{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T17:08:38Z","timestamp":1773248918420,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,9,11]],"date-time":"2017-09-11T00:00:00Z","timestamp":1505088000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Unilever R&D"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Evidence from healthcare professionals suggest that consumer compliance to healthy diet and lifestyle changes is often poor. The present study investigated the effect of advice provided by a physician or dietitian on consumer adherence to these measures combined with consuming foods with added plant sterols (PS) with the aim of lowering low\u2010density lipoprotein cholesterol (LDL\u2010C).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred mildly\u2010to\u2010moderately hypercholesterolaemic individuals were enrolled into a parallel, randomised, placebo\u2010controlled study. Dietitians (dietitian group; DG) advised 50 individuals in six weekly face\u2010to\u2010face behavioural therapy sessions, whereas the other 50 received standard advice from physicians (physician group, PG). Both groups consumed foods with added PS (three servings a day) for 6 weeks. Subsequently, all individuals were followed\u2010up for another 6 weeks under real\u2010life conditions. Blood lipids were measured at baseline and weeks 6 and 12 and 3\u2010day diet diaries were taken at weeks 1, 6 and 12.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Individuals in the DG significantly improved their dietary habits, physical activity and increased PS intake compared to the PG. After 6 weeks, LDL\u2010C decreased in both groups compared to baseline without any significant differences between groups. At week 12, LDL\u2010C was further significantly improved only in the DG (<jats:italic>P<\/jats:italic> = 0.006) compared to week 6. Total cholesterol, LDL\u2010C and triglycerides were significantly lower in the DG compared to the PG at week 12 after adjusting for levels at week 6 (<jats:italic>P<\/jats:italic> &lt; 0.001, <jats:italic>P<\/jats:italic> &lt; 0.001 and <jats:italic>P<\/jats:italic> = 0.009, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although structured counselling by dietitians and common standard advice by physicians were equally effective with respect to improving blood cholesterol after 6 weeks, dietitians were more effective in the longer\u2010term (i.e. 6 weeks after the end of the intervention period).<\/jats:p><\/jats:sec>","DOI":"10.1111\/jhn.12508","type":"journal-article","created":{"date-parts":[[2017,9,11]],"date-time":"2017-09-11T05:46:54Z","timestamp":1505108814000},"page":"197-208","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Structured advice provided by a dietitian increases adherence of consumers to diet and lifestyle changes and lowers blood low\u2010density lipoprotein (LDL)\u2010cholesterol: the Increasing Adherence of Consumers to Diet &amp; Lifestyle Changes to Lower (LDL) Cholesterol (ACT) randomised controlled trial"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7302-9478","authenticated-orcid":false,"given":"T. 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