{"id":29466,"date":"2015-01-01T00:00:00","date_gmt":"2018-12-03T22:19:14","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/partial-meal-replacement-plan-and-quality-of-the-diet-at-1-year\/"},"modified":"2018-12-03T23:19:14","modified_gmt":"2018-12-03T22:19:14","slug":"partial-meal-replacement-plan-and-quality-of-the-diet-at-1-year","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/partial-meal-replacement-plan-and-quality-of-the-diet-at-1-year\/","title":{"rendered":"Partial Meal Replacement Plan and Quality of the Diet at 1 Year: Action for Health in Diabetes (Look AHEAD) Trial."},"content":{"rendered":"

BACKGROUND<\/strong>
\nLittle is known about diet quality with a reduced-energy, low-fat, partial meal replacement plan, especially in individuals with type 2 diabetes. The Action for Health in Diabetes (Look AHEAD) trial implemented a partial meal replacement plan in the Intensive Lifestyle Intervention.<\/p>\n

OBJECTIVE<\/strong>
\nTo compare dietary intake and percent meeting fat-related and food group dietary recommendations in Intensive Lifestyle Intervention and Diabetes Support and Education groups at 12 months.<\/p>\n

DESIGN<\/strong>
\nA randomized controlled trial comparing Intensive Lifestyle Intervention with Diabetes Support and Education at 0 and 12 months.<\/p>\n

PARTICIPANTS\/SETTING<\/strong>
\nFrom 16 US sites, the first 50% of participants (aged 45 to 76 years, overweight or obese, with type 2 diabetes) were invited to complete dietary assessments. Complete 0- and 12-month dietary assessments (collected between 2001 and 2004) were available for 2,397 participants (46.6% of total participants), with 1,186 randomized to Diabetes Support and Education group and 1,211 randomized to Intensive Lifestyle Intervention group.<\/p>\n

MAIN OUTCOME MEASURES<\/strong>
\nA food frequency questionnaire assessed intake: energy; percent energy from protein, fat, carbohydrate, polyunsaturated fatty acids, and saturated fats; trans-fatty acids; cholesterol; fiber; weekly meal replacements; and daily servings from food groups from the Food Guide Pyramid.<\/p>\n

STATISTICAL ANALYSES PERFORMED<\/strong>
\nMixed-factor analyses of covariance, using Proc MIXED with a repeated statement, with age, sex, race\/ethnicity, education, and income controlled. Unadjusted χ2<\/sup> tests compared percent meeting fat-related and food group recommendations at 12 months.<\/p>\n

RESULTS<\/strong>
\nAt 12 months, Intensive Lifestyle Intervention participants had a significantly lower fat and cholesterol intake and greater fiber intake than Diabetes Support and Education participants. Intensive Lifestyle Intervention participants consumed more servings per day of fruits; vegetables; and milk, yogurt, and cheese; and fewer servings per day of fats, oils, and sweets than Diabetes Support and Education participants. A greater percentage of Intensive Lifestyle Intervention participants than Diabetes Support and Education participants met fat-related and most food group recommendations. Within Intensive Lifestyle Intervention, a greater percentage of participants consuming two or more meal replacements per day than participants consuming less than one meal replacement per day met most fat-related and food group recommendations.<\/p>\n

CONCLUSIONS<\/strong>
\nThe partial meal replacement plan consumed by Intensive Lifestyle Intervention participants was related to superior diet quality.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-29466","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"","annee":"2015","mois":"1","numero":"","page":"","auteurs":[{"ID":29457,"post_author":"0","post_date":"2018-12-03 23:19:09","post_date_gmt":"2018-12-03 22:19:09","post_content":"","post_title":"Mara Z Vitolins","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"mara-z-vitolins","to_ping":"","pinged":"","post_modified":"2018-12-03 23:19:09","post_modified_gmt":"2018-12-03 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