Effectiveness of Food-Based Recommendations for Minangkabau Women of Reproductive Age With Dyslipidemia
- Conditions
- DyslipidemiasDietary HabitsNutrient DeficiencyObesity
- Interventions
- Behavioral: Nutrition counseling from standard health services careBehavioral: Promotion of Food-based recommendations
- Registration Number
- NCT04085874
- Lead Sponsor
- Politeknik Kesehatan Kemenkes Padang
- Brief Summary
This study aimed to assess effectiveness of promoting the optimized Food-based recommendations (FBRs) for improving dietary practices, nutrient intakes, nutritional status and lipid profile among Minangkabau women of reproductive age with dyslipidemia in a community setting. A cluster randomized community-based trial was conducted in Padang City, West Sumatra, Indonesia. Subjects are Minagabau women of reproductive age (20-44 y) with dyslipidemia. The subjects were assigned either into FBR group (n=48) that involved in 12-weeks prolonged contact of FBRs promotion or into non-FBR group, that received once nutrition counselling from usual standard of nutrition program. Baseline and end-line lipid profiles, nutritional status, dietary practice and nutrient intake data were assessed through biochemical assessment, anthropometri, and interview structured questionaire.
- Detailed Description
This study was conducted in two sequential phases. The first stage was a formative phase in the form of observational survey to develop and validate food-based recommendations (FBRs). The second phase was an intervention study to assess the effectiveness of the FBRs in improving dietary practice, the intake of problem nutrient, nutritional status and lipid profile of the subject.
Sample size for intervention per group (n=60/group; 2 groups) was expected to detect mean(±SD) differences in LDL-cholesterol concentration (as an secondary outcome) of 14±20 mg/dL as observed in a previous study in other area, with assumption of 80% power and 25% loss of follow up. Potential subjects were identified prior to dyslipidemia screening before intervention. Field nutritionist and volunteer cadres were requested to identify and list women of reproductive age fulfilling the inclusion criteria living in selected sites. An invitation letter was sent to all identified eligible subjects to visit appointed field laboratory to perform blood measurement. Inform consent was signed by all potential participants before blood measurement.
This study did not compare an intervention group (FBR group) with a true control group, but with a comparison group that received once nutrition counselling from usual nutrition health program (non-FBR group). Drawing on concepts of Plan Behavior Theory, persuasive FBR promotion was designed to influence subjects' attitude, subjective norms, perceive behavior control related to dyslipidemia and dietary management, and intention to change. Participants were prompted to set goals for themselves to improve their dietary practices in order to fulfill their nutrient requirements, improve nutritional status and lipid profile.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 123
- women of reproductive age (20-44 years);
- native Minangkabau ethnic (both father and mother from the Minangkabau tribe);
- had abnormal one of isolated blood lipid profiles (cholesterol > 200 mg / dl, LDL-cholesterol >100 mg / dl, HDL < 60 mg/dl, TG > 150 mg/dl);
- signing a written inform consent.
- in pregnancy;
- having a history or active smoker and alcoholic addict;
- has a history of heart disease, diabetes, asthma, cancer, chronic digestive tract disorders, hemophilia and other chronic diseases;
- routinely taking cholesterol-lowering or blood pressure medications;
- vegetarians;
- use estrogen therapy;
- are participating in other studies.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description non-FBR group Nutrition counseling from standard health services care once nutrition counseling from standard health care services FBR group Promotion of Food-based recommendations weekly home visit and monthly group meeting for 12 weeks
- Primary Outcome Measures
Name Time Method Change in energy intake baseline (before intervention and end-line (after 12-weeks interventions) Change from baseline at 12-week intervention for energy intake( in Kcal). The intake was measured through interview using two replicates 24-hour food recall on non-consecutive days. The foods were converted to energy and nutrients based on Indonesia food composition tables available in nutrisurvey software
Change in protein intake baseline (before intervention and end-line (after 12-weeks interventions) Change from baseline at 12-week intervention for protein intake( in gram). The intake was measured through interview using two replicates 24-hour food recall on non-consecutive days. The foods were converted to energy and nutrients based on Indonesia food composition tables available in nutrisurvey software
Change in saturated fatty acids (SFA) intakes baseline (before intervention and end-line (after 12-weeks interventions) Change from baseline at 12-week intervention for SFA intake ( in gram). The intake was measured through interview using two replicates 24-hour food recall on non-consecutive days. The foods were converted to energy and nutrients based on Indonesia food composition tables available in nutrisurvey software.
