DLM: Self-Management and Individualized Counseling (2001)
Citation:
Dallongeville J, Leboeuf N, Blais C, Touchette J, Gervais N, Davignon J. Short-term response to dietary counseling of hyperlipidemic outpatients of a lipid clinic. JADA. 1994;94:616-621.
Worksheet created prior to Spring 2004 using earlier ADA research analysis template.
Study Design:
Non-Randomized Controlled Trial
Class:
C - Click here for explanation of classification scheme.
Quality Rating:
POSITIVE:Research Purpose:
This field is blank. (This worksheet was completed prior to 2004 for the compact disk version of the guideline and does not follow the same format.)
Inclusion Criteria:
Type II hyperlipidemia:
72 controls
104 intervention
Inclusion criteria:
LDL chol >4.1 mmol/L
TG <2.6 mmol/L
Type IV hypertriglyceridemia:
80 controls
113 intervention
Inclusion criteria:
TG >2.6 mmol/L
LDL chol <4.1 mmol/L
Exclusion Criteria:
>120% IBW
Diabetic
Excessive alcohol use
E 2/2 phenotype
Description of Study Protocol:
Ambulatory patients from a Lipid Clinic in Montreal from Jan 1985-Dec 1988 that met study criteria and who were not on lipid lowering drugs.
Intervention:
Dietary counseling
Data Collection Summary:
Outcome measures:
Serum lipids
Body weight
Description of Actual Data Sample:
Summary of Results:
No significant changes in blood lipids or body weight were seen in controls.
Type II hypercholesterolemia:
As a result of nutrition counseling, 20% of subjects had LDL cholesterol levels <4.1 mmol/L.
Those with nutrition intervention:
Body weight decrease 2.4+4.7% (P<0.0001)
Total chol decrease 5.7+11.7% (P<0.0001)
LDL chol decrease 7.3+14.2% (P<0.0001)
Type IV hypertriglyceridemia:
As a result of nutrition counseling, 20% of subjects had TG levels <2.3 mmol/L
Those with nutrition intervention:
Body weight decrease 2.8+4% (P<0.0001)
Total chol decrease 4.8+12.8% (P<0.0001)
LDL chol 8.5+25.7% (P<0.001)
HDL chol 5.5+18% (P<0.001)
Dietary counseling of subjects with hypercholesterolemia or hypertriglyceridemia associated with beneficial changes in plasma lipids after 2 months of dietary intervention. Longer intervention is needed.
Author Conclusion:
Patients not identified by sex.
Significant increase in LDL cholesterol in hypertriglyceride group of concern.
Funding Source:
| Government: | Medical Research Council of Canada | ||
| Not-for-profit |
|
Reviewer Comments:
n/a