour, over time across treatment arms in a diabetes prevention trial and to assess the differences in dietary intake among demographic groups within treatment arms. Methods Data are from the Diabetes Prevention Program and Diabetes Prevention Program Outcomes Study. Participants were randomized to a lifestyle intervention (n = 1079), metformin (n = 1073) or placebo (n = 1082) for an average of 3 years, after which the initial results regarding the benefits of the lifestyle intervention were released and all participants were offered a modified lifestyle intervention. Dietary intake was assessed using a food frequency questionnaire at baseline and at 1, 5, 6 and 9 years after randomization. Results Compared with the metformin and placebo arms, participants in the lifestyle arm maintained a lower total fat and saturated fat and a higher fibre intake up to 9 years after randomization and lower intakes of red meat and sweets were maintained for up to 5 years. Younger participants had higher intakes of poultry and lower intakes of fruits compared with their older counterparts, particularly in the lifestyle arm. Black participants tended to have lower dairy and higher poultry intakes compared with white and Hispanic participants. In the lifestyle arm, men tended to have higher grain, fruit and fish intakes than women. Conclusions Changes in nutrient intake among participants in the lifestyle intervention were maintained for up to 9 years. Younger participants reported more unhealthy diets over time and thus may benefit from additional support to achieve and maintain dietary goals. (Less)
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Contribution to journal
publication status
published
subject
in
Diabetic Medicine
volume
31
issue
12
pages
1631 - 1642
publisher
Wiley-Blackwell
external identifiers
  • wos:000345302100024
  • scopus:84936968896
ISSN
1464-5491
DOI
10.1111/dme.12500
language
English
LU publication?
yes
id
6e90db11-cf6e-4a38-a537-cd187a1b6b77 (old id 4982880)
date added to LUP
2015-02-03 07:11:59
date last changed
2017-11-12 03:45:32
@article{6e90db11-cf6e-4a38-a537-cd187a1b6b77,
  abstract     = {Aims To compare change in dietary intake, with an emphasis on food groups and food intake behaviour, over time across treatment arms in a diabetes prevention trial and to assess the differences in dietary intake among demographic groups within treatment arms. Methods Data are from the Diabetes Prevention Program and Diabetes Prevention Program Outcomes Study. Participants were randomized to a lifestyle intervention (n = 1079), metformin (n = 1073) or placebo (n = 1082) for an average of 3 years, after which the initial results regarding the benefits of the lifestyle intervention were released and all participants were offered a modified lifestyle intervention. Dietary intake was assessed using a food frequency questionnaire at baseline and at 1, 5, 6 and 9 years after randomization. Results Compared with the metformin and placebo arms, participants in the lifestyle arm maintained a lower total fat and saturated fat and a higher fibre intake up to 9 years after randomization and lower intakes of red meat and sweets were maintained for up to 5 years. Younger participants had higher intakes of poultry and lower intakes of fruits compared with their older counterparts, particularly in the lifestyle arm. Black participants tended to have lower dairy and higher poultry intakes compared with white and Hispanic participants. In the lifestyle arm, men tended to have higher grain, fruit and fish intakes than women. Conclusions Changes in nutrient intake among participants in the lifestyle intervention were maintained for up to 9 years. Younger participants reported more unhealthy diets over time and thus may benefit from additional support to achieve and maintain dietary goals.},
  author       = {Jaacks, L. M. and Ma, Y. and Davis, N. and Delahanty, L. M. and Mayer-Davis, E. J. and Franks, Paul and Brown-Friday, J. and Isonaga, M. and Kriska, A. M. and Venditti, E. M. and Wylie-Rosett, J.},
  issn         = {1464-5491},
  language     = {eng},
  number       = {12},
  pages        = {1631--1642},
  publisher    = {Wiley-Blackwell},
  series       = {Diabetic Medicine},
  title        = {Long-term changes in dietary and food intake behaviour in the Diabetes Prevention Program Outcomes Study},
  url          = {http://dx.doi.org/10.1111/dme.12500},
  volume       = {31},
  year         = {2014},
}