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oai:repisalud.isciii.es:20.500.12105/230382024-11-28T23:36:34Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967

00925njm 22002777a 4500 dc Grasso, Alessandra C author Olthof, Margreet R author van Dooren, Corne author Roca, Miquel author Gili, Margalida author Visser, Marjolein author Cabout, Mieke author Bot, Mariska author Penninx, Brenda WJH author van Grootheest, Gerard author Kohls, Elisabeth author Hegerl, Ulrich author Owens, Matthew author Watkins, Ed author Brouwer, Ingeborg A author MooDFOOD Prevention Trial Investigators author 2020-09 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. Grasso Alessandra C, Olthof Margreet R, Van Dooren C, Roca M, Gili M, Visser M, et al. Effect of food-related behavioral activation therapy on food intake and the environmental impact of the diet: results from the MooDFOOD prevention trial. Eur J Nutr. 2020 Sep;59(6):2579-91. Epub 2019 Oct 23. 10.1007/s00394-019-02106-1 1436-6215 1436-6207 European Journal of Nutrition http://hdl.handle.net/20.500.13003/13665 31642985 L2003517209 2-s2.0-85074613310 https://hdl.handle.net/20.500.12105/23038 492015000002 Sustainability Diet RCT Depression Effect of food-related behavioral activation therapy on food intake and the environmental impact of the diet: results from the MooDFOOD prevention trial