TY - JOUR
T1 - Chapter 6. Food group and macronutrient intakes, trial years 1-6, in the special intervention and usual care groups in the Multiple Risk Factor Intervention Trial
AU - Gorder, Diane D.
AU - Bartsch, Glenn E.
AU - Tillotson, Jeanne L.
AU - Grandits, Gregory A.
AU - Stamler, Jeremiah
PY - 1997
Y1 - 1997
N2 - This chapter presents changes in dietary intake reported by men in the special intervention (SI) and usual care (UC) groups from baseline through 6 y of follow-up in the Multiple Risk Factor Intervention Trial. Changes in nutrients by SI men after 1 y of following the intensive intervention program were as follows: reduced intake of total fat (from 38.4% to 34.3% of energy), saturated fatty acids (14.2% to 10.4% of energy), and cholesterol (448 to 263 mg/d), and increased intake of polyunsaturated fatty acids (from 6.4% to 8.6% of energy). These changes were maintained and did not increase through the remaining 5 y. UC men reported small changes in similar directions. Most of the change in saturated fatty acid intake by SI participants was from high- fat meat and high- and medium-fat dairy products. Reduction in dietary cholesterol was achieved primarily by substantial decreases in intake of eggs and high-fat meats. Several baseline factors were associated with amount of dietary change in SI men. Greater changes were seen in men with higher baseline serum cholesterol concentrations, in those not consuming a special diet, in nonsmokers followed by lighter smokers, in hypertensive than in nonhypertensive men, in older participants, in white than in black men, in moderate drinkers than in nondrinkers or those consuming ≤22 drinks/wk, and in those with no 'stressful life events' than in those reporting one or more life events.
AB - This chapter presents changes in dietary intake reported by men in the special intervention (SI) and usual care (UC) groups from baseline through 6 y of follow-up in the Multiple Risk Factor Intervention Trial. Changes in nutrients by SI men after 1 y of following the intensive intervention program were as follows: reduced intake of total fat (from 38.4% to 34.3% of energy), saturated fatty acids (14.2% to 10.4% of energy), and cholesterol (448 to 263 mg/d), and increased intake of polyunsaturated fatty acids (from 6.4% to 8.6% of energy). These changes were maintained and did not increase through the remaining 5 y. UC men reported small changes in similar directions. Most of the change in saturated fatty acid intake by SI participants was from high- fat meat and high- and medium-fat dairy products. Reduction in dietary cholesterol was achieved primarily by substantial decreases in intake of eggs and high-fat meats. Several baseline factors were associated with amount of dietary change in SI men. Greater changes were seen in men with higher baseline serum cholesterol concentrations, in those not consuming a special diet, in nonsmokers followed by lighter smokers, in hypertensive than in nonhypertensive men, in older participants, in white than in black men, in moderate drinkers than in nondrinkers or those consuming ≤22 drinks/wk, and in those with no 'stressful life events' than in those reporting one or more life events.
KW - Food and nutrient intakes
KW - dietary changes
KW - longitudinal data
KW - nutrition intervention
UR - http://www.scopus.com/inward/record.url?scp=0030614379&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0030614379&partnerID=8YFLogxK
M3 - Article
C2 - 8988941
AN - SCOPUS:0030614379
SN - 0002-9165
VL - 65
SP - 258S-271S
JO - American Journal of Clinical Nutrition
JF - American Journal of Clinical Nutrition
IS - 1 SUPPL.
ER -