Effect of AHA dietary counselling on added sugar intake among participants with metabolic syndrome
Pagoto, Sherry L.
May, Christine N.
Olendzki, Barbara C.
Tucker, Katherine L.
UMass Chan AffiliationsUMass Worcester Prevention Research Center
Division of Preventive and Behavioral Medicine, Department of Medicine
Document TypeJournal Article
KeywordsAHA dietary counselling
Dietetics and Clinical Nutrition
Endocrinology, Diabetes, and Metabolism
Human and Clinical Nutrition
Nutritional and Metabolic Diseases
MetadataShow full item record
AbstractBACKGROUND: 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.
SourceEur J Nutr. 2017 Mar 28. doi: 10.1007/s00394-017-1390-6. Link to article on publisher's site
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/29067
Related ResourcesLink to Article in PubMed