Top

Published in:

Open Access 01-09-2020 | Mood Disorders | Original Contribution

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

Authors: Alessandra C. 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, Ed Watkins, Ingeborg A. Brouwer, the MooDFOOD Prevention Trial Investigators

Published in: European Journal of Nutrition | Issue 6/2020

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 (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.

Trial registration

ClinicalTrials.gov. Number of identification: NCT02529423. August 2015.

Available only for authorised users

Tilman D, Clark M (2014) Global diets link environmental sustainability and human health. Nature 515:518–522. https://doi.org/10.1038/nature13959 CrossRefPubMed

Foley JA, Ramankutty N, Brauman KA, Cassidy ES, Gerber JS, Johnston M et al (2011) Solutions for a cultivated planet. Nature 478:337–342. https://doi.org/10.1038/nature10452 CrossRefPubMed

Vermeulen SJ, Campbell BM, Ingram JSI (2012) Climate change and food systems. Annu Rev Environ Resour 37(1):195–222. https://doi.org/10.1146/annurev-environ-020411-130608 CrossRef

Springmann M, Godfray HCJ, Rayner M, Scarborough P (2016) Analysis and valuation of the health and climate change cobenefits of dietary change. Proc Natl Acad Sci USA 113(15):4146–4151. https://doi.org/10.1073/pnas.1523119113 CrossRefPubMedPubMedCentral

FAOSTAT (2015) FAO Statistical Databases (FAOSTAT). http://faostat.fao.org/. Accessed 05 July 2018

Hunter MC, Smith RG, Schipanski ME, Atwood LW, Mortensen DA (2017) Agriculture in 2050: recalibrating targets for sustainable intensification. Bioscience 67(4):386–391. https://doi.org/10.1093/biosci/bix010 CrossRef

Bajželj B, Richards KS, Allwood JM, Smith P, Dennis JS, Curmi E et al (2014) Importance of food-demand management for climate mitigation. Nat Clim Change 4:924–929. https://doi.org/10.1038/nclimate2353 CrossRef

Bryngelsson D, Wirsenius S, Hedenus F, Sonesson U (2016) How can the EU climate targets be met? A combined analysis of technological and demand-side changes in food and agriculture. Food Policy 59:152–164. https://doi.org/10.1016/j.foodpol.2015.12.012 CrossRef

Springmann M, Clark M, Mason-D’Croz D, Wiebe K, Bodirsky BL, Lassaletta L et al (2018) Options for keeping the food system within environmental limits. Nature. https://doi.org/10.1038/s41586-018-0594-0 CrossRefPubMed

10.

Röös E, Bajželj B, Smith P, Patel M, Little D, Garnett T (2017) Greedy or needy? Land use and climate impacts of food in 2050 under different livestock futures. Glob Environ Change 47:1–12. https://doi.org/10.1016/j.gloenvcha.2017.09.001 CrossRef

11.

Hallström E, Carlsson-Kanyama A, Börjesson P (2015) Environmental impact of dietary change: a systematic review. J Clean Prod 91:1–11. https://doi.org/10.1016/j.jclepro.2014.12.008 CrossRef

12.

Aleksandrowicz L, Green R, Joy EJM, Smith P, Haines A (2016) The impacts of dietary change on greenhouse gas emissions, land use, water use, and health: a systematic review. PLoS One 11(11):e0165797. https://doi.org/10.1371/journal.pone.0165797 CrossRefPubMedPubMedCentral

13.

Perignon M, Vieux F, Soler L-G, Masset G, Darmon N (2017) Improving diet sustainability through evolution of food choices: review of epidemiological studies on the environmental impact of diets. Nutr Rev 75(1):2–17. https://doi.org/10.1093/nutrit/nuw043 CrossRefPubMed

14.

Nelson ME, Hamm MW, Hu FB, Abrams SA, Griffin TS (2016) Alignment of healthy dietary patterns and environmental sustainability: a systematic review. Adv Nutr 7(6):1005–1025. https://doi.org/10.3945/an.116.012567 CrossRefPubMedPubMedCentral

15.

van Dooren C, Marinussen M, Blonk H, Aiking H, Vellinga P (2014) Exploring dietary guidelines based on ecological and nutritional values: a comparison of six dietary patterns. Food Policy 44:36–46. https://doi.org/10.1016/j.foodpol.2013.11.002 CrossRef

16.

