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

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posted on 06.07.2021, 01:27 by KM Livingstone, C Celis-Morales, S Navas-Carretero, R San-Cristobal, H Forster, C Woolhead, CB O’Donovan, George MoschonisGeorge Moschonis, Y Manios, I Traczyk, TE Gundersen, CA Drevon, CFM Marsaux, R Fallaize, AL Macready, H Daniel, WHM Saris, JA Lovegrove, M Gibney, ER Gibney, M Walsh, L Brennan, JA Martinez, JC Mathers
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.

Funding

This work was supported by the European Commission under the Food, Agriculture, Fisheries and Biotechnology Theme of the Seventh Framework Programme for Research and Technological Development [265494]. The sponsor had no role in the study design or conduct, data collection, management, analysis or interpretation, manuscript preparation, review or approval. KML is supported by a National Health and Medical Research Council Emerging Leadership Investigator Grant (APP1173803).

History

Publication Date

07/06/2021

Journal

International Journal of Behavioral Nutrition and Physical Activity

Volume

18

Issue

1

Article Number

70

Pagination

(p.1-12)

Publisher

BioMed Central

ISSN

1479-5868

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