Effects of Nutritional Counseling Regularity on the Risk of Cardiovascular Diseases

Study Overview
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Brief Summary
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This study aims to investigate the frequency of personalized nutrition counseling's effect on individual cardiovascular risk factors. The study collected 110 to 150 cases data, including a regular blood test, blood glucose, blood lipid, liver panel, and inflammatory factors. The enrolled cases were classified into two groups according to the subjects' duration of consultation: those who completed the consultation and subsequent tests in >24 weeks were in the control group, whereas those who completed the consultation and subsequent tests in <24 weeks were in the test group. The effectiveness of nutrition consultation toward managing cardiovascular disease risk factors and its correlation with the subjects' frequency of following the consultations was analyzed using the pre- and post-consultation data. It was found that personalized nutrition consultation significantly improved the subjects' risk factors of cardiovascular diseases, and that the treatment group showed a greater improvement than the control group which who require over 24 weeks to complete all consultation sessions.

Detailed Description
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The most of interventional studies on nutrition consultation have generally emphasized on the extent to which the diet composition can prevent chronic diseases or provide improvement. Although dietitians play an important role in health education for the primary prevention of chronic disease, their individuals dietary consultation results are mostly focused on weight loss and blood glucose control. However, the effectiveness of nutrition consultation on the prevention of chronic diseases, such as hyperlipidemia, hypertension and cardiovascular diseases, has few been studied. The effectiveness of dietary instructions provided to individuals by dietitians in primary health care institutes is yet to be validated with significant evidence. In addition, nutrition consultation methods, processes, and influencing factors on its results are seldom discussed. Therefore, this study aims to investigate the frequency of personalized nutrition counseling's effect on individual cardiovascular risk factors. The study collected1 10 to 150 cases data who aimed to prevent or improve chronic diseases and had completed eight times individualized nutrition consultations from Bon Vivant Health Lifestyle Management Center, and the pre- and post-consultation data, including a regular blood test, blood glucose, blood lipid, liver panel, and inflammatory factors, will be analyzed. Blood were drawn before and after the first and the last time consultation for biochemical tests; blood pressure and body composition was also measured for comparison. The enrolled cases will be classified into two groups according to the subjects' duration of consultation: those who completed the consultation and subsequent tests in >24 weeks were in the control group, whereas those who completed the consultation and subsequent tests in <24 weeks were in the test group. The effectiveness of nutrition consultation toward managing cardiovascular disease risk factors and its correlation with the subjects' frequency of following the consultations was analyzed using the pre- and post-consultation data. It was found that personalized nutrition consultation significantly improved the subjects' risk factors of cardiovascular diseases, and that the treatment group showed a greater improvement than the control group which who require over 24 weeks to complete all consultation sessions.

Official Title
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Effects of Nutritional Counseling Regularity on the Risk of Cardiovascular Diseases

Conditions
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Cerebrovascular Disease

Intervention / Treatment
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* Behavioral: nutrition counseling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age ≧ 20 Anyone of follow： body mass index > 24 systolic blood pressure > 120 mmHg diastolic blood pressure > 80 mmHg triglyceride > 150 mg/dL fasting blood glucose >100 mg/dL Exclusion Criteria: Age <20 pregnant Mental problem unable to do the measurement of body composition incomplete the nutritional counseling program

Ages Eligible for Study
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Minimum Age: 20 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Control group/ non-regularity group<br>those who completed 8 consultations by average interval time more than 3 weeks were in the non-regularity group | Behavioral: nutrition counseling<br>* nutrition counseling<br>|
| test group/ regularity group<br>those who completed the consultations and interval time within in 3 weeks were in the higher regularity | Behavioral: nutrition counseling<br>* nutrition counseling<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| body weight | body weight in kilograms | baseline, pre-intervention | 
| body weight | body weight in kilograms | immediately after the intervention | 
| height | height in meters | baseline, pre-intervention | 
| height | height in meters | immediately after the intervention | 
| body mass index | body mass index in kg/m^2 | baseline, pre-intervention | 
| body mass index | body mass index in kg/m^2 | immediately after the intervention | 
| body fat | body fat in ratio | baseline, pre-intervention | 
| body fat | body fat in ratio | immediately after the intervention | 
| The concentration of blood triglyceride | blood triglyceride in mg/dL | baseline, pre-intervention | 
| The concentration of blood total cholesterol | blood total cholesterol in mg/dL | within one week after the intervention | 
| The concentration of blood low density lipoprotein-cholesterol | blood blood low density lipoprotein-cholesterol in mg/dL | baseline, pre-intervention | 
| The concentration of blood low density lipoprotein-cholesterol | blood blood low density lipoprotein-cholesterol in mg/dL | within one week after the intervention | 
| The concentration of blood high density lipoprotein-cholesterol-cholesterol | blood high density lipoprotein-cholesterol in mg/dL | baseline, pre-intervention | 
| The concentration of blood high density lipoprotein-cholesterol-cholesterol | blood high density lipoprotein-cholesterol in mg/dL | within one week after the intervention | 
| The concentration of blood high sensitive C-reactive protein | blood high sensitive sensitive C-reactive protein in mg/L | baseline, pre-intervention | 
| The concentration of blood high sensitive C-reactive protein | blood high sensitive sensitive C-reactive protein in mg/L | within one week after the intervention | 
| The concentration of blood fasting glucose | blood fasting glucose in mg/dL | baseline, pre-intervention | 
| The concentration of blood fasting glucose | blood fasting glucose in mg/dL | within one week after the intervention | 
| blood HbA1C | blood HbA1C in percentage | baseline, pre-intervention | 
| blood HbA1C | blood HbA1C in percentage | within one week after the intervention | 
| The concentration of blood insulin | blood insulin in mg/dL | baseline, pre-intervention | 
| The concentration of blood insulin | blood insulin in mg/dL | within one week after the intervention | 
| The activity of blood aspartate aminotransferase | blood aspartate aminotransferase in U/L | baseline, pre-intervention | 
| The activity of blood aspartate aminotransferase | blood aspartate aminotransferase in U/L | within one week after the intervention | 
| The activity of blood alanine aminotransferase | blood alanine aminotransferase in U/L | baseline, pre-intervention | 
| The activity of blood alanine aminotransferase | blood alanine aminotransferase in U/L | within one week after the intervention | 
| The concentration of blood urinary nitrogen (BUN) | BUN in mg/L | baseline, pre-intervention | 
| The concentration of blood urinary nitrogen (BUN) | BUN in mg/L | within one week after the intervention | 
| The concentration of blood creatinine | BUN in mg/dL | baseline, pre-intervention | 
| The concentration of blood creatinine | BUN in mg/dL | within one week after the intervention | 
| The concentration of blood uric acid | blood uric acid in mg/dL | baseline, pre-intervention | 
| The concentration of blood uric acid | blood uric acid in mg/dL | within one week after the intervention | 
| The concentration of blood total protein | blood uric acid in mg/dL | baseline, pre-intervention | 
| The concentration of blood total protein | blood uric acid in mg/dL | within one week after the intervention | 
| The concentration of blood albumin | blood uric acid in mg/dL | baseline, pre-intervention | 
| The concentration of blood albumin | blood uric acid in mg/dL | within one week after the intervention | 
| The concentration of blood globulin | blood uric acid in mg/dL | baseline, pre-intervention | 
| The concentration of blood globulin | blood uric acid in mg/dL | within one week after the intervention |