{"id":29848,"date":"2014-12-01T00:00:00","date_gmt":"2018-12-03T22:24:28","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/effectiveness-of-interventions-applicable-to-primary-health\/"},"modified":"2018-12-03T23:24:28","modified_gmt":"2018-12-03T22:24:28","slug":"effectiveness-of-interventions-applicable-to-primary-health","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/effectiveness-of-interventions-applicable-to-primary-health\/","title":{"rendered":"Effectiveness of interventions applicable to primary health care settings to promote Mediterranean diet or healthy eating adherence in adults: A systematic review."},"content":{"rendered":"<p><strong>OBJECTIVE<\/strong><br \/>\nTo evaluate the effects on healthy eating or the Mediterranean diet adherence achieved by interventions suitable for implementation in primary care settings.<\/p>\n<p><strong>METHODS<\/strong><br \/>\nMedline (PubMed) and The Cochrane Library bibliographic searches retrieved randomized controlled trials published in English or Spanish, January 1990-January 2013. The inclusion criteria were adult population, &gt;3months follow-up, and interventions suitable for primary care settings. Exclusion resulted if studies focused exclusively on weight loss or did not analyze food intake (fats, fruits and vegetables &#8211; F&amp;V, fiber) or Mediterranean diet adherence. Validity (risk of bias) was independently evaluated by two researchers; discrepancies were reviewed until a consensus was reached.<\/p>\n<p><strong>RESULTS<\/strong><br \/>\nOf the 15 included articles (14 studies), only 3 studies surpassed 12-months follow-up. Ten interventions emphasized healthy nutrition (n=9948); 4 added activity levels (n=3816). Six trials included participants with cardiovascular risk; 7 were community-based; 1 focused on women with cancer. Eleven studies showed 9.7% to 59.3% increased F&amp;V intake with counseling interventions, compared to baseline (-13.3% to 27.8% in controls). Seven studies reported significant differences between intervention and control groups.<\/p>\n<p><strong>CONCLUSION<\/strong><br \/>\nNutritional counseling moderately improves nutrition, increases intake of fiber, F&amp;V, reduces dietary saturated fats, and increases physical activity. Studies with longer follow-up are needed to determine long-term effects, cardiovascular morbidity, and mortality.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-29848","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Primary Care Research Unit, The Alamedilla Health Center, Castilla and Leon Health Service, SACYL, Salamanca, Spain. REDIAPP. IBSAL. Electronic address: jmaderuelo@saludcastillayleon.es.","annee":"2014","mois":"12","numero":"","page":"","auteurs":[{"ID":5412,"post_author":"0","post_date":"2018-12-03 17:27:31","post_date_gmt":"2018-12-03 16:27:31","post_content":"","post_title":"Mar\u00eda Carmen Patino-Alonso","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"maria-carmen-patino-alonso","to_ping":"","pinged":"","post_modified":"2018-12-03 17:27:31","post_modified_gmt":"2018-12-03 16:27:31","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/maria-carmen-patino-alonso\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":5411,"post_author":"0","post_date":"2018-12-03 17:27:31","post_date_gmt":"2018-12-03 16:27:31","post_content":"","post_title":"Jose Ignacio 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16:27:28","post_content":"","post_title":"Emiliano Rodriguez-Sanchez","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"emiliano-rodriguez-sanchez","to_ping":"","pinged":"","post_modified":"2018-12-03 17:27:28","post_modified_gmt":"2018-12-03 16:27:28","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/emiliano-rodriguez-sanchez\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":5406,"post_author":"0","post_date":"2018-12-03 17:27:28","post_date_gmt":"2018-12-03 16:27:28","post_content":"","post_title":"Luis Garc\u00eda-Ortiz","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"luis-garcia-ortiz","to_ping":"","pinged":"","post_modified":"2018-12-03 17:27:28","post_modified_gmt":"2018-12-03 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