Personalized Nutrition Advice Reduces Intake of Discretionary Foods and Beverages: Findings From the Food4Me Randomized Controlled Trial

Katherine Livingstone; Carlos Celis-Morales; Santiago Navas-Carretero; Rodrigo San-Cristobal; Hannah Forster; Clara Woolhead; Clare O’Donovan; George Moschonis; Yannis Manios; Iwona Traczyk; Thomas Gundersen; Christian Drevon; Cyril Marsaux; Rosalind Fallaize; Anna Macready; Hannelore Daniel; Wim Saris; Julie Lovegrove; Mike Gibney; Eileen Gibney; Marianne Walsh; Lorraine Brennan; J Alfredo Martinez; John Mathers

doi:10.1093/cdn/nzab035_060

Personalized Nutrition Advice Reduces Intake of Discretionary Foods and Beverages: Findings From the Food4Me Randomized Controlled Trial

Katherine Livingstone, Carlos Celis-Morales, Santiago Navas-Carretero, Rodrigo San-Cristobal, Hannah Forster, Clara Woolhead, Clare O’Donovan, George Moschonis, Yannis Manios, Iwona Traczyk, Thomas Gundersen, Christian Drevon, Cyril Marsaux, Rosalind Fallaize, Anna Macready, Hannelore Daniel, Wim Saris, Julie Lovegrove, Mike Gibney, Eileen GibneyMarianne Walsh, Lorraine Brennan, J Alfredo Martinez, John Mathers

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Abstract

Objectives
This study aimed to examine changes in intake of discretionary foods and beverages following a personalized nutrition intervention using two national classifications for discretionary foods.

Methods
Participants were recruited into a 6-month RCT across seven European countries (Food4Me) and were randomized to receive generalized dietary advice (Control) or one of three levels of personalized nutrition advice (based on dietary, phenotypic and genotypic information). Dietary intake from a FFQ was used to determine change between baseline and month 6 in (i) % energy, % contribution to total fat, SFA, total sugars and salt and (ii) contribution (%) made by sweets and snacks to intake of total fat, SFA, sugars and salt from discretionary foods and beverages, defined by Food Standards Scotland (FSS) and the Australian Dietary Guidelines (ADG).

Results
A total of 1270 adults (40.9 (SD 13.0) years; 57% female) completed the intervention. At month 6, percentage sugars from FSS discretionary items was lower in personalized 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), % 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 personalized nutrition vs control. The % contribution of sugars from sweets and snacks was lower in personalized nutrition vs control (19.1 ± 0.36 vs 21.5 ± 0.63; P < 0.001). At 3 months, effects were consistent for ADG discretionary items, while there was no significant differences in personalized nutrition vs control for FSS discretionary items.

Conclusions
Compared with generalized dietary advice, personalized nutrition advice achieved greater reductions in intake of discretionary foods and beverages when the classification included all foods high in fat, added sugars and salt. Future personalized nutrition strategies may be used to target intake of discretionary foods and beverages. Funding Sources European Commission Food, Agriculture, Fisheries and Biotechnology Theme of the Seventh Framework Programme for Research and Technological Development [265494]. KML is supported by a NHMRC Emerging Leadership Fellowship (APP1173803).

Original language	English
Pages (from-to)	152
Number of pages	1
Journal	Current Developments in Nutrition
Volume	5
Issue number	Supplement 2
Early online date	13 Feb 2023
DOIs	https://doi.org/10.1093/cdn/nzab035_060
Publication status	Published - 13 Feb 2023

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10.1093/cdn/nzab035_060Licence: CC BY

Final_Version
© 2021 American Society for Nutrition. Published by Elsevier Inc. This is an open access article distributed under the Creative Commons Attribution License, https://creativecommons.org/licenses/by-nc-nd/4.0/
Final published version, 81.1 KBLicence: CC BY

Cite this

Livingstone, K., Celis-Morales, C., Navas-Carretero, S., San-Cristobal, R., Forster, H., Woolhead, C., O’Donovan, C., Moschonis, G., Manios, Y., Traczyk, I., Gundersen, T., Drevon, C., Marsaux, C., Fallaize, R., Macready, A., Daniel, H., Saris, W., Lovegrove, J., Gibney, M., ... Mathers, J. (2023). Personalized Nutrition Advice Reduces Intake of Discretionary Foods and Beverages: Findings From the Food4Me Randomized Controlled Trial. Current Developments in Nutrition, 5(Supplement 2), 152. https://doi.org/10.1093/cdn/nzab035_060

