Sustainable-psycho-nutritional intervention programme for a sustainable diet (the 'NutriSOS' study) and its effects on eating behaviour, diet quality, nutritional status, physical activity, metabolic biomarkers, gut microbiota and water and carbon footprints in Mexican population: study protocol of an mHealth randomised controlled trial.

Mexico is going through an environmental and nutritional crisis related to unsustainable dietary behaviours. Sustainable diets could solve both problems together. This study protocol aims to develop a three-stage, 15-week mHealth randomised controlled trial of a sustainable-psycho-nutritional intervention programme to promote Mexican population adherence to a sustainable diet and to evaluate its effects on health and environmental outcomes. In stage 1, the programme will be designed using the sustainable diets, behaviour change wheel and capability, opportunity, motivation, and behaviour (COM-B) models. A sustainable food guide, recipes, meal plans and a mobile application will be developed. In stage 2, the intervention will be implemented for 7 weeks, and a 7-week follow-up period in a young Mexican adults (18-35 years) sample, randomly divided (1:1 ratio) into a control group (n 50) and an experimental group (n 50), will be divided into two arms at week 8. Outcomes will include health, nutrition, environment, behaviour and nutritional-sustainable knowledge. Additionally, socio-economics and culture will be considered. Thirteen behavioural objectives will be included using successive approaches in online workshops twice a week. The population will be monitored using the mobile application consisting of behavioural change techniques. In stage 3, the effects of the intervention will be assessed using mixed-effects models on dietary intake and quality, nutritional status, physical activity, metabolic biomarkers (serum glucose and lipid profile), gut microbiota composition and dietary water and carbon footprints of the evaluated population. Improvements in health outcomes and a decrease in dietary water and carbon footprints are expected.

Lifelong amateur endurance practice attenuates oxidative stress and prevents muscle wasting in senior adults.

BACKGROUND: The aim of the study was to investigate oxidative stress, muscle damage, enzymatic antioxidant defense and body composition in senior adults who have performed different lifelong physical activity practices. METHODS: Twenty-three healthy senior men (60±1.88 years old) were divided into three groups according to their lifelong physical activity practice as follows: A) sedentary (N.=7); B) recreational (N.=9); and C) amateur (N.=7). Blood sampling was performed at rest to analyze plasma malondialdehyde (MDA) by TBARs-assay, nuclear DNA-damage in peripheral lymphocytes using Comet-Assay, the plasma enzymatic activity of glutathione peroxidase by spectrophotometry and serum alpha-actin release as skeletal muscle damage marker through western blot. Body composition was evaluated using anthropometric assessments by the ISAK protocol through skinfold thickness. RESULTS: The lowest value of MDA was shown in the amateur group. Nuclear DNA-damage was significantly lower in the recreational group than in sedentary and amateur groups (MD=5.53±1.70; P=0.013. MD=5.61±1.62; P=0.008), respectively. The amateur group showed trends toward higher glutathione peroxidase enzymatic activity than recreational and sedentary groups. Alpha-actin levels were significantly higher in the amateur compared with recreational (MD=4.34±0.46; P<0.001) and sedentary groups (MD=4.89±0.46; P<0.001). The sedentary group showed significantly lower muscle mass (MD=3.67±1.10; P=0.011) and higher fat mass (MD=4.19±0.98; P=0.001) than amateur group. CONCLUSIONS: The results described above suggest that the lifelong amateur endurance practice seems to improve oxidative stress response and strengthens hypertrophy mechanisms that might preserve muscle mass in senior adults.