Adherence
Personalized diet counseling interventions that emphasize specific food behavior goals (increased plant protein, fish, olive oil, fruits/vegetables, nuts) and specific behavior change techniques (self-monitoring, feedback on performance, focus on past success) significantly improve short-term diet quality (HEI-C) in patients with metabolic syndrome.
For patients with metabolic syndrome, personalized diet counseling is effective when it moves beyond general 'balanced meal' advice. Focus on specific, actionable goals like increasing plant protein, fish, olive oil, and nuts. Use behavior change techniques like self-monitoring (e.g., food logs), providing feedback on performance, and focusing on past successes. Avoid excessive goal setting (more than 3 goals per 3 months) as it may hinder progress.
Food behaviour goals associated with improved HEI-C at 3 months were: poultry more than red meat, increased plant protein, increased fish, increased olive oil, increased fruits and vegetables, eating breakfast, increased milk and alternatives, healthier fats, healthier snacks and increased nuts... Only self-monitoring, feedback on performance and focus on past success were associated with improved HEI-C.
Why this rating
Secondary analysis of a feasibility study with a large sample size (n=255 complete data) and statistical adjustments for confounders.
Source
Key process features of personalized diet counselling in metabolic syndrome: secondary analysis of feasibility study in primary care
Paula Brauer et al. · BMC Nutrition · 2022
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