Developing and testing personalised nutrition feedback for more sustainable healthy diets: the MyPlanetDiet randomised controlled trial protocol.

IF 4.1 2区 医学 Q2 NUTRITION & DIETETICS European Journal of Nutrition Pub Date : 2024-10-01 Epub Date: 2024-07-06 DOI:10.1007/s00394-024-03457-0
Katie P Davies, Eileen R Gibney, Ursula M Leonard, Leona Lindberg, Jayne V Woodside, Mairead E Kiely, Anne P Nugent, Elena Arranz, Marie C Conway, Sinead N McCarthy, Aifric M O'Sullivan
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Abstract

Purpose: Agriculture and food production contribute to climate change. There is mounting pressure to transition to diets with less environmental impact while maintaining nutritional adequacy. MyPlanetDiet aimed to reduce diet-related greenhouse gas emissions (GHGE) in a safe, nutritionally adequate, and acceptable manner. This paper describes the trial protocol, development, and testing of personalised nutrition feedback in the MyPlanetDiet randomised controlled trial (RCT).

Methods: MyPlanetDiet was a 12-week RCT that provided standardised personalised nutrition feedback to participants based on new sustainable healthy eating guidelines (intervention) or existing healthy eating guidelines (control) using decision trees and corresponding feedback messages. To test the personalised nutrition feedback, we modelled a sample of 20 of the MyPlanetDiet participants baseline diets. Diets were modelled to adhere to control and intervention decision trees and feedback messages. Modelled nutrient intakes and environmental metrics were compared using repeated measure one-way analysis of covariance.

Results: Intervention diets had significantly lower (p < 0.001) diet-related GHGE per 2500 kilocalories (kcal) (4.7 kg CO2-eq) relative to control (6.6 kg CO2-eq) and baseline (7.1 kg CO2-eq). Modelled control and intervention diets had higher mean daily intakes of macronutrients (carbohydrates, fibre, and protein) and micronutrients (calcium, iron, zinc, and iodine). Modelled control and intervention diets had lower percent energy from fat and saturated fat relative to baseline.

Conclusions: Adherence to the MyPlanetDiet personalised nutrition feedback would be expected to lead to better nutrient intakes and reduced diet-related GHGE. The MyPlanetDiet RCT will test the effectiveness and safety of personalised feedback for a more sustainable diet.

Trial registration number and date of registration: Clinical trials registration number: NCT05253547, 23 February 2022.

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开发和测试个性化营养反馈,促进更可持续的健康饮食:MyPlanetDiet 随机对照试验方案。
目的:农业和粮食生产导致气候变化。人们面临着越来越大的压力,要求过渡到对环境影响较小的饮食,同时保持营养充足。MyPlanetDiet 旨在以安全、营养充足和可接受的方式减少与饮食相关的温室气体排放(GHGE)。本文介绍了 MyPlanetDiet 随机对照试验(RCT)中的试验方案、开发和个性化营养反馈测试:MyPlanetDiet是一项为期12周的随机对照试验,根据新的可持续健康饮食指南(干预)或现有的健康饮食指南(对照),利用决策树和相应的反馈信息向参与者提供标准化的个性化营养反馈。为了测试个性化营养反馈,我们对 20 名 MyPlanetDiet 参与者的基线饮食进行了建模。饮食模型符合对照组和干预组的决策树和反馈信息。使用重复测量单因子协方差分析比较了建模营养摄入量和环境指标:结果:相对于对照组(6.6 kg CO2-eq)和基线组(7.1 kg CO2-eq),干预膳食的营养素摄入量明显较低(p 2-eq)。模拟对照组和干预组膳食的每日平均宏量营养素(碳水化合物、纤维和蛋白质)和微量营养素(钙、铁、锌和碘)摄入量较高。与基线相比,模型对照组和干预组膳食的脂肪和饱和脂肪能量百分比较低:坚持 MyPlanetDiet 个性化营养反馈有望提高营养摄入量,减少与饮食相关的 GHGE。MyPlanetDiet RCT将测试个性化反馈对更可持续饮食的有效性和安全性:临床试验注册号NCT05253547,2022 年 2 月 23 日。
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来源期刊
CiteScore
10.20
自引率
2.00%
发文量
295
审稿时长
6 months
期刊介绍: The European Journal of Nutrition publishes original papers, reviews, and short communications in the nutritional sciences. The manuscripts submitted to the European Journal of Nutrition should have their major focus on the impact of nutrients and non-nutrients on immunology and inflammation, gene expression, metabolism, chronic diseases, or carcinogenesis, or a major focus on epidemiology, including intervention studies with healthy subjects and with patients, biofunctionality of food and food components, or the impact of diet on the environment.
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