TY - CHAP A1 - Kettler, Carmen A1 - Kranz, Ragna-Marie A1 - Anand, Corinna A1 - Husain, Sarah A1 - Köder, Christian A1 - Michaelsen, Maren M. A1 - Esch, Tobias A1 - Englert, Heike T1 - Effekt eines community-basierten Lebensstil-Interventionsprogramms auf die Selbstwirksamkeitserwartung von Bürger*innen in Bezug auf eine gesunde Ernährung T2 - Proceedings of the German Nutrition Society Y1 - 2024 SP - 93 EP - 93 PB - Deutsche Gesellschaft für Ernährung e.V. (DGE) CY - Bonn ER - TY - JOUR A1 - Fischer, Tobias T1 - Alternative Ernährungsformen, Teil 1: Definitionen, Grundlagen und Bedeutung JF - Ernährungs Umschau Y1 - 2024 UR - https://www.ernaehrungs-umschau.de/print-artikel/15-04-2024-alternative-ernaehrungsformen/ VL - 71 IS - 4 SP - M207 EP - M217 ER - TY - JOUR A1 - Böse, Vanessa A1 - Frenser, Marius A1 - Schumacher, Melanie A1 - Fischer, Tobias T1 - Evaluation of the Scientific Quality and Usability of Digital Dietary Assessment Tools JF - Dietetics Y1 - 2024 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-179602 VL - 3 IS - 2 SP - 159 EP - 169 ER - TY - JOUR A1 - Meer, Nike A1 - Fischer, Tobias T1 - Medium-Chain Triglycerides (MCTs) for the Symptomatic Treatment of Dementia-Related Diseases: A Systematic Review JF - Journal of Nutrition and Metabolism Y1 - 2024 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-179038 VL - 2024 SP - 1 EP - 17 ER - TY - JOUR A1 - Neffe, C. A1 - Wilderom, C.P.M. A1 - Lattuch, F. T1 - Family firm performance through transformational CEO leadership and familiness-related team forces JF - Leadership & Organization Development Journal N2 - Purpose. The purpose of this study is to test the role of familiness-related team forces induced by the CEO of family firms. In particular, we report on the effects of the transformational leadership style of CEOs on their respective top-management team (TMT) and firm performance when viewed through a familiness lens. Design/methodology/approach. Survey measures were taken from a snowballed sample of 72 CEOs of German family firms as well as from 245 members of their TMTs. We tested the aggregated firm-level data with objective performance indicators of the firms they led. Findings. Support was obtained for the three hypothesized team-force mediations and the four-path mediation model. The relationship between CEO’s transformational style and high family-firm performance is found to be serially mediated by TMT cohesion, behavioral integration and efficacy. Together, these three types of collective forces are assumed to be the familiness effect of a family-member CEO with a transformational leadership style. Originality. With our model we quantitatively tested familiness-type forces vis-à-vis firm performance. Theoretical and practical implications of these findings are discussed. KW - Executive Leadership, employee behaviors, Team-oriented leadership Y1 - 2024 SN - 0143-7739 VL - 45 IS - im Erscheinen SP - . EP - .. ER - TY - JOUR A1 - Anand, Corinna A1 - Hengst, Karin A1 - Gellner, Reinhold A1 - Englert, Heike T1 - Effects of the healthy lifestyle community program (cohort 1) on stress-eating and weight change after 8 weeks: a controlled study JF - Scientific Reports N2 - Stress-eating (eating more or more unhealthily in order to accommodate to stress), contributes to the development and maintenance of obesity. The effect of comprehensive weight loss interventions on changes in stress-eating as well as the contributing role of stress-eating on weight reduction has not been examined. The impact of the 8-week intensive phase of the Healthy Lifestyle Community Programme (HLCP, cohort 1) on emotional, external and restrained eating, as expressions of stress-eating was evaluated in a non-randomized controlled trial. Intervention: 14 seminars (twice per week, including practical units), complemented by stress-regulation and cooking workshops and coaching sessions empowering participants to change their behaviour towards a healthy plant-based diet (ad libitum), stress regulation, regular exercise and to focus on social support. Participants were recruited from the general population. In the intervention group, 91 participants (IG; age: 56 ± 10, 77% female) and in the control group, 52 (CG; age: 62 ± 14, 57% female) were enrolled. At baseline, participants of the IG reported