Do overweight adolescents adhere to dietary intervention messages? Twelve-month detailed dietary outcomes from curtin university’s activity, food and attitudes program

Dietary components of adolescent obesity interventions are rarely evaluated with comprehensive reporting of dietary change. The objective was to assess dietary change in overweight adolescents, including adherence to dietary intervention. The dietary intervention was part of a multi-component interv...

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Main Authors: Smith, Kyla, Kerr, Deborah, Howie, E., Straker, Leon
Format: Journal Article
Published: MDPI AG 2015
Online Access:http://hdl.handle.net/20.500.11937/6991
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author Smith, Kyla
Kerr, Deborah
Howie, E.
Straker, Leon
author_facet Smith, Kyla
Kerr, Deborah
Howie, E.
Straker, Leon
author_sort Smith, Kyla
building Curtin Institutional Repository
collection Online Access
description Dietary components of adolescent obesity interventions are rarely evaluated with comprehensive reporting of dietary change. The objective was to assess dietary change in overweight adolescents, including adherence to dietary intervention. The dietary intervention was part of a multi-component intervention (CAFAP) targeting the physical activity, sedentary and healthy eating behaviors of overweight adolescents (n = 69). CAFAP was a staggered entry, within-subject, waitlist controlled clinical trial with 12 months of follow up. Diet was assessed using three-day food records and a brief eating behavior questionnaire. Changes in dietary outcomes were assessed using linear mixed models, adjusted for underreporting. Food record data suggested reduced adherence to dietary intervention messages over time following the intervention, despite conflicting information from the brief eating behavior questionnaire. During the intervention, energy intake was stable but favorable nutrient changes occurred. During the 12 month maintenance period; self-reported eating behaviors improved, energy intake remained stable but dietary fat and saturated fat intake gradually returned to baseline levels. Discrepancies between outcomes from brief dietary assessment methods and three-day food records show differences between perceived and actual intake, highlighting the need for detailed dietary reporting. Further, adherence to dietary intervention principles reduces over time, indicating a need for better maintenance support.
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spelling curtin-20.500.11937-69912017-09-13T14:40:28Z Do overweight adolescents adhere to dietary intervention messages? Twelve-month detailed dietary outcomes from curtin university’s activity, food and attitudes program Smith, Kyla Kerr, Deborah Howie, E. Straker, Leon Dietary components of adolescent obesity interventions are rarely evaluated with comprehensive reporting of dietary change. The objective was to assess dietary change in overweight adolescents, including adherence to dietary intervention. The dietary intervention was part of a multi-component intervention (CAFAP) targeting the physical activity, sedentary and healthy eating behaviors of overweight adolescents (n = 69). CAFAP was a staggered entry, within-subject, waitlist controlled clinical trial with 12 months of follow up. Diet was assessed using three-day food records and a brief eating behavior questionnaire. Changes in dietary outcomes were assessed using linear mixed models, adjusted for underreporting. Food record data suggested reduced adherence to dietary intervention messages over time following the intervention, despite conflicting information from the brief eating behavior questionnaire. During the intervention, energy intake was stable but favorable nutrient changes occurred. During the 12 month maintenance period; self-reported eating behaviors improved, energy intake remained stable but dietary fat and saturated fat intake gradually returned to baseline levels. Discrepancies between outcomes from brief dietary assessment methods and three-day food records show differences between perceived and actual intake, highlighting the need for detailed dietary reporting. Further, adherence to dietary intervention principles reduces over time, indicating a need for better maintenance support. 2015 Journal Article http://hdl.handle.net/20.500.11937/6991 10.3390/nu7064363 MDPI AG fulltext
spellingShingle Smith, Kyla
Kerr, Deborah
Howie, E.
Straker, Leon
Do overweight adolescents adhere to dietary intervention messages? Twelve-month detailed dietary outcomes from curtin university’s activity, food and attitudes program
title Do overweight adolescents adhere to dietary intervention messages? Twelve-month detailed dietary outcomes from curtin university’s activity, food and attitudes program
title_full Do overweight adolescents adhere to dietary intervention messages? Twelve-month detailed dietary outcomes from curtin university’s activity, food and attitudes program
title_fullStr Do overweight adolescents adhere to dietary intervention messages? Twelve-month detailed dietary outcomes from curtin university’s activity, food and attitudes program
title_full_unstemmed Do overweight adolescents adhere to dietary intervention messages? Twelve-month detailed dietary outcomes from curtin university’s activity, food and attitudes program
title_short Do overweight adolescents adhere to dietary intervention messages? Twelve-month detailed dietary outcomes from curtin university’s activity, food and attitudes program
title_sort do overweight adolescents adhere to dietary intervention messages? twelve-month detailed dietary outcomes from curtin university’s activity, food and attitudes program
url http://hdl.handle.net/20.500.11937/6991