TY - JOUR
T1 - Effect of food-related behavioral activation therapy on food intake and the environmental impact of the diet
T2 - results from the MooDFOOD prevention trial
AU - Grasso, Alessandra C
AU - Olthof, Margreet R
AU - van Dooren, Corné
AU - Roca, Miquel
AU - Gili, Margalida
AU - Visser, Marjolein
AU - Cabout, Mieke
AU - Bot, Mariska
AU - Penninx, Brenda W J H
AU - van Grootheest, Gerard
AU - Kohls, Elisabeth
AU - Hegerl, Ulrich
AU - Owens, Matthew
AU - Watkins, Ed
AU - Brouwer, Ingeborg A
AU - MooDFOOD Prevention Trial Investigators
PY - 2020/9
Y1 - 2020/9
N2 - PURPOSE: Food-based dietary guidelines are proposed to not only improve diet quality, but to also reduce the environmental impact of diets. The aim of our study was to investigate whether food-related behavioral activation therapy (F-BA) applying Mediterranean-style dietary guidelines altered food intake and the environmental impact of the diet in overweight adults with subsyndromal symptoms of depression.METHODS: In total 744 adults who either received the F-BA intervention (F-BA group) or no intervention (control group) for 12 months were included in this analysis. Food intake data were collected through a food frequency questionnaire at baseline and after 6 and 12 months. Greenhouse gas emissions (GHGE), land use (LU), and fossil energy use (FEU) estimates from life-cycle assessments and a weighted score of the three (pReCiPe score) were used to estimate the environmental impact of each individual diet at each timepoint.RESULTS: The F-BA group reported increased intakes of vegetables (19.7 g/day; 95% CI 7.8-31.6), fruit (23.0 g/day; 9.4-36.6), fish (7.6 g/day; 4.6-10.6), pulses/legumes (4.0 g/day; 1.6-6.5) and whole grains (12.7 g/day; 8.0-17.5), and decreased intake of sweets/extras (- 6.8 g/day; - 10.9 to - 2.8) relative to control group. This effect on food intake resulted in no change in GHGE, LU, and pReCiPe score, but a relative increase in FEU by 1.6 MJ/day (0.8, 2.4).CONCLUSIONS: A shift towards a healthier Mediterranean-style diet does not necessarily result in a diet with reduced environmental impact in a real-life setting.TRIAL REGISTRATION: ClinicalTrials.gov. Number of identification: NCT02529423. August 2015.
AB - PURPOSE: Food-based dietary guidelines are proposed to not only improve diet quality, but to also reduce the environmental impact of diets. The aim of our study was to investigate whether food-related behavioral activation therapy (F-BA) applying Mediterranean-style dietary guidelines altered food intake and the environmental impact of the diet in overweight adults with subsyndromal symptoms of depression.METHODS: In total 744 adults who either received the F-BA intervention (F-BA group) or no intervention (control group) for 12 months were included in this analysis. Food intake data were collected through a food frequency questionnaire at baseline and after 6 and 12 months. Greenhouse gas emissions (GHGE), land use (LU), and fossil energy use (FEU) estimates from life-cycle assessments and a weighted score of the three (pReCiPe score) were used to estimate the environmental impact of each individual diet at each timepoint.RESULTS: The F-BA group reported increased intakes of vegetables (19.7 g/day; 95% CI 7.8-31.6), fruit (23.0 g/day; 9.4-36.6), fish (7.6 g/day; 4.6-10.6), pulses/legumes (4.0 g/day; 1.6-6.5) and whole grains (12.7 g/day; 8.0-17.5), and decreased intake of sweets/extras (- 6.8 g/day; - 10.9 to - 2.8) relative to control group. This effect on food intake resulted in no change in GHGE, LU, and pReCiPe score, but a relative increase in FEU by 1.6 MJ/day (0.8, 2.4).CONCLUSIONS: A shift towards a healthier Mediterranean-style diet does not necessarily result in a diet with reduced environmental impact in a real-life setting.TRIAL REGISTRATION: ClinicalTrials.gov. Number of identification: NCT02529423. August 2015.
UR - http://www.scopus.com/inward/record.url?scp=85074613310&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85074613310&partnerID=8YFLogxK
U2 - 10.1007/s00394-019-02106-1
DO - 10.1007/s00394-019-02106-1
M3 - Article
C2 - 31642985
SN - 1436-6207
VL - 59
SP - 2579
EP - 2591
JO - European journal of nutrition
JF - European journal of nutrition
IS - 6
ER -