higher levels of stress (9.7 ± 5.4 points [P] vs. 7.6 ± 6.2; p < 0.011), and of emotional eating (27.9 ± 9.4 vs. 20.0 ± 7.1; p < 0.001) and external eating (29.1 ± 4.9 vs. 25.5 ± 5.6; p < 0.001) than participants of the CG. Within 8 weeks, in the IG, scores of emotional eating (− 3.5 ± 5.4 P) and external eating significantly decreased (= − 2.0 ± 3.8 P), while restrained eating increased (2.7 ± 5.0 P; p for all < 0.001). Weight change was negatively correlated with change of external eating (R2 = 0.045; CC = − 0.285; p = 0.014), indicating that a greater weight change was associated with a smaller change of external eating. This is the first study to prospectively investigate the role of stress-eating on the weight reduction effect of comprehensive lifestyle interventions. Our data confirm that overweight is associated with EE and external eating and suggest that the HLCP is capable to reduce both, weight and stress-eating. KW - stress-eating, weight, lifestyle Y1 - 2023 U6 - http://dx.doi.org/10.1038/s41598-022-27063-4 VL - 13 SP - 1 EP - 12 ER - TY - JOUR A1 - Husain, Sarah A1 - Hillmann, Katharina A1 - Hengst, Karin A1 - Englert, Heike T1 - Effects of a lifestyle intervention on the biomarkers of oxidative stress in non-communicable diseases: A systematic review JF - Frontiers in Aging N2 - Oxidative stress plays a critical role in the pathogenesis of chronic diseases. Therefore, improvement of oxidative stress status through lifestyle intervention can play a vital role in preventing and treating chronic diseases. This systematic review aims to provide an overview of articles published in the last decade examining the association between lifestyle intervention and oxidative stress biomarkers in the context of non-communicable diseases. The electronic databases PubMed and Web of Science were searched for relevant studies, following the PRISMA (Preferred Reporting of Systematic Reviews and Meta-Analyses) guidelines. This systematic review focused on the four important oxidative stress biomarkers; glutathione (GSH), superoxide dismutase (SOD), catalase, and malondialdehyde. 671 articles were identified, of which nine met the inclusion criteria. A trend emerged, showing that lifestyle modifications that focus on diet and physical health can improve oxidative stress in the form of an increase in superoxide dismutase and CAT levels and a decrease in Malondialdehyde levels in participants with non-communicable diseases (NCDs), GSH levels were not affected. However, the results are difficult to compare because of the heterogeneity of the methods of the biomarkers studied. Our review indicates that oxidative stress can be influenced by lifestyle modifications and may be an effective tool for the prevention and management of non-communicable diseases. This review also elucidated the importance of analyzing multiple oxidative stress biomarkers to evaluate oxidative stress, it further highlights the need to conduct long-term lifestyle intervention studies on oxidative stress biomarkers to understand the connection between oxidative stress biomarkers, NCDs and Lifestyle intervention. KW - oxidative stress, lifestyle intervention, lifestyle diseases, antioxidants, non-communicable diseases, prevention, ageing, immunity Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-160827 PB - Frontiers Journal CY - Germany ER - TY - JOUR A1 - Kranz, Ragna-Marie A1 - Kettler, Carmen A1 - Anand, Corinna A1 - Koeder, Christian A1 - Husain, Sarah A1 - Schoch, Nora A1 - Buyken, Anette A1 - Englert, Heike T1 - Effect of a controlled lifestyle intervention on medication use and costs: The Healthy Lifestyle Community Program (cohort 2) JF - Nutrition and Health N2 - Background: Establishing a healthy lifestyle has a great potential to reduce the prevalence of non-communicable diseases (NCDs) and their risk factors. NCDs contribute immensely to the economic costs of the health care system arising from therapy, medication use, and productivity loss. Aim: The aim of this study was to evaluate the effect of the Healthy Lifestyle Community Program (cohort 2; HLCP-2) on medication use and consequently on medication costs for selected NCDs (diabetes, hypertension, and dyslipidemia). Methods: Data stem from a 24-month non-randomised, controlled intervention trial aiming to improve risk