The effect of a digital behavioral weight loss intervention on adherence to the dietary approaches to stop hypertension (DASH) dietary pattern in medically vulnerable primary care patients : results from a randomized controlled trial /
Steinberg, Dori.
The effect of a digital behavioral weight loss intervention on adherence to the dietary approaches to stop hypertension (DASH) dietary pattern in medically vulnerable primary care patients : results from a randomized controlled trial / Dori Steinberg, Melissa Kay, Jasmine Burroughs, Laura P. Svertkey, Gary G. Bennett - April 2019 - Journal of the Academy of Nutrition and Dietetics 119 : 4, page 574-584 .
Background Obesity treatment focuses primarily on reducing overall caloric intake with limited focus on improving diet quality. The Dietary Approaches to Stop Hypertension (DASH) dietary pattern is effective in managing hypertension and other chronic conditions, yet it is not clear whether behavioral weight control interventions improve DASH adherence. We conducted a post hoc analysis of a behavioral weight loss intervention that did not emphasize diet quality and examined whether the intervention impacted DASH adherence in medically vulnerable community health center patients. Methods Participants (n=306) were enrolled in Track, a randomized controlled weight loss intervention for patients with elevated cardiovascular risk. The trial compared usual care to an intervention with weekly self-monitoring, tailored feedback on diet and exercise goals, and dietitian and provider counseling in community health centers. Dietary intake was measured using the Block Food Frequency Questionnaires collected at baseline and 12 months. DASH adherence was determined using previously validated scoring indices that assessed adherence based on recommended nutrient or food group targets. Total scores for both indices ranged from 0 to 9, with higher scores indicating greater DASH adherence. Results The mean (and standard deviation [SD]) age of participants was 51.1 (SD=8.8) years and the mean body mass index was 35.9 (SD=3.9). Most were female (69%) and black (51%); 13% were Hispanic. Half (51%) had an annual income <
Nutrition.
Diet quality.
Dietary approaches to stop hypertension (DASH) diet.
Hypertention.
Primary care.
Weight loss.
The effect of a digital behavioral weight loss intervention on adherence to the dietary approaches to stop hypertension (DASH) dietary pattern in medically vulnerable primary care patients : results from a randomized controlled trial / Dori Steinberg, Melissa Kay, Jasmine Burroughs, Laura P. Svertkey, Gary G. Bennett - April 2019 - Journal of the Academy of Nutrition and Dietetics 119 : 4, page 574-584 .
Background Obesity treatment focuses primarily on reducing overall caloric intake with limited focus on improving diet quality. The Dietary Approaches to Stop Hypertension (DASH) dietary pattern is effective in managing hypertension and other chronic conditions, yet it is not clear whether behavioral weight control interventions improve DASH adherence. We conducted a post hoc analysis of a behavioral weight loss intervention that did not emphasize diet quality and examined whether the intervention impacted DASH adherence in medically vulnerable community health center patients. Methods Participants (n=306) were enrolled in Track, a randomized controlled weight loss intervention for patients with elevated cardiovascular risk. The trial compared usual care to an intervention with weekly self-monitoring, tailored feedback on diet and exercise goals, and dietitian and provider counseling in community health centers. Dietary intake was measured using the Block Food Frequency Questionnaires collected at baseline and 12 months. DASH adherence was determined using previously validated scoring indices that assessed adherence based on recommended nutrient or food group targets. Total scores for both indices ranged from 0 to 9, with higher scores indicating greater DASH adherence. Results The mean (and standard deviation [SD]) age of participants was 51.1 (SD=8.8) years and the mean body mass index was 35.9 (SD=3.9). Most were female (69%) and black (51%); 13% were Hispanic. Half (51%) had an annual income <
Nutrition.
Diet quality.
Dietary approaches to stop hypertension (DASH) diet.
Hypertention.
Primary care.
Weight loss.