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title = "Personalized Nutrition Advice Reduces Intake of Discretionary Foods and Beverages: Findings From the Food4Me Randomized Controlled Trial",

abstract = "Objectives This study aimed to examine changes in intake of discretionary foods and beverages following a personalized nutrition intervention using two national classifications for discretionary foods. Methods Participants were recruited into a 6-month RCT across seven European countries (Food4Me) and were randomized to receive generalized dietary advice (Control) or one of three levels of personalized nutrition advice (based on dietary, phenotypic and genotypic information). Dietary intake from a FFQ was used to determine change between baseline and month 6 in (i) % energy, % contribution to total fat, SFA, total sugars and salt and (ii) contribution (%) made by sweets and snacks to intake of total fat, SFA, sugars and salt from discretionary foods and beverages, defined by Food Standards Scotland (FSS) and the Australian Dietary Guidelines (ADG). Results A total of 1270 adults (40.9 (SD 13.0) years; 57% female) completed the intervention. At month 6, percentage sugars from FSS discretionary items was lower in personalized 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), % 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 personalized nutrition vs control. The % contribution of sugars from sweets and snacks was lower in personalized nutrition vs control (19.1 ± 0.36 vs 21.5 ± 0.63; P < 0.001). At 3 months, effects were consistent for ADG discretionary items, while there was no significant differences in personalized nutrition vs control for FSS discretionary items. Conclusions Compared with generalized dietary advice, personalized nutrition advice achieved greater reductions in intake of discretionary foods and beverages when the classification included all foods high in fat, added sugars and salt. Future personalized nutrition strategies may be used to target intake of discretionary foods and beverages. Funding Sources European Commission Food, Agriculture, Fisheries and Biotechnology Theme of the Seventh Framework Programme for Research and Technological Development [265494]. KML is supported by a NHMRC Emerging Leadership Fellowship (APP1173803).",

author = "Katherine Livingstone and Carlos Celis-Morales and Santiago Navas-Carretero and Rodrigo San-Cristobal and Hannah Forster and Clara Woolhead and Clare O{\textquoteright}Donovan and George Moschonis and Yannis Manios and Iwona Traczyk and Thomas Gundersen and Christian Drevon and Cyril Marsaux and Rosalind Fallaize and Anna Macready and Hannelore Daniel and Wim Saris and Julie Lovegrove and Mike Gibney and Eileen Gibney and Marianne Walsh and Lorraine Brennan and Martinez, {J Alfredo} and John Mathers",

note = "{\textcopyright} 2021 American Society for Nutrition. Published by Elsevier Inc. This is an open access article distributed under the Creative Commons Attribution License, https://creativecommons.org/licenses/by-nc-nd/4.0/",

year = "2023",

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doi = "10.1093/cdn/nzab035_060",

language = "English",

volume = "5",

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Livingstone, K, Celis-Morales, C, Navas-Carretero, S, San-Cristobal, R, Forster, H, Woolhead, C, O’Donovan, C, Moschonis, G, Manios, Y, Traczyk, I, Gundersen, T, Drevon, C, Marsaux, C, Fallaize, R, Macready, A, Daniel, H, Saris, W, Lovegrove, J, Gibney, M, Gibney, E, Walsh, M, Brennan, L, Martinez, JA & Mathers, J 2023, 'Personalized Nutrition Advice Reduces Intake of Discretionary Foods and Beverages: Findings From the Food4Me Randomized Controlled Trial', Current Developments in Nutrition, vol. 5, no. Supplement 2, pp. 152. https://doi.org/10.1093/cdn/nzab035_060

Personalized Nutrition Advice Reduces Intake of Discretionary Foods and Beverages: Findings From the Food4Me Randomized Controlled Trial. / Livingstone, Katherine; Celis-Morales, Carlos; Navas-Carretero, Santiago et al.
In: Current Developments in Nutrition, Vol. 5, No. Supplement 2, 13.02.2023, p. 152.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Personalized Nutrition Advice Reduces Intake of Discretionary Foods and Beverages: Findings From the Food4Me Randomized Controlled Trial

