Quality of life and self-rated health in relation to

changes in fruit and vegetable intake and in

plasma vitamins C and E in a randomised trial of
behavioural and nutritional education counselling
Andrew Steptoe, Linda Perkins-Porras, Sean Hilton, Elizabeth Rink and Francesco P.
Cappuccio

Satriani
P1803209511

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ABSTRACT

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Background : We have carried out a randomised trial
comparing brief behavioural counselling with nutritional
education counselling to increase fruit and vegetable
consumption and associated biomarkers in adults from a
low-income neighbourhood
Objective : to assess the impact of interventions on quality
of life and health status, and associations between changes
in fruit and vegetable consumption, plasma vitamins C and
E, and quality of life
Design : Behavioural counselling and nutritional education
counselling were carried out in 271 adults in two 15 min
sessions in a primary-care setting. Physical and mental
health status (medical outcome study short form 36) and
selfrated health were assessed at baseline, 8 weeks and
12 months, and analysed on an intention-to-treat basis
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Results : Both groups reported increased fruit and
vegetable consumption; plasma vitamin E and b-
carotene also increased, with significantly greater
changes in consumption and plasma b-carotene in
the behavioural counselling condition. Physical and
mental health status, and the proportion of
participants in good self-rated health, increased in
both groups to a similar extent. Individual
differences in improvements in physical health
status and selfrated health were correlated with
increases in fruit and vegetable intake and in
plasma vitamins C and E, independently of age,
gender, ethnicity, financial status, smoking, BMI
and use of vitamin supplements

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Conclusions : That participation in the
present study was associated with improved
health-related quality of life. Increases in fruit
and vegetable intake and plasma vitamin
levels may stimulate beneficial changes in
physical health status in socio-economically
deprived adults

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INTRODUCTION

Page 6
Background

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Rational
• There were fears 10 years
ago that cholesterol-lowering
through fat reduction might
induce depressive mood
although subsequent trials
allayed these concerns
• Changes in digestive
symptoms that could
adversely affect quality of life
have been reported with
increased fruit and vegetable
intake
Objective
• To evaluate the effects of
participation in behavioural or
nutritional education counselling for
increasing fruit and vegetable intake
on health-related quality of life and
self-rated health
• To test whether changes in reported
fruit and vegetable intake and in
biomarkers over 8 weeks and 12
months were associated with health
status assessed using the medical
outcome study short form 36 (SF-36)
and measures of self-rated health.
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METHODS

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Participants

Men and women (n 271) aged 18–70 years

Total of 459 patients expressed interest in the study

188 were excluded

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Study design
Research
nurses

Recruitment Asessments Interventions

• group randomised • fruit and vegetable • in two 15 min

trial intake, individual
• plasma measures counselling
of b-carotene, sessions carried out
• Vitamin E (a- at a 2-week interval
tocopherol) and
vitamin C
(ascorbic acid)

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 Counselling methods

To change
Readiness to focused on
The behavioural
change, dietary specific
counselling
knowledge and Emphasised behavioural
included
perceived attitude change goals and the
abbreviated
barriers were practical
nutritional
assesed implementation
of change

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Measures

Fruit and vegetable Quality of life

consumption
Using the SF-36 health
with a two item status
frequency
questionnaire

Self-rated health
Non-fasting venous
With a single item : samples
Health is excellent/very
good/good/fair/poor Plasma vitamin C,
vitamin E, β-carotene

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Procedure

Measures of fruit and

vegetable intake,
At the assesment biomarkers and
session fruit and quality of live were
vegetable intake repeated 8 weeks
Information was was recorded, after the baseline
obstained by blood samples and then after 12
questionnaire were drawn and months
antropometric
measures and a
The patients medical history
who agreed were obtained
to take part
in the study

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Statistical analysis

The behaviuoral and

educational counselling
group at baseline ANOVA and χ² test

Assosiation between
predictors and physical and
mental health status summary Multiple regressions

Changes in self-rated
health logistic regression,and odds ratios with
95% CI are presented

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RESULT

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Page 17
Page 18
Page 19
DISCUSSION

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The present study was carried out in
a primary-care centre in a low-
income neighbourhood
Physical health status, mental health
status and self-rated health all
improved over the course of the
study
One explanation for the greater
effects in the present study is that
participants began with relatively
poor
Both counselling conditions
stimulated increases in reported
fruit and vegetable consumption
over the 12-month follow-up period,
accompanied by increases in
plasma vitamin E and b-carotene
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 • The present study was
limited to residents in an
ethnically mixed, low-income
Limitation urban area, and may not be
applicable to rural
populations in other parts of
the world

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CONCLUSION

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Our present results suggest that long-
term changes in fruit and vegetable
intake and plasma vitamin E
concentration may have beneficial
effects on physical health status and
self-rated health.

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KRITIK JURNAL

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 Abstraksi
• Judul penelitian maksimal 15 kata : tidak (23 kata)
• Nama para peneliti dicantumkan pada jurnal : ya
• Jumlah kata pada abstrak antara 250-300 kata : ya (266
kata)
• Latar belakang pada abstarksi terdiri dari 1 kalimat : ya
• Tujuan pada abstraksi terdiri dari 1 kalimat : ya
• Desain penelitian pada abstraksi dari 3 kalimat : ya
• Hasil penelitian pada abstarksi terdiri dari 1 paragraf atau
5-7 kalimat : tidak (hanya 3 kalimat)
• Kesimpulan pada abstraksi terdiri dari 1-2 kalimat : ya (2
kalimat)

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 Pendahuluan
• Pendahuluan terdiri dari 3-4 paragraf : ya (3
paragraf)
• Pendahuluan jelas alurnya (permasalahan
umum,masalah kecil yang diteliti,mengapa perlu
diteliti, penelitian-penelitian sebelumnya yang
terkait) : ya

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 Bahan dan Metode
• Disebutkan lokasi penelitian : ya
• Disebutkan populasi dan sampel :ya
• Disebutkan jumlah sampel : ya
• Dijelaskan ukuran-ukuran penelitian yang
dilakukan : ya
• Dijelaskan analisis statistik yang dilakukan : ya
• Disebutkan uji statistik yang di gunakan : ya
• Disebutkan program statistik yang digunakan :
ya
• Dijelaskan kriteria inkulsi dan eksklusi : ya
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 Hasil
Penyajian hasil penelitian dalam bentuk :
 Narasi : ya
 Tabel : ya
 Gambar : ya
 Penjelasan tabel atau gambar dalam narasi tidak
terlalu detail atau panjang : ya
 Jumlah tabel dan gambar tidak melebihi 5 tabel :
ya
 Penulisan tabel harus dibuat secara
komprehensif : ya
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 Diskusi dan Kesimpulan

• Di jelaskan keterbatasan penelitian : ya

• Membandingkan hasil penelitian sebelumnya
dengan hasil penelitian yang dilakukan : ya
• Ada kesimpulannya : ya

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THANK YOU

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