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Changes in dietary intake following a culturally adapted lifestyle intervention among Iraqi immigrants to Sweden at high risk of type 2 diabetes : a randomised trial

Siddiqui, Faiza LU ; Winther, Vicky LU ; Kurbasic, Azra LU ; Sonestedt, Emily LU orcid ; Balcker, Katarina LU ; Lindeberg, Staffan LU ; Nilsson, Peter M. LU and Bennet, Louise LU orcid (2017) In Public Health Nutrition 20(15). p.2827-2838
Abstract

Objective: To investigate the effectiveness of a culturally adapted lifestyle intervention for changing dietary intake, particularly energy, fat and fibre intakes, in the intervention group (IG) compared with the control group (CG). Design: Randomised controlled trial. Setting: IG (n 50) and CG (n 46). The IG was offered seven group sessions, including one cooking class, over a period of 4 months. The participants filled out 4 d food diaries at the start, mid and end of the study. Subjects: Iraqi-born residents of Malmö, Sweden, at increased risk for developing diabetes. Results: At baseline, participants’ fat intake was high (40 % of total energy intake (E%)). The predefined study goals of obtaining <30 E% from fat and ≥15 g... (More)

Objective: To investigate the effectiveness of a culturally adapted lifestyle intervention for changing dietary intake, particularly energy, fat and fibre intakes, in the intervention group (IG) compared with the control group (CG). Design: Randomised controlled trial. Setting: IG (n 50) and CG (n 46). The IG was offered seven group sessions, including one cooking class, over a period of 4 months. The participants filled out 4 d food diaries at the start, mid and end of the study. Subjects: Iraqi-born residents of Malmö, Sweden, at increased risk for developing diabetes. Results: At baseline, participants’ fat intake was high (40 % of total energy intake (E%)). The predefined study goals of obtaining <30 E% from fat and ≥15 g fibre/4184 kJ (1000 kcal) were met by very few individuals. In the IG v. the CG, the proportion of individuals obtaining <40 E% from fat (48·4 v. 34·6 %, P=0·65), <10 E% from saturated fat (32·3 v. 11·5 %, P=0·14) and ≥10 g fibre/4184 kJ (45·2 v. 26·9 %, P=0·46) appeared to be higher at the last visit, although the differences were statistically non-significant. A trend towards decreased mean daily intakes of total energy (P=0·03), carbohydrate (P=0·06), sucrose (P=0·02) and fat (P=0·02) was observed within the IG. Differences in changes over time between the groups did not reach statistical significance. Conclusions: Although no significant differences were observed in the two groups, our data indicate that this culturally adapted programme has the potential to modify dietary intake in Middle Eastern immigrants. The high fat intake in this group should be addressed.

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author
; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Dietary fats, Dietary modification, Immigrants, Lifestyle, Randomised controlled trial
in
Public Health Nutrition
volume
20
issue
15
pages
2827 - 2838
publisher
Cambridge University Press
external identifiers
  • pmid:28738912
  • wos:000417837700020
  • scopus:85026548610
ISSN
1368-9800
DOI
10.1017/S136898001700146X
project
Prevention of type 2 diabetes and poor mental health amongst immigrants from the Middle-East to Sweden
The MEDIM project
language
English
LU publication?
yes
id
ceedcbe4-8381-4eb9-91c6-4ad67afe8a3c
date added to LUP
2017-08-24 14:54:44
date last changed
2024-06-09 22:00:12
@article{ceedcbe4-8381-4eb9-91c6-4ad67afe8a3c,
  abstract     = {{<p>Objective: To investigate the effectiveness of a culturally adapted lifestyle intervention for changing dietary intake, particularly energy, fat and fibre intakes, in the intervention group (IG) compared with the control group (CG). Design: Randomised controlled trial. Setting: IG (n 50) and CG (n 46). The IG was offered seven group sessions, including one cooking class, over a period of 4 months. The participants filled out 4 d food diaries at the start, mid and end of the study. Subjects: Iraqi-born residents of Malmö, Sweden, at increased risk for developing diabetes. Results: At baseline, participants’ fat intake was high (40 % of total energy intake (E%)). The predefined study goals of obtaining &lt;30 E% from fat and ≥15 g fibre/4184 kJ (1000 kcal) were met by very few individuals. In the IG v. the CG, the proportion of individuals obtaining &lt;40 E% from fat (48·4 v. 34·6 %, P=0·65), &lt;10 E% from saturated fat (32·3 v. 11·5 %, P=0·14) and ≥10 g fibre/4184 kJ (45·2 v. 26·9 %, P=0·46) appeared to be higher at the last visit, although the differences were statistically non-significant. A trend towards decreased mean daily intakes of total energy (P=0·03), carbohydrate (P=0·06), sucrose (P=0·02) and fat (P=0·02) was observed within the IG. Differences in changes over time between the groups did not reach statistical significance. Conclusions: Although no significant differences were observed in the two groups, our data indicate that this culturally adapted programme has the potential to modify dietary intake in Middle Eastern immigrants. The high fat intake in this group should be addressed.</p>}},
  author       = {{Siddiqui, Faiza and Winther, Vicky and Kurbasic, Azra and Sonestedt, Emily and Balcker, Katarina and Lindeberg, Staffan and Nilsson, Peter M. and Bennet, Louise}},
  issn         = {{1368-9800}},
  keywords     = {{Dietary fats; Dietary modification; Immigrants; Lifestyle; Randomised controlled trial}},
  language     = {{eng}},
  month        = {{07}},
  number       = {{15}},
  pages        = {{2827--2838}},
  publisher    = {{Cambridge University Press}},
  series       = {{Public Health Nutrition}},
  title        = {{Changes in dietary intake following a culturally adapted lifestyle intervention among Iraqi immigrants to Sweden at high risk of type 2 diabetes : a randomised trial}},
  url          = {{http://dx.doi.org/10.1017/S136898001700146X}},
  doi          = {{10.1017/S136898001700146X}},
  volume       = {{20}},
  year         = {{2017}},
}