Nutritional counselling in primary health care: A randomized comparison of an intervention by general practitioner or dietician

European Journal of Preventive Cardiology

Volumn 11, Issue 6, 2004, Pages 513-520

  Willaing, Ingrid ^a   Ladelund, Steen ^a   Jýrgensen, Torben ^a   Simonsen, Tom ^b   Nielsen, Lill Moll ^b  

^a GLOSTRUP UNIVERSITY HOSPITAL   (Denmark)

^b General Practitioner ^*  (Denmark)

Author keywords

blood lipids; dietician; GP; nutritional counselling; risk reduction; weight loss

Indexed keywords

ADULT; ARTICLE; BLOOD PRESSURE REGULATION; CARDIOVASCULAR RISK; CLINICAL PRACTICE; CLINICAL TRIAL; CLUSTER ANALYSIS; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIETITIAN; FEMALE; GENERAL PRACTITIONER; HEALTH HAZARD; HIGH RISK PATIENT; HUMAN; ISCHEMIC HEART DISEASE; LIFESTYLE; LIPID BLOOD LEVEL; MAJOR CLINICAL STUDY; MALE; NUTRITION; OBESITY; OUTCOMES RESEARCH; PATIENT COUNSELING; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; RISK FACTOR;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; BODY MASS INDEX; DENMARK; DIETETICS; DIRECTIVE COUNSELING; FEMALE; HUMANS; HYPERLIPIDEMIAS; LIFE STYLE; LIPIDS; MALE; MIDDLE AGED; MYOCARDIAL ISCHEMIA; NUTRITION PHYSIOLOGY; OBESITY; PHYSICIANS, FAMILY; PRIMARY HEALTH CARE; PROFESSIONAL-PATIENT RELATIONS; RISK ASSESSMENT; RISK FACTORS; WAIST-HIP RATIO; WEIGHT LOSS;

EID: 11844249416     PISSN: 20474873     EISSN: 20474881     Source Type: Journal    
DOI: 10.1097/01.hjr.0000152244.58950.5f     Document Type: Article

References (25)

