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

2019; Springer Science+Business Media; Volume: 59; Issue: 6 Linguagem: Inglês

10.1007/s00394-019-02106-1

1436-6215

Alessandra Grasso, Margreet R. Olthof, Corné van Dooren, Miquel Roca, Margalida Gili, Marjolein Visser, Mieke Cabout, Mariska Bot, Brenda W.J.H. Penninx, Gerard van Grootheest, Elisabeth Kohls, Ulrich Hegerl, Matthew Owens, Edward Watkins, Ingeborg A. Brouwer, Marjolein Visser, Ingeborg A. Brouwer, Mieke Cabout, Brenda W.J.H. Penninx, Mariska Bot, Nadine P.G. Paans, Carisha S. Thesing, Deborah Gibson-Smith, Melany Horsfall, Lena Weiss, Edward Watkins, Matthew Owens, Amy Romijn, Hannah L. I. Bunce, Owain Winfield, Miquel Roca, Margalida Gili, Miquel Tortella, Clara Homar Covas, Margalida Vives Forteza, Adoración Castro Gracia, María Ángeles Pérez-Ara, José Luis Reig, Ulrich Hegerl, Elisabeth Kohls, Jana Hoesel, Ezgi Dogan-Sander, Sabrina Baldofski, Nicole Mauche, Brenda W.J.H. Penninx, Gerard van Grootheest, Bep Verkerk,

Consumer Attitudes and Food Labeling

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 ( p ReCiPe 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 p ReCiPe 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.