Efficacy of a Short-Term Lifestyle Change Intervention in Healthy Young Men: The FASt Randomized Controlled Trial

Author:

Donato Francesco1,Ceretti Elisabetta1ORCID,Viola Gaia Claudia Viviana1,Marullo Monica1,Zani Danilo1,Ubaldi Stefania23,Sieri Sabina4ORCID,Lorenzetti Stefano5ORCID,Montano Luigi67ORCID

Affiliation:

1. Unit of Hygiene, Epidemiology and Public Health, and Unit of Urology, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy

2. European Lifestyle Medicine Organization (ELMO), 1201 Geneva, Switzerland

3. Swiss Society of Lifestyle Medicine (SSLM), 1204 Geneva, Switzerland

4. Epidemiology and Prevention Unit, National Institute for Cancer, 20133 Milan, Italy

5. Department of Food Safety, Nutrition and Veterinary Public Health, Italian National Institute of Health (ISS), 00161 Rome, Italy

6. Andrology Unit and Service of Lifestyle Medicine in UroAndrology, Local Health Authority (ASL) Salerno, Coordination Unit of the Network for Environmental and Reproductive Health (EcoFoodFertility Project), Oliveto Citra Hospital, 84124 Salerno, Italy

7. PhD Program in Evolutionary Biology and Ecology, University of Rome Tor Vergata, 00133 Rome, Italy

Abstract

The aim of this study was to investigate the impact of dietary habits and physical activity intervention on lifestyle behavior as a prevention tool supported also by personalized motivational counseling. A two-arm randomized controlled trial was carried out. A sample of 18–22-year-old students was randomly assigned to a four-month intervention based on the Mediterranean diet and moderate physical activity program (N = 66) or to a control group (N = 63). The outcomes were adherence to the Mediterranean diet, physical activity level, and nutrients intake, assessed at enrollment (t0), end of intervention (t4, 4 months after the start), and end of follow-up (t8, 8 months after the start). Adherence to the Mediterranean diet increased from t0 to t4 and t8, more in the intervention (6.83, 9.85, and 9.12, respectively) than in the control group (6.73, 7.00, 7.69, respectively) (p < 0.001). Physical activity showed a moderate increase from t0 to t4 and t8 in both groups, without significant differences between them. Significant differences were seen between the two groups in food intake changes, from t0 to t4 and t8. This randomized controlled trial showed that a moderate short-term intervention based on the Mediterranean diet and regular physical activity determined a positive change in the lifestyle of healthy, normal-weight, young men.

Funder

Italian Ministry of Health

supplied food products for the intervention group

Publisher

MDPI AG

Subject

Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health

Reference34 articles.

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3. Food in the Anthropocene: The EAT-Lancet Commission on healthy diets from sustainable food systems;Willett;Lancet,2019

4. Mediterranean diet and multiple health outcomes: An umbrella review of meta-analyses of observational studies and randomised trials;Dinu;Eur. J. Clin. Nutr.,2018

5. Kargin, D., Tomaino, L., and Serra-Majem, L. (2019). Experimental Outcomes of the Mediterranean Diet: Lessons Learned from the Predimed Randomized Controlled Trial. Nutrients, 11.

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