Currently, one of the main health challenges of public health is to improve the quality of life of people with chronic non-communicable diseases, through new strategies that promote healthy eating habits and lifestyles. Within the new strategies that aim to promote and improve the eating habits of the population, "Sukalmena-InAge" is proposed as a tool for transforming health, where culinary skills and nutritional knowledge converge as a new paradigm to promote health. The merging of culinary knowledge and nutritional education has been coined under the term Culinary Medicine. The present project is presented as an innovative strategy to improve dietary habits of overweight/obese people. To this end, volunteers will participate in an intervention that will be based on cooking workshops and nutritional education. In this sense, participants will receive different cooking and nutritional education sessions in order to be able to give them resources to cook in an easy, enjoyable and healthy way. The study will evaluate the effect that this nutritional-culinary intervention programme might exert on health and will compare these results with the effects obtained providing a more traditional nutritional education. The potential effects will be evaluated through the measurement of specific biochemical parameters related to the most prevalent chronic diseases ( insulin, glucose, total cholesterol, triglycerides, among others). In addition, the measurement of advanced glycation end products (AGEs) in tissue will be carried out. High consumption of AGEs, could induce negative effects on health and has been correlated with the type of food consumed, but also with the culinary techniques used for their preparation.
Lifestyle interventions are nowadays focused on promoting health and preventing chronic diseases. However, when it comes to changing lifestyle habits, and more specifically, dietary habits, the acquisition and maintenance of these modifications over time is often complex due to many factors that may affect. There is a consensus among health professionals that, based on the available scientific evidence, a diet based on a high consumption of fruit and vegetables is inversely associated with the risk of developing chronic non-communicable diseases and, overall, with lower mortality rates. These protective effects might be in part due to certain nutrients present in the mentioned foods, namely biologically active compounds or bioactive compounds, such as mono- and polyunsaturated fatty acids, fibre, phytochemicals, antioxidant vitamins, minerals, ω-3 fatty acids and plant proteins. These compounds exert antiinflammatory and antioxidant effects, thus, as part of a healthy dietary pattern, they may have the capacity to preserve healthy ageing, for instance, in relation to cognitive status. Nevertheless, the role of culinary methods from a healthy dietary perspective should not be forgotten. During culinary processes the nutrient content can be modified, contributing not only to the loss or enhancement of beneficial nutrients such as biologically active components (CBAs), but also to the formation of compounds that might be harmful or toxic for the human organism, for example, Advanced Glycation End Products (AGEs). Taking this into consideration, this study seeks to develop a pilot study to analyse the feasibility and preliminary efficacy of a nutritional-culinary programme aiming to promote long-term healthy ageing in overweight or obese adults. Volunteers participating in the intervention will receive nutritional recommendations based on a healthy dietary pattern such as Mediterranean Diet, together with a culinary training, seeking to empower them in cooking techniques and culinary capacities. In conclusion, this study aims to evaluate the effectiveness of a nutritional-culinary intervention to produce beneficial effects on health parameters of overweight/obese patients and to compare the results obtained with the health effects obtained through a nutritional intervention without a culinary training.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
56
The patients in the nutritional intervention group will receive dietary advice on how to follow a Mediterranean diet. The dietary recommendations will be given at the beginning of the study by nutritionists using comprehensive written material.
The culinary intervention will be developed integrating eight culinary and nutritional workshops that will be given every week, twice per week, during one-month intervention. The duration of each culinary and nutritional workshop will be 1 hour, thus, the program will provide a total of hours of nutritional education and a total of 8 hours of nutritional and cooking training. The courses will take place in a well-equipped kitchen from the Basque Culinary Center and participants will be connected online in order to be able to cook and practice at the same time. All cooking classes will begin with a theoretical introductory part that aim to explain the main take-home messages from the workshop. Subsequently, every class will be characterized by a hands-on part that will include the demonstration and practical preparation of different elaborations based on the use specific cooking techniques and healthy ingredients.
Basque Culinary Center Fundazioa
Donostia / San Sebastian, Gipuzkoa, Spain
Change in adherence to the Mediterranean Diet measured by Mediterranean Diet Adherence Screener (MEDAS)
At baseline, data about adherence to the Mediterranean Diet will be collected by a 14-point Mediterranean Diet Adherence Screener (MEDAS). 4 weeks post-baseline and 6 months post-baseline data from this questionnaire will be also collected. The MEDAS score can range from 0 to 14 and higher scores mean better outcome. \- Unabbreviated scale title: Mediterranean Diet Adherence Screener
Time frame: At baseline, after 4 weeks the beginning of intervention and after 6 months the beginning of intervention
Change in the Frequency of Cooking Habits Questionnaire
At baseline, data about the Frequency of Cooking Habits will be collected by a 24-point questionnaire. 4 weeks post-baseline and 6 months post-baseline, data from this questionnaire will be also collected.
