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

Livingstone, K. M., Celis-Morales, C., Lara, J., Woolhead, C., O'Donovan, C. B., Forster, H., Marsaux, C. F. M., Macready, A. L. ORCID: https://orcid.org/0000-0003-0368-9336, Fallaize, R., Navas-Carretero, S., San-Cristobal, R., Kolossa, S., Tsirigoti, L., Lambrinou, C. P., Moschonis, G., Surwiłło, A., Drevon, C. A., Manios, Y., Traczyk, I., Gibney, E. R., Brennan, L., Walsh, M. C., Lovegrove, J. A. ORCID: https://orcid.org/0000-0001-7633-9455, Martinez, J. A., Saris, W. H. M., Daniel, H., Gibney, M. and Mathers, J. C. (2016) Clustering of adherence to personalised dietary recommendations and changes in healthy eating index within the Food4Me study. Public Health Nutrition, 19 (18). pp. 3296-3305. ISSN 1368-9800 doi: 10.1017/S1368980016001932

Abstract/Summary

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 (n1480). 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.

Item Type	Article
URI	https://reading-pure-test.eprints-hosting.org/id/eprint/66410
Identification Number/DOI	10.1017/S1368980016001932
Refereed	Yes
Divisions	Central Services Life Sciences > School of Agriculture, Policy and Development > Department of Agri-Food Economics & Marketing Life Sciences > School of Chemistry, Food and Pharmacy > Department of Food and Nutritional Sciences
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