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Table 1 Defining features of the calorie counting and MyPlate approaches to desirable weight loss

From: Comparative effectiveness trial comparing MyPlate to calorie counting for mostly low-income Latino primary care patients of a federally qualified community health center: study design, baseline characteristics

Feature

Historical approaches

Experimental approaches

Diabetes Prevention Programa

Dietary Approach to Stop Hypertension (DASH)b

Calorie Counting approach

(CC)

MyPlate approach

(MyP)

Restricts total calories/day

Yes

No

Yes

No

Requires monitoring of calorie intake throughout the day

Yes

No

Yes

No

Recommends 8+ servings of fruits and vegetables/day

No

Yes

Noc

Yes

Recommends limits on sodium intake

No

Yes

No

Yes

Recommends limits on saturated fat intake

Yes

Yes

Yes

Yes

Recommends limits on sugary beverage consumption

No

Yes

Yesd

Yes

Recommends limiting snacks and sweets even if within calorie limits

No

Yes

No

Yes

Requires restraint when still hungry after eating full meal

Yes

No

Yes

No

Recommends accompanying exercise ~  30+ min. MVPA*/ day

Yes

Yes

Yes

Yes

  1. * MVPA = Moderate to vigorous (aerobic) physical activity
  2. aKnowler WC, Barrett-Connor E, Fowler SE, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346 (6):393–403
  3. bAppel LJ, Moore TJ, Obarzanek E, et al. A clinical trial of the effects of dietary patterns on blood pressure. N Engl J Med. 1997;336 (16):1117–1124
  4. cThe CC approach encouraged eating more foods low in energy density, especially fruits and vegetables, but the encouragement did not include a target of 8 servings/day
  5. dThe CC approach encouraged limits on weekly consumption of sugary beverages at the behest of community dietitians who otherwise followed a conventional DPP-like CC approach