Culturally Adapted Dietary Clinical Trial in PR

Inclusion criteria

• Age 30-65y old at the time of enrollment
• Non-institutionalized
• Living in PR at the time of recruitment and for at least the previous year and not planning to move from the island within the next 3 years
• Able to answer questions without assistance
• Having a cellphone with the capacity to receive text messages and be willing to receive daily text messages from the study on the designated cellphone number
• Having at least one of the following:
• elevated BMI
• elevated waist circumference
• self-reported physician-diagnosed hypertension or use of hypertension medication or measured high blood pressure at the baseline visit
• self-reported physician-diagnosed pre-diabetes or measured pre-diabetes at the baseline visit
• self-reported physician-diagnosed dyslipidemia or use of lipid-lowering agents or laboratory values confirming dyslipidemia

Exclusion criteria

• Under 30 or over 65 years of age (on the day of the interview).
• Currently not living in Puerto Rico or not lived on the island for at least 1 year or planning to move within 3 years
• Institutionalized
• Not able to answer questions without assistance
• Not having at least 1 of the five listed metabolic criteria
• Self-reported physician-diagnosed type 1 or type 2 diabetes or use of diabetes medication (including insulin) or diabetes-diagnosis values confirmed by laboratory
• Self-reported pregnancy
• Gastrointestinal or chronic condition that would impact eating behaviors or nutritional status
• Intolerance or allergies to legumes (i.e.: beans and nuts), vegetable oils (i.e.: corn, olive, canola), or fresh produce
• Living with another person participating in the study
• Participating in another research study that conflicts with PRECISION