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21 pages, 1361 KiB  
Conference Report
Identifying Future Study Designs and Indicators for Somatic Health Associated with Diets of Cohorts Living in Eco-Regions: Findings from the INSUM Expert Workshop
by Dominika Średnicka-Tober, Rita Góralska-Walczak, Klaudia Kopczyńska, Renata Kazimierczak, Michał Oczkowski, Carola Strassner, Friederike Elsner, Lea Ellen Matthiessen, Thea Steenbuch Krabbe Bruun, Beatriz Philippi Rosane, Cesare Zanasi, Marja Van Vliet, Lars Ove Dragsted, Sarah Husain, Camilla Trab Damsgaard, Denis Lairon, Emmanuelle Kesse-Guyot, Julia Baudry, Catherine Leclercq, Lilliana Stefanovic, Ailsa Welch and Susanne Gjedsted Bügeladd Show full author list remove Hide full author list
Nutrients 2024, 16(15), 2528; https://doi.org/10.3390/nu16152528 - 2 Aug 2024
Viewed by 958
Abstract
Diets, but also overall food environments, comprise a variety of significant factors with direct and indirect impacts on human health. Eco-Regions are geographical areas with a territorial approach to rural development, utilizing organic food and farming practices, and principles and promoting sustainable communities [...] Read more.
Diets, but also overall food environments, comprise a variety of significant factors with direct and indirect impacts on human health. Eco-Regions are geographical areas with a territorial approach to rural development, utilizing organic food and farming practices, and principles and promoting sustainable communities and food systems. However, so far, little attention has been given to quantifying aspects of the health of citizens living in these sustainable transition territories. The project “Indicators for Assessment of Health Effects of Consumption of Sustainable, Organic School Meals in Eco-Regions” (INSUM) aims to identify and discuss research approaches and indicators that could be applied to effectively measure the somatic, mental, and social health dimensions of citizens in Eco-Regions, linked to the intake of organic foods in their diets. In this paper, we focus on the somatic (physical) health dimension. A two-day workshop was held to discuss suitable methodology with an interdisciplinary, international group of experts. The results showed the limitations of commonly used tools for measuring dietary intake (e.g., relying on the memory of participants), and nutritional biomarkers (e.g., variations in correlations with specific intakes) for research understanding dietary intake and the health effects of diets. To investigate the complexity of this issue, the most suitable approach seems to be the combination of traditional markers of physical and mental health alongside emerging indicators such as the microbiome, nutrigenomics, metabolomics, or inflammatory biomarkers. Using new, digital, non-invasive, and wearable technologies to monitor indicators could complement future research. We conclude that future studies should adopt systemic, multidisciplinary approaches by combining not only indicators of somatic and mental health and social wellbeing (MHSW) but also considering the potential benefits of organic diets for health as well as aspects of sustainability connected to food environments. Full article
(This article belongs to the Section Nutrition and Public Health)
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Graphical abstract

Graphical abstract
Full article ">Figure 1
<p>The understanding of health within the project “Indicators for Assessment of Health Effects of Consumption of Sustainable, Organic School Meals in Eco-Regions” (INSUM). Scheme developed based on the 1st INSUM workshop, May 2022. Source: Elsner et al. [<a href="#B9-nutrients-16-02528" class="html-bibr">9</a>]; Antonovsky, 1987 [<a href="#B18-nutrients-16-02528" class="html-bibr">18</a>]; Huber et al., 2011 [<a href="#B12-nutrients-16-02528" class="html-bibr">12</a>]; Huber et al., 2016 [<a href="#B13-nutrients-16-02528" class="html-bibr">13</a>]; Dahlgren and Whitehead, 1991 [<a href="#B14-nutrients-16-02528" class="html-bibr">14</a>].</p>
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<p>Results of the discussed indicators and tools to assess health. The inner square boundary shows indicators for the three dimensions: Mental Health and Social Wellbeing (orange), Sustainable and Healthy Diets (green), and Somatic Health (blue). The mixed-color boxes symbolize indicators that can be related to more than one category. The outer part displays tools for the assessment of those indicators. Not all indicators were discussed in relation to specific tools. This figure raises no claim for completeness. It serves rather as an overview of the discussed indicators and tools and reflects the main results of the first and second INSUM workshops [<a href="#B9-nutrients-16-02528" class="html-bibr">9</a>].</p>
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20 pages, 1196 KiB  
Conference Report
Identifying Future Study Designs for Mental Health and Social Wellbeing Associated with Diets of a Cohort Living in Eco-Regions: Findings from the INSUM Expert Workshop
by Friederike Elsner, Lea Ellen Matthiessen, Dominika Średnicka-Tober, Wolfgang Marx, Adrienne O’Neil, Ailsa A. Welch, Richard Peter Hayhoe, Suzanne Higgs, Marja van Vliet, Ephimia Morphew-Lu, Renata Kazimierczak, Rita Góralska-Walczak, Klaudia Kopczyńska, Thea Steenbuch Krabbe Bruun, Beatriz Philippi Rosane, Susanne Gjedsted Bügel and Carola Strassner
Int. J. Environ. Res. Public Health 2023, 20(1), 669; https://doi.org/10.3390/ijerph20010669 - 30 Dec 2022
Cited by 2 | Viewed by 3246
Abstract
Diets influence our mental health and social wellbeing (MHSW) in multiple ways. A rising community concept, Eco-Regions, has gained interest. The research project “Indicators for assessment of health effects of consumption of sustainable, organic school meals in Ecoregions” (INSUM) aims to develop future-oriented [...] Read more.
