None listed
Conditions
Brief summary
This is a 12 month single blinded parallel randomised controlled trial with 3 arms: control (usual care), intervention (multidisciplinary lifestyle support). A 3rd arm comprises intervention + a food supplement . Participants will be randomised into a control or one of the intervention groups testing the effect of a novel versus conventional form of individualised health care targeting diet, exercise and health behaviour. An additional 12 month long term follow-up will be offered to all participants. Consenting participants will attend quarterly visits with a dietitian
Interventions
This is a 12 month single blinded parallel randomised controlled trial with 3 arms: control (usual care), intervention (multidisciplinary lifestyle support) and intervention (multidisciplinary lifestyle support) + a food supplement. Participants will be randomised into a control or one of the intervention groups testing the effect of a novel versus conventional form of individualised health care targeting diet, exercise and health behaviour. Both control and intervention arms will attend the clinic at baseline, 1,2,3,6,9,12 mo for a face to face session with a health practitioner (nurse/control or dietitian supported by an Exercise Physiologist (EP)/intervention) for 40-60 mins. Participants will be encouraged to set diet and physical activity goals based on either information sheets devised for the control or intervention strategy. A client centred approach will be used, with cognitive behavioural enhancement strategies in the intervention group. A phone call will be made between visits by the nurse/control or a health coach (supervised by psychologists)/intervention. Adherence will be monitored by repeat 4 day food records and pedometers. A subset will be given accelerometers. The food supplement is 30g snack packs of walnuts /day for 12 months. At the end of 12 months all participants will be offered to participate in a further 12 months of follow-up. All consented participants will attend for quarterly visits with a dietitian at 15, 18, 21 and 24 months.
Sponsors
Study design
Eligibility
Inclusion criteria
men and women from the Illawarra community (adults aged 25-54 years, permanent resident, community dwelling), at higher risk of lifestyle related disease (defined by BMI range 25-40kg/m2
Exclusion criteria
Unable to communicate in English; severe medical conditions impairing ability to participate in study; other medical conditions thought to limit survival to 1 year; immunodeficiency; reported illegal drug use or regular alcohol intake associated with alcoholism (>50g/day); difficulties or major impediments to participating in the components of the study