Springmann M, Wiebe K, Mason-D’Croz D, Sulser TB, Rayner M, Scarborough P (2018) Health and nutritional aspects of sustainable diet strategies and their association with environmental impacts: a global modelling analysis with country-level detail. Lancet Planet Health 2(10):e451–e461. https://doi.org/10.1016/S2542-5196(18)30206-7 CrossRefPubMedPubMedCentral

17.

Masset G, Vieux F, Verger EO, Soler L-G, Touazi D, Darmon N (2014) Reducing energy intake and energy density for a sustainable diet: a study based on self-selected diets in French adults. Am J Clin Nutr 99(6):1460–1469. https://doi.org/10.3945/ajcn.113.077958 CrossRefPubMed

18.

van Dooren C, Keuchenius C, de Vries JHM, de Boer J, Aiking H (2018) Unsustainable dietary habits of specific subgroups require dedicated transition strategies: evidence from the Netherlands. Food Policy 79:44–57. https://doi.org/10.1016/j.foodpol.2018.05.002 CrossRef

19.

Behrens P, Kiefte-de Jong JC, Bosker T, Rodrigues JFD, de Koning A, Tukker A (2017) Evaluating the environmental impacts of dietary recommendations. Proc Natl Acad Sci USA 114(51):13412. https://doi.org/10.1073/pnas.1711889114 CrossRefPubMedPubMedCentral

20.

Huseinovic E, Ohlin M, Winkvist A, Bertz F, Sonesson U, Brekke HK (2017) Does diet intervention in line with nutrition recommendations affect dietary carbon footprint? Results from a weight loss trial among lactating women. Eur J Clin Nutr 71(10):1241–1245. https://doi.org/10.1038/ejcn.2017.63 CrossRefPubMed

21.

Roca M, Kohls E, Gili M, Watkins E, Owens M, Hegerl U et al (2016) Prevention of depression through nutritional strategies in high-risk persons: rationale and design of the MooDFOOD prevention trial. BMC Psychiatry 16(1):192. https://doi.org/10.1186/s12888-016-0900-z CrossRefPubMedPubMedCentral

22.

Dernini S, Berry EM (2015) Mediterranean diet: from a healthy diet to a sustainable dietary pattern. Front Nutr. https://doi.org/10.3389/fnut.2015.00015 CrossRefPubMedPubMedCentral

23.

Bot M, Brouwer IA, Roca M, Kohls E, Penninx BWJH, Watkins E et al (2019) Effect of multinutrient supplementation and food-related behavioral activation therapy on prevention of major depressive disorder among overweight or obese adults with subsyndromal depressive symptoms: the MooDFOOD Randomized Clinical Trial. JAMA 321(9):858–868. https://doi.org/10.1001/jama.2019.0556 CrossRefPubMedPubMedCentral

24.

Kroenke K, Spitzer RL, Williams JBW (2001) The PHQ-9. J Gen Intern Med 16(9):606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x CrossRefPubMedPubMedCentral

25.

Cuijpers P, van Straten A, Warmerdam L (2007) Behavioral activation treatments of depression: a meta-analysis. Clin Psychol Rev 27(3):318–326. https://doi.org/10.1016/j.cpr.2006.11.001 CrossRefPubMed

26.

Jacka FN, Pasco JA, Mykletun A, Williams LJ, Hodge AM, O’Reilly SL et al (2010) Association of Western and traditional diets with depression and anxiety in women. Am J Psychiatry 167(3):305–311. https://doi.org/10.1176/appi.ajp.2009.09060881 CrossRefPubMed

27.

Akbaraly TN, Brunner EJ, Ferrie JE, Marmot MG, Kivimaki M, Singh-Manoux A (2009) Dietary pattern and depressive symptoms in middle age. Br J Psychiatry 195(5):408–413. https://doi.org/10.1192/bjp.bp.108.058925 CrossRefPubMedPubMedCentral

28.

