Effectiveness of optimized food-based recommendation promotion to improve nutritional status and lipid profiles among Minangkabau women with dyslipidemia: A cluster-randomized trial.

Abstract
Background: In women of Minangkabau ethnicity, a high prevalence of dyslipidemia, overweight, and obesity is thought to be closely related to poor dietary practices. Promotion of local specifc food-based recommendations (FBRs) was previously found to be efective in improving dietary practice and nutrient intakes related to dyslipidemia. This study aimed to describe the efects of the FBR promotion on the nutritional status and lipid profles of Minangkabau women with dyslipidemia.
Methods: We used a cluster-randomized design with a total subject of 123 Minangkabau women of reproductive age with dyslipidemia. They were recruited from 16 sub-villages and assigned to either the FBR group (n = 61) or the non-FBR group (n = 62). Data on body weight, height, waist circumference, and lipid profles were collected at the baseline and the end of the trial. Linear mixed model analysis was used to analyze the efect of the intervention on nutritional status and lipid profles.
Results: The mean efect (95% confdence interval) of the intervention on body weight, body mass index, and waist circumference for the FBR group versus the non-FBR group were -1.1 (-1.8; -0.39) kg, -0.43(-0.76; -0.11) kg/m2 and -2.1(-3.7;-0.46) mm respectively (p