Metabolic and psychological effects of increased consumption of less-processed foods in daily diets

• Published in: European journal of public health Vol. 30; no. Supplement_5
• Main Authors: Nano, E, Isoardo, G, Migliaretti, G, Ciullo, S
• Format: Journal Article
• Language: English
• Published: Oxford Oxford Publishing Limited (England) 01.09.2020
• Subjects: Additives; Adipose tissue; Anxiety; Biscuits; Blood pressure; Body mass; Body mass index; Body size; Chocolate; Creatinine; Disease; Evaluation; Fasting; Food; Food additives; Food consumption; Food processing; Glomerular filtration rate; Glucose; Health risks; Hypertension; Indexes; Insulin; Intelligence; Inventory; Pasta; Peptides; Potassium; Processed foods; Psychological aspects; Psychological assessment; Psychological effects; Psychological factors; Psychological tests; Public health; Risk analysis; Risk factors; Sausages; Supermarkets; Volunteers
• ISSN: 1101-1262; 1464-360X
• DOI: 10.1093/eurpub/ckaa166.226

Abstract Aim This study evaluated whether the consumption of locally produced food without additives might have a positive effect on known risk factors for non-communicable diseases (NCDs) such as hypertension, and levels of fasting glucose and visceral adipose tissue (VAT). Attention was focused on various types of cheese, sausages, fresh pasta, pastries, biscuits and chocolate without additives to make them palatable and durable for transport. Methods Healthy volunteers were randomized to purchase the foods under study from either local producers not using additives (group 1) or supermarkets (group 2). At baseline and after 6 months, both groups underwent evaluation for weight, blood pressure, VAT, serum sodium, potassium, fasting glucose, insulin, C-peptide and creatinine levels, and also the State-Trait Anxiety Inventory (STAI) and Beck Depression Inventory (BDI-II) by examiners blinded to group allocation. At baseline, the state part of the STAI and Wechsler Adult Intelligence Scale IV were also performed, and body mass index, HOMA index and estimated glomerular filtration rate calculated. Results Data for 159 subjects (89 in group 1, 70 in group 2) were analyzed. Baseline evaluations did not differ between groups. At 6 months, HOMA scores and fasting glucose levels were lower in group 1 than in group 2 (P < 0.01). Also, in group 1, VAT (P = 0.006), systolic blood pressure (P = 0.001) and BDIII score (P = 0.0005) were decreased, whereas serum fasting glucose (P = 0.04) and C-peptide (P = 0.03) levels, and diastolic blood pressure (P = 0.02), were increased in group 2. Conclusions Consumption of the locally produced food under study improved some of the major risk factors for NCDs after 6 months. Key messages We evaluate whether the consumption of locally produced food without additives might have a positive effect on known risk factors for non-communicable diseases (NCDs) and psychological factors. Consumption of the locally produced food under study improved some of the major risk factors for NCDs and psychological test scores after 6 months.