TABLE 2.
Intervention (n = 4245) | Comparison (n = 6126) | P value | |
---|---|---|---|
Dietary targets2 | |||
Percentage of energy from total fat | 25.3 ± 7.9 | 37.7 ± 6.8 | <0.001 |
Fruits/vegetables, med serv/d | 4.9 ± 2.3 | 3.6 ± 1.9 | <0.001 |
Grains, med serv/d | 5.1 ± 2.6 | 4.3 ± 2.3 | <0.001 |
Dietary fiber,3 g/d | 17.7 ± 7.1 | 14.5 ± 6.1 | <0.001 |
Percentage change in energy from: | |||
Total fat | −16.2 ± 8.3 | −3.8 ± 6.4 | <0.001 |
Saturated fat | −5.6 ± 3.4 | −1.3 ± 2.8 | <0.001 |
Polyunsaturated fat | −3.1 ± 2.4 | −0.8 ± 2.2 | <0.001 |
Monounsaturated fat | −6.6 ± 3.5 | −1.5 ± 2.8 | <0.001 |
Trans-fat | −1.3 ± 1.3 | −0.4 ± 1.1 | <0.001 |
Carbohydrates | 15.1 ± 9.0 | 3.3 ± 7.0 | <0.001 |
Added sugar | 1.3 ± 4.9 | 0.3 ± 4.5 | <0.001 |
Other sources | 13.8 ± 8.7 | 3.0 ± 6.6 | <0.001 |
Protein | 1.5 ± 3.2 | 0.5 ± 3.0 | <0.001 |
Animal protein | 0.2 ± 3.5 | 0.3 ± 3.2 | 0.15 |
Vegetable protein | 1.3 ± 1.3 | 0.2 ± 1.1 | <0.001 |
Alcohol | 0.4 ± 2.4 | 0.2 ± 2.1 | <0.001 |
Change in dietary cholesterol, mg/d | −110.5 ± 138.6 | −37.2 ± 128.3 | <0.001 |
Change in participant characteristics: | |||
Weight, kg | −2.4 ± 7.7 | 0.2 ± 8.8 | <0.001 |
Waist circumference, cm | −2.0 ± 6.6 | −0.1 ± 6.6 | <0.001 |
Systolic BP, mmHg | −0.6 ± 12.4 | 0.5 ± 12.2 | <0.001 |
Diastolic BP, mmHg | −1.3 ± 7.8 | −0.4 ± 7.6 | <0.001 |
Change values are mean ± SD. BP, blood pressure; CVD, cardiovascular disease; med serv, medium serving.
Intervention goals were 20% of energy from total fat, ≥5 servings of vegetables and fruit per day, and ≥6 servings of grains per day.
Dietary fiber was not an intervention goal, but can be helpful in distinguishing between changes in complex vs. refined carbohydrates. The mean change in fiber was 3.0 ± 6.9 and − 0.3 ± 5.3 g/d in the intervention and comparison groups, respectively; P value < 0.001.