Clustering of adherence to personalised dietary recommendations and changes in healthy eating index within the Food4Me study

Type Article

Journal Article


K. M. Livingstone; C. Celis-Morales; J. Lara; C. Woolhead; C. B. O'Donovan; H. Forster; C. F. Marsaux; A. L. Macready; R. Fallaize; S. Navas-Carretero; R. San-Cristobal; S. Kolossa; L. Tsirigoti; C. P. Lambrinou; G. Moschonis; A. Surwiłło; C. A. Drevon; Y

Year of publication



Public Health Nutr








OBJECTIVE: To characterise clusters of individuals based on adherence to dietary recommendations and to determine whether changes in Healthy Eating Index (HEI) scores in response to a personalised nutrition (PN) intervention varied between clusters. DESIGN: Food4Me study participants were clustered according to whether their baseline dietary intakes met European dietary recommendations. Changes in HEI scores between baseline and month 6 were compared between clusters and stratified by whether individuals received generalised or PN advice. SETTING: Pan-European, Internet-based, 6-month randomised controlled trial. SUBJECTS: Adults aged 18-79 years (n 1480). RESULTS: Individuals in cluster 1 (C1) met all recommended intakes except for red meat, those in cluster 2 (C2) met two recommendations, and those in cluster 3 (C3) and cluster 4 (C4) met one recommendation each. C1 had higher intakes of white fish, beans and lentils and low-fat dairy products and lower percentage energy intake from SFA (P