Diets influence our mental health and social wellbeing (MHSW) in multiple ways. A rising community concept, Eco-Regions, has gained interest. The research project “Indicators for assessment of health effects of consumption of sustainable, organic school meals in Ecoregions” (INSUM) aims to develop future-oriented research approaches to measure the potential health effects of more sustainable and healthy diets. This first part of the project focuses on MHSW with the goal to identify suitable study designs and indicators. The methodology is based on a 2-day workshop with an interdisciplinary group of experts. This paper describes commonly applied research methods on the nexus between diet and MHSW as presented by the experts and summarises key points from the discussions. The results show that the dominating tool to investigate MSHW is questionnaires. Questionnaires vary largely depending on the research design, such as participants or distribution channels. Cohort studies addressing families and including in-depth interventional and/or experimental studies may be suitable for an Eco-Region investigation. Those MHSW studies can be conducted and combined with measurements of somatic health effects. We conclude that indicators should be seen as complementary rather than independent. Explorative research designs are required to investigate complex Eco-Regions. Full article
(This article belongs to the Special Issue Mental Health Interventions in School Environments)
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Figure 1

Figure 1
<p>Current understanding of health within INSUM (in green) with the main influencing alternative health approaches [<xref ref-type="bibr" rid="B17-ijerph-20-00669">17</xref>,<xref ref-type="bibr" rid="B25-ijerph-20-00669">25</xref>,<xref ref-type="bibr" rid="B26-ijerph-20-00669">26</xref>]. The understanding of health within the project “Indicators for assessment of health effects of consumption of sustainable, organic school meals in Ecoregions” (INSUM) is built upon Aaron Antonovsky’s “Sense of Coherence” [<xref ref-type="bibr" rid="B26-ijerph-20-00669">26</xref>] (SOC), the “Determinants of Health” [<xref ref-type="bibr" rid="B25-ijerph-20-00669">25</xref>] and the “Concept of Positive Health” [<xref ref-type="bibr" rid="B19-ijerph-20-00669">19</xref>,<xref ref-type="bibr" rid="B20-ijerph-20-00669">20</xref>]. This current health approach may be further developed within INSUM’s progress (INSUM workshop 1 May 2022). Source: Authors’ own illustration.</p>
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<p>Results of discussed indicators and tools to assess mental health and social wellbeing on diet (INSUM workshop 1, 2022). The inner square boundary shows indicators for the three categories: Mental Health and Social Wellbeing (red), Sustainable and Healthy Diets (green), Somatic Health (blue). The mixed-colour boxes symbolise indicators that can be related to more than one category. The outer part displays tools for the assessment of those indicators. Not all indicators were discussed in relation to specific tools. This figure raises no claim for completeness. It serves rather as on overview of discussed indicators and tools. This figure reflects the main results of the first INSUM workshop and can be understood as a continuous developing toolbox (e.g., INSUM workshop 2 on somatic health works on the somatic health area (i.e. “?”)). The results of the discussion showed that a “battery of tools” (i.e., combination of different tools from distinct domains) is needed to assess the complex system of human health.</p>
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