Rienks J, Dobson AJ, Mishra GD (2013) Mediterranean dietary pattern and prevalence and incidence of depressive symptoms in mid-aged women: results from a large community-based prospective study. Eur J Clin Nutr 67(1):75–82. https://doi.org/10.1038/ejcn.2012.193 CrossRefPubMed

29.

Skarupski KA, Tangney CC, Li H, Evans DA, Morris MC (2013) Mediterranean diet and depressive symptoms among older adults over time. J Nutr Health Aging 17(5):441–445. https://doi.org/10.1007/s12603-012-0437-x CrossRefPubMedPubMedCentral

30.

Mamplekou E, Bountziouka V, Psaltopoulou T, Zeimbekis A, Tsakoundakis N, Papaerakleous N et al (2010) Urban environment, physical inactivity and unhealthy dietary habits correlate to depression among elderly living in eastern Mediterranean islands: the MEDIS (MEDiterranean ISlands Elderly) study. J Nutr Health Aging 14(6):449–455. https://doi.org/10.1007/s12603-010-0091-0 CrossRefPubMed

31.

Nicolaou M, Colpo M, Vermeulen E, Elstgeest LEM, Cabout M, Gibson-Smith D et al (2019) Association of a priori dietary patterns with depressive symptoms: a harmonised meta-analysis of observational studies. Psychol Med. https://doi.org/10.1017/S0033291719001958 CrossRefPubMedPubMedCentral

32.

Council Health (2006) Guidelines for Good Nutrition 2006 (in Dutch). Gezondheidsraad, The Hague

33.

German Nutrition Society (2004) The nutrition report 2004. Deutsche Gesellschaft für Ernährung e.V, Bonn

34.

Spanish Society of Community Nutrition (2004) Guía de la alimentación saludable (in Spanish). Sociedad Española de Nutrición Comunitaria (SENC), Madrid

35.

Food Standards Agency (FSA) (2007) FSA nutrient and food based guidelines for UK institutions. Food Standards Agency, London

36.

World Health Organization (WHO) (2003) Food based dietary guidelines in the WHO European Region. WHO, Copenhagen

37.

Garcia-Larsen V, Luczynska M, Kowalski ML, Voutilainen H, Ahlström M, Haahtela T et al (2011) Use of a common food frequency questionnaire (FFQ) to assess dietary patterns and their relation to allergy and asthma in Europe: pilot study of the GA2LEN FFQ. Eur J Clin Nutr 65:750. https://doi.org/10.1038/ejcn.2011.15 CrossRefPubMed

38.

Food Standard Agency (2006) Food Portion Sizes Guidelines, 3rd edn. FSA, London

39.

Roe M, Pinchen H, Church S, Finglas P (2015) McCance and Widdowson’s the composition of foods seventh summary edition and updated composition of foods integrated dataset. Nutr Bull 40(1):36–39. https://doi.org/10.1111/nbu.12124 CrossRef

40.

Tyszler M, Kramer G, Blonk H (2016) Just eating healthier is not enough: studying the environmental impact of different diet scenarios for Dutch women (31–50 years old) by linear programming. Int J LCA 21(5):701–709. https://doi.org/10.1007/s11367-015-0981-9 CrossRef

41.

van Dooren C, Aiking H, Vellinga P (2018) In search of indicators to assess the environmental impact of diets. Int J LCA 23(6):1297–1314. https://doi.org/10.1007/s11367-017-1371-2 CrossRef

42.

Huijbregts MAJ, Steinmann ZJN, Elshout PMF, Stam G, Verones F, Vieira MDM et al (2016) ReCiPe 2016: a harmonized life cycle impact assessment method at midpoint and endpoint level report I: characterization. National Institute for Public Health and the Environment, Bilthoven

43.

Joint Research Centre (JRC) (2010) ILCD handbook: general guide for life cycle assessment—detailed guidance. European Commission, Joint Research Centre, Institute for Environment and Sustainability, Ispra

44.

European Food Safety Authority (2011) Use of the EFSA comprehensive european food consumption database in exposure assessment. EFSA J 9(3):2097. https://doi.org/10.2903/j.efsa.2011.2097 CrossRef

45.

