Impacts of a nutrition education intervention in individuals with cardiometabolic risk: Protocol of a randomized controlled trial

Wan Ling Chiang; Barakatun Nisak Mohd Yusof; Azrina Azlan; Irmi Zarina Ismail; Zalina Abu Zaid

doi:10.1016/j.clnesp.2022.03.037

Impacts of a nutrition education intervention in individuals with cardiometabolic risk: Protocol of a randomized controlled trial

Clin Nutr ESPEN. 2022 Jun:49:536-543. doi: 10.1016/j.clnesp.2022.03.037. Epub 2022 Mar 31.

Authors

Wan Ling Chiang¹, Barakatun Nisak Mohd Yusof², Azrina Azlan³, Irmi Zarina Ismail⁴, Zalina Abu Zaid¹

Affiliations

¹ Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia.
² Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia; Institute of Social Science Studies, Putra Infoport, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia. Electronic address: bnisak@upm.edu.my.
³ Department of Nutrition, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia.
⁴ Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia.

PMID: 35623864
DOI: 10.1016/j.clnesp.2022.03.037

Abstract

Background: Unhealthy dietary pattern including high dietary sugar intake is responsible for the cardiometabolic-related deaths. Nonetheless, adherence to the recommendation is low, and appropriate nutrition education to reduce sugar consumption is scarce.

Objective: This proposed project aims to evaluate the effectiveness of a nutrition education module in modifying sugar consumption and other cardiometabolic risk (CMR)-related outcomes in individuals with CMR.

Methods: This is an open-label, 3-group parallel-randomized controlled trial that will be conducted in Universiti Putra Malaysia, Serdang, Malaysia. Participants will be equally randomized into three groups. Participants in the Control Group (n = 35) would receive no intervention and undergo usual follow-up. In comparison, those participants in the Intervention Groups (n = 70) would receive nutrition education to modify sugars consumption. They will also be given either refined white sugar (n = 35), or Minimally Refined Brown Sugar (n = 35) for daily consumption throughout a six-month study period. Measurements include socio-demographic status, medical characteristics, nutritional status, lifestyle practices, Health Belief Model constructs, and knowledge of healthy diet will be measured at baseline, first- (V1), third- (V3) and sixth-month (V6) intervals.

Conclusion: Participants of both Intervention Group aiming for sugar intake modification, would have lower sugar consumption and better CMR-related outcomes than the Control Group. Since Minimally Refined Brown Sugar contains fair amount of antioxidants, participants of Intervention Group (Minimally Refined Brown Sugar) will have better CMR-related outcomes than participants of Intervention Group (white sugar) at the end of the study.

Trial registration: ClinicalTrials.gov NCT04737044.

Keywords: Cardiometabolic risk factor; Intervention (education); Malaysia; Randomized controlled trial; Sugars.

Publication types

Clinical Trial Protocol
Research Support, Non-U.S. Gov't

MeSH terms

Cardiovascular Diseases* / prevention & control
Dietary Sugars
Health Education
Humans
Nutritional Status*
Randomized Controlled Trials as Topic
Sugars

Substances

Dietary Sugars
Sugars

Associated data

ClinicalTrials.gov/NCT04737044