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Strategies for Changing Dietary Behaviour

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Nutrition and Oral Health

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Abstract

Globally, diets are suboptimal for health amongst both adults and children. In Western societies in particular, there is an overconsumption of foods high in fat, salt and sugar, coupled with inadequate intakes of fibre, wholegrains, fruits and vegetables, and fish. Linked to poor-quality dietary intake, there has also been a significant increase in levels of obesity, with rates tripling in adults in the United Kingdom in the past 20 years. This has led to an increase in obesity-related comorbidities such as type 2 diabetes, cardiovascular disease and certain cancers. There is consensus amongst experts that long-term, effective diet and lifestyle changes are needed to improve population health, alongside substantial changes to social and environmental drivers within the food system. Significant advances have been made in the field of behavioural science in the past decade, with greater shared understanding of the important strategies and techniques which can be used in the design of interventions to change dietary behaviour amongst adults.

Whilst this chapter predominantly highlights evidence-based strategies which can be implemented to effect positive dietary changes in adults on an individual level, it is not without acknowledgement of the pivotal role played by wider societal and environmental influences coupled with psychological and biological repsonses driving food intake. From policymakers and legislation to health professionals and healthcare services, and to the role of the individual, all components are of critical importance in order to bring about long-term positive dietary changes.

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References

  1. World Health Organization. Healthy diet Factsheet. Geneva, Switzerland: World Health Organization; 2018.

    Google Scholar 

  2. Public Health England. National Diet and Nutrition Survey Results from Years 9 to 11 (combined) of the Rolling Programme (2016/2017 to 2018/2019). England, UK: Public Health England.

    Google Scholar 

  3. National Health Service. NHS Eatwell Guide. The Eatwell Guide: Public Health England in association with the Welsh government, Food Standards Scotland and the Food Standards Agency in Northern Ireland. Source: https://www.nhs.uk/live-well/eat-well/the-eatwell-guide/.

  4. Wang X, Ouyang Y, Liu J, et al. Fruit and vegetable consumption and mortality from all causes, cardiovascular disease, and cancer: systematic review and dose-response meta-analysis of prospective cohort studies. BMJ Br Med J. 2014;349:g4490. https://doi.org/10.1136/bmj.g4490.

    Article  Google Scholar 

  5. Reynolds A, Mann J, Cummings J, Winter N, Mete E, Te Morenga L. Carbohydrate quality and human health: a series of systematic reviews and meta-analyses. Lancet. 2019;393(10170):434–45. https://doi.org/10.1016/S0140-6736(18)31809-9.

    Article  PubMed  Google Scholar 

  6. Butland B, Jebb S, Kopelman P, McPherson K, Thomas S, Mardell JPV. Foresight. Tackling obesities: future choices. Project report.

    Google Scholar 

  7. Bray GA, Kim KK, Wilding JPH, World Obesity Federation. Obesity: a chronic relapsing progressive disease process. A position statement of the World Obesity Federation. Obes Rev. 2017;18(7):715–23.

    Google Scholar 

  8. Kleinert S, Horton R. Obesity needs to be put into a much wider context. Lancet. 2019;393(10173):724–6. https://doi.org/10.1016/S0140-6736(18)33192-1.

    Article  PubMed  Google Scholar 

  9. Hruby A, Hu FB. The epidemiology of obesity: a big picture. Pharmaco Econ. 2015;33(7):673–89. https://doi.org/10.1007/s40273-014-0243-x.

    Article  Google Scholar 

  10. Lotta LA, Mokrosiński J, Mendes de Oliveira E, et al. Human gain-of-function MC4R variants show signaling bias and protect against obesity. Cell. 2019;177(3):597–607. https://doi.org/10.1016/j.cell.2019.03.044.

    Article  PubMed  PubMed Central  Google Scholar 

  11. O’Rahilly S, Farooqi IS. Genetics of obesity. Philos Trans R Soc Lond Ser B Biol Sci. 2006;361(1471):1095–105. https://doi.org/10.1098/rstb.2006.1850.

    Article  Google Scholar 

  12. Public Health England. Adult obesity slideset. England, UK: Public Health England. Source: https://www.gov.uk/government/publications/adult-obesity-patterns-and-trends/patternsand-trends-in-adult-obesity-national-data.

  13. Finegood DT, Merth TDN, Rutter H. Implications of the foresight obesity system map for solutions to childhood obesity. Obesity. 2010;18(S1):S13–6. https://doi.org/10.1038/oby.2009.426.

    Article  PubMed  Google Scholar 

  14. Kazemi S, Savabi G, Khazaei S, et al. Association between food intake and oral health in elderly: SEPAHAN systematic review no. 8. Dent Res J. 2011;8(Suppl 1):S15–20.

    Google Scholar 

  15. Krall E, Hayes C, Garcia R. How dentition status and masticatory function affect nutrient intake. J Am Dent Assoc. 1998;129(9):1261–9. https://doi.org/10.14219/jada.archive.1998.0423.

