Effects of a Self-directed Nutrition Intervention among Adults with Arthritis

Details

• Alternative Title:
  Health Educ Behav
• Personal Author:
  Baruth, Meghan ; Wilcox, Sara ; Jake-Schoffman, Danielle E. ; Schlaff, Rebecca A. ; Goldufsky, Tatum M.
• Description:
  Chronic diseases are common among adults. A healthy diet may be beneficial for managing the consequences of such conditions. The purpose of this study was to evaluate the effects of a self-directed nutrition program on dietary behaviors among adults with chronic health conditions. As part of a larger trial examining the effects of a self-directed exercise program, participants with arthritis were randomized to a 12-week self-directed exercise or nutrition intervention. Self-reported fruit and vegetable consumption, fat- and fiber-related behaviors were assessed at baseline, 12 weeks, and 9 months. Repeated measures analyses of covariance examined Group × Time changes in dietary behaviors. Effect sizes were computed. Participants ( n = 321) were, on average, 56.5 ± 10.5 years old, had a mean body mass index of 32.9 ± 8.3 kg/m|, and had 2.0 ± 1.0 chronic health conditions; 88% were female, 65% White, 88% had at least some college education, and 62% married. There were significant Group × Time interactions favoring the nutrition group at 12 weeks for all dietary behaviors ( p < .05) but not at 9 months. Between-group effect sizes were small at 12 weeks and decreased at 9 months. Within-group effect sizes were larger for the nutrition group (small to medium) than the exercise group (none to small) at both time points. A self-directed nutrition intervention can result in meaningful improvements in dietary behaviors among adults with chronic health conditions in the short term.
• Subjects:
  Arthritis Article Chronic Disease Dietary Behaviors Exercise Female Health Behavior Healthy Diet Humans Intervention Male Middle Aged Nutrition Nutritional Status Public Health Self-directed Self Care

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• Source:
  Health Educ Behav. 45(1):61-67
• Pubmed ID:
  28580795
• Pubmed Central ID:
  PMC6203292
• Document Type:
  Journal Article
• Funding:
  U48 DP001936/DP/NCCDPHP CDC HHS/United States ; U48 DP005000/DP/NCCDPHP CDC HHS/United States
• Volume:
  45
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:54bd8a362b86d53fe85762ef77f04b3d65a25ce1ba082bcb2e0163c5f9517d59
• Download URL:
  https://stacks.cdc.gov/view/cdc/60052/cdc_60052_DS1.pdf
• File Type:
  [PDF - 322.54 KB ]