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A feasibility study of using a diet optimization approach in a web-based computer-tailoring intervention for adolescents

Abstract

Objective:

Adolescents are an interesting but neglected target group in obesity prevention. We assessed the feasibility of using a diet optimization approach for computer-tailored nutrition interventions for adolescents.

Method:

Development of an optimization model based on the public health approach to diet optimization. On the basis of food frequency questionnaires (FFQ) of 48 adolescents (14–17 years) optimized diets were calculated.

Results:

The optimization calculations for all cases resulted in individual advice. On a total of 137 items included in the FFQ, the individualized advice included changes in a minimum of 36 and a maximum of 88 items (mean: 61 items), recommendations for changes in the food items ranged from less than 1 g day−1 up to 1660 g day−1. In almost all cases a higher intake of fruit and vegetables was recommended; some unexpected advice was also generated (for example, to decrease the consumption of brown bread and to increase the consumption of pizza). The strengths and weaknesses of the optimized diets are discussed.

Conclusion:

Using the optimization approach is a step forward in nutrition tailoring interventions but the model used in the present feasibility study still needs to be refined.

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Acknowledgements

The HELENA Study takes place with the financial support of the European Community Sixth RTD Framework Programme (Contract FOOD-CT-2005-007034). The content of this study reflects only the authors’ views and the European Community is not liable for any use that may be made of the information contained therein. Carine Vereecken is postdoctoral researcher funded by the Research Foundation Flanders (FWO).

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Maes, L., Vereecken, C., Gedrich, K. et al. A feasibility study of using a diet optimization approach in a web-based computer-tailoring intervention for adolescents. Int J Obes 32 (Suppl 5), S76–S81 (2008). https://doi.org/10.1038/ijo.2008.186

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