Van Rossum CTM, Fransen HP, Verkaik-Kloosterman J, Buurma-Rethans EJM, Ocké MC (2011) Dutch National Food Consumption Survey 2007–2010. Diet of children and adults aged 7–69 years. National Institute for Public Health and the Environment, Bilthoven

46.

Goedkoop M, Heijungs R, Huijbregts M, De Schryver A, Struijs J, Van Zelm R (2009) ReCiPe 2008: A life cycle impact assessment method which comprises harmonised category indicators at the midpoint and the endpoint level; report 1: characterisation, 1st edn. Ministry of Housing, Spatial Planning and Environment, The Hague

47.

Sevenster MN, Blonk H, Van der Flier S (2010) Milieuanalyses Voedsel en Voedselverliezen (Environmental analysis of food and food losses). CE Delft, Blonk Milieu Advies, Delft

48.

Twisk J, Bosman L, Hoekstra T, Rijnhart J, Welten M, Heymans M (2018) Different ways to estimate treatment effects in randomised controlled trials. Contemp Clin Trials Commun 10:80–85. https://doi.org/10.1016/j.conctc.2018.03.008 CrossRef

49.

Twisk J (2013) Applied longitudinal data analysis for epidemiology: a practical guide, 2nd edn. Cambridge University Press, CambridgeCrossRef

50.

Holm S (1979) A simple sequentially rejective multiple test procedure. Scand J Stat 6(2):65–70. http://www.jstor.org/stable/4615733

51.

Abdi H (2010) Holm’s sequential bonferroni procedure. In: Salkind N (ed) Encyclopedia of research design. SAGE Publications Inc, Thousand Oaks, pp 574–577. https://doi.org/10.4135/9781412961288.n178 CrossRef

52.

The British Dietetic Association (BDA) (2016) Food fact sheet. https://www.bda.uk.com/foodfacts/portionsizesfoodfactsheet.pdf. Accessed 4 Dec 2018

53.

Rellinger D (2013) How to convert grams of sugars into teaspoons. https://www.canr.msu.edu/news/how_to_convert_grams_of_sugars_into_teaspoons. Accessed 4 Dec 2018

54.

Staffell I (2011) The energy and fuel data sheet. University of Birgmingham, Birgmingham

55.

van de Kamp ME, van Dooren C, Hollander A, Geurts M, Brink EJ, van Rossum C et al (2018) Healthy diets with reduced environmental impact? The greenhouse gas emissions of various diets adhering to the Dutch food based dietary guidelines. Food Res Int 104:14–24. https://doi.org/10.1016/j.foodres.2017.06.006 CrossRefPubMed

56.

Vieux F, Darmon N, Touazi D, Soler LG (2012) Greenhouse gas emissions of self-selected individual diets in France: changing the diet structure or consuming less? Ecol Econ 75:91–101. https://doi.org/10.1016/j.ecolecon.2012.01.003 CrossRef

57.

Birney CI, Franklin KF, Davidson FT, Webber ME (2017) An assessment of individual foodprints attributed to diets and food waste in the United States. Environ Res Lett 12(10):105008. https://doi.org/10.1088/1748-9326/aa8494 CrossRef

58.

Tom MS, Fischbeck PS, Hendrickson CT (2016) Energy use, blue water footprint, and greenhouse gas emissions for current food consumption patterns and dietary recommendations in the US. Environ Sys Decis 36(1):92–103. https://doi.org/10.1007/s10669-015-9577-y CrossRef

59.

Hartmann C, Siegrist M (2017) Consumer perception and behaviour regarding sustainable protein consumption: a systematic review. Trends Food Sci Technol 61:11–25. https://doi.org/10.1016/j.tifs.2016.12.006 CrossRef

60.

Macdiarmid JI, Douglas F, Campbell J (2016) Eating like there’s no tomorrow: public awareness of the environmental impact of food and reluctance to eat less meat as part of a sustainable diet. Appetite 96:487–493. https://doi.org/10.1016/j.appet.2015.10.011 CrossRefPubMed

61.

de Bakker E, Dagevos H (2012) Reducing meat consumption in today’s consumer society: questioning the citizen-consumer gap. J Agric Environ Ethics 25(6):877–894. https://doi.org/10.1007/s10806-011-9345-z CrossRef

62.

