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Practical limitations to a positive deviance approach for identifying dietary patterns compatible with the reduction of cancer risk

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Practical limitations to a positive deviance approach for identifying dietary patterns compatible with the reduction of cancer risk. / Vossenaar, M.; Bermudez, O. I.; Anderson, A. S.; Solomons, N. W.

In: Journal of Human Nutrition and Dietetics, Vol. 23, No. 4, 08.2010, p. 382-392.

Research output: Contribution to journalArticle

Harvard

Vossenaar, M, Bermudez, OI, Anderson, AS & Solomons, NW 2010, 'Practical limitations to a positive deviance approach for identifying dietary patterns compatible with the reduction of cancer risk' Journal of Human Nutrition and Dietetics, vol 23, no. 4, pp. 382-392.

APA

Vossenaar, M., Bermudez, O. I., Anderson, A. S., & Solomons, N. W. (2010). Practical limitations to a positive deviance approach for identifying dietary patterns compatible with the reduction of cancer risk. Journal of Human Nutrition and Dietetics, 23(4), 382-392doi: 10.1111/j.1365-277X.2010.01056.x

Vancouver

Vossenaar M, Bermudez OI, Anderson AS, Solomons NW. Practical limitations to a positive deviance approach for identifying dietary patterns compatible with the reduction of cancer risk. Journal of Human Nutrition and Dietetics. 2010 Aug;23(4):382-392.

Author

Vossenaar, M.; Bermudez, O. I.; Anderson, A. S.; Solomons, N. W. / Practical limitations to a positive deviance approach for identifying dietary patterns compatible with the reduction of cancer risk.

In: Journal of Human Nutrition and Dietetics, Vol. 23, No. 4, 08.2010, p. 382-392.

Research output: Contribution to journalArticle

Bibtex - Download

@article{18aadd0f816e43059c106f2c1bab7d0c,
title = "Practical limitations to a positive deviance approach for identifying dietary patterns compatible with the reduction of cancer risk",
author = "M. Vossenaar and Bermudez, {O. I.} and Anderson, {A. S.} and Solomons, {N. W.}",
year = "2010",
volume = "23",
number = "4",
pages = "382--392",
journal = "Journal of Human Nutrition and Dietetics",
issn = "0952-3871",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Practical limitations to a positive deviance approach for identifying dietary patterns compatible with the reduction of cancer risk

A1 - Vossenaar,M.

A1 - Bermudez,O. I.

A1 - Anderson,A. S.

A1 - Solomons,N. W.

AU - Vossenaar,M.

AU - Bermudez,O. I.

AU - Anderson,A. S.

AU - Solomons,N. W.

PY - 2010/8

Y1 - 2010/8

N2 - <p>Background:</p><p>The positive deviance (PD) approach seeks to devise and promote health-promoting practices identified within the most successful member of a society. The World Cancer Research Fund and the American Institute for Cancer Research (WCRF/AICR) recommendations indicate the need for specific dietary behaviours, which may be considered impractical. Thus, it is important to demonstrate ways in which these dietary practices have been achieved from concordant individuals. The present study aimed to assess the feasibility of constructing healthy eating guides in four international settings.</p><p>Methods:</p><p>Adult participants from the Netherlands (n = 1052), Scotland (n = 849), Mexico (n = 790) and Guatemala (n = 873) enrolled in an international diet survey project. Participants with inadequate diets and current smokers were excluded from the analysis. Concordance with selected WCRF/AICR individual guideline components related to diet and lifestyle were evaluated. A selection of participants was made towards making a set of 14 rotating menus for a cancer-prevention healthy-eating guide.</p><p>Results:</p><p>Overall concordance with the WCRF/AICR recommendations was low in all four nations and no participants with an ideal behaviour were found. The selection of candidates for constructing 14 daily menus for a single national guide identified 51, 13 and 12 individuals concordant with 11 of 14 WCRF/AICR recommendation components in Guatemala, Scotland and Mexico, respectively, and 24 individuals concordant with eight of 14 WCRF/AICR components in the Netherlands.</p><p>Conclusions:</p><p>The basis for PD guidance for developing dietary recommendations for cancer prevention was strong across all social classes in Guatemala, marginal for Mexico and Scotland, and effectively impossible for the Netherlands.</p>

AB - <p>Background:</p><p>The positive deviance (PD) approach seeks to devise and promote health-promoting practices identified within the most successful member of a society. The World Cancer Research Fund and the American Institute for Cancer Research (WCRF/AICR) recommendations indicate the need for specific dietary behaviours, which may be considered impractical. Thus, it is important to demonstrate ways in which these dietary practices have been achieved from concordant individuals. The present study aimed to assess the feasibility of constructing healthy eating guides in four international settings.</p><p>Methods:</p><p>Adult participants from the Netherlands (n = 1052), Scotland (n = 849), Mexico (n = 790) and Guatemala (n = 873) enrolled in an international diet survey project. Participants with inadequate diets and current smokers were excluded from the analysis. Concordance with selected WCRF/AICR individual guideline components related to diet and lifestyle were evaluated. A selection of participants was made towards making a set of 14 rotating menus for a cancer-prevention healthy-eating guide.</p><p>Results:</p><p>Overall concordance with the WCRF/AICR recommendations was low in all four nations and no participants with an ideal behaviour were found. The selection of candidates for constructing 14 daily menus for a single national guide identified 51, 13 and 12 individuals concordant with 11 of 14 WCRF/AICR recommendation components in Guatemala, Scotland and Mexico, respectively, and 24 individuals concordant with eight of 14 WCRF/AICR components in the Netherlands.</p><p>Conclusions:</p><p>The basis for PD guidance for developing dietary recommendations for cancer prevention was strong across all social classes in Guatemala, marginal for Mexico and Scotland, and effectively impossible for the Netherlands.</p>

KW - cancer prevention

KW - dietetic education

KW - nutrition and public health

KW - positive deviance

KW - PREVENTION RECOMMENDATIONS

KW - IMPROVE

KW - HEALTH

KW - CONCORDANCE

KW - SMOKING

KW - POPULATION

KW - PREVALENCE

KW - NUTRITION

KW - COMMUNITY

KW - ALCOHOL

U2 - 10.1111/j.1365-277X.2010.01056.x

DO - 10.1111/j.1365-277X.2010.01056.x

M1 - Article

JO - Journal of Human Nutrition and Dietetics

JF - Journal of Human Nutrition and Dietetics

SN - 0952-3871

IS - 4

VL - 23

SP - 382

EP - 392

ER -

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