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| Ranking |
Evidence-Based Practice |
| Description |
The WATCH intervention is a dietitian-based nutrition counseling and education program for adult patients with hyperlipidemia.
Hyperlipidemia is the elevation of fats, such as cholesterol and triglycerides, in the blood. Excess fat in the blood contributes to atherosclerosis and, because hyperlipidemia can be reversed, it is considered a modifiable risk factor for cardiovascular disease.
Participants in WATCH received both one-on-one counseling and attend group sessions with registered dieticians. The sessions used the American Heart Association diet and were designed to: 1) increase patients' awareness of the risk factors associated with coronary heart disease; 2) provide patients with nutrition knowledge to promote the lowering of blood cholesterol levels; 3) increase patients' confidence in their ability to make dietary changes; and 4) enhance patient's skills needed for long-term changes in eating patterns.
Group sessions lasted for two hours and each participant attended two sessions; individual sessions were 45-minutes in length and each participant attends one individual session at the beginning and one individual session after the two group session. Individual sessions were focused on practical skills for reducing total and saturated fat intake, reducing cholesterol intake and creating dietary behavior change goals.
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| Goal / Mission |
To decrease total and saturated fat intake, serum low-density lipoprotein cholesterol levels, and body weight. |
| Results / Accomplishments |
Participants in the WATCH intervention who attended three or more of the total four sessions were compared to participants who attended less than three sessions one year after the initial individual visit.
Participants who returned to three or four of the sessions had reduced total and saturated fat intake, reduced serum cholesterol levels and experienced a significant decrease in body weight compared to participants who attended one or two sessions. These reductions correspond to roughly a 22% relative change from baseline in those attending three or four sessions. |
| Categories |
Health / Exercise, Nutrition, & Weight
Health / Other Chronic Diseases
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| Organization(s) |
University of Massachusetts Medical School |
| Date of Publication |
1999 |
| Location |
State: Massachusetts |
| Primary Contact |
Ira Ockene, M.D.
Department of Medicine
University of Massachusetts Medical School Worcester 01655, USA.
(508) 856-3907
Ira.Ockene@umassmed.edu
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| For more details |
http://www.ncbi.nlm.nih.gov/pubmed/10333775
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| Target Audience |
Adults |
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