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    Effect of AHA dietary counselling on added sugar intake among participants with metabolic syndrome

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    Authors
    Zhang, Lijuan
    Pagoto, Sherry L.
    May, Christine N.
    Olendzki, Barbara C.
    Tucker, Katherine L.
    Ruiz, Carolina
    Cao, Yu
    Ma, Yunsheng
    UMass Chan Affiliations
    UMass Worcester Prevention Research Center
    Division of Preventive and Behavioral Medicine, Department of Medicine
    Document Type
    Journal Article
    Publication Date
    2017-03-28
    Keywords
    AHA dietary counselling
    Added sugar
    Metabolic syndrome
    Dietetics and Clinical Nutrition
    Endocrinology, Diabetes, and Metabolism
    Human and Clinical Nutrition
    Nutritional and Metabolic Diseases
    
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    Link to Full Text
    https://doi.org/10.1007/s00394-017-1390-6
    Abstract
    BACKGROUND: High added sugar consumption has been associated with the development of metabolic syndrome (MetS). The American Heart Association (AHA) diet is designed to prevent and treat MetS; however, it remains unclear whether the AHA diet is effective on decreasing added sugar consumption. The aim of our study was to evaluate the effect of the AHA dietary counselling on added sugar consumption among participants with MetS. METHODS: The AHA dietary counselling was conducted among 119 participants with MetS from June 2009 to January 2014 (ClinicalTrials.gov: NCT00911885). Unannounced 24-hour recalls were collected at baseline, 3, 6 and 12 months. Added sugar consumption patterns over time were examined using linear mixed models. RESULTS: After 1-year dietary counselling, intake of added sugars decreased by 23.8 g/day (95% CI 15.1, 32.4 g/day); intake of nonalcoholic beverages dropped from the leading contributor of added sugar intake to number 7 (from 11.9 to 4.4%); the Alternative Healthy Eating Index (AHEI) score increased by 5.4 (95% CI 2.9, 8.0); however, added sugar intake for 48% participants still exceeded the recommendation. Added sugar intake per meal among different meal type was similar (24.2-25.8%) at baseline. After the 1-year dietary counselling, breakfast became the major resource of added sugar intake (33.3%); the proportion of added sugar intake from snacks decreased from 25.8% (CI 23.1, 28.5%) to 20.9% (CI 19.6, 22.3%). CONCLUSION: Although the consumption of added sugars in participants with MetS decreased after the 1-year AHA dietary counselling, added sugar intake from majority of participants still exceeds recommended limits. Actions of successful public health strategies that focus on reducing added sugar intake are needed.
    Source
    Eur J Nutr. 2017 Mar 28. doi: 10.1007/s00394-017-1390-6. Link to article on publisher's site
    DOI
    10.1007/s00394-017-1390-6
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/29067
    PubMed ID
    28353070
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1007/s00394-017-1390-6
    Scopus Count
    Collections
    UMass Chan Faculty and Researcher Publications
    UMass Worcester PRC Publications

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