Change in dietary fiber intakes baseline (before intervention and end-line (after 12-weeks interventions) Change from baseline at 12-week intervention for dietary fiber intake ( in gram). The intake was measured through interview using two replicates 24-hour food recall on non-consecutive days. The foods were converted to energy and nutrients based on Indonesia food composition tables available in nutrisurvey software.
Change in carbohydrate intake baseline (before intervention and end-line (after 12-weeks interventions) Change from baseline at 12-week intervention for carbohydrate intake ( in gram)
Change in poly unsaturated fatty acids (PUFA) intake baseline (before intervention and end-line (after 12-weeks interventions) Change from baseline at 12-week intervention for PUFA intake ( in gram). The intake was measured through interview using two replicates 24-hour food recall on non-consecutive days. The foods were converted to energy and nutrients based on Indonesia food composition tables available in nutrisurvey software.
Change in zinc (Zn) intake baseline (before intervention and end-line (after 12-weeks interventions) Change from baseline at 12-week intervention for zinc intake ( in mg). The intake was measured through interview using two replicates 24-hour food recall on non-consecutive days. The foods were converted to energy and nutrients based on Indonesia food composition tables available in nutrisurvey software.
Change in mono unsaturated fatty acids (MUFA) intakes baseline (before intervention and end-line (after 12-weeks interventions) Change from baseline at 12-week intervention for MUFA intake ( in gram). The intake was measured through interview using two replicates 24-hour food recall on non-consecutive days. The foods were converted to energy and nutrients based on Indonesia food composition tables available in nutrisurvey software.
Change in iron (Fe) intake baseline (before intervention and end-line (after 12-weeks interventions) Change from baseline at 12-week intervention for iron intake ( in mg). The intake was measured through interview using two replicates 24-hour food recall on non-consecutive days. The foods were converted to energy and nutrients based on Indonesia food composition tables available in nutrisurvey software.
Change in Dietary practice baseline (before the intervention) and end-line (after 12-weeks intervention) Change in food consumption from baseline at 12-week intervention, evaluated based on participant's compliance to the Optimized Food-Based Recommendations. The compliance were measured using one-week Food Frequency Questionnaire (FFQ), stated in servings/week for staple foods. snacks, animal protein (sea fish, eggs, poultry), soy protein (tofu/tempeh), potato, fruits,dark green vegetables (DGLV), total vegetables and fried foods. The recommendations (servings/week) for those food groups/items was 14-21, 7-14, minimum 5, 3-4, 2-3,minimum 7,minimum 5, minimum 7, minimum 5, minimum 14, and maximum 14 respectively. Those who complied with the recommendations was scored 1 for each recommendations, and 0 for those who did not. The total score for the compliance to the FBRs was 0-11. Higher score represents better participant's compliance
Change in PUFA/SFA (P/S) ratio baseline (before intervention and end-line (after 12-weeks interventions) Change from baseline at 12-week intervention for P/S
Change in total fat intake baseline (before intervention and end-line (after 12-weeks interventions) Change from baseline at 12-week intervention for total fat intake( in gram). The intake was measured through interview using two replicates 24-hour food recall on non-consecutive days. The foods were converted to energy and nutrients based on Indonesia food composition tables available in nutrisurvey software.
- Secondary Outcome Measures
Name Time Method Change in waist circumference baseline (before intervention and end-line (after 12-weeks interventions) change of waist circumference (in cm), from baseline at 12-week intervention
Change in total cholesterol level baseline (before intervention and end-line (after 12-weeks interventions) Change of total cholesterol (in mg/dL) from baseline at 12-week intervention
Change in Low Desnsity Lipoprotein (LDL) cholesterol baseline (before intervention and end-line (after 12-weeks interventions) Change of LDL (in mg/dL) from baseline at 12-week intervention
Change in Body weight baseline (before intervention and end-line (after 12-weeks interventions) Change in Body weight (in Kg) from baseline at 12-week intervention
Change in serum High Density Lipoprotein (HDL) cholesterol baseline (before intervention and end-line (after 12-weeks interventions) Change of HDL (mg/dL) from baseline at 12-week intervention
Change in serum triglyceride (TG) baseline (before intervention and end-line (after 12-weeks interventions) Change of TG (mg/dL) from baseline at 12-week intervention
Trial Locations
- Locations (1)
Dinas Kesehatan Kota Padang
🇮🇩Padang, West Sumatra, Indonesia