Personalised nutrition advice reduces intake of discretionary foods and beverages: findings from the Food4Me randomised controlled trial.

Adults, Food4Me Discretionary Discretionary foods and beverages European Internet-based Intervention Personalised nutrition

Journal

The international journal of behavioral nutrition and physical activity
ISSN: 1479-5868
Titre abrégé: Int J Behav Nutr Phys Act
Pays: England
ID NLM: 101217089

Informations de publication

Date de publication:
07 06 2021
Historique:
received: 15 10 2020
accepted: 07 05 2021
entrez: 7 6 2021
pubmed: 8 6 2021
medline: 3 7 2021
Statut: epublish

Résumé

The effect of personalised nutrition advice on discretionary foods intake is unknown. To date, two national classifications for discretionary foods have been derived. This study examined changes in intake of discretionary foods and beverages following a personalised nutrition intervention using these two classifications. Participants were recruited into a 6-month RCT across seven European countries (Food4Me) and were randomised to receive generalised dietary advice (control) or one of three levels of personalised nutrition advice (based on diet [L1], phenotype [L2] and genotype [L3]). Dietary intake was derived from an FFQ. An analysis of covariance was used to determine intervention effects at month 6 between personalised nutrition (overall and by levels) and control on i) percentage energy from discretionary items and ii) percentage contribution of total fat, SFA, total sugars and salt to discretionary intake, defined by Food Standards Scotland (FSS) and Australian Dietary Guidelines (ADG) classifications. Of the 1607 adults at baseline, n = 1270 (57% female) completed the intervention. Percentage sugars from FSS discretionary items was lower in personalised nutrition vs control (19.0 ± 0.37 vs 21.1 ± 0.65; P = 0.005). Percentage energy (31.2 ± 0.59 vs 32.7 ± 0.59; P = 0.031), percentage total fat (31.5 ± 0.37 vs 33.3 ± 0.65; P = 0.021), SFA (36.0 ± 0.43 vs 37.8 ± 0.75; P = 0.034) and sugars (31.7 ± 0.44 vs 34.7 ± 0.78; P < 0.001) from ADG discretionary items were lower in personalised nutrition vs control. There were greater reductions in ADG percentage energy and percentage total fat, SFA and salt for those randomised to L3 vs L2. Compared with generalised dietary advice, personalised nutrition advice achieved greater reductions in discretionary foods intake when the classification included all foods high in fat, added sugars and salt. Future personalised nutrition approaches may be used to target intake of discretionary foods. Clinicaltrials.gov NCT01530139 . Registered 9 February 2012.

Sections du résumé

BACKGROUND
The effect of personalised nutrition advice on discretionary foods intake is unknown. To date, two national classifications for discretionary foods have been derived. This study examined changes in intake of discretionary foods and beverages following a personalised nutrition intervention using these two classifications.
METHODS
Participants were recruited into a 6-month RCT across seven European countries (Food4Me) and were randomised to receive generalised dietary advice (control) or one of three levels of personalised nutrition advice (based on diet [L1], phenotype [L2] and genotype [L3]). Dietary intake was derived from an FFQ. An analysis of covariance was used to determine intervention effects at month 6 between personalised nutrition (overall and by levels) and control on i) percentage energy from discretionary items and ii) percentage contribution of total fat, SFA, total sugars and salt to discretionary intake, defined by Food Standards Scotland (FSS) and Australian Dietary Guidelines (ADG) classifications.
RESULTS
Of the 1607 adults at baseline, n = 1270 (57% female) completed the intervention. Percentage sugars from FSS discretionary items was lower in personalised nutrition vs control (19.0 ± 0.37 vs 21.1 ± 0.65; P = 0.005). Percentage energy (31.2 ± 0.59 vs 32.7 ± 0.59; P = 0.031), percentage total fat (31.5 ± 0.37 vs 33.3 ± 0.65; P = 0.021), SFA (36.0 ± 0.43 vs 37.8 ± 0.75; P = 0.034) and sugars (31.7 ± 0.44 vs 34.7 ± 0.78; P < 0.001) from ADG discretionary items were lower in personalised nutrition vs control. There were greater reductions in ADG percentage energy and percentage total fat, SFA and salt for those randomised to L3 vs L2.
CONCLUSIONS
Compared with generalised dietary advice, personalised nutrition advice achieved greater reductions in discretionary foods intake when the classification included all foods high in fat, added sugars and salt. Future personalised nutrition approaches may be used to target intake of discretionary foods.
TRIAL REGISTRATION
Clinicaltrials.gov NCT01530139 . Registered 9 February 2012.

