File(s) not publicly available
A Mediterranean and low-fat dietary intervention in non-alcoholic fatty liver disease patients: Exploring participant experience and perceptions about dietary change
journal contribution
posted on 2023-02-10, 02:15 authored by Elena GeorgeElena George, AK Forsyth, A Reddy, C Itsiopoulos, SK Roberts, AJ Nicoll, MC Ryan, AC TierneyBackground: A Mediterranean diet (MD) appears to be beneficial in non-alcoholic fatty liver disease (NAFLD) patients in Mediterranean countries; however, the acceptability of a MD in non-Mediterranean populations has not been thoroughly explored. The present study aimed to explore the acceptability through understanding the barriers and enablers of the MD and low-fat diet (LFD) interventions as perceived by participating Australian adults from multicultural backgrounds with NAFLD. Methods: Semi-structured telephone interviews were performed with 23 NAFLD trial participants at the end of a 12-week dietary intervention in a multicentre, parallel, randomised clinical trial. Data were analysed using thematic analysis. Results: Participants reported that they enjoyed taking part in the MD and LFD interventions and perceived that they had positive health benefits from their participation. Compared with the LFD, the MD group placed greater emphasis on enjoyment and intention to maintain dietary changes. Novelty, convenience and the ability to swap food/meals were key enablers for the successful implementation for both of the dietary interventions. Flavour and enjoyment of food, expressed more prominently by MD intervention participants, were fundamental components of the diets with regard to reported adherence and intention to maintain dietary change. Conclusions: Participants randomised to the MD reported greater acceptability of the diet than those randomised to the LFD, predominantly related to perceived novelty and palatability of the diet.
History
Journal
Journal of Human Nutrition and DieteticsLocation
EnglandPublisher DOI
ISSN
0952-3871eISSN
1365-277XLanguage
EnglishPublication classification
C1 Refereed article in a scholarly journalPublisher
WILEYUsage metrics
Categories
Keywords
ADHERENCEAustraliaBARRIERSdietFACILITATORSFRUITLife Sciences & Biomedicinelow fat dietMediterranean dietnon-alcoholic fatty liver diseaseNutrition & DieteticsperceptionScience & TechnologyChronic Liver Disease and CirrhosisClinical ResearchDigestive DiseasesNutritionPreventionClinical Trials and Supportive ActivitiesLiver Disease3 Prevention of disease and conditions, and promotion of well-being3.1 Primary prevention interventions to modify behaviours or promote wellbeingMetabolic and endocrineCancerOral and gastrointestinalCardiovascular3 Good Health and Well BeingNutrition and Dietetics not elsewhere classifiedBiochemistry and Cell Biology not elsewhere classified
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC