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Supermarket and Web-based Intervention targeting Nutrition For Cardiovascular Risk Reduction -SuperWINTürk Kardiyoloji Derneği Genç Kardiyologlar Bülteni - Supermarket and Web-based Intervention targeting Nutrition For Cardiovascular Risk Reduction -SuperWIN (Dr. Canan Elif Yıldız)Reviewer: Dr. Canan Elif YILDIZ
Name of the Study: Supermarket and Web-based Intervention targeting Nutrition For Cardiovascular Risk Reduction -SuperWIN
Presented Congress: ACC 22
Full Text Link: https://doi.org/10.1016/j.ahj.2022.02.011
Background
The prevalence of chronic diseases is increasing due to suboptimal dietary habits.
It is not known whether individualized, supermarket-based, nutrition education and electronically collected purchasing data delivered by dietitians taking advantage of in-store and online environments improve diet quality.
Objective
The effect of personalized nutrition education on DASH (Dietary Approaches to Stop Hypertension) diet was investigated.
Method
The study included 247 participants (mean age: 58 ; 69% female) with one or more CVD risk factors, most of whom were obese, and 4 out of 10 were taking cholesterol-lowering medication and 7 out of 10 were taking antihypertensive therapy. Patients were randomized 1:2:2 to control, strategy 1, and strategy 2 groups. The control group received 30 minutes of standard medical nutrition education. Strategy 1 group received 30 minutes of standard medical nutrition education + 6 hours of individualized point-of-purchase nutrition education. Strategy 2 group also received 30 minutes of standard medical nutrition education + 6 hours of individualized point-of-purchase nutrition education + training on the use of technologies such as online shopping. Changes in diet were measured by the DASH score.
Results
At baseline, DASH scores were 45.2, 44.4, and 43.2 for the control, strategy 1, and strategy 2 groups, respectively. Between baseline and 3 months, DASH scores increased in all three study arms (5.8 points in the control group, 8.6 points with additional training, and 12.4 points with additional training plus technology training)
Conclusion
Significant improvement was observed in compliance with the DASH diet with personalized nutrition education.
Interpretation
This study is a good demonstration that interventions outside of clinics in daily routine can improve health behavior.
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