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12, 2016;19 (18): 3296-3305.

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

Katherine M Livingstone, Carlos Celis-Morales, Jose Lara, Clara Woolhead, Clare B O'Donovan, Hannah Forster, Cyril Fm Marsaux, Anna L Macready, Rosalind Fallaize, Santiago Navas-Carretero, Rodrigo San-Cristobal, Silvia Kolossa, Lydia Tsirigoti, Christina P Lambrinou, George Moschonis, Agnieszka Surwiłło, Christian A Drevon, Yannis Manios, Iwona Traczyk, Eileen R Gibney, Lorraine Brennan, Marianne C Walsh, Julie A Lovegrove, J Alfredo Martinez, Wim Hm Saris, Hannelore Daniel, Mike Gibney, John C Mathers
Author Information
  1. Katherine M Livingstone: 1Human Nutrition Research Centre,Institute of Cellular Medicine,Newcastle University,Biomedical Research Building,Campus for Ageing and Vitality,Newcastle upon Tyne NE4 5PL,UK. ORCID
  2. Carlos Celis-Morales: 1Human Nutrition Research Centre,Institute of Cellular Medicine,Newcastle University,Biomedical Research Building,Campus for Ageing and Vitality,Newcastle upon Tyne NE4 5PL,UK.
  3. Jose Lara: 1Human Nutrition Research Centre,Institute of Cellular Medicine,Newcastle University,Biomedical Research Building,Campus for Ageing and Vitality,Newcastle upon Tyne NE4 5PL,UK.
  4. Clara Woolhead: 2UCD Institute of Food and Health,University College Dublin,Dublin,Republic of Ireland.
  5. Clare B O'Donovan: 2UCD Institute of Food and Health,University College Dublin,Dublin,Republic of Ireland.
  6. Hannah Forster: 2UCD Institute of Food and Health,University College Dublin,Dublin,Republic of Ireland.
  7. Cyril Fm Marsaux: 3Department of Human Biology,NUTRIM School of Nutrition and Translational Research in Metabolism,Maastricht University Medical Centre,Maastricht,The Netherlands.
  8. Anna L Macready: 4Hugh Sinclair Unit of Human Nutrition and Institute for Cardiovascular and Metabolic Research,University of Reading,Reading,UK.
  9. Rosalind Fallaize: 4Hugh Sinclair Unit of Human Nutrition and Institute for Cardiovascular and Metabolic Research,University of Reading,Reading,UK.
  10. Santiago Navas-Carretero: 5Center for Nutrition Research,University of Navarra,Pamplona,Spain.
  11. Rodrigo San-Cristobal: 6CIBER Fisiopatología Obesidad y Nutrición (CIBERobn),Instituto de Salud Carlos III,Madrid,Spain.
  12. Silvia Kolossa: 7ZIEL Research Center of Nutrition and Food Sciences,Biochemistry Unit,Technical University of Munich,Munich,Germany.
  13. Lydia Tsirigoti: 8Department of Nutrition and Dietetics,Harokopio University,Athens,Greece.
  14. Christina P Lambrinou: 8Department of Nutrition and Dietetics,Harokopio University,Athens,Greece.
  15. George Moschonis: 8Department of Nutrition and Dietetics,Harokopio University,Athens,Greece.
  16. Agnieszka Surwiłło: 9National Food & Nutrition Institute (IZZ),Warsaw,Poland.
  17. Christian A Drevon: 10Department of Nutrition,Institute of Basic Medical Sciences, Faculty of Medicine,University of Oslo,Oslo,Norway.
  18. Yannis Manios: 8Department of Nutrition and Dietetics,Harokopio University,Athens,Greece.
  19. Iwona Traczyk: 9National Food & Nutrition Institute (IZZ),Warsaw,Poland.
  20. Eileen R Gibney: 2UCD Institute of Food and Health,University College Dublin,Dublin,Republic of Ireland.
  21. Lorraine Brennan: 2UCD Institute of Food and Health,University College Dublin,Dublin,Republic of Ireland.
  22. Marianne C Walsh: 2UCD Institute of Food and Health,University College Dublin,Dublin,Republic of Ireland.
  23. Julie A Lovegrove: 4Hugh Sinclair Unit of Human Nutrition and Institute for Cardiovascular and Metabolic Research,University of Reading,Reading,UK.
  24. J Alfredo Martinez: 6CIBER Fisiopatología Obesidad y Nutrición (CIBERobn),Instituto de Salud Carlos III,Madrid,Spain.
  25. Wim Hm Saris: 3Department of Human Biology,NUTRIM School of Nutrition and Translational Research in Metabolism,Maastricht University Medical Centre,Maastricht,The Netherlands.
  26. Hannelore Daniel: 7ZIEL Research Center of Nutrition and Food Sciences,Biochemistry Unit,Technical University of Munich,Munich,Germany.
  27. Mike Gibney: 2UCD Institute of Food and Health,University College Dublin,Dublin,Republic of Ireland.
  28. John C Mathers: 1Human Nutrition Research Centre,Institute of Cellular Medicine,Newcastle University,Biomedical Research Building,Campus for Ageing and Vitality,Newcastle upon Tyne NE4 5PL,UK.
PMID: 27499187 DOI: 10.1017/S1368980016001932

Abstract

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 (n 1480).
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.

Keywords

Clustering Dietary recommendations Healthy Eating Index Personalised nutrition

Associated Data

ClinicalTrials.gov | NCT01530139

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MeSH Term

Adolescent
Adult
Aged
Body Mass Index
Cluster Analysis
Dairy Products
Diet, Healthy
Energy Intake
Fast Foods
Fatty Acids
Female
Humans
Male
Middle Aged
Patient Compliance
Red Meat
Seafood
Smoking
Waist Circumference
Young Adult

Chemicals

Fatty Acids
Journal Article Randomized Controlled Trial
Article has an altmetric score of 1

Word Cloud

Created with Highcharts 10.0.0recommendationsC4dietarymetclusterC1P<0·05clustersHEIPNC3individualswhetherintakesadherencechangesHealthyEatingIndexscorespersonalisednutritioninterventionFood4Mestudybaselinecomparedreceivedadvice6-monthrandomisedtrialIndividualsC2lowerreportedgreaterimprovementsClusteringOBJECTIVE:characterisebaseddetermineresponsevariedDESIGN:participantsclusteredaccordingEuropeanChangesmonth6stratifiedgeneralisedSETTING:Pan-EuropeanInternet-basedcontrolledSUBJECTS:Adultsaged18-79yearsn1480RESULTS:1recommendedexceptredmeat2two34onerecommendationhigherwhitefishbeanslentilslow-fatdairyproductspercentageenergyintakeSFAconsumedlesschipspizzafriedfoodslighterBMIwaistcircumferencephysicallyactivesmokerswantedloseweightCONCLUSIONS:fewestfollowingwhereasdifferenceControlnon-personalisedhealthyeatingindexwithinDietaryPersonalised

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