factors for NCDs. Participants completed questionnaires at six measurement time points assessing medication use, from which costs were calculated. The following medication groups were included in the analysis as NCD medication: glucose-lowering medications (GLM), antihypertensive drugs (AHD) and lipid-lowering drugs (LLD). Statistical tests for inter- and intra-group comparison and multiple regression analysis were performed. Results: In total, 118 participants (intervention group [IG]: n = 79; control group [CG]: n = 39) were considered. Compared to baseline medication use decreased slightly in the IG and increased in the CG. Costs for NCD medication were significantly lower in the IG than in the CG after 6 (p = 0.004), 12 (p = 0.040), 18 (p = 0.003) and 24 months (p = 0.008). After multiple regression analysis and adjusting for confounders, change of costs differed significantly between the groups in all final models. Conclusion: The HLCP-2 was able to moderately prevent an increase of medication use and thus reduce costs for medication to treat NCDs with the greatest impact on AHD. Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-162176 SN - 2047-945X PB - Sage Publications ER - TY - JOUR A1 - Bernhold, Torben T1 - Warum wir zufriedene (interne) Kunden haben müssen JF - Der Facility Manager KW - Kundenzufriedenheit, CREM, FM Y1 - 2023 SN - 0947-0026 VL - 30 IS - 1/2 SP - 18 EP - 21 ER - TY - JOUR A1 - Allam, Mohamed A1 - Bazok, Renata A1 - Bordewick-Dell, Ursula A1 - Szarniecka-Skubina, Ewa A1 - Kazimierczack, Renata A1 - Laikoja, Katrin A1 - Luik, Anne A1 - Mrkonjic Fuka, Mirna A1 - Muleo, Rosario A1 - Peetsmann, Elen A1 - Petroselli, Verdiana A1 - Roasto, Mati A1 - Srednicka-Tober, Dominika A1 - Veith, Michelle A1 - Mancinelli, Roberto A1 - Trafialek, Joanna ED - Adelaja, Adesoji O. ED - Kappiaruparampil, Justin George T1 - Assistance Needed for Increasing Knowledge of HACCP Food Safety Principles for Organic Sector in Selected EU Countries JF - Sustainability N2 - There are numerous food safety aspects that must be taken into consideration by organic food producers and processors to ensure the safety and quality of their products. The application of Hazard Analysis and Critical Control Point (HACCP) principles, together with the implementation of good hygiene practices (GHP), ensures that food safety and process hygiene criteria are met. This study was based on a survey conducted among 316 producers and processors representing the organic food sector in five European countries (Croatia, Estonia, Germany, Italy and Poland). The knowledge and experience of organic food operators with HACCP systems were evaluated. Moreover, their needs and expectations towards assistance (training, guidance materials) that could improve the level of knowledge and compliance with respective food safety rules and regulations were assessed. The need for support on a number of issues related to food safety and guidance documents on the application of HACCP principles were also identified. This study provides highlights of the application of HACCP principles, with particular focus on identifying priorities and needs for two types of food operators (food producers and food processors). Although most of the surveyed food operators were confirmed to have basic knowledge regarding the HACCP system, there was a lack of understanding of the system principles. The needs and expectations varied among the studied countries and types of organic operators. Recognition of the full potential of the HACCP system requires assistance, particularly in the preparation of documents and records. Further research is needed to understand the implications of these findings and to identify effective strategies to improve the HACCP knowledge of food operators. KW - Food Safety KW - Organic Producers KW - Organic Processors KW - HACCP Knowledge Y1 - 2023 UR - www.mdpi.com/jounal/sustainability U6 - http://dx.doi.org/10.3390/su15086605 VL - 15 SP - 6605 EP - 6626 ER - TY - JOUR A1 - Koeder, Christian A1 - Anand, Corinna A1 - Husain, Sarah A1 - Kranz, Ragna-Marie A1 - Schoch, Nora A1 - Alzughayyar, Dima A1 - Bitterlich, Norman A1 - Hahn, Andreas A1 - Englert, Heike T1 - Exploratory analysis of the effect of a controlled lifestyle intervention on inflammatory markers – the Healthy Lifestyle