Abstract
BackgroundIn women of Minangkabau ethnicity, a high prevalence of dyslipidemia, overweight, and obesity is thought to be closely related to poor dietary practices. Promotion of local specific food-based recommendations (FBRs) was previously found to be effective in improving dietary practice and nutrient intakes related to dyslipidemia. This study aimed to describe the effects of the FBR promotion on the nutritional status and lipid profiles of Minangkabau women with dyslipidemia.MethodsWe used a cluster-randomized design with a total subject of 123 Minangkabau women of reproductive age with dyslipidemia. They were recruited from 16 sub-villages and assigned to either the FBR group (n = 61) or the non-FBR group (n = 62). Data on body weight, height, waist circumference, and lipid profiles were collected at the baseline and the end of the trial. Linear mixed model analysis was used to analyze the effect of the intervention on nutritional status and lipid profiles.ResultsThe mean effect (95% confidence interval) of the intervention on body weight, body mass index, and waist circumference for the FBR group versus the non-FBR group were -1.1 (-1.8; -0.39) kg, -0.43(-0.76; -0.11) kg/m2 and -2.1(-3.7;-0.46) mm respectively (p <0.05). The Castelli’s index in the FBR group improved, but there was no significant between-group difference in the change of total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides at the end of the intervention.ConclusionThe promotion of the FBRs positively impact the nutritional status but did not significantly affect the blood lipid profile of Minangkabau women with dyslipidemia.Trial RegistrationThe trial was retrospectively registered at ClinicalTrials.gov Protocol Registration and Result System (PRS) as NCT04085874, in September 2019.
Highlights
In women of Minangkabau ethnicity, a high prevalence of dyslipidemia, overweight, and obesity is thought to be closely related to poor dietary practices
Based on the indicators of dyslipidemia (TC, low-density lipoprotein (LDL), High Density Lipoprotein (HDL), and TG levels), this study found that a 12-week promotion of Food-Based recommendation (FBR) did not have a significant effect on the improvement of lipid profiles
We found that the intervention significantly improved nutritional status and had a minor effect on lipid profile and reduction of atherogenic risk
Summary
In women of Minangkabau ethnicity, a high prevalence of dyslipidemia, overweight, and obesity is thought to be closely related to poor dietary practices. Promotion of local specific food-based recommendations (FBRs) was previously found to be effective in improving dietary practice and nutrient intakes related to dyslipidemia. This study aimed to describe the effects of the FBR promotion on the nutritional status and lipid profiles of Minangkabau women with dyslipidemia. The results of the latest National Health Survey showed that the prevalence of dyslipidemia in Indonesia, based on abnormal total cholesterol (TC) and low-density lipoprotein (LDL) levels, was approximately 30% and 74%, respectively. Our latest study among Minangkabau women of reproductive age found that the prevalence of dyslipidemia based on LDL level was relatively high (approximately 44%), and most of these women (approximately 70%) were overweight or obese [4]
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