Identifiants

pubmed: 34092234
doi: 10.1186/s12966-021-01136-5
pii: 10.1186/s12966-021-01136-5
pmc: PMC8183081
doi:

Banques de données

ClinicalTrials.gov
['NCT01530139']

Types de publication

Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

70

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Auteurs

Katherine M Livingstone (KM)

Human Nutrition Research Centre, Population Health Sciences Institute, Newcastle University, William Leech Building, Newcastle upon Tyne, NE2 4HH, UK.
Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, 3220, VIC, Australia.

Carlos Celis-Morales (C)

Human Nutrition Research Centre, Population Health Sciences Institute, Newcastle University, William Leech Building, Newcastle upon Tyne, NE2 4HH, UK.
BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.
Research Unit on Education, Physical Activity and Health (GEEAFyS), Universidad Católica del Maule, Talca, Chile.
Centre of Research in Exercise Physiology (CIFE), Universidad Mayor, Santiago, Chile.

Santiago Navas-Carretero (S)

Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain.
CIBERobn, Fisiopatología de la Obesidad y Nutrición, Instituto de Salud Carlos III, Madrid, Spain.

Rodrigo San-Cristobal (R)

Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain.
CIBERobn, Fisiopatología de la Obesidad y Nutrición, Instituto de Salud Carlos III, Madrid, Spain.
Precision Nutrition and Cardiometabolic Health, IMDEA-Food Institute (Madrid Institute for Advanced Studies), CEI UAM + CSIC, Madrid, Spain.

Hannah Forster (H)

UCD Institute of Food and Health, University College Dublin, Belfield, Dublin 4, Republic of Ireland.

Clara Woolhead (C)

UCD Institute of Food and Health, University College Dublin, Belfield, Dublin 4, Republic of Ireland.

Clare B O'Donovan (CB)

UCD Institute of Food and Health, University College Dublin, Belfield, Dublin 4, Republic of Ireland.

George Moschonis (G)

Department of Nutrition and Dietetics, Harokopio University, Athens, Greece.
Department of Dietetics, Nutrition and Sport, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, 3086, VIC, Australia.

Yannis Manios (Y)

Department of Nutrition and Dietetics, Harokopio University, Athens, Greece.

Iwona Traczyk (I)

Department of Human Nutrition, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland.

Thomas E Gundersen (TE)

Vitas AS, Gaustadalléen 21, 0349, Oslo, Norway.

Christian A Drevon (CA)

Department of Nutrition, Faculty of Medicine, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.

Cyril F M Marsaux (CFM)

Department of Human Biology, NUTRIM, School for Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre, Maastricht, The Netherlands.

Rosalind Fallaize (R)

Department of Food and Nutritional Sciences, Hugh Sinclair Unit of Human Nutrition and Institute for Cardiovascular and Metabolic Research, University of Reading, Reading, UK.
School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK.

Anna L Macready (AL)

Department of Food and Nutritional Sciences, Hugh Sinclair Unit of Human Nutrition and Institute for Cardiovascular and Metabolic Research, University of Reading, Reading, UK.

Hannelore Daniel (H)

Molecular Nutrition Unit, Department Food and Nutrition, Technische Universität München, München, Germany.

Wim H M Saris (WHM)

Department of Human Biology, NUTRIM, School for Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre, Maastricht, The Netherlands.

Julie A Lovegrove (JA)

Department of Food and Nutritional Sciences, Hugh Sinclair Unit of Human Nutrition and Institute for Cardiovascular and Metabolic Research, University of Reading, Reading, UK.

Mike Gibney (M)

UCD Institute of Food and Health, University College Dublin, Belfield, Dublin 4, Republic of Ireland.

Eileen R Gibney (ER)

UCD Institute of Food and Health, University College Dublin, Belfield, Dublin 4, Republic of Ireland.

Marianne Walsh (M)

UCD Institute of Food and Health, University College Dublin, Belfield, Dublin 4, Republic of Ireland.

Lorraine Brennan (L)

UCD Institute of Food and Health, University College Dublin, Belfield, Dublin 4, Republic of Ireland.

J Alfredo Martinez (JA)

Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain.
CIBERobn, Fisiopatología de la Obesidad y Nutrición, Instituto de Salud Carlos III, Madrid, Spain.
Precision Nutrition and Cardiometabolic Health, IMDEA-Food Institute (Madrid Institute for Advanced Studies), CEI UAM + CSIC, Madrid, Spain.

John C Mathers (JC)

Human Nutrition Research Centre, Population Health Sciences Institute, Newcastle University, William Leech Building, Newcastle upon Tyne, NE2 4HH, UK. john.mathers@newcastle.ac.uk.

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