Community Programme (cohort 2) JF - BMC Nutrition N2 - Background Chronic low-grade inflammation is associated with an increased risk of chronic disease and mortality. The objective of the study was to test the effect of a healthy lifestyle intervention on biomarkers of inflammation (among other risk markers). Methods We conducted a non-randomized controlled trial with mostly middle-aged and elderly participants from the general population in rural northwest Germany (intervention: n = 114; control: n = 87). The intervention consisted of a 1-year lifestyle programme focusing on diet (largely plant-based; strongest emphasis), physical activity, stress management, and social support. High-sensitivity C-reactive protein (hs-CRP) was assessed at baseline, 10 weeks, 6 months, and 1 year. Homocysteine (Hcy) was assessed at baseline, 10 weeks, and 1 year. Adiponectin (Apn) was assessed at baseline and 10 weeks. An exploratory analysis of these inflammatory markers assessing the between-group differences with ANCOVA was conducted. Results The 1-year trajectory of hs-CRP was significantly lower in the intervention group compared to control (between-group difference: -0.8 (95% CI -1.2, -0.3) mg/l; p = 0.001; adjusted for baseline). The 1-year trajectory of Hcy was non-significantly higher in the intervention compared to control (between-group difference: 0.2 (95% CI -0.3, 0.7) µmol/l; p = 0.439; adjusted for baseline). From baseline to 10 weeks, Apn decreased significantly more in the intervention group compared to control (between-group difference: -1.6 (95% CI -2.7, -0.5) µg/ml; p = 0.004; adjusted for baseline). Conclusions Our study shows that healthy lifestyle changes can lower hs-CRP and Apn levels and are unlikely to significantly affect Hcy levels within 1 year. Trial registration German Clinical Trials Register (DRKS; reference: DRKS00018775, registered 12 Sept 2019; retrospectively registered; www.drks.de). Y1 - 2023 U6 - http://dx.doi.org/10.1186/s40795-023-00684-2 SN - 2055-0928 VL - 9 IS - 25 ER - TY - JOUR A1 - Elsner, Friederike A1 - Herzig, Christian A1 - Strassner, Carola T1 - Agri-food systems in sustainability transition: a systematic literature review on recent developments on the use of the multi-level perspective JF - Frontiers in Sustainable Food Systems N2 - A sustainability transition (ST) of the agri-food system (AFS) is necessary due to manifold environmental and social exigencies. Scholars widely refer to the multi-level perspective (MLP) in the analysis of those transitions. The fast pace of articles covering AFS transitions, the evolving research on spaces between the three levels, and the consisting unclear conceptualization of MLP levels call for a systematic update on literature utilizing MLP in AFS articles covering ST. As a basis for reporting, this systematic literature review uses the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search was conducted on the database Scopus encompassing the period from 2018 to 2022. After the selection procedure, 58 articles were included in the review. We extracted data based on a combination of a concept-driven and data-driven coding scheme. Qualitative research approaches outweigh and interrelated activities within the AFS are being analyzed, predominantly in the agricultural sectors. The focus lays on ongoing transitions. The concept of sustainability and its direction is considered as given (e.g., through the case lens), without further elaborations. The niche constitutes the most prominent object of study and scholars refer to rather socially innovative activities than technological innovations, providing distinct views on radicality and strategies to breakthrough. A space between niche and regime is being presented, with slightly distinct conceptualisations. Actors from both levels collaborate and exert transformative power. The regime is presented as static but also more vividly evolving views on the regime are demonstrated. The landscape receives the least attention and the focus lays on immaterial characteristics. Combinations of MLP with other frameworks have proven useful, for instance, regarding elaborations on the agency on the landscape level. Generally, an unclear conceptualization of regime and landscape persists, lacking a theoretical elaboration. Further research