PMID: 9174500Jun 1, 1997Paper

Long-term effect of nutritional counseling: a study in family medicine

The American Journal of Clinical Nutrition
J C BakxC van Weel

Abstract

This paper reports research using data in the Nijmegen Family Practice Monitoring Project. One part of the research is follow-up, after 17 y, of a 1977 trial of dietary advice for patients with hypertension or a family history of premature cardiovascular disease. In the intervention group, 840 patients were given health education every 2 mo by trained practice nurses for 1 y. There were 497 patients with similar coronary risk factors in the control group, who received usual care. One year after the intervention a significant decrease was found (and published) in serum cholesterol concentrations and blood pressure in the intervention group. By the time of the 1995 reexaminations, however, there were no differences in coronary risk factors between the two groups. Blood pressures had come down, more so in the control group, and the percentage of smokers had decreased equally in both groups. There were no significant differences in intake of dietary fat or in type of fat. The lack of difference was still found when the groups were divided into those with serum cholesterol concentrations > and < 6.5 mmol/L. A second part of the research was to investigate in 1995 the relation between patients' stage of change of fat intake and their...Continue Reading

Citations

Aug 15, 2003·The Cochrane Database of Systematic Reviews·R L ThompsonS Ebrahim
Apr 23, 2005·The Cochrane Database of Systematic Reviews·M LaurantB Sibbald
Jun 2, 2020·The Cochrane Database of Systematic Reviews·Lee HooperC Murray Skeaff
Jan 21, 2011·The Cochrane Database of Systematic Reviews·Shah EbrahimGeorge Davey Smith
Aug 8, 2015·The Cochrane Database of Systematic Reviews·Lee HooperC Murray Skeaff
May 20, 2020·The Cochrane Database of Systematic Reviews·Lee HooperAsmaa S Abdelhamid
May 18, 2012·The Cochrane Database of Systematic Reviews·Lee HooperGeorge Davey Smith
Oct 10, 2008·Family Practice·Caroline A M van WayenburgJaap J van Binsbergen
Sep 15, 2012·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·G M SargentR M Parker
Aug 23, 2020·The Cochrane Database of Systematic Reviews·Lee HooperAsmaa S Abdelhamid
Jun 13, 2015·The Cochrane Database of Systematic Reviews·Lee HooperGeorge Davey Smith
Apr 18, 2001·American Journal of Preventive Medicine·M P PignoneK N Lohr

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