1. Sans S, Kesteloot H, Kromhout D. The burden of cardiovascular diseases mortality in Europe. Task force of the European Society of Cardiology on cardiovascular mortality and morbidity statistics in Europe. Eur Heart J 1997; 18: 1231–1248.
2. Tunstall-Pedoe H, Kuulasmaa K, Mähönen M, Tolonen H, Ruokokoski E, Amouyel P. Contribution of trends in survival and coronary-event rates to changes in coronary heart disease mortality: 10-year results from 37 WHO MONICA Project populations. Lancet 1999; 353: 1547–1557.
3. European Guidelines on CVD prevention, ESC Committee for Practice Guidelines. To improve the quality of clinical practice and patient care in Europe. European Society of Cardiology, editor. 2–78. 2003. Lippincott Williams & Wilkins. Ref Type: Report.
4. Stamler J, Stamler R, Neaton JD, Wentworth D, Daviglus ML, Garside D, et al. Low risk-factor profile and long-term cardiovascular and non-cardiovascular mortality and life expectancy: finding for 5 large cohorts of young adult and middle-aged men and women. JAMA 1999; 282: 2012–2018.
5. Wood D, Backer GD, Faergeman O, Graham I, Mancia G, Pyörälä K. Prevention of coronary heart disease in clinical practice: Recommendations of the Second Joint Task Force of European and other Societies on Coronary Prevention. Eur Heart J 1998; 19: 1434–1503.
6. Hølund U, Boysen G, Charles P, Eriksen EF, Overvad OK, Petersson BH, et al. Attitudes to the importance of gender and diet in strategies for disease prevention: a survey of Danish general practitioners (English Summary). Ugeskr Laeger 1999; 161: 40–43.
7. Kushner RF. Barriers to providing nutrition counseling by physicians: a survey of primary care practitioners. Prev Med 1995; 24: 546–552.
8. Pritchard DA, Hyndman J, Taba F. Nutritional counselling in general practice: a cost effective analysis. J Epidemiol Community Health 1999; 53: 311–316.
9. Thompson RL, Summerbell CD, Hooper L, Higgins JP, Little PS, Talbot D, et al. Dietary advice given by a dietitian versus other health professional or self-help resources to reduce blood cholesterol. Cochrane Database Syst Rev 2001; 1: CD001366.
10. Thompson RL, Summerbell CD, Hooper L, et al. Relative efficacy of differential methods of dietary advice: a systematic review. Am J Clin Nutr 2003; 77(Suppl. 4):1052S–1057S.
11. Carey V, Zeger SL, Diggle P. Modelling multivariate binary data with alternating logistic regression. Biometrika 1993; 80: 517–526.
12. Thomsen TF, Davidsen M, Ibsen H, Jorgensen T, Jensen G, Borch-Johnsen K. A new method for CHD prediction and prevention based on regional risk scores and randomized clinical trials; PRECARD and the Copenhagen Risk Score. J Cardiovasc Risk 2001; 8: 291–297.
13. Cox DR. Regression models and life-tables. J Royal Stat Soc Series B 1972; 34: 187–220.
14. Ihaka R, Gentleman R. A language for data analysis and graphics. J Comput Graph Stat 1996; 5: 299–314.
15. Obesity - Problems and Interventions. A Systematic Review. The Swedish Council on Technology Assessment in Health Care; 2002.
16. Anderssen SA, Haaland A, Hjermann I, Urdal P, Gjesdal K, Holme I. Oslo Diet and Exercise Study: A one-year randomised intervention trial. Effect on hemostatic variables and other coronary risk factors. Nutr Metab Cardiovasc Dis 1995; 5: 189–200.
17. Baron JA, Gleason R, Crowe B, Mann JI. Preliminary trial of the effect of general practice based nutritional advice. Br J Gen Pract 1990; 40: 137–141.
18. de Leiva A. What are the benefits of moderate weight loss? Exp Clin Endocrinol Diabetes 1998; 106(Suppl. 2):10–13.
19. Hellenius ML, de Faire U, Berglund B, Hamsten A, Krakau I. Diet and exercise are equally effective in reducing risk for cardiovascular disease. Results of a randomized controlled study in men with slightly to moderately raised cardiovascular risk factors. Atherosclerosis 1993; 103: 81–91.
20. Knutsen SF, Knutsen R. The Tromso Survey: the Family Intervention study - the effect of intervention on some coronary risk factors and dietary habits, a 6-year follow-up. Prev Med 1991; 20: 197–212.
21. Muir J, Mant D, Jones L, Yudkin P. Effectiveness of health checks conducted by nurses in primary care: results of the OXCHECK study after one year. BMJ 1994; 308: 308–312.
22. Gotto AM Jr., Whitney E, Stein EA, Shapiro DR, Clearfield M, Weis S, et al. Relation between baseline and on-treatment lipid parameters and first acute major coronary events in the Air Force/Texas Coronary Atherosclerosis Prevention Study (AFCAPS/TexCAPS). Circulation 2000; 101: 477–484.
23. Engberg M, Christensen B, Karlsmose B, Lous J, Lauritzen T. General health screenings to improve cardiovascular risk profiles: a randomized controlled trial in general practise with 5-year follow-up. J Fam Pract 2002; 51: 546–552.
24. Lindholm LH, Ekbom T, Dash C, Eriksson M, Tibblin G, Schersten B. The impact of health care advice given in primary care on cardiovascular risk. BMJ 1995; 310: 1105–1109.
25. Caggiula AW, Watson JE, Kuller LH, Olson MB, Milas NC, Berry M, et al. Cholesterol-lowering intervention program. Effect of the step I diet in community office practices. Arch Intern Med 1996; 156: 1205–1213.