Publication:
Switching mediterranean consumers to mediterranean sustainable healthy dietary patterns (switchtohealthy): Study protocol of a multicentric and multi-cultural family-based nutritional intervention study

dc.contributor.authorCalderon-Perez, Lorena
dc.contributor.authorDomingo, Alicia
dc.contributor.authordel Bas, Josep M.
dc.contributor.authorGutierrez, Biotza
dc.contributor.authorCrescenti, Anna
dc.contributor.authorRahmani, Djamel
dc.contributor.authorSarroca, Amelia
dc.contributor.authorGil, Jose Maria
dc.contributor.authorGoumeida, Kenza
dc.contributor.authorJin, Tianyu Zhang
dc.contributor.authorEl Hamdouchi, Asmaa
dc.contributor.authorGymnopoulos, Lazaros P.
dc.contributor.authorDimitropoulos, Kosmas
dc.contributor.authorDegli Innocenti, Perla
dc.contributor.authorRosi, Alice
dc.contributor.authorScazzina, Francesca
dc.contributor.authorPetri, Eva
dc.contributor.authorUrtasun, Leyre
dc.contributor.authorSalvio, Giuseppe
dc.contributor.authorde la Feld, Marco
dc.contributor.authorBoque, Noemi
dc.contributor.buuauthorDemir, Çağla Erdoğan
dc.contributor.buuauthorGÜLDAŞ, METİN
dc.contributor.departmentSağlık Bilimleri Fakültesi
dc.contributor.departmentBeslenme ve Diyetik Ana Bilim Dalı.
dc.contributor.researcheridU-1332-2019
dc.date.accessioned2025-02-14T07:22:34Z
dc.date.available2025-02-14T07:22:34Z
dc.date.issued2024-11-01
dc.description.abstractBackground/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).
dc.description.sponsorshipEuropean Union's Horizon 2020 Research and Innovation program-Partnership for Research and Innovation in the Mediterranean Area (PRIMA) -- 2133
dc.identifier.doi10.3390/nu16223938
dc.identifier.issue22
dc.identifier.scopus2-s2.0-85210438485
dc.identifier.urihttps://doi.org/10.3390/nu16223938
dc.identifier.urihttps://hdl.handle.net/11452/50399
dc.identifier.volume16
dc.identifier.wos001365874500001
dc.indexed.wosWOS.SCI
dc.language.isoen
dc.publisherMdpi
dc.relation.journalNutrients
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectPhysical-activity
dc.subjectLife-style
dc.subjectWorld cafe
dc.subjectChildren
dc.subjectAdherence
dc.subjectQuestionnaire
dc.subjectAdolescents
dc.subjectReliability
dc.subjectKnowledge
dc.subjectValidity
dc.subjectMediterranean diet
dc.subjectMulticentric study
dc.subjectFamily intervention
dc.subjectEducational materials
dc.subjectSustainability
dc.subjectDigital tool
dc.subjectEducational game
dc.subjectHealthy snacks
dc.subjectScience & technology
dc.subjectLife sciences & biomedicine
dc.subjectNutrition & dietetics
dc.titleSwitching mediterranean consumers to mediterranean sustainable healthy dietary patterns (switchtohealthy): Study protocol of a multicentric and multi-cultural family-based nutritional intervention study
dc.typeArticle
dspace.entity.typePublication
local.contributor.departmentSağlık Bilimleri Fakültesi/Beslenme ve Diyetik Ana Bilim Dalı.
local.indexed.atWOS
local.indexed.atScopus
relation.isAuthorOfPublication8fc8a042-7722-4e11-9469-9896778d7ea3
relation.isAuthorOfPublication.latestForDiscovery8fc8a042-7722-4e11-9469-9896778d7ea3

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