Intensive nutrition counseling enhances outcomes of national cholesterol education program dietary therapy

Katherine S. Rhodes, Lisa C. Bookstein, Lauren S. Aaronson, Nelda M. Mercer, Carl Edward Orringer

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Objective: To compare the effect of the addition of medical nutrition therapy administered by a registered dietitian with the usual physician counseling on nutrition knowledge, attitudes regarding dietary change, body mass index, dietary intake, and lipid and lipoprotein concentrations during initial management of persons at risk for cardiovascular disease. Design: A 3-month prospective, randomized trial of subjects stratified by sex and assigned to one of four nested treatment groups, which were subsequently collapsed into two groups. Subjects: Fifty-two men and 52 women classified at risk for cardiovascular disease. Intervention: Two groups of subjects received dietary counseling from a physician or nurse; in one group the Grocery Shopping Guide was used. Two other groups received medical nutrition therapy from a registered dietitian (one or three visits) in addition to the instruction from a physician or nurse and the information provided by the Grocery Shopping Guide. Statistical analyses: Analyses of covariance were performed to determine differences between the groups. Paired t tests were performed to study changes within the groups. Results: The group receiving medical nutrition therapy from a registered dietitian gained statistically significantly more nutrition knowledge; had significantly greater perceptions of the benefits and efficacy of following a cholesterol-lowering diet; consumed a significantly lower percentage of fat, higher percentage of carbohydrate, and less dietary cholesterol than subjects counseled only by a physician or nurse. They also had significantly greater improvement in body mass index. Both groups of subjects achieved statistically significant reductions in serum lipid levels. Applications: Increased knowledge, benefits, and efficacy and lower-fat eating behaviors associated with additional nutrition therapy may have significant implications on the ability of persons to follow low-fat eating plans long term, which could reduce the need for costly medication intervention.

Original languageEnglish (US)
Pages (from-to)1003-1010
Number of pages8
JournalJournal of the American Dietetic Association
Volume96
Issue number10
DOIs
StatePublished - Oct 1996
Externally publishedYes

Fingerprint

Nutrition Therapy
diet counseling
diet therapy
physicians
Nutritionists
Counseling
dietitians
nurses
Cholesterol
groceries
Physicians
nutrition knowledge
Education
Fats
Nurses
cardiovascular diseases
body mass index
Body Mass Index
Cardiovascular Diseases
lipids

ASJC Scopus subject areas

  • Food Science
  • Medicine(all)

Cite this

Intensive nutrition counseling enhances outcomes of national cholesterol education program dietary therapy. / Rhodes, Katherine S.; Bookstein, Lisa C.; Aaronson, Lauren S.; Mercer, Nelda M.; Orringer, Carl Edward.

In: Journal of the American Dietetic Association, Vol. 96, No. 10, 10.1996, p. 1003-1010.

Research output: Contribution to journalArticle

Rhodes, Katherine S. ; Bookstein, Lisa C. ; Aaronson, Lauren S. ; Mercer, Nelda M. ; Orringer, Carl Edward. / Intensive nutrition counseling enhances outcomes of national cholesterol education program dietary therapy. In: Journal of the American Dietetic Association. 1996 ; Vol. 96, No. 10. pp. 1003-1010.
@article{dd3bf808e0344d38b1f898a29e95c770,
title = "Intensive nutrition counseling enhances outcomes of national cholesterol education program dietary therapy",
abstract = "Objective: To compare the effect of the addition of medical nutrition therapy administered by a registered dietitian with the usual physician counseling on nutrition knowledge, attitudes regarding dietary change, body mass index, dietary intake, and lipid and lipoprotein concentrations during initial management of persons at risk for cardiovascular disease. Design: A 3-month prospective, randomized trial of subjects stratified by sex and assigned to one of four nested treatment groups, which were subsequently collapsed into two groups. Subjects: Fifty-two men and 52 women classified at risk for cardiovascular disease. Intervention: Two groups of subjects received dietary counseling from a physician or nurse; in one group the Grocery Shopping Guide was used. Two other groups received medical nutrition therapy from a registered dietitian (one or three visits) in addition to the instruction from a physician or nurse and the information provided by the Grocery Shopping Guide. Statistical analyses: Analyses of covariance were performed to determine differences between the groups. Paired t tests were performed to study changes within the groups. Results: The group receiving medical nutrition therapy from a registered dietitian gained statistically significantly more nutrition knowledge; had significantly greater perceptions of the benefits and efficacy of following a cholesterol-lowering diet; consumed a significantly lower percentage of fat, higher percentage of carbohydrate, and less dietary cholesterol than subjects counseled only by a physician or nurse. They also had significantly greater improvement in body mass index. Both groups of subjects achieved statistically significant reductions in serum lipid levels. Applications: Increased knowledge, benefits, and efficacy and lower-fat eating behaviors associated with additional nutrition therapy may have significant implications on the ability of persons to follow low-fat eating plans long term, which could reduce the need for costly medication intervention.",
author = "Rhodes, {Katherine S.} and Bookstein, {Lisa C.} and Aaronson, {Lauren S.} and Mercer, {Nelda M.} and Orringer, {Carl Edward}",
year = "1996",
month = "10",
doi = "10.1016/S0002-8223(96)00268-4",
language = "English (US)",
volume = "96",
pages = "1003--1010",
journal = "Journal of the Academy of Nutrition and Dietetics",
issn = "2212-2672",
publisher = "Elsevier USA",
number = "10",

