Clustering of adherence to personalised dietary recommendations and changes in healthy eating index within the Food4Me study

Livingstone, Katherine M., Celis-Morales, Carlos, Lara, Jose, Woolhead, Clara, O'Donovan, Clare B., Forster, Hannah, Marsaux, Cyril F. M., Macready, Anna L., Fallaize, Rosalind, Navas-Carretero, Santiago, San-Cristobal, Rodrigo, Kolossa, Silvia, Tsirigoti, Lydia, Lambrinou, Christina P., Moschonis, George, Surwiłło, Agnieszka, Drevon, Christian A., Manios, Yannis, Traczyk, Iwona, Gibney, Eileen R., Brennan, Lorraine, Walsh, Marianne C., Lovegrove, Julie A., Martinez, J. Alfredo, Saris, Wim H. M., Daniel, Hannelore, Gibney, Mike and Mathers, John C. 2016, Clustering of adherence to personalised dietary recommendations and changes in healthy eating index within the Food4Me study, Public health nutrition, vol. 19, no. 18, pp. 3296-3305, doi: 10.1017/S1368980016001932.

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Title Clustering of adherence to personalised dietary recommendations and changes in healthy eating index within the Food4Me study
Author(s) Livingstone, Katherine M.ORCID iD for Livingstone, Katherine M. orcid.org/0000-0002-9682-7541
Celis-Morales, Carlos
Lara, Jose
Woolhead, Clara
O'Donovan, Clare B.
Forster, Hannah
Marsaux, Cyril F. M.
Macready, Anna L.
Fallaize, Rosalind
Navas-Carretero, Santiago
San-Cristobal, Rodrigo
Kolossa, Silvia
Tsirigoti, Lydia
Lambrinou, Christina P.
Moschonis, George
Surwiłło, Agnieszka
Drevon, Christian A.
Manios, Yannis
Traczyk, Iwona
Gibney, Eileen R.
Brennan, Lorraine
Walsh, Marianne C.
Lovegrove, Julie A.
Martinez, J. Alfredo
Saris, Wim H. M.
Daniel, Hannelore
Gibney, Mike
Mathers, John C.
Journal name Public health nutrition
Volume number 19
Issue number 18
Start page 3296
End page 3305
Total pages 10
Publisher Cambridge University Press
Place of publication Cambridge, Eng.
Publication date 2016-12
ISSN 1475-2727
Keyword(s) Clustering
Dietary recommendations
Healthy Eating Index
Personalised nutrition
Summary OBJECTIVE: To characterise clusters of individuals based on adherence to dietary recommendations and to determine whether changes in Healthy Eating Index (HEI) scores in response to a personalised nutrition (PN) intervention varied between clusters.

DESIGN: Food4Me study participants were clustered according to whether their baseline dietary intakes met European dietary recommendations. Changes in HEI scores between baseline and month 6 were compared between clusters and stratified by whether individuals received generalised or PN advice.

SETTING: Pan-European, Internet-based, 6-month randomised controlled trial.

SUBJECTS: Adults aged 18-79 years (n 1480).

RESULTS: Individuals in cluster 1 (C1) met all recommended intakes except for red meat, those in cluster 2 (C2) met two recommendations, and those in cluster 3 (C3) and cluster 4 (C4) met one recommendation each. C1 had higher intakes of white fish, beans and lentils and low-fat dairy products and lower percentage energy intake from SFA (P<0·05). C2 consumed less chips and pizza and fried foods than C3 and C4 (P<0·05). C1 were lighter, had lower BMI and waist circumference than C3 and were more physically active than C4 (P<0·05). More individuals in C4 were smokers and wanted to lose weight than in C1 (P<0·05). Individuals who received PN advice in C4 reported greater improvements in HEI compared with C3 and C1 (P<0·05).

CONCLUSIONS: The cluster where the fewest recommendations were met (C4) reported greater improvements in HEI following a 6-month trial of PN whereas there was no difference between clusters for those randomised to the Control, non-personalised dietary intervention.
Language eng
DOI 10.1017/S1368980016001932
Field of Research 111199 Nutrition and Dietetics not elsewhere classified
Socio Economic Objective 920411 Nutrition
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30085468

Document type: Journal Article
Collection: School of Exercise and Nutrition Sciences
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