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Evaluation of Adherence to Nutritional Intervention Through Trajectory Analysis

Authors: Sevilla-Villanueva, Beatriz; Gibert, Karina; Sànchez-Marrè, Miquel; Fitó Colomer, Montserrat; Covas, Maria Isabel;

Evaluation of Adherence to Nutritional Intervention Through Trajectory Analysis

Abstract

Classical pre-post intervention studies are often analyzed using traditional statistics. Nevertheless, the nutritional interventions have small effects on the metabolism and traditional statistics are not enough to detect these subtle nutrient effects. Generally, this kind of studies assumes that the participants are adhered to the assigned dietary intervention and directly analyzes its effects over the target parameters. Thus, the evaluation of adherence is generally omitted. Although, sometimes, participants do not effectively adhere to the assigned dietary guidelines. For this reason, the trajectory map is proposed as a visual tool where dietary patterns of individuals can be followed during the intervention and can also be related with nutritional prescriptions. The trajectory analysis is also proposed allowing both analysis: 1) adherence to the intervention and 2) intervention effects. The analysis is made by projecting the differences of the target parameters over the resulting trajectories between states of different time-stamps which might be considered either individually or by groups. The proposal has been applied over a real nutritional study showing that some individuals adhere better than others and some individuals of the control group modify their habits during the intervention. In addition, the intervention effects are different depending on the type of individuals, even some subgroups have opposite response to the same intervention.

Country
Spain
Keywords

Adult, Àrees temàtiques de la UPC::Matemàtiques i estadística::Estadística matemàtica::Anàlisi multivariant, Classificació AMS::62 Statistics::62H Multivariate analysis, Adherence Analysis, Pre-Post Studies, Health Promotion, Diet, Mediterranean, In-terpretation, Computing methodologies, Clustering, Trajectory Analysis, Young Adult, Nutrigenomics, Informàtica, Anàlisi multivariable, Cluster Analysis, Humans, Classificació AMS::68 Computer science::68U Computing methodologies and applications, Computational Biology, Middle Aged, Models, Theoretical, Atherosclerosis, Multivariate analysis, Àrees temàtiques de la UPC::Matemàtiques i estadística::Matemàtica aplicada a les ciències, Attitude to Health

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
views
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