Developing and testing personalised nutrition feedback for more sustainable healthy diets: the MyPlanetDiet randomised controlled trial protocol
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,...
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creator | Davies, Katie P. Gibney, Eileen R. Leonard, Ursula M. Lindberg, Leona Woodside, Jayne V. Kiely, Mairead E. Nugent, Anne P. Arranz, Elena Conway, Marie C. McCarthy, Sinead N. O’Sullivan, Aifric M. |
description | 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
|
doi_str_mv | 10.1007/s00394-024-03457-0 |
format | Article |
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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 CO
2
-eq) relative to control (6.6 kg CO
2
-eq) and baseline (7.1 kg CO
2
-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</description><identifier>ISSN: 1436-6207</identifier><identifier>ISSN: 1436-6215</identifier><identifier>EISSN: 1436-6215</identifier><identifier>DOI: 10.1007/s00394-024-03457-0</identifier><identifier>PMID: 38970665</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; analysis of covariance ; calcium ; Carbohydrates ; Carbon dioxide ; Chemistry ; Chemistry and Materials Science ; Climate Change ; Clinical trials ; Decision trees ; Diet ; Diet, Healthy - methods ; energy ; Environmental impact ; Feedback ; Female ; food production ; Greenhouse Gases ; Humans ; Iodine ; iron ; Male ; Middle Aged ; Nutrition ; Nutrition Policy ; nutritional adequacy ; Original Contribution ; Randomized Controlled Trials as Topic ; Registration ; zinc</subject><ispartof>European journal of nutrition, 2024-10, Vol.63 (7), p.2681-2696</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c459t-ad6194fbf8e61e3c13d40496c1bbd0b8fc369edffe5337a08a0f99b7040e4503</cites><orcidid>0000-0002-7441-1983</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00394-024-03457-0$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00394-024-03457-0$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38970665$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Davies, Katie P.</creatorcontrib><creatorcontrib>Gibney, Eileen R.</creatorcontrib><creatorcontrib>Leonard, Ursula M.</creatorcontrib><creatorcontrib>Lindberg, Leona</creatorcontrib><creatorcontrib>Woodside, Jayne V.</creatorcontrib><creatorcontrib>Kiely, Mairead E.</creatorcontrib><creatorcontrib>Nugent, Anne P.</creatorcontrib><creatorcontrib>Arranz, Elena</creatorcontrib><creatorcontrib>Conway, Marie C.</creatorcontrib><creatorcontrib>McCarthy, Sinead N.</creatorcontrib><creatorcontrib>O’Sullivan, Aifric M.</creatorcontrib><title>Developing and testing personalised nutrition feedback for more sustainable healthy diets: the MyPlanetDiet randomised controlled trial protocol</title><title>European journal of nutrition</title><addtitle>Eur J Nutr</addtitle><addtitle>Eur J Nutr</addtitle><description>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 CO
2
-eq) relative to control (6.6 kg CO
2
-eq) and baseline (7.1 kg CO
2
-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</description><subject>Adult</subject><subject>analysis of covariance</subject><subject>calcium</subject><subject>Carbohydrates</subject><subject>Carbon dioxide</subject><subject>Chemistry</subject><subject>Chemistry and Materials Science</subject><subject>Climate Change</subject><subject>Clinical trials</subject><subject>Decision trees</subject><subject>Diet</subject><subject>Diet, Healthy - methods</subject><subject>energy</subject><subject>Environmental impact</subject><subject>Feedback</subject><subject>Female</subject><subject>food production</subject><subject>Greenhouse Gases</subject><subject>Humans</subject><subject>Iodine</subject><subject>iron</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nutrition</subject><subject>Nutrition Policy</subject><subject>nutritional adequacy</subject><subject>Original Contribution</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Registration</subject><subject>zinc</subject><issn>1436-6207</issn><issn>1436-6215</issn><issn>1436-6215</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNqFUstu1DAUjRCIPuAHWCBLbNgEruNHEjaoaikgFcGie8txrmdSPPZgO5XmL_hknE4ZHgtYWD7yPT73HvtU1TMKryhA-zoBsJ7X0JTFuGhreFAdU85kLRsqHh4wtEfVSUo3ANAwSR9XR6zrW5BSHFffL_AWXdhOfkW0H0nGlBe8xZiC125KOBI_5zjlKXhiEcdBm6_Ehkg2ISJJc8p68npwSNaoXV7vyDhhTm9IXiP5tPvitMd8UY5ILB3C5k7SBJ9jcK7Aoq0d2caQgwnuSfXIapfw6f1-Wl1fvrs-_1BffX7_8fzsqjZc9LnWo6Q9t4PtUFJkhrKRA--locMwwtBZw2SPo7UoGGs1dBps3w8tcEAugJ1Wb_ey23nY4GiwjKOd2sZpo-NOBT2pPyt-WqtVuFWU8h44Z0Xh5b1CDN_m8myqODPoFrthTopRwTrBqOz-T4VW8oYxEIX64i_qTZhj-YhFkHas6wRdWM2eZWJIKaI9DE5BLdlQ-2yokg11lw21WH7-u-XDlZ9hKAS2J6RS8iuMv3r_Q_YHGr_I1A</recordid><startdate>20241001</startdate><enddate>20241001</enddate><creator>Davies, Katie P.