{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T13:33:41Z","timestamp":1764509621168,"version":"3.40.5"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,5,27]],"date-time":"2019-05-27T00:00:00Z","timestamp":1558915200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007190","name":"Unilever","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007190","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The present study aimed to assess perceived effectiveness and easiness of behavioural diet and lifestyle changes related to dyslipidaemia given by physicians or dieticians as a result of diet and lifestyle modifications being difficult to maintain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One\u2010hundred hypercholesterolaemic individuals were enrolled in a parallel, randomised 6\u2010week study. Fifty were advised by dietitians (dietitian group: <jats:styled-content style=\"fixed-case\">DG<\/jats:styled-content>) in six weekly face\u2010to\u2010face behavioural therapy sessions and 50 received standard advice from physicians (physician group: <jats:styled-content style=\"fixed-case\">PG<\/jats:styled-content>). All individuals were followed\u2010up for another 6\u00a0weeks under real\u2010life conditions. Questionnaires regarding perceived effectiveness, easiness of adhering, forecasted and actual adherence to specific cholesterol\u2010lowering advice were completed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Scores of perceived effectiveness of advice for sufficient exercise, limiting saturated fat (<jats:styled-content style=\"fixed-case\">SFA<\/jats:styled-content>) intake, eating fish twice a week, consuming plenty of fresh fruit and vegetables, and limiting salt intake different scientifically (all <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05) in <jats:styled-content style=\"fixed-case\">PG<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">DG<\/jats:styled-content> between study phases. Scores of the individuals' perception of effectiveness at all study phases were higher in the <jats:styled-content style=\"fixed-case\">DG<\/jats:styled-content> compared to <jats:styled-content style=\"fixed-case\">PG<\/jats:styled-content> for sufficient exercise, limiting <jats:styled-content style=\"fixed-case\">SFA<\/jats:styled-content> intake, eating fish twice a week, eating plenty of fruits and vegetables, and limiting salt intake, whereas scores of easiness were significant only for fish consumption (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.008) and using foods with added plant sterols (all <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05). <jats:styled-content style=\"fixed-case\">DG<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PG<\/jats:styled-content> significantly differed in forecasted (week 6) versus actual adherence (week 12) to various chances, with <jats:styled-content style=\"fixed-case\">DG<\/jats:styled-content> reporting higher adherence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Lifestyle and dietary changes related to dyslipidaemia can be achieved with continuous education, monitoring and follow\u2010ups by dieticians, as well as potentially other trained healthcare professionals.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jhn.12667","type":"journal-article","created":{"date-parts":[[2019,5,28]],"date-time":"2019-05-28T06:04:03Z","timestamp":1559023443000},"page":"607-618","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Effectiveness and easiness of adherence to behavioural guidelines for diet and lifestyle changes for cholesterol\u2010lowering: the Increasing Adherence of Consumers to Diet &amp; Lifestyle Changes to Lower (<scp>LDL<\/scp>) Cholesterol (<scp>ACT<\/scp>) randomised controlled trial"],"prefix":"10.1111","volume":"32","author":[{"given":"E.","family":"Magriplis","sequence":"first","affiliation":[{"name":"Department of Food Science and Human Nutrition School of Food, Biotechnology and Development Agricultural University of Athens Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7302-9478","authenticated-orcid":false,"given":"T. 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