    Article  PubMed  Google Scholar 

  16. Brodeur J-M, Laurin D, Vallee R, Lachapelle D. Nutrient intake and gastrointestinal disorders related to masticatory performance in the edentulous elderly. J Prosthet Dent. 1993;70(5):468–73. https://doi.org/10.1016/0022-3913(93)90087-5.

    Article  PubMed  Google Scholar 

  17. Marcenes W, Steele JG, Sheiham A, Walls AWG. The relationship between dental status, food selection, nutrient intake, nutritional status, and body mass index in older people. Cad Saude Publica. 2003;19(3):809–16.

    Article  PubMed  Google Scholar 

  18. McKenna G, Allen PF, Flynn A, et al. Impact of tooth replacement strategies on the nutritional status of partially-dentate elders. Gerodontology. 2012;29(2):e883–90. https://doi.org/10.1111/j.1741-2358.2011.00579.x.

    Article  PubMed  Google Scholar 

  19. McKenna G, Allen PF, O’Mahony D, et al. Comparison of functionally orientated tooth replacement and removable partial dentures on the nutritional status of partially dentate older patients: a randomised controlled clinical trial. J Dent. 2014;42(6):653–9. https://doi.org/10.1016/j.jdent.2014.03.005.

    Article  PubMed  Google Scholar 

  20. McCrum LA, Watson S, McGowan L, et al. Development and feasibility of a tailored habit-based dietary intervention coupled with natural tooth replacement on the nutritional status of older patients. Pilot Feasibil Stud. 2020;6:120. https://doi.org/10.1186/s40814-020-00654-6.

    Article  Google Scholar 

  21. Linden A, Roberts N. Disease management interventions: what’s in the black box? Dis Manag. 2004;7(4):275–91. https://doi.org/10.1089/dis.2004.7.275.

    Article  PubMed  Google Scholar 

  22. Dombrowski SU, O’Carroll RE, Williams B. Form of delivery as a key ‘active ingredient’ in behaviour change interventions. Br J Health Psychol. 2016;21(4):733–40. https://doi.org/10.1111/bjhp.12203.

    Article  PubMed  Google Scholar 

  23. Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008;337:a1655. https://doi.org/10.1136/bmj.a1655.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Abraham C, Michie S. A taxonomy of behavior change techniques used in interventions. Health Psychol. 2008;27(3):379–87. https://doi.org/10.1037/0278-6133.27.3.379.

    Article  PubMed  Google Scholar 

  25. Michie S, Johnston M. Theories and techniques of behaviour change: developing a cumulative science of behaviour change. Health Psychol Rev. 2012;6(1):1–6. https://doi.org/10.1080/17437199.2012.654964.

    Article  Google Scholar 

  26. Michie S, Ashford S, Sniehotta FF, Dombrowski SU, Bishop A, French DP. A refined taxonomy of behaviour change techniques to help people change their physical activity and healthy eating behaviours: the CALO-RE taxonomy. Psychol Health. 2011;26(11):1479–98. https://doi.org/10.1080/08870446.2010.540664.

    Article  PubMed  Google Scholar 

  27. Michie S, Abraham C, Whittington C, McAteer J, Gupta S. Effective techniques in healthy eating and physical activity interventions: a meta-regression. Health Psychol. 2009;28(6):690–701. https://doi.org/10.1037/a0016136.

    Article  PubMed  Google Scholar 

  28. Michie S, Richardson M, Johnston M, et al. The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. Ann Behav Med. 2013;46(1):81–95.

    Article  PubMed  Google Scholar 

  29. Greaves CJ, Sheppard KE, Abraham C, et al. Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventions. BMC Public Health. 2011;11:119. https://doi.org/10.1186/1471-2458-11-119.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Lara J, Evans EH, O’Brien N, et al. Association of behaviour change techniques with effectiveness of dietary interventions among adults of retirement age: a systematic review and meta-analysis of randomised controlled trials. BMC Med. 2014;12(1):177. https://doi.org/10.1186/s12916-014-0177-3.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Michie S, Johnson BT, Johnston M. Advancing cumulative evidence on behaviour change techniques and interventions: a comment on Peters, de Bruin, and Crutzen. Health Psychol Rev. 2015;9(1):25–9. https://doi.org/10.1080/17437199.2014.912538.

    Article  PubMed  Google Scholar 

  32. Dombrowski SU, Sniehotta FF, Avenell A, Johnston M, MacLennan G, Araújo-Soares V. Identifying active ingredients in complex behavioural interventions for obese adults with obesity-related co-morbidities or additional risk factors for co-morbidities: a systematic review. Health Psychol Rev. 2012;6(1):7–32. https://doi.org/10.1080/17437199.2010.513298.

    Article  Google Scholar 

  33. Carver C, Scheier M. Control theory: a useful conceptual framework for personality-social, clinical, and health psychology. Psychol Bull. 1982;92(1):111–35. https://doi.org/10.1037/0033-2909.92.1.111.

    Article  PubMed  Google Scholar 

  34. McGowan L, McCrum L-A, Watson S, et al. The impact of oral rehabilitation coupled with healthy dietary advice on the nutritional status of adults: a systematic review and meta-analysis. Crit Rev Food Sci Nutr. 2020;60(13):2127–47. https://doi.org/10.1080/10408398.2019.1630600.