applying MLP should aim for a deeper examination of its theoretical construct, especially in terms of regime and landscape. More quantitative or mixed-methods research could supplement the current dominating qualitative approaches by testing and validating qualitatively constructed theories and phenomena. Y1 - 2023 U6 - http://dx.doi.org/10.3389/fsufs.2023.1207476 IS - 7 SP - 1 EP - 21 ER - TY - JOUR A1 - Heidt, C. A1 - Fobker, M. A1 - Newport, M. A1 - Feldmann, R. A1 - Fischer, T. A1 - Marquardt, T. T1 - Beta-Hydroxybutyrate (BHB), Glucose, Insulin, Octanoate (C8), and Decanoate (C10) Responses to a Medium-Chain Triglyceride (MCT) Oil with and without Glucose: A Single-Center Study in Healthy Adults JF - Nutrients Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-170851 VL - 15 IS - 5 SP - 1 EP - 17 ER - TY - JOUR A1 - Kranz, Ragna-Marie A1 - Kettler, Carmen A1 - Koeder, Christian A1 - Husain, Sarah A1 - Anand, Corinna A1 - Schoch, Nora A1 - Englert, Heike T1 - Health Economic Evaluation of a Controlled Lifestyle Intervention: The Healthy Lifestyle Community Program (Cohort 2; HLCP-2) JF - Nutrients N2 - Non-communicable diseases (NCD) are associated with high costs for healthcare systems. We evaluated changes in total costs, comprising direct and indirect costs, due to a 24-month non-randomized, controlled lifestyle intervention trial with six measurement time points aiming to improve the risk profile for NCDs. Overall, 187 individuals from the general population aged ≥18 years were assigned to either the intervention group (IG; n = 112), receiving a 10-week intensive lifestyle intervention focusing on a healthy, plant-based diet; physical activity; stress management; and community support, followed by a 22-month follow-up phase including monthly seminars, or a control group (CG; n = 75) without intervention. The complete data sets of 118 participants (IG: n = 79; CG: n = 39) were analyzed. At baseline, total costs per person amounted to 67.80 ± 69.17 EUR in the IG and 48.73 ± 54.41 EUR in the CG per week. The reduction in total costs was significantly greater in the IG compared to the CG after 10 weeks (p = 0.012) and 6 months (p = 0.004), whereas direct costs differed significantly after 10 weeks (p = 0.017), 6 months (p = 0.041) and 12 months (p = 0.012) between the groups. The HLCP-2 was able to reduce health-related economic costs, primarily due to the reduction in direct costs. Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-174544 ER - TY - JOUR A1 - Clever, Lena A1 - Schatto-Eckrodt, Tim A1 - Clever, Nico A1 - Frischlich, Lena T1 - Behind Blue Skies: A Multimodal Automated Content Analysis of Islamic Extremist Propaganda on Instagram JF - Social Media + Society KW - natural language processing KW - automated content analysis KW - collective action KW - deep learning KW - Islamic extremism Y1 - 2023 U6 - http://dx.doi.org/10.25974/fhms-17946 VL - 9 IS - 1 ER - TY - CHAP A1 - Bernhold, Torben A1 - Wiesweg, Niklas T1 - Principal Agent Theory: Perspectives and Practices for effective workplace solutions T2 - A Handbook of Management Theories and Models for Office Environments and Services / Rianne Appel-Meulenbroek, Vitalija Danivska (Eds.) KW - Corporate Real Estate Management KW - Workplace Management KW - Principal-Agent-Theory Y1 - 2022 SN - 978-0-367-65287-6 U6 - http://dx.doi.org/10.4324/9781003128786 SP - 117 EP - 128 PB - Routledge CY - Oxon, New York ER - TY - CHAP A1 - Voß, S A1 - Hockamp, N A1 - Gardemann, J A1 - Lücke, T A1 - Kersting, M T1 - Beikosteinführung bei Säuglingen in Deutschland - Ergebnisse der SuSe II-Studie T2 - DGE-Kongress 2022 N2 - Die Empfehlungen zur Beikosteinführung im „Ernährungsplan für das 1. Lebensjahr“ werden in Deutschland in großen Teilen eingehalten. Der Ernährungsplan hat sich somit als praxisnah erwiesen. KW - Säuglingskost Y1 - 2022 ER - TY - JOUR A1 - Anand, Corinna A1 - Kranz, Ragna-Marie A1 - Husain, Sarah A1 - Koeder, Christian A1 - Schoch, Nora A1 - Karam Alzughayyar, Dima A1 - Gellner, Reinhold A1 - Hengst, Karin A1 - Englert, Heike T1 - Bridging the gap between science and society: long-term effects of the Healthy Lifestyle Community Programme (HLCP, cohort 1) on weight and the metabolic risk profile: a controlled study JF - BMJ Nutrition, Prevention & Health N2 - Background The potential