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dc.contributor.authorRoss, Lynda
dc.contributor.authorBarnes, Katelyn A
dc.contributor.authorBall, Lauren E
dc.contributor.authorMitchell, Lanai
dc.contributor.authorSladdin, Ishtar
dc.contributor.authorLee, Patricia
dc.contributor.authorWilliams, Lauren T
dc.date.accessioned2019-10-14T01:25:31Z
dc.date.available2019-10-14T01:25:31Z
dc.date.issued2019
dc.identifier.issn1446-6368
dc.identifier.doi10.1111/1747-0080.12509
dc.identifier.urihttp://hdl.handle.net/10072/388339
dc.description.abstractAim: Evidence of the effectiveness of dietetic consultation for the management of cardiovascular disease (CVD) risk factors has not been previously synthesised. A systematic review and four meta-analyses evaluated the effectiveness of dietetic consultation for lowering blood lipid levels in high-risk individuals in primary health-care settings. Methods: Of the 4860 records identified, 10 eligible randomised controlled trials (RCTs, n = 1530) were evaluated for reporting blood lipid outcomes following dietetic consultation (DN)—defined as at least one exclusive individual face-to-face consultation with a dietitian and comparators (C)—defined as no nutrition intervention or usual or minimal care provided by physicians and/or nurses. Results: DN groups were effective for lowering blood lipid levels across nine studies reporting total cholesterol (TC) and LDL; and across five of six studies reporting triglycerides (TG). Between-group differences were not consistently assessed, with significance levels reported in four studies all in favour of DN, P < 0.05. Meta-analyses for TC and LDL (seven studies) confirmed DN and C groups were equally effective, P > 0.05; and for TG (six studies) DN groups were significantly more effective than C groups, P < 0.05). Conclusions: This review provides RCT evidence that dietetic counselling is effective for lowering TG levels and at least as effective as usual and minimal care for improving cholesterol levels in high-risk individuals in primary health care. However, more adequate reporting of methods and greater consistency in timing interventions and data collection will enhance the quality of the evidence and increase confidence in the health benefits of dietetic counselling for the management of CVD risk.
dc.description.peerreviewedYes
dc.description.sponsorshipGriffith University
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley
dc.relation.ispartofpagefrom199
dc.relation.ispartofpageto210
dc.relation.ispartofissue2
dc.relation.ispartofjournalNutrition & Dietetics
dc.relation.ispartofvolume76
dc.subject.fieldofresearchFood sciences
dc.subject.fieldofresearchNutrition and dietetics
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchcode3006
dc.subject.fieldofresearchcode3210
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordscardiovascular disease
dc.subject.keywordsclinical nutrition and dietetics
dc.titleEffectiveness of dietetic consultation for lowering blood lipid levels in the management of cardiovascular disease risk: A systematic review and meta-analysis of randomised controlled trials
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationRoss, L; Barnes, KA; Ball, LE; Mitchell, L; Sladdin, I; Lee, P; Williams, LT, Effectiveness of dietetic consultation for lowering blood lipid levels in the management of cardiovascular disease risk: A systematic review and meta-analysis of randomised controlled trials, Nutrition & Dietetics, 2019, 76 (2), pp. 199-210
dcterms.dateAccepted2018-11-19
dcterms.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated2019-10-14T01:22:05Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2019 The Authors. Nutrition & Dietetics published by John Wiley & Sons Australia, Ltd on behalf of Dietitians Association of Australia. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
gro.hasfulltextFull Text
gro.griffith.authorRoss, Lynda J.
gro.griffith.authorBall, Lauren E.
gro.griffith.authorMitchell, Lana J.
gro.griffith.authorLockwood, Ishtar K.
gro.griffith.authorWilliams, Lauren T.
gro.griffith.authorBarnes, Katelyn A.
gro.griffith.authorLee, Patricia T.


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