Effect of food-related behavioral activation therapy on food intake and the environmental impact of the diet: results from the MooDFOOD prevention trial

MooDFOOD Prevention Trial Investigators

doi:10.1007/s00394-019-02106-1

Effect of food-related behavioral activation therapy on food intake and the environmental impact of the diet: results from the MooDFOOD prevention trial

MooDFOOD Prevention Trial Investigators

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

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.

Original language	English
Pages (from-to)	2579-2591
Number of pages	13
Journal	European journal of nutrition
Volume	59
Issue number	6
Early online date	23 Oct 2019
DOIs	https://doi.org/10.1007/s00394-019-02106-1
Publication status	Published - Sept 2020

Funding

Funding for this article is provided by the European Union 7th Framework Program (FP) MooDFOOD Project ‘Multi-country cOllaborative project on the rOle of Diet, FOod-related behaviour, and Obesity in the prevention of Depression’ (grant agreement no. 613598). This work is supported in the UK by the National Institute for Health Research (NIHR), through the Primary Care Research Network and the NIHR Exeter Clinical Research Facility. The authors would like to thank all participants for their participation in the trial. The members of the MooDFOOD prevention trial investigators are: MooDFOOD project coordination, VU University Amsterdam, Department of Health Sciences, the Netherlands. Prof. Marjolein Visser, Ph.D.—Principle Investigator of the MooDFOOD project and the MooDFOOD prevention trial. Prof. Ingeborg A Brouwer, Ph.D.—Co-Principle Investigator of the MooDFOOD project and the MooDFOOD prevention trial. Mieke Cabout—Project manager of the MooDFOOD project. Trial Centers: VU Medical Center, Amsterdam, the Netherlands, Prof. Brenda Penninx, Ph.D.—Field Center Principal Investigator. Dr. Mariska Bot, Ph.D.—Field Center Co-Investigator. Nadine Paans—Field Center therapist and research assistant. Carisha Thesing—Field Center therapist. Deborah Gibson-Smith—Field Center research assistant. Melany Horsfall—Field Center coordinator. Lena Weiss—Field Center research assistant. University of Exeter, Exeter, United Kingdom, Prof. Ed Watkins, Ph.D.—Field Center Principal Investigator, lead for developing the MooDFOOD Food-related Behavioural Change Intervention. Dr. Matthew Owens, Ph.D.—Field Center Co-Investigator. Dr. Amy Romijn, Ph.D.—Field Postdoctoral Research Associate. Hannah Bunce—Field Center Associate Research Fellow. Owain Winfield—Field Center Researcher and Therapist. University of Balearic Islands, Palma de Mallorca, Spain: Prof. Miquel Roca, Ph.D., MD—Field Center Principal Investigator. Prof. Margarita Gili, Ph.D.—Field Center Co-Investigator, co-lead for developing the MooDFOOD Food-related Behavioural Change Intervention. Prof. Miquel Tortella, Ph.D.—Field Center-Co-Investigator, co-lead for developing the MooDFOOD Food-related Behavioural Change Intervention. Clara Homar Covas—Field Center Researcher and therapist, Margalida Vives Forteza—Field Center Research assistant, Adoración Castro Gracia—Field Center Research assistant. Maria Angeles Pérez-Ara—Field Center Research assistant. José Luis Reig—Field Center therapist. University Leipzig, Leipzig, Germany: Prof. Ulrich Hegerl, MD—Field Center Principal Investigator, Dr. Elisabeth Kohls, Ph.D.—Field Center Co-Investigator, Jana Hoesel—Field Center study nurse, Ezgi Dogan, MD—Field Center research fellow, Sabrina Baldofski—Field Center therapist, Nicole Mauche—Field Center therapist. Data Management, GGZ inGeest, Amsterdam the Netherlands: Prof. Brenda Penninx, Ph.D.—Principal investigator, Gerard van Grootheest—Data management coordinator, Bep Verkerk—Data manager The trial was performed in accordance with the principles of Good Clinical Practice. Institutional review board approval was obtained from the Research Ethics Committee Govern de les Illes Balears, Palma, Spain (10th of March 2015), the Ethics Committee of the University of Leipzig, Germany (2nd of April 2015), VU Medical Center Amsterdam, the Netherlands (8th of July, 2015) and the NHS National Research Ethics Service (NRES) Committee, SouthWest, UK (Research Ethics Committee number-15/SW/0153) for University of Exeter (3th of August 2015). All individuals gave their informed consent prior to inclusion in the study.

Funders	Funder number
European Union 7th Framework Program
NIHR Exeter Clinical Research Facility
National Institute for Health and Care Research
Margalida Vives Forteza
University of Exeter
University of Leipzig
European Commission
VU Medical Center Amsterdam
NIHR Exeter Clinical Research Facility
April
Universitat de les Illes Balears
FPInnovations
Seventh Framework Programme	613598
National Research Ethics Service	number-15/SW/0153

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 13 Climate Action

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10.1007/s00394-019-02106-1

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@article{9e5a16c0951a4bfe8f986380efb42cdb,

title = "Effect of food-related behavioral activation therapy on food intake and the environmental impact of the diet: results from the MooDFOOD prevention trial",

abstract = "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.",

author = "Grasso, \{Alessandra C\} and Olthof, \{Margreet R\} and \{van Dooren\}, Corn{\'e} and Miquel Roca and Margalida Gili and Marjolein Visser and Mieke Cabout and Mariska Bot and Penninx, \{Brenda W J H\} and \{van Grootheest\}, Gerard and Elisabeth Kohls and Ulrich Hegerl and Matthew Owens and Ed Watkins and Brouwer, \{Ingeborg A\} and \{MooDFOOD Prevention Trial Investigators\}",

year = "2020",

month = sep,

doi = "10.1007/s00394-019-02106-1",

language = "English",

volume = "59",

pages = "2579--2591",

journal = "European journal of nutrition",

issn = "1436-6207",

publisher = "Springer Science and Business Media Deutschland GmbH",

number = "6",

}

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.

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UR - https://www.scopus.com/pages/publications/85074613310#tab=citedBy

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 -

Effect of food-related behavioral activation therapy on food intake and the environmental impact of the diet: results from the MooDFOOD prevention trial

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