This observational study aims to provide a comprehensive evaluation of dietary habits, physical activity, biomarkers involved in nutrition, metabolic and inflammatory status as well as intestinal permeability in apparently healthy volunteers aged over 18 years working or studying at the University of Milan. Furthermore, the analysis of the gut microbiota composition along with the omics approaches will be crucial for a better comprehension of the relationship between diet and health status in this population. As part of the OnFoods project (Project code PE00000003, Concession Decree No. 1550 of 11 October 2022 adopted by the Italian Ministry of University and Research, CUP D93C22000890001, Project title "ON Foods - Research and innovation network on food and nutrition Sustainability, Safety and Security - Working ON Foods"), the results will be valuable for suggesting targeted dietary and behavioral guidance in the context of public health policies.
Study Type
OBSERVATIONAL
Enrollment
200
Division of Human Nutrition Department of Food, Environmental and Nutritional Sciences - DeFENS Università degli Studi di Milano
Milan, Italy
Dietary intake assessment
Two repeated 24h recalls performed at least 3 weeks apart will be used to assess energy, nutrient and non-nutrient intake.
Time frame: At baseline and in 1 month
Anthropometry
Anthropometric measures including weight (in kilograms) and height (in meters) will be measured and combined to report body mass index (BMI) in kg/m\^2.
Time frame: At baseline
Assessment of fat free mass and fat mass
Bio-Impendence Analysis (BIA) was used to assess fat free mass (FFM) in kg and fat mass (FM) in kg.
Time frame: At baseline
Bioelectrical phase angle
Bio-Impendence Analysis (BIA) was used to measure phase angle in degree.
Time frame: At baseline
MediLite to assess adherence to Mediterranean Diet
The questionnaire consists of 9 items assessing the daily consumption of fruit, vegetables, cereals, meat and meat products, dairy products, alcohol, and olive oil, and the weekly consumption of legumes and fish. Each item provides a score ranging from 0 to 2 points. The final score ranges from 0 (low adherence) to 18 (high adherence to the Mediterranean diet).
Time frame: At baseline
MEDAS to assess adherence to Mediterranean Diet
The questionnaire consists of 14 items evaluating the consumption of olive oil for cooking and dressing; daily intake of vegetables, fruits, butter and red meat; weekly intake of wine, legumes, fish, nuts, sweets, pastries or sugar-sweetened beverages; intake of white meat instead of red or processed red meat and the use of "sofrito" sauce. Each item provides a score ranging from 0 to 1 point. The final score ranges from 0 (low adherence) to 14 (high adherence to the Mediterranean diet).
Time frame: At baseline
Assessment of physical activity level
The short form of the International Physical Activity Questionnaire (IPAQ) consists of 7 items, exploring the intensity of physical activity based on metabolic equivalent of task (MET) consumption and sedentary behavior.
Time frame: At baseline
Assessment of food consumption based on NOVA classification
The NFFQ (NOVA food frequency questionnaire) consists of 94-item grouped in 9 sections headings: (1) fruit and nuts, (2) vegetables and legumes, (3) cereals and tubers, (4) meat and fish, (5) milk, dairy products, and eggs, (6) oils, fats, and seasonings, (7) sweets and sweeteners, (8) beverages and (9) other. Data are reported as g/day and total daily intake for each NOVA category.
Time frame: At baseline
Markers of nutritional status
Serum proteins involved in the assessment of nutritional status including albumin in mg/L and transferrin in mg/L as well as serum iron in mg/L will be evaluated through standardized analytical methods.
Time frame: At baseline
Fasting glucose and lipid profile
Markers involved in glucose and lipid metabolisms such as fasting glucose in mg/dl, total cholesterol in mg/dl, LDL-cholesterol in mg/dl, HDL-cholesterol in mg/dl and triglycerides in mg/dl will be evaluated in serum through standardized analytical methods.
Time frame: At baseline
Liver function
Markers involved in hepatic functions such as aspartate transaminase in U/L, alanine transaminase in U/L and gamma glutamyl transferase in U/L will be evaluated in serum through standardized analytical methods.
Time frame: At baseline
Renal function
Markers involved in renal functions including uric acid, azotemia and creatinine in mg/dl will be evaluated in serum through standardized analytical methods.
Time frame: At baseline
Vitamins A, E and carotenoids
Plasma vitamin A and vitamin E in µg/mL as well as bioactive compounds such as carotenoids in µg/mL will be evaluated through standardized analytical methods.
Time frame: At baseline
Vitamin D
Plasma vitamin D in ng/mL will be evaluated through standardized analytical methods.
Time frame: At baseline
Vitamin B12 and folate
Plasma vitamin B12 in ng/mL and folate in ng/mL will be evaluated through standardized analytical methods.
Time frame: At baseline
C-reactive protein
C-reactive protein in mg/L will be measured in serum through standardized analytical methods.
Time frame: At baseline
Markers of systemic inflammation
Markers involved in the inflammatory status such as TNF-α in pg/mL, IL-6 in pg/mL will be measured in serum through ELISA kits.
Time frame: At baseline
Markers of intestinal permeability
Intestinal permeability will be assessed by analyzing serum zonulin in ng/mL and ZO-1 in ng/mL using ELISA kits.
Time frame: At baseline
Marker of intestinal permeability
Serum calprotectin in µg/mL and fecal calprotectin in µg/g will be analyzed.
Time frame: At baseline
Microbiota composition
Microbiota composition in fecal samples will be evaluated through 16S rRNA sequencing methods.
Time frame: At baseline
Proteomic analysis
Proteomic will be performed on serum samples using Somascan.
Time frame: At baseline
Metabolomic analysis
Metabolomic will be performed on urine samples by mass spectrometry.
Time frame: At baseline
Cellular DNA damage
To assess damage at the cellular DNA level the Comet assay technique will be employed.
Time frame: At baseline
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