Effect of nutrition care provided by primary health professionals on adults’ dietary behaviours: A systematic review

Ball, Lauren, Leveritt, Michael, Cass, Sarah and Chaboyer, Wendy (2015) Effect of nutrition care provided by primary health professionals on adults’ dietary behaviours: A systematic review. Family Practice, 32 6: 605-617. doi:10.1093/fampra/cmv067

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Author Ball, Lauren
Leveritt, Michael
Cass, Sarah
Chaboyer, Wendy
Title Effect of nutrition care provided by primary health professionals on adults’ dietary behaviours: A systematic review
Journal name Family Practice   Check publisher's open access policy
ISSN 0263-2136
Publication date 2015
Year available 2015
Sub-type Article (original research)
DOI 10.1093/fampra/cmv067
Open Access Status Not Open Access
Volume 32
Issue 6
Start page 605
End page 617
Total pages 13
Place of publication Oxford, United Kingdom
Publisher Oxford University Press
Collection year 2016
Language eng
Formatted abstract
Background. ‘Nutrition care’ refers to any practice conducted by a health professional to support a patient to improve their dietary behaviours. Better understanding about the effectiveness of nutrition care is required to identify ways to enhance success of future interventions.

Objective. Systematically review literature that investigated the effect of nutrition care provided by primary health professionals on adult patients’ dietary behaviours.

Methods. The systematic review included all studies published between January 2000 and January 2015 that involved nutrition care by one or more primary health professionals to adult patients and incorporated at least one quantified food-related outcome measure (e.g. daily intake of vegetables in grams, weekly servings of lean meats). After data extraction, the methodological quality of each study was appraised using the Mixed Methods Appraisal Tool.  

Results. Twenty-one studies, totalling 12497 participants were included. The design, intensity, theoretical underpinning and follow-up period of interventions were diverse. Twelve studies found significant improvements in participants’ dietary behaviours, such as increased daily consumption of fruit, vegetables, high-fibre bread and fish. However, seven studies did not identify any improvement in dietary behaviours; one observed equal improvements among participants in the intervention and control groups and one found a reduction in participants’ daily fruit and vegetable intake.

Conclusion. Interventions involving nutrition care provided by primary health professionals have the potential to improve patients’ dietary behaviours. However, the consistency and clinical significance of intervention outcomes are unclear. Further consideration of factors that may influence the effectiveness of interventions, but not traditionally measured, are required.
Keyword Chronic disease
General Practice
Nutrition therapy
Nutritional Management
Primary care
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Human Movement and Nutrition Sciences Publications
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Citation counts: TR Web of Science Citation Count  Cited 2 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 1 times in Scopus Article | Citations
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Created: Wed, 14 Oct 2015, 13:00:08 EST by Michael Leveritt on behalf of School of Human Movement and Nutrition Sciences