}

TY - JOUR

T1 - Intensive nutrition counseling enhances outcomes of national cholesterol education program dietary therapy

AU - Rhodes, Katherine S.

AU - Bookstein, Lisa C.

AU - Aaronson, Lauren S.

AU - Mercer, Nelda M.

AU - Orringer, Carl Edward

PY - 1996/10

Y1 - 1996/10

N2 - Objective: To compare the effect of the addition of medical nutrition therapy administered by a registered dietitian with the usual physician counseling on nutrition knowledge, attitudes regarding dietary change, body mass index, dietary intake, and lipid and lipoprotein concentrations during initial management of persons at risk for cardiovascular disease. Design: A 3-month prospective, randomized trial of subjects stratified by sex and assigned to one of four nested treatment groups, which were subsequently collapsed into two groups. Subjects: Fifty-two men and 52 women classified at risk for cardiovascular disease. Intervention: Two groups of subjects received dietary counseling from a physician or nurse; in one group the Grocery Shopping Guide was used. Two other groups received medical nutrition therapy from a registered dietitian (one or three visits) in addition to the instruction from a physician or nurse and the information provided by the Grocery Shopping Guide. Statistical analyses: Analyses of covariance were performed to determine differences between the groups. Paired t tests were performed to study changes within the groups. Results: The group receiving medical nutrition therapy from a registered dietitian gained statistically significantly more nutrition knowledge; had significantly greater perceptions of the benefits and efficacy of following a cholesterol-lowering diet; consumed a significantly lower percentage of fat, higher percentage of carbohydrate, and less dietary cholesterol than subjects counseled only by a physician or nurse. They also had significantly greater improvement in body mass index. Both groups of subjects achieved statistically significant reductions in serum lipid levels. Applications: Increased knowledge, benefits, and efficacy and lower-fat eating behaviors associated with additional nutrition therapy may have significant implications on the ability of persons to follow low-fat eating plans long term, which could reduce the need for costly medication intervention.

AB - Objective: To compare the effect of the addition of medical nutrition therapy administered by a registered dietitian with the usual physician counseling on nutrition knowledge, attitudes regarding dietary change, body mass index, dietary intake, and lipid and lipoprotein concentrations during initial management of persons at risk for cardiovascular disease. Design: A 3-month prospective, randomized trial of subjects stratified by sex and assigned to one of four nested treatment groups, which were subsequently collapsed into two groups. Subjects: Fifty-two men and 52 women classified at risk for cardiovascular disease. Intervention: Two groups of subjects received dietary counseling from a physician or nurse; in one group the Grocery Shopping Guide was used. Two other groups received medical nutrition therapy from a registered dietitian (one or three visits) in addition to the instruction from a physician or nurse and the information provided by the Grocery Shopping Guide. Statistical analyses: Analyses of covariance were performed to determine differences between the groups. Paired t tests were performed to study changes within the groups. Results: The group receiving medical nutrition therapy from a registered dietitian gained statistically significantly more nutrition knowledge; had significantly greater perceptions of the benefits and efficacy of following a cholesterol-lowering diet; consumed a significantly lower percentage of fat, higher percentage of carbohydrate, and less dietary cholesterol than subjects counseled only by a physician or nurse. They also had significantly greater improvement in body mass index. Both groups of subjects achieved statistically significant reductions in serum lipid levels. Applications: Increased knowledge, benefits, and efficacy and lower-fat eating behaviors associated with additional nutrition therapy may have significant implications on the ability of persons to follow low-fat eating plans long term, which could reduce the need for costly medication intervention.

UR - http://www.scopus.com/inward/record.url?scp=0030391687&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030391687&partnerID=8YFLogxK

U2 - 10.1016/S0002-8223(96)00268-4

DO - 10.1016/S0002-8223(96)00268-4

M3 - Article

C2 - 8841162

AN - SCOPUS:0030391687

VL - 96

SP - 1003

EP - 1010

JO - Journal of the Academy of Nutrition and Dietetics

JF - Journal of the Academy of Nutrition and Dietetics

SN - 2212-2672

IS - 10

ER -