Targeting nutrition literacy for better health outcomes
Seeing colleagues and friends in Personalised nutrition over the last week has been amazing. It is clear that the spark for the industry has not faded one bit and conversations and ideas were picked up right where they were left off. I am looking forward to next year's events already!
In this week's newsletter: Latest research; new app combines CO2 with health score, Amazon enters PN market with Halo, New law prohibits non- nutrition experts from using the titles, Recording Tufts Friedman school event and lots more!
Qina was quoted in the latest articles by Nutraingredients and Nutrition insight on the latest position paper we contributed to. If you have not read it yet, the "Personalised Nutrition Position Paper" was published by Foodvalley NL, in collaboration with 53 stakeholders. It aims "to create a business definition and give insights into profitable business models", on Personalised Nutrition. From data and IT infrastructure to science and legal framework, the paper covers all grounds as well as the challenges related to health and sustainability. The authors have argued that the success of the companies will depend on the choice of the business models employed to entice and keep consumers.
How cost-effective is nutrition care delivered in primary healthcare settings? A systematic review of trial-based economic evaluations
This review analyzed 9 health studies to determine the cost of providing nutrition care to patients with chronic diseases. The results concluded "personalized support to eat a healthy diet provided in community-based health services was much more effective at improving a person's health than usual care and only slightly more costly", said lead researcher Dr. Katelyn Barnes.
Personalized Postprandial Glucose Response–Targeting Diet Versus Mediterranean Diet for Glycemic Control in Prediabetes
This study included 225 pre-diabetic adults, aimed to "compare the clinical effects of a personalized postprandial-targeting (PPT) diet versus a Mediterranean (MED) diet on glycemic control and metabolic health in prediabetes" during 12 months. During the intervention, all participants were connected to continuous glucose monitoring (CGM) and self-reported dietary intake using a smartphone application. The results show " (...) PPT diet improved glycemic control significantly more than a MED diet as measured by daily time of glucose levels >140 mg/dL (7.8 mmol/L) and HbA1c".
Nutrition Literacy Tailored Interventions May Improve Diet Behaviors in Outpatient Nutrition Clinics
This study examined the effects of nutrition interventions on patients’ nutrition literacy and the changes in diet-related behaviors. The patients were divided into 2 groups (intervention and control groups), and data was assessed before the intervention and again one month later. The results demonstrated "[the intervention group] improved 10 of 25 measured diet behaviors; and [control group] improved 6 behaviors. Similarly, [the intervention group] reported increased green vegetable consumption from baseline to follow-up".
Serum phosphate, BMI and Body Composition of Middle-aged and Older Adults: A Cross-sectional Association Analysis and Bi-directional Mendelian Randomization Study
This study aimed to investigate the association between serum phosphate and BMI and body composition. The results suggest: "Serum phosphate was inversely associated with BMI and fat % in a population-based study of middle-aged and older adults, with a stronger effect in females than in males. Adjusting for leptin attenuated this relation in females only. Mendelian Randomization results suggest a causal effect of BMI on phosphate but not vice versa. An underlying sex dimorphism in phosphate homeostasis should be further explored."
This study of 356,432 individuals, aimed to prove that better protein nutritional status (measured by genetically predicted serum albumin and serum total protein) may contribute to the prevention of frailty. The results show: "A genetically predicted serum albumin level was not statistically significantly associated with FI (frailty index) in the full sample. However, in women, we observed a preventive association between genetically predicted serum albumin and FI. In the full sample, genetically predicted serum total protein was inversely associated with FI. In both women and men, higher serum total protein was significantly inversely associated with FI"."
"This study aimed to assess if diet quality and intakes of specific food groups mediate the association between a polygenic risk score (PRS) for body mass index (BMI) and BMI and waist circumference (WC)", using 750 participants from the Quebec Family Study. The results show "the association between PRS and BMI was partly mediated by poor diet quality, high intakes of fat and high-fat foods and sugar-sweetened beverages, and low intakes of vegetables, fruits, and dairy products. The same trends were observed for WC".
Setai is an app that provides consumers with the nutritional profile of products and calculates their CO2 emissions. To determine the carbon emissions, Setai has created a database of carbon emission categories, which uses data from around 2,000 academic papers. Setai uses Nutriscore in conjunction with the Nova System. Created by Italian firms, the app is only available in the UK and keeps track of consumers' weekly, monthly, and yearly scores to monitor their progress.
GlucoModicum is the company that has created "Talisman" a needle-free magnetohydrodynamic (MHD) technology for glucose monitoring. The Talisman measures glucose molecules diffused through the skin rather than using needles. As a result, it samples the interstitial fluid, the body fluid between blood vessels and cells, without the pain and inconvenience of needles. Now, GlucoModicum has teamed up with Phillips-Medisize, to rapidly create the final blueprint for high-volume manufacturing of the Talisman!
Amazon is launching two new services: Halo Fitness and Halo Nutrition. "Halo Nutrition will offer recipe discovery and meal planning, with options to create tailor-made menus based on dietary preferences and requirements, or pre-curated menus for specific diets including classic, keto, Mediterranean, Nordic, paleo, vegan and vegetarian. At launch, Amazon says it will have a library of over 500 recipes from partners including Whole Foods and WW, with integration with Alexa Shopping list for finding ingredients."
A team at Texas A&M University in Qatar has developed an AI-based model that detects hypoglycaemic states. Based on the premise that physical tremors could be a sign of hypoglycemia, the team collected data on tremors from patients wearing smartwatches and matched this against data collected from CGM devices. Using this data, the team created TREMOR and hopes to see it available via app stores in the coming months.
Food & Consumer Trends
According to David Katz, CEO of DietID, President of True Health Initiative, and health journalist, there are six pillars of healthy aging: diet, tobacco, physical activity, stress, sleep, and love. The first one is major: “Diet and lifestyle have the potential to eliminate up to 80% of premature death. A 2019 paper found that dietary factors were the leading cause of premature death in 195 countries all around the world. In the U.S. alone, bad diets—and we’re profiting from bad diets, we’re manufacturing it, for money—it kills more than 500,000 yearly. When COVID did that, we had a moment of reflection, and rightly so—but diet does this every year, and there’s no consequences, no moment of silence.”
A person who is not registered as a dietitian or nutritionist cannot use the following expressions:
nutritionist, nutrition specialist, nutrition therapist, nutrition adviser, nutrition educator, nutrition consultant, nutrition technician, diet technician, dietitian, diet consultant, diet educator, diet therapist, diet adviser, diet counsellor, diet specialist, diet planner.
According to R&D director Dr. Lucien Harthoorn of Clasado Biosciences, the next big trend in the sports nutrition supplements market is gut health products addressed to sport. According to him, "the two categories have not yet fully connected from a product perspective". “Gut health products don’t tend to focus on advantages in terms of exercise or sport, and likewise athletic health products don’t tend to take a gut-focused approach in terms of formulation or marketing. However, the potential for product developers in combining the two is clear and could present the next big step-change in how sports health products are formulated", he argues.
Resources: Tufts Friedman School Food & Nutrition innovation
"How do we create the change we need in our food system, in an increasingly fast-moving economy, with pandemics and climate change looming large?". Leaders from across the food system tried to answer this question at the Friedman School of Nutrition Science and Policy’s fourth annual Nutrition Innovation Summit. The event included panels on misinformation and nutrition science; building a platform for innovation; innovating with a focus on the consumer; food systems innovation. A recording of the entire summit is available on the Food & Nutrition Innovation Summit 2021 website.
Are Climatarian diets the next big trend?
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