    Article  PubMed  Google Scholar 

  35. Bradbury J, Thomason JM, Jepson NJA, Walls AWG, Allen PF, Moynihan PJ. Nutrition counseling increases fruit and vegetable intake in the edentulous. J Dent Res. 2006;85(5):463–8. https://doi.org/10.1177/154405910608500513.

    Article  PubMed  Google Scholar 

  36. National Institute for Health and Care Excellence. Behaviour change: general approaches [PH6]. London: National Institute for Health and Care Excellence.

    Google Scholar 

  37. National Institute for Health and Care Excellence. Behaviour change: individual approaches [PH49]. London: National Institute for Health and Care Excellence.

    Google Scholar 

  38. NHS Health Education England. Making Every Contact Count. Source: https://www.hee.nhs.uk/our-work/population-health/making-every-contact-count-mecc

  39. Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci. 2011;6(1):1–12.

    Google Scholar 

  40. Public Health England. Achieving behaviour change: a guide for national government. Source: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/933328/UFG_National_Guide_v04.00__1___1_.pdf.

  41. Frost H, Campbell P, Maxwell M, et al. Effectiveness of motivational interviewing on adult behaviour change in health and social care settings: a systematic review of reviews. PLoS One. 2018;13(10):e0204890. https://doi.org/10.1371/journal.pone.0204890.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Kwasnicka D, Dombrowski SU, White M, Sniehotta F. Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories. Health Psychol Rev. 2016;10(3):277–96. https://doi.org/10.1080/17437199.2016.1151372.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Dombrowski SU, Avenell A, Sniehott FF. Behavioural interventions for obese adults with additional risk factors for morbidity: systematic review of effects on behaviour, weight and disease risk factors. Obes Facts. 2010;3(6):377–96. https://doi.org/10.1159/000323076.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Wood W, Tam L, Witt MG. Changing circumstances, disrupting habits. J Pers Soc Psychol. 2005;88(6):918–33. https://doi.org/10.1037/0022-3514.88.6.918.

    Article  PubMed  Google Scholar 

  45. Neal DT, Wood W, Quinn JM. Habits—a repeat performance. Curr Dir Psychol Sci. 2006;15(4):198–202. https://doi.org/10.1111/j.1467-8721.2006.00435.x.

    Article  Google Scholar 

  46. Verplanken B. Beyond frequency: habit as mental construct. Br J Soc Psychol. 2006;45(Pt 3):639–56. https://doi.org/10.1348/014466605X49122.

    Article  PubMed  Google Scholar 

  47. Lally P, van Jaarsveld CHM, Potts HWW, Wardle J. How are habits formed: modelling habit formation in the real world. Eur J Soc Psychol. 2010;40(6):998–1009. https://doi.org/10.1002/ejsp.674.

    Article  Google Scholar 

  48. Gardner B. Habit as automaticity, not frequency. Eur Heal Psychol. 2012;14(2):32–6.

    Google Scholar 

  49. Lally P, Gardner B. Promoting habit formation. Health Psychol Rev. 2013;7(Sup 1):S137–58. https://doi.org/10.1080/17437199.2011.603640.

    Article  Google Scholar 

  50. Beeken RJ, Leurent B, Vickerstaff V, et al. A brief intervention for weight control based on habit-formation theory delivered through primary care: results from a randomised controlled trial. Int J Obes. 2017;41(2):246–54. https://doi.org/10.1038/ijo.2016.206.

    Article  Google Scholar 

  51. McGowan L, Cooke LJ, Gardner B, Beeken RJ, Croker H, Wardle J. Healthy feeding habits: efficacy results from a cluster-randomized, controlled exploratory trial of a novel, habit-based intervention with parents. Am J Clin Nutr. 2013;98(3):769–77. https://doi.org/10.3945/ajcn.112.052159.

    Article  PubMed  Google Scholar 

  52. Lally P, Chipperfield A, Wardle J. Healthy habits: efficacy of simple advice on weight control based on a habit-formation model. Int J Obes. 2008;32(4):700–7. https://doi.org/10.1038/sj.ijo.0803771.

    Article  Google Scholar 

  53. Gardner B, Lally P, Wardle J. Making health habitual: the psychology of “habit-formation” and general practice. Br J Gen Pract. 2012;62(605):664–6. https://doi.org/10.3399/bjgp12X659466.

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast, Belfast, United Kingdom

    Laura McGowan

  2. Institute for Global Food Security, School of Biological Sciences, Queen’s University Belfast, Belfast, United Kingdom

    Laura McGowan

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  1. Laura McGowan
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Correspondence to Laura McGowan .

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Editors and Affiliations

  1. Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast, Belfast, UK

    Gerry McKenna

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McGowan, L. (2021). Strategies for Changing Dietary Behaviour. In: McKenna, G. (eds) Nutrition and Oral Health. Springer, Cham. https://doi.org/10.1007/978-3-030-80526-5_8

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  • DOI: https://doi.org/10.1007/978-3-030-80526-5_8

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