Switching Mediterranean Consumers to Mediterranean Sustainable Healthy Dietary Patterns (SWITCHtoHEALTHY): Study Protocol of a Multicentric and Multi-Cultural Family-Based Nutritional Intervention Study.

Autor:	Calderón-Pérez L; Eurecat, Technology Centre of Catalonia, Nutrition and Health Unit, 43204 Reus, Spain., Domingo A; Eurecat, Technology Centre of Catalonia, Nutrition and Health Unit, 43204 Reus, Spain., Bas JMD; Eurecat, Technology Centre of Catalonia, Biotechnology Area, 43204 Reus, Spain., Gutiérrez B; Eurecat, Technology Centre of Catalonia, Biotechnology Area, 43204 Reus, Spain., Crescenti A; Eurecat, Technology Centre of Catalonia, Nutrition and Health Unit, 43204 Reus, Spain., Rahmani D; Centre de Recerca en Economia i Desenvolupament Agroalimentari, Universitat Politècnica de Catalunya, 08860 Barcelona, Spain., Sarroca A; Centre de Recerca en Economia i Desenvolupament Agroalimentari, Universitat Politècnica de Catalunya, 08860 Barcelona, Spain., Gil JM; Centre de Recerca en Economia i Desenvolupament Agroalimentari, Universitat Politècnica de Catalunya, 08860 Barcelona, Spain., Goumeida K; Centre de Recerca en Economia i Desenvolupament Agroalimentari, Universitat Politècnica de Catalunya, 08860 Barcelona, Spain., Zhang Jin T; Centre de Recerca en Economia i Desenvolupament Agroalimentari, Universitat Politècnica de Catalunya, 08860 Barcelona, Spain., Güldaş M; Nutrition and Dietetics Department, Faculty of Health Sciences, Görükle Campus, Bursa Uludag University, 16059 Nilufer-Bursa, Turkey.; Biotechnology Department, Graduate School of Natural and Applied Sciences, Görükle Campus, Bursa Uludag University, 16285 Bursa, Turkey., Demir ÇE; Biotechnology Department, Graduate School of Natural and Applied Sciences, Görükle Campus, Bursa Uludag University, 16285 Bursa, Turkey., Hamdouchi AE; Unité de Recherche Nutrition et Alimentation, National Center for Nuclear Energy, Science and Technology CNESTEN, Rabat-Kenitra 14000, Morocco., Gymnopoulos LP; Information Technologies Institute, Centre for Research and Technology Hellas, GR 570 01 Thermi, Greece., Dimitropoulos K; Information Technologies Institute, Centre for Research and Technology Hellas, GR 570 01 Thermi, Greece., Degli Innocenti P; Human Nutrition Unit, Department of Food and Drug, University of Parma, 43125 Parma, Italy., Rosi A; Human Nutrition Unit, Department of Food and Drug, University of Parma, 43125 Parma, Italy., Scazzina F; Human Nutrition Unit, Department of Food and Drug, University of Parma, 43125 Parma, Italy., Petri E; National Centre for Food Technology and Safety, 31570 San Adrian, Spain., Urtasun L; National Centre for Food Technology and Safety, 31570 San Adrian, Spain., Salvio G; ENCO Consulting, 80122 Naples, Italy., Feld M; ENCO Consulting, 80122 Naples, Italy., Boqué N; Eurecat, Technology Centre of Catalonia, Nutrition and Health Unit, 43204 Reus, Spain.
Jazyk:	angličtina
Zdroj:	Nutrients [Nutrients] 2024 Nov 18; Vol. 16 (22). Date of Electronic Publication: 2024 Nov 18.
DOI:	10.3390/nu16223938
Abstrakt:	Background/objectives: Populations in Mediterranean countries are abandoning the traditional Mediterranean diet (MD) and lifestyle, shifting towards unhealthier habits due to profound cultural and socioeconomic changes. The SWITCHtoHEALTHY project aims to demonstrate the effectiveness of a multi-component nutritional intervention to improve the adherence of families to the MD in three Mediterranean countries, thus prompting a dietary behavior change. Methods: A parallel, randomized, single-blinded, and controlled multicentric nutritional intervention study will be conducted over 3 months in 480 families with children and adolescents aged 3-17 years from Spain, Morocco, and Turkey. The multi-component intervention will combine digital interactive tools, hands-on educational materials, and easy-to-eat healthy snacks developed for this study. Through the developed SWITCHtoHEALTHY app, families will receive personalized weekly meal plans, which also consider what children eat at school. The engagement of all family members will be prompted by using a life simulation game. In addition, a set of activities and educational materials for adolescents based on a learning-through-playing approach will be codesigned. Innovative and sustainable plant-based snacks will be developed and introduced into the children's dietary plan as healthy alternatives for between meals. By using a full-factorial design, families will be randomized into eight groups (one control and seven interventions) to test the independent and combined effects of each component (application and/or educational materials and/or snacks). The impact of the intervention on diet quality, economy, and the environment, as well as on classical anthropometric parameters and vital signs, will be assessed in three different visits. The COM-B behavioral model will be used to assess essential factors driving the behavior change. The main outcome will be adherence to the MD assessed through MEDAS in adults and KIDMED in children and adolescents. Conclusions: SWITCHtoHEALTHY will provide new insights into the use of sustained models for inducing dietary and lifestyle behavior changes in the family setting. It will facilitate generating, boosting, and maintaining the switch to a healthier MD dietary pattern across the Mediterranean area. Registered Trial, National Institutes of Health, ClinicalTrials.gov (NCT06057324).
Databáze:	MEDLINE
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