</creator><creator>Gibney, Eileen R.</creator><creator>Leonard, Ursula M.</creator><creator>Lindberg, Leona</creator><creator>Woodside, Jayne V.</creator><creator>Kiely, Mairead E.</creator><creator>Nugent, Anne P.</creator><creator>Arranz, Elena</creator><creator>Conway, Marie C.</creator><creator>McCarthy, Sinead N.</creator><creator>O’Sullivan, Aifric M.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7441-1983</orcidid></search><sort><creationdate>20241001</creationdate><title>Developing and testing personalised nutrition feedback for more sustainable healthy diets: the MyPlanetDiet randomised controlled trial protocol</title><author>Davies, Katie P. ; Gibney, Eileen R. ; Leonard, Ursula M. ; Lindberg, Leona ; Woodside, Jayne V. ; Kiely, Mairead E. ; Nugent, Anne P. ; Arranz, Elena ; Conway, Marie C. ; McCarthy, Sinead N. ; O’Sullivan, Aifric M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-ad6194fbf8e61e3c13d40496c1bbd0b8fc369edffe5337a08a0f99b7040e4503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>analysis of covariance</topic><topic>calcium</topic><topic>Carbohydrates</topic><topic>Carbon dioxide</topic><topic>Chemistry</topic><topic>Chemistry and Materials Science</topic><topic>Climate Change</topic><topic>Clinical trials</topic><topic>Decision trees</topic><topic>Diet</topic><topic>Diet, Healthy - methods</topic><topic>energy</topic><topic>Environmental impact</topic><topic>Feedback</topic><topic>Female</topic><topic>food production</topic><topic>Greenhouse Gases</topic><topic>Humans</topic><topic>Iodine</topic><topic>iron</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nutrition</topic><topic>Nutrition Policy</topic><topic>nutritional adequacy</topic><topic>Original Contribution</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Registration</topic><topic>zinc</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Davies, Katie P.</creatorcontrib><creatorcontrib>Gibney, Eileen R.</creatorcontrib><creatorcontrib>Leonard, Ursula M.</creatorcontrib><creatorcontrib>Lindberg, Leona</creatorcontrib><creatorcontrib>Woodside, Jayne V.</creatorcontrib><creatorcontrib>Kiely, Mairead E.</creatorcontrib><creatorcontrib>Nugent, Anne P.</creatorcontrib><creatorcontrib>Arranz, Elena</creatorcontrib><creatorcontrib>Conway, Marie C.</creatorcontrib><creatorcontrib>McCarthy, Sinead N.</creatorcontrib><creatorcontrib>O’Sullivan, Aifric M.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Davies, Katie P.</au><au>Gibney, Eileen R.</au><au>Leonard, Ursula M.</au><au>Lindberg, Leona</au><au>Woodside, Jayne V.</au><au>Kiely, Mairead E.</au><au>Nugent, Anne P.</au><au>Arranz, Elena</au><au>Conway, Marie C.</au><au>McCarthy, Sinead N.</au><au>O’Sullivan, Aifric M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Developing and testing personalised nutrition feedback for more sustainable healthy diets: the MyPlanetDiet randomised controlled trial protocol</atitle><jtitle>European journal of nutrition</jtitle><stitle>Eur J Nutr</stitle><addtitle>Eur J Nutr</addtitle><date>2024-10-01</date><risdate>2024</risdate><volume>63</volume><issue>7</issue><spage>2681</spage><epage>2696</epage><pages>2681-2696</pages><issn>1436-6207</issn><issn>1436-6215</issn><eissn>1436-6215</eissn><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 CO
2
-eq) relative to control (6.6 kg CO
2
-eq) and baseline (7.1 kg CO
2
-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</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38970665</pmid><doi>10.1007/s00394-024-03457-0</doi><tpages>16</tpages><orcidid>https://orcid.org/0000-0002-7441-1983</orcidid><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; SpringerLink Journals |
subjects | Adult analysis of covariance calcium Carbohydrates Carbon dioxide Chemistry Chemistry and Materials Science Climate Change Clinical trials Decision trees Diet Diet, Healthy - methods energy Environmental impact Feedback Female food production Greenhouse Gases Humans Iodine iron Male Middle Aged Nutrition Nutrition Policy nutritional adequacy Original Contribution Randomized Controlled Trials as Topic Registration zinc |
title | Developing and testing personalised nutrition feedback for more sustainable healthy diets: the MyPlanetDiet randomised controlled trial protocol |
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