AU - Livingstone, Katherine

AU - Celis-Morales, Carlos

AU - Navas-Carretero, Santiago

AU - San-Cristobal, Rodrigo

AU - Forster, Hannah

AU - Woolhead, Clara

AU - O’Donovan, Clare

AU - Moschonis, George

AU - Manios, Yannis

AU - Traczyk, Iwona

AU - Gundersen, Thomas

AU - Drevon, Christian

AU - Marsaux, Cyril

AU - Fallaize, Rosalind

AU - Macready, Anna

AU - Daniel, Hannelore

AU - Saris, Wim

AU - Lovegrove, Julie

AU - Gibney, Mike

AU - Gibney, Eileen

AU - Walsh, Marianne

AU - Brennan, Lorraine

AU - Martinez, J Alfredo

AU - Mathers, John

N1 - © 2021 American Society for Nutrition. Published by Elsevier Inc. This is an open access article distributed under the Creative Commons Attribution License, https://creativecommons.org/licenses/by-nc-nd/4.0/

PY - 2023/2/13

Y1 - 2023/2/13

N2 - Objectives This study aimed to examine changes in intake of discretionary foods and beverages following a personalized nutrition intervention using two national classifications for discretionary foods. Methods Participants were recruited into a 6-month RCT across seven European countries (Food4Me) and were randomized to receive generalized dietary advice (Control) or one of three levels of personalized nutrition advice (based on dietary, phenotypic and genotypic information). Dietary intake from a FFQ was used to determine change between baseline and month 6 in (i) % energy, % contribution to total fat, SFA, total sugars and salt and (ii) contribution (%) made by sweets and snacks to intake of total fat, SFA, sugars and salt from discretionary foods and beverages, defined by Food Standards Scotland (FSS) and the Australian Dietary Guidelines (ADG). Results A total of 1270 adults (40.9 (SD 13.0) years; 57% female) completed the intervention. At month 6, percentage sugars from FSS discretionary items was lower in personalized 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), % 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 personalized nutrition vs control. The % contribution of sugars from sweets and snacks was lower in personalized nutrition vs control (19.1 ± 0.36 vs 21.5 ± 0.63; P < 0.001). At 3 months, effects were consistent for ADG discretionary items, while there was no significant differences in personalized nutrition vs control for FSS discretionary items. Conclusions Compared with generalized dietary advice, personalized nutrition advice achieved greater reductions in intake of discretionary foods and beverages when the classification included all foods high in fat, added sugars and salt. Future personalized nutrition strategies may be used to target intake of discretionary foods and beverages. Funding Sources European Commission Food, Agriculture, Fisheries and Biotechnology Theme of the Seventh Framework Programme for Research and Technological Development [265494]. KML is supported by a NHMRC Emerging Leadership Fellowship (APP1173803).

AB - Objectives This study aimed to examine changes in intake of discretionary foods and beverages following a personalized nutrition intervention using two national classifications for discretionary foods. Methods Participants were recruited into a 6-month RCT across seven European countries (Food4Me) and were randomized to receive generalized dietary advice (Control) or one of three levels of personalized nutrition advice (based on dietary, phenotypic and genotypic information). Dietary intake from a FFQ was used to determine change between baseline and month 6 in (i) % energy, % contribution to total fat, SFA, total sugars and salt and (ii) contribution (%) made by sweets and snacks to intake of total fat, SFA, sugars and salt from discretionary foods and beverages, defined by Food Standards Scotland (FSS) and the Australian Dietary Guidelines (ADG). Results A total of 1270 adults (40.9 (SD 13.0) years; 57% female) completed the intervention. At month 6, percentage sugars from FSS discretionary items was lower in personalized 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), % 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 personalized nutrition vs control. The % contribution of sugars from sweets and snacks was lower in personalized nutrition vs control (19.1 ± 0.36 vs 21.5 ± 0.63; P < 0.001). At 3 months, effects were consistent for ADG discretionary items, while there was no significant differences in personalized nutrition vs control for FSS discretionary items. Conclusions Compared with generalized dietary advice, personalized nutrition advice achieved greater reductions in intake of discretionary foods and beverages when the classification included all foods high in fat, added sugars and salt. Future personalized nutrition strategies may be used to target intake of discretionary foods and beverages. Funding Sources European Commission Food, Agriculture, Fisheries and Biotechnology Theme of the Seventh Framework Programme for Research and Technological Development [265494]. KML is supported by a NHMRC Emerging Leadership Fellowship (APP1173803).

U2 - 10.1093/cdn/nzab035_060

DO - 10.1093/cdn/nzab035_060

M3 - Article

SN - 2475-2991

VL - 5

SP - 152

JO - Current Developments in Nutrition

JF - Current Developments in Nutrition

IS - Supplement 2

ER -

Personalized Nutrition Advice Reduces Intake of Discretionary Foods and Beverages: Findings From the Food4Me Randomized Controlled Trial

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