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Cited by 53Nutritional Studies and DietNutrition, Health and Food BehaviorCancer Risks and Factors

Telephone Counseling Helps Maintain Long-Term Adherence to a High-Vegetable Dietary Pattern ,

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Pierce, John P., Newman, Vicky A., Natarajan, Loki, Flatt, Shirley W., Al-Delaimy, Wael K., Caan, Bette J., Emond, Jennifer A., Faerber, Susan +14 more·2007·The Journal of Nutrition
DOI 10.1093/jn/137.10.2291PMC PMC2064909
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Abstract

Achieving long-term adherence to a dietary pattern is a challenge in many studies investigating the relationship between diet and disease. The Women's Healthy Eating and Living Study was a multi-institutional randomized trial in 3088 women at risk for breast cancer recurrence. At baseline, the average participant followed a healthy dietary pattern of 7 vegetable and fruit servings, 21 g/d of fiber, and 28.7% energy from fat, although fat intake increased over the enrollment period. Using primarily telephone counseling, the intervention group was encouraged to substantially increase intakes of vegetables, fruits, and fiber while decreasing fat intake. Sets of 24-h dietary recalls were completed on 90% of eligible participants at 1 y and 86% at 4 y. Using a conservative imputation analysis, at 1 y, the intervention group consumed 38% more vegetable servings (100% when including juice) than the comparison group, 20% more fruit, 38% more fiber, 50% more legumes, and 30% more whole grain foods, with a 20% lower intake of energy from fat. At 4 y, the between-group differences were 65% for vegetables (including juice), 25% fruit, 30% fiber, 40% legumes, 30% whole grain foods, and 13% lower intake of energy from fat. The intervention effect on fat intake was similar for early vs. late enrollees. Plasma carotenoid concentrations on a random 28% sample validated self-reported vegetable and fruit intake, with a between-group difference of 66% at 1 y and over 40% at 4 y. This large change will allow testing of hypotheses on the role of dietary change in preventing additional breast cancer events.

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  • Telephone-administered treatments have been shown to be effective for mental health problems, lifestyle interventions, smoking cessation, and pain management.

    “Telephone administered treatments have been shown to be effective for mental health problems (1), lifestyle (weight loss and exercise) interventions (2), smoking cessation (3), and pain management (4).”

    From Interest in behavioral and psychological treatments delivered face-to-face, by telephone, and by internet (2010) · cites this paper as [2]

    The Discussion (page unavailable) says the telephone-counseling intervention produced sustained dietary behavior change, supporting effectiveness for a lifestyle intervention. But citation (2) is attached specifically to weight-loss and exercise interventions; this paper reports dietary change, not effectiveness for either of those outcomes. (LLM, conf=0.88)

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  1. 2000, Healthy People 2010;

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Authors
Pierce, J. P., Newman, V. A., Natarajan, L., Flatt, S. W., Al-Delaimy, W. K., Caan, B. J., Emond, J. A., Faerber, S., Gold, E. B., Hajek, R. A., Hollenbach, K., Jones, L. A., Karanja, N., Kealey, S., Madlensky, L., Marshall, J., Ritenbaugh, C., Rock, C. L., Stefanick, M. L., Thomson, C., Wasserman, L., & Parker, B. A.
Affiliations
  • University of California San Diego (US)
  • Kaiser Permanente (US)
  • University of California, Davis (US)
  • The University of Texas MD Anderson Cancer Center (US)
  • Roswell Park Comprehensive Cancer Center (US)
  • University of Arizona (US)
  • Stanford University (US)
Corresponding author
Pierce, John P.
ORCID
Venue
The Journal of Nutrition
Publisher
Elsevier BV
Published
2007-10
Volume
137
Issue
10
Pages
2291-2296
ISSN
0022-3166 (ISSN-L)
DOI
10.1093/jn/137.10.2291
PMC
PMC2064909
OpenAlex
W2171116203
Cited by
53
References
26
Citations by year
2025: 1 · 2021: 1 · 2018: 1 · 2017: 2 · 2016: 3 · 2015: 3 · 2014: 6 · 2013: 5 · 2012: 3
FWCI
8.58
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Nutrition (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Walton Family Foundation
  • National Institutes of Health (5m01rr000079-42, RR00827, RR-00070, M01-RR00079)
  • National Cancer Institute (CA-69375, R01CA069375)
  • National Center for Research Resources (M-01RR00827, M-01 RR 00070, M01-RR000079, M01RR000070, M01 RR-00079, M01RR000827)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Health Sciences › Medicine › Oncology › Cancer Risks and Factors
Keywords
telephone counseling, dietary adherence, breast cancer recurrence prevention, vegetable consumption, fruit consumption, dietary fiber, dietary fat intake, Fabaceae, whole grains, plasma carotenoids, dietary intervention
MeSH terms
Adolescent, Adult, Aged, Counseling, Diet, Dietary Fats, Female, Fruit, Humans, Middle Aged, Patient Compliance, Telephone, Vegetables

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