TY - JOUR
T1 - Effectiveness of optimized food-based recommendation promotion to improve nutritional status and lipid profiles among Minangkabau women with dyslipidemia
T2 - A cluster-randomized trial
AU - Gusnedi, Gusnedi
AU - Fahmida, Umi
AU - Witjaksono, Fiastuti
AU - Nurwidya, Fariz
AU - Mansyur, Muchtaruddin
AU - Djuwita, Ratna
AU - Dwiriani, Cesilia Meti
AU - Abdullah, Murdani
N1 - Funding Information:
The authors thank all study participants, field nutritionists, voluntary health workers (cadres), the local health authority, and the government of Padang city, West Sumatra Province, for their invaluable support, cooperation, and participation. Special thanks to the educators and enumerators for their cooperation and assistance with the intervention process and data collection. We are also grateful to the Head of Nutrition Department and Doctoral Study Program in Nutrition of Universitas Indonesia, Directorate of Research and Community Engagement Universitas Indonesia, and the Director of South East Asia Ministry Education Organization - Regional Center for Food and Nutrition (SEAMEO RECFON) for the funding and technical support of the study.
Funding Information:
Financial support was provided by the Directorate of Research and Community Engagement Universitas Indonesia – SEAMEO Regional Center for Food and Nutrition under the auspice grant No. NKB-0123/UN2.R3.1/HKP.05.00/2019. The funding bodies had no role in the design of the study, data collection, analysis, interpretation of data, or in writing the manuscript.
Publisher Copyright:
© 2021, The Author(s).
PY - 2022/12
Y1 - 2022/12
N2 - Background: In women of Minangkabau ethnicity, a high prevalence of dyslipidemia, overweight, and obesity is thought to be closely related to poor dietary practices. Promotion of local specific food-based recommendations (FBRs) was previously found to be effective in improving dietary practice and nutrient intakes related to dyslipidemia. This study aimed to describe the effects of the FBR promotion on the nutritional status and lipid profiles of Minangkabau women with dyslipidemia. Methods: We used a cluster-randomized design with a total subject of 123 Minangkabau women of reproductive age with dyslipidemia. They were recruited from 16 sub-villages and assigned to either the FBR group (n = 61) or the non-FBR group (n = 62). Data on body weight, height, waist circumference, and lipid profiles were collected at the baseline and the end of the trial. Linear mixed model analysis was used to analyze the effect of the intervention on nutritional status and lipid profiles. Results: The mean effect (95% confidence interval) of the intervention on body weight, body mass index, and waist circumference for the FBR group versus the non-FBR group were -1.1 (-1.8; -0.39) kg, -0.43(-0.76; -0.11) kg/m2 and -2.1(-3.7;-0.46) mm respectively (p <0.05). The Castelli’s index in the FBR group improved, but there was no significant between-group difference in the change of total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides at the end of the intervention. Conclusion: The promotion of the FBRs positively impact the nutritional status but did not significantly affect the blood lipid profile of Minangkabau women with dyslipidemia. Trial Registration: The trial was retrospectively registered at ClinicalTrials.gov Protocol Registration and Result System (PRS) as NCT04085874, in September 2019.
AB - Background: In women of Minangkabau ethnicity, a high prevalence of dyslipidemia, overweight, and obesity is thought to be closely related to poor dietary practices. Promotion of local specific food-based recommendations (FBRs) was previously found to be effective in improving dietary practice and nutrient intakes related to dyslipidemia. This study aimed to describe the effects of the FBR promotion on the nutritional status and lipid profiles of Minangkabau women with dyslipidemia. Methods: We used a cluster-randomized design with a total subject of 123 Minangkabau women of reproductive age with dyslipidemia. They were recruited from 16 sub-villages and assigned to either the FBR group (n = 61) or the non-FBR group (n = 62). Data on body weight, height, waist circumference, and lipid profiles were collected at the baseline and the end of the trial. Linear mixed model analysis was used to analyze the effect of the intervention on nutritional status and lipid profiles. Results: The mean effect (95% confidence interval) of the intervention on body weight, body mass index, and waist circumference for the FBR group versus the non-FBR group were -1.1 (-1.8; -0.39) kg, -0.43(-0.76; -0.11) kg/m2 and -2.1(-3.7;-0.46) mm respectively (p <0.05). The Castelli’s index in the FBR group improved, but there was no significant between-group difference in the change of total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides at the end of the intervention. Conclusion: The promotion of the FBRs positively impact the nutritional status but did not significantly affect the blood lipid profile of Minangkabau women with dyslipidemia. Trial Registration: The trial was retrospectively registered at ClinicalTrials.gov Protocol Registration and Result System (PRS) as NCT04085874, in September 2019.
KW - Dyslipidemia
KW - Food-based recommendation
KW - Linear programming
KW - Minangkabau women
KW - Nutritional status
UR - http://www.scopus.com/inward/record.url?scp=85122534159&partnerID=8YFLogxK
U2 - 10.1186/s12889-021-12462-5
DO - 10.1186/s12889-021-12462-5
M3 - Article
AN - SCOPUS:85122534159
SN - 1471-2458
VL - 22
JO - BMC Public Health
JF - BMC Public Health
IS - 1
M1 - 21
ER -
