RT info:eu-repo/semantics/article T1 Effect of a nutritional intervention based on an energy-reduced Mediterranean diet on environmental impact A1 Álvarez-Álvarez, Laura A1 Rubín-García, María A1 Vitelli-Storelli, Facundo A1 García, Silvia A1 Bouzas, Cristina A1 Martínez-González, Miguel Ángel A1 Corella, Dolores A1 Salas-Salvadó, Jordi A1 Malcampo, Mireia A1 Martínez, J. Alfredo A1 Alonso-Gómez, Ángel M. A1 Wärnberg, Julia A1 Vioque, Jesús A1 Romaguera, Dora A1 López-Miranda, José A1 Estruch, Ramon A1 Tinahones, Francisco J. A1 Lapetra, José A1 Serra-Majem, Lluís A1 Bueno-Cavanillas, Aurora A1 Fernández, Camino García A1 Pintó, Xavier A1 Delgado-Rodríguez, Miguel A1 Matía-Martín, Pilar A1 Vidal, Josep A1 Vázquez, Clotilde A1 Daimiel, Lidia A1 Ros, Emilio A1 García-Arellano, Ana A1 Martínez, María Ángeles A1 Sorlí, José V. A1 Zomeño, María Dolores A1 García-Rios, Antonio A1 González-Palacios, Sandra A1 Monserrat-Mesquida, Margalida A1 Abete, Itziar A1 Fernández, Antoni Colom A1 Casas, Rosa A1 Ibañez, Naomi Cano A1 Ugarriza, Lucía A1 Bernal-López, M. Rosa A1 Bes-Rastrollo, Maira A1 Paz-Graniel, Indira A1 Asensio, Eva M. A1 Fitó, Montse A1 Arenas Larriva, Antonio P. A1 Oncina-Cánovas, Alejandro A1 Vázquez, Zenaida A1 de la Puente, María Fernández A1 Pérez-Vega, Alejandra A1 Tur, Josep A. A1 Martín-Sánchez, Vicente A2 Medicina Preventiva K1 Medicina. Salud K1 Climate change K1 Healthy dietary pattern K1 Sustainable food K1 3210 Medicina Preventiva AB [EN]To estimate the environmental impact of a dietary intervention based on an energy-reduced Mediterranean diet (MedDiet) after one year of follow-up.MethodsBaseline and 1-year follow-up data were used for 5800 participants aged 55–75 years with metabolic syndrome in the PREDIMED-Plus study. Food intake was estimated through a validated semiquantitative food consumption frequency questionnaire, and adherence to the MedDiet was estimated through the Diet Score. Using the EAT-Lancet Commission tables we assessed the influence of dietary intake on environmental impact (through five indicators: greenhouse gas emissions (GHG), land use, energy used, acidification and potential eutrophication). Using multivariable linear regression models, the association between the intervention and changes in each of the environmental factors was assessed. Mediation analyses were carried out to estimate to what extent changes in each of 2 components of the intervention, namely adherence to the MedDiet and caloric reduction, were responsible for the observed reductions in environmental impact.ResultsWe observed a significant reduction in the intervention group compared to the control group in acidification levels (−13.3 vs. -9.9 g SO2-eq), eutrophication (−5.4 vs. -4.0 g PO4-eq) and land use (−2.7 vs. -1.8 m2).Adherence to the MedDiet partially mediated the association between intervention and reduction of acidification by 15 %, eutrophication by 10 % and land use by 10 %. Caloric reduction partially mediated the association with the same factors by 55 %, 51 % and 38 % respectively. In addition, adherence to the MedDiet fully mediated the association between intervention and reduction in GHG emissions by 56 % and energy use by 53 %. PB Elsevier SN 0048-9697 LK https://hdl.handle.net/10612/20001 UL https://hdl.handle.net/10612/20001 NO Álvarez-Álvarez, L., Rubín-García, M., Vitelli-Storelli, F., García, S., Bouzas, C., Martínez-González, M. Á., Corella, D., Salas-Salvadó, J., Malcampo, M., Martínez, J. A., Alonso-Gómez, Á. M., Wärnberg, J., Vioque, J., Romaguera, D., López-Miranda, J., Estruch, R., Tinahones, F. J., Lapetra, J., Serra-Majem, L., … Martín-Sánchez, V. (2024). Effect of a nutritional intervention based on an energy-reduced Mediterranean diet on environmental impact. Science of The Total Environment, 172610. https://doi.org/10.1016/j.scitotenv.2024.172610 DS BULERIA. Repositorio Institucional de la Universidad de León RD 23-may-2024