Public Health Nutrition
Volume 20, Issue 15, 2017, Pages 2827-2838

Changes in dietary intake following a culturally adapted lifestyle intervention among Iraqi immigrants to Sweden at high risk of type 2 diabetes: A randomised trial (Article) (Open Access)

Siddiqui F. , Winther V. , Kurbasic A. , Sonestedt E. , Lundgren K.B. , Lindeberg S. , Nilsson P.M. , Bennet L.*
  • a Department of Clinical Sciences Malmö, Lund University, Family Medicine, Jan Waldenströms gata 35, Malmö, 205 02, Sweden
  • b Department of Clinical Sciences Malmö, Lund University, Family Medicine, Jan Waldenströms gata 35, Malmö, 205 02, Sweden
  • c Department of Clinical Sciences Malmö, Genetic and Molecular Epidemiology Unit, Lund University, Malmö, Sweden
  • d Department of Clinical Sciences Malmö, Diabetes and Cardiovascular Disease - Genetic Epidemiology, Lund University, Malmö, Sweden
  • e Department of Clinical Sciences Malmö, Lund University, Family Medicine, Jan Waldenströms gata 35, Malmö, 205 02, Sweden
  • f Department of Clinical Sciences Malmö, Family Medicine, Cardiovascular Epidemiology and Lifestyle, Lund University, Malmö, Sweden
  • g Department of Clinical Sciences Malmö, Lund University, Family Medicine, Jan Waldenströms gata 35, Malmö, 205 02, Sweden
  • h Department of Clinical Sciences Malmö, Lund University, Family Medicine, Jan Waldenströms gata 35, Malmö, 205 02, Sweden, Center for Primary Health Care Research, Region Skåne and Lund University, Malmö, Sweden

Abstract

Objective To investigate the effectiveness of a culturally adapted lifestyle intervention for changing dietary intake, particularly energy, fat and fibre intakes, in the intervention group (IG) compared with the control group (CG). Design Randomised controlled trial. Setting IG (n 50) and CG (n 46). The IG was offered seven group sessions, including one cooking class, over a period of 4 months. The participants filled out 4 d food diaries at the start, mid and end of the study. Subjects Iraqi-born residents of Malmö, Sweden, at increased risk for developing diabetes. Results At baseline, participants' fat intake was high (40 % of total energy intake (E%)). The predefined study goals of obtaining <30 E% from fat and ≥15 g fibre/4184 kJ (1000 kcal) were met by very few individuals. In the IG v. the CG, the proportion of individuals obtaining <40 E% from fat (48·4 v. 34·6 %, P=0·65), <10 E% from saturated fat (32·3 v. 11·5 %, P=0·14) and ≥10 g fibre/4184 kJ (45·2 v. 26·9 %, P=0·46) appeared to be higher at the last visit, although the differences were statistically non-significant. A trend towards decreased mean daily intakes of total energy (P=0·03), carbohydrate (P=0·06), sucrose (P=0·02) and fat (P=0·02) was observed within the IG. Differences in changes over time between the groups did not reach statistical significance. Conclusions Although no significant differences were observed in the two groups, our data indicate that this culturally adapted programme has the potential to modify dietary intake in Middle Eastern immigrants. The high fat intake in this group should be addressed. Copyright © The Authors 2017.

Author Keywords

immigrants Randomised controlled trial Dietary modification Dietary fats Lifestyle

Index Keywords

Blood Glucose lifestyle Life Style metabolism Waist Circumference non insulin dependent diabetes mellitus dietary fiber Diabetes Mellitus, Type 2 human epidemiology middle aged controlled study Iraq diet randomized controlled trial Nutrition Assessment Dietary Proteins nutritional assessment protein intake ethnology Cross-Sectional Studies Fatty Acids Sweden cross-sectional study migrant fatty acid Humans male Emigrants and Immigrants Acculturation female risk factor Risk Factors medical record cultural factor Diet Records glucose blood level adult Dietary Fats fat intake administration and dosage body mass Body Mass Index carbohydrate diet Dietary Carbohydrates
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85026548610&doi=10.1017%2fS136898001700146X&partnerID=40&md5=23ea78520636f42f6e161eafd5b2ce36
DOI: 10.1017/S136898001700146X
ISSN: 13689800
Cited by: 6
Original Language: English