Mindful Eating Intervention, Sustainable Dietary Preferences
Conditions
Keywords
Mindfulness, Sustainable Diet, Nutritional intervention, Young adults
Brief summary
The goal of this randomized controlled clinical trial is to determine whether a mindfulness-based intervention, in addition to nutritional education, improves healthy and sustainable eating habits in 53 young adults aged 18 to 35 years with low adherence to a sustainable diet.
Interventions
The mindfulness-based intervention consists of a structured online program delivered over four weeks. Participants attend four 2-hour group sessions conducted once weekly. The program includes guided mindfulness practices, experiential exercises, and group discussions aimed at increasing awareness of eating behaviors, emotional triggers, and food-related decision-making.
The nutritional education intervention consists of two 1-hour online sessions delivered over two separate weeks. The sessions are based on the EAT-Lancet dietary recommendations for healthy and sustainable eating and provide evidence-based guidance on food choices and dietary patterns consistent with environmental sustainability and health promotion
Sponsors
Study design
Eligibility
Inclusion criteria
* Aged 18 to 35 years; * Low adherence to a sustainable diet, defined as a MedQ-Sus score ≤ 3.0; * Body mass index (BMI) between 18.0 and 29.9 kg/m²; * Able to provide written informed consent; * Generally healthy volunteers; * Omnivorous diet; * No current or past history of eating disorders; * Not pregnant and not planning pregnancy during the study period; * Personally responsible for making food-related decisions.
Exclusion criteria
* MedQ-Sus score ≥ 3.1; * BMI \< 18.0 or \> 29.9 kg/m²; * Unable to provide informed consent; * Dietary restrictions; * Allergy or intolerance to the tested food.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in adherence to the EAT-Lancet Diet | Baseline, 4 weeks and 8 weeks after the end of the nutritional education sessions | Change in adherence to a healthy and sustainable dietary pattern, assessed using the EAT-Lancet Index. The index ranges from 0 to 42, with higher scores indicating greater adherence to the EAT-Lancet dietary recommendations. The total score is derived from 14 dietary components, each scored from 0 to 3. Adherence categories are defined as follows: ≤13 (low adherence), 14-16, 17-19, 20-22, and ≥23 (high adherence). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in MedQ-Sus score | Baseline, 4 weeks and 8 weeks after the end of the nutritional education sessions | Change in Sustainable diet adherence assessed using the Mediterranean Diet Quality Index for Sustainability (MedQ-Sus; range: 0-8), with higher scores indicating greater adherence to a sustainable diet. |
| Change in body weight and body mass index (BMI) | Baseline, 4 weeks and 8 weeks after the end of the nutritional education sessions | Change in body weight measured in kilograms (kg) and in BMI calculated as weight (kg)/height (m²) |
| Change in Mindfulness | Baseline, 4 weeks and 8 weeks after the end of the nutritional education sessions | Change in mindfulness (awareness) assessed using the Awareness subscale of the Philadelphia Mindfulness Scale. Scores range from 10 to 50, with higher scores indicating greater awareness of the present momen. |
| Change in mindful eating behaviors | Baseline, 4 weeks and 8 weeks after the end of the nutritional education sessions | Change in mindful eating (awareness) assessed using the awareness subscale of the Mindful Eating Questionnaire. Mean scores range from 1 to 4, with higher scores indicating greater awareness of how food affects sensory experiences and internal states. |
| Change in Psychological distress | Baseline, 4 weeks and 8 weeks after the end of the nutritional education sessions | Change in depression symptoms assessed using the depression subscale of the Depression Anxiety Stress Scales-21 (DASS-21). Scores range from 0 to 42, with higher scores indicating greater symptom severity. |
| Change in sleep quality | Baseline, 4 weeks and 8 weeks after the end of the nutritional education sessions | Change in sleep quality assessed using the Mini Sleep Questionnaire. Total scores range from 10 to 70, with higher scores indicating poorer sleep quality. |
Countries
Italy