Parker RWR, Blanchard JL, Gardner C, Green BS, Hartmann K, Tyedmers PH et al (2018) Fuel use and greenhouse gas emissions of world fisheries. Nat Clim Change 8(4):333–337. https://doi.org/10.1038/s41558-018-0117-x CrossRef

63.

Pelletier N, Audsley E, Brodt S, Garnett T, Henriksson P, Kendall A et al (2011) Energy intensity of agriculture and food systems. Annu Rev Environ Resour 36(1):223–246. https://doi.org/10.1146/annurev-environ-081710-161014 CrossRef

64.

Araghi Y, Dijkema GPJ (2015) Alternative energy sources and energy infrastructure for Dutch greenhouses: investigating growers’ preferences. In: International symposium for next generation infrastructure conference proceedings: 30 September–1 October 2014. International Institute of Applied Systems Analysis (IIASA), Schloss Laxenburg, Vienna, Austria, UCL STEaPP London, pp 199–203

65.

Blackstone NT, El-Abbadi NH, McCabe MS, Griffin TS, Nelson ME (2018) Linking sustainability to the healthy eating patterns of the Dietary Guidelines for Americans: a modelling study. Lancet Planet Health 2(8):e344–e352. https://doi.org/10.1016/S2542-5196(18)30167-0 CrossRefPubMed

66.

Naska A, Lagiou A, Lagiou P (2017) Dietary assessment methods in epidemiological research: current state of the art and future prospects. F1000Research 6:926. https://doi.org/10.12688/f1000research.10703.1 CrossRefPubMedPubMedCentral

67.

Natarajan L, Pu M, Fan J, Levine RA, Patterson RE, Thomson CA et al (2010) Measurement error of dietary self-report in intervention trials. Am J Epidemiol 172(7):819–827. https://doi.org/10.1093/aje/kwq216 CrossRefPubMedPubMedCentral

68.

Vanham D, Leip A, Galli A, Kastner T, Bruckner M, Uwizeye A et al (2019) Environmental footprint family to address local to planetary sustainability and deliver on the SDGs. Sci Total Environ 693:133642. https://doi.org/10.1016/j.scitotenv.2019.133642 CrossRefPubMedPubMedCentral

69.

Huseinovic E, Winkvist A, Bertz F, Brekke HK (2014) Changes in food choice during a successful weight loss trial in overweight and obese postpartum women. Obesity 22(12):2517–2523. https://doi.org/10.1002/oby.20895 CrossRefPubMed

Title: Effect of food-related behavioral activation therapy on food intake and the environmental impact of the diet: results from the MooDFOOD prevention trial
Authors: Alessandra C. 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
Ed Watkins
Ingeborg A. Brouwer
the MooDFOOD Prevention Trial Investigators
Publication date: 01-09-2020
Publisher: Springer Berlin Heidelberg
Keywords: Mood Disorders
Affective Disorder
Climate Change
Published in: European Journal of Nutrition / Issue 6/2020
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI: https://doi.org/10.1007/s00394-019-02106-1

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin

Prof. Florian Limbourg

Prof. Anoop Chauhan

Developed by: Springer Medicine

Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Trial registration

Please log in to get access to this content

Other articles of this Issue 6/2020

Lower carbohydrate and higher fat intakes are associated with higher hemoglobin A1c: findings from the UK National Diet and Nutrition Survey 2008–2016

Wheat-induced food allergy in childhood: ancient grains seem no way out

The effect of inulin and resistant maltodextrin on weight loss during energy restriction: a randomised, placebo-controlled, double-blinded intervention

Reply to the comments by Vorland et al. on our paper: “low-phytate wholegrain bread instead of high-phytate wholegrain bread in a total diet context did not improve iron status of healthy Swedish females: a 12-week, randomized, parallel-design intervention study”

Phenolic extracts from whole wheat biofortified bread dampen overwhelming inflammatory response in human endothelial cells and monocytes: major role of VCAM-1 and CXCL-10

Cardiovascular responses to a glucose drink in young male individuals with overweight/obesity and mild alterations in glucose metabolism, but without impaired glucose tolerance

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

At a glance: The STEP trials