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European Journal of Nutrition

, Volume 54, Issue 1, pp 67–76 | Cite as

Long-term adherence to the New Nordic Diet and the effects on body weight, anthropometry and blood pressure: a 12-month follow-up study

  • Sanne Kellebjerg PoulsenEmail author
  • Charlotte Crone
  • Arne Astrup
  • Thomas Meinert Larsen
Original Contribution

Abstract

Purpose

The New Nordic Diet (NND) has induced weight loss in a 26-week controlled intervention. We aim to investigate whether high compliance and satisfaction can be maintained after the active intervention is discontinued thereby maintaining the health effects.

Methods

After 26 weeks of intervention with NND or Average Danish Diet (ADD), 147 participants (mean age 43 years and mean BMI 29.1 kg/m2) were followed for further 52 weeks. All participants were encouraged to follow NND but without further guidance. The study is registered with ClinicalTrials.gov, study id NCT01195610.

Results

One hundred and ten participants (75 %) completed the follow-up. Among participants previously randomised to NND (NND group), dietary compliance and satisfaction decreased from 4.3 to 3.0 and from 4.8 to 4.0, respectively (both p < 0.0001) (1–5 point scale). Among those originally randomised to ADD (ADD group), satisfaction with NND was significantly higher than with ADD during follow-up (3.3 vs. 2.5, p = 0.026). Weight losses during intervention of −6.2 kg and −3.0 kg were followed by regains of 4.6 kg (SE 0.5) and 1.1 kg (SE 0.7) for the NND group and ADD group, respectively [adjusted difference; mean (95 % CI): 1.8 kg (0.1–3.4), p = 0.041]. Across diet groups, every 1 score higher in compliance with NND was associated with 0.90 kg less body weight regain (p = 0.026) and those who increased physical activity regained 3.4 kg less compared to those who did not (p < 0.0001).

Conclusions

NND provides higher satisfaction, and body weight regain is reduced with higher compliance with NND and increased physical activity.

Keywords

New Nordic Diet Dietary intervention Weight loss maintenance Follow-up Compliance 

Abbreviations

ADD

Average Danish Diet

NND

New Nordic Diet

Notes

Acknowledgments

We thank Bente Kiens and colleagues at Department of Nutrition, Exercise and Sports, University of Copenhagen for developing the physical activity questionnaire and for assistances during analysis of the physical activity data. The Nordea Foundation Denmark funded the study. Local food companies provided foods for the shop. Neither the funder nor the food sponsors had any influence on the study design, data collection, data analysis, data interpretation or the content and submission of this paper.

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

394_2014_686_MOESM1_ESM.pdf (159 kb)
Supplementary material 1 (PDF 158 kb)
394_2014_686_MOESM2_ESM.pdf (131 kb)
Supplementary material 2 (PDF 130 kb)

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Sanne Kellebjerg Poulsen
    • 1
    Email author
  • Charlotte Crone
    • 1
  • Arne Astrup
    • 1
  • Thomas Meinert Larsen
    • 1
  1. 1.Department of Nutrition, Exercise and Sports (NEXS), Faculty of ScienceUniversity of CopenhagenFrederiksberg CDenmark

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