Time frame: At baseline, after 4 weeks the beginning of intervention and after 6 months the beginning of intervention
Change in the Confidence towards cooking Questionnaire
At baseline, data about the Confidence towards cooking will be collected by a 18-point questionnaire. 4 weeks post-baseline and 6 months post-baseline data from this questionnaire will be also collected. The Confidence towards cooking questionnaire can range from 18 to 90 and higher scores mean better confidence.
Time frame: At baseline, after 4 weeks the beginning of intervention and after 6 months the beginning of intervention
Change in the Attitude towards cooking Questionnaire
At baseline, data about the attitute towards cooking will be collected by a 18-point questionnaire. 4 weeks post-baseline and 6 months post-baseline data from this questionnaire will be also collected. The Attitude towards cooking questionnaire can range from 18 to 90 and higher scores mean better confidence
Time frame: At baseline, after 4 weeks the beginning of intervention and after 6 months the beginning of intervention
Change in biochemical parameters (Fasting glucose)
At baseline blood samples will be collected to measure fasting glucose levels. The second measurement of this parameter will be conducted 4 weeks post-baseline.
Time frame: At baseline and after 4 weeks the beginning of intervention
Change in biochemical parameters (Fasting insulin)
At baseline blood samples will be collected to measure fasting insulin level. The second measurement of this parameter will be conducted 4 weeks post-baseline.
Time frame: At baseline and after 4 weeks the beginning of intervention
Change in biochemical parameters (Fasting total cholesterol)
At baseline blood samples will be collected to measure fasting total cholesterol levels. The second measurement of this parameter will be conducted 4 weeks post-baseline.
Time frame: At baseline and after 4 weeks the beginning of intervention
Change in biochemical parameters (Fasting HDL cholesterol)
At baseline blood samples will be collected to measure fasting HDL cholesterol levels. The second measurement of this parameter will be conducted 4 weeks post-baseline.
Time frame: At baseline and after 4 weeks the beginning of intervention
Change in biochemical parameters (Fasting LDL cholesterol)
At baseline blood samples will be collected to measure fasting LDL cholesterol levels. The second measurement of this parameter will be conducted 4 weeks post-baseline.
Time frame: At baseline and after 4 weeks the beginning of intervention
Change in biochemical parameters (C reactive protein levels)
At baseline blood samples will be collected to measure fasting C reactive protein levels. The second measurement of this parameter will be conducted 4 weeks post-baseline.
Time frame: At baseline and after 4 weeks the beginning of intervention
Change in biochemical parameters (TNFalpha)
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At baseline blood samples will be collected to measure TNFalpha levels. The second measurement of this parameter will be conducted 4 weeks post-baseline.
Time frame: At baseline and after 4 weeks the beginning of intervention
Change in advanced glycation end products (AGEs) level
At baseline blood samples will be collected for determination of advanced glycation end products levels. 4 weeks post-baseline this determination will be repeated.
Time frame: At baseline and after 4 weeks the beginning of intervention
Changes in body mass index (BMI)
BMI will be calculated as body weight (kg) divided by height (m) squared at baseline and 4 weeks post-baseline
Time frame: At baseline and after 4 weeks the beginning of intervention
Change in fat mass
At baseline and 4 weeks post-baseline, fat mass will be analyzed by bioimpedance.
Time frame: At baseline and after 4 weeks the beginning of intervention
Change in fat free mass
At baseline and 4 weeks post-baseline, fat free mass will be analyzed by bioimpedance.
Time frame: At baseline and after 4 weeks the beginning of intervention
Changes in hip circumference
At baseline, hip circumference will be measured with a measuring. 4 weeks post-baseline, the determination of this measurement will be repeated
Time frame: At baseline and after 4 weeks the beginning of intervention
Changes in waist circumference
At baseline, waist circumference will be measured with a measuring. 4 weeks post-baseline, the determination of this measurement will be repeated
Time frame: At baseline and after 4 weeks the beginning of intervention
Change in blood pressure
At baseline, blood pressure will be measured with a measuring. 4 weeks post-baseline, the determination of this measurement will be repeated
Time frame: At baseline and after 4 weeks the beginning of intervention
Change in advanced glycation end products (AGEs) in tissue
At baseline, blood pressure will be measured with a measuring. 4 weeks post-baseline, the determination of this measurement will be repeated.
Time frame: At baseline and after 4 weeks the beginning of intervention
Change in dietary intake measured by validated Food Frequency Questionnaire (FFQ)
At baseline data about dietary intake will be collected by using a Food Frequency Questionnaire (FFQ) and 4 weeks post-baseline, these data will be collected again. 6 months post-baseline, these data will be also collected. The FFQ is a 136-item questionnaire
Time frame: At baseline, after 4 weeks the beginning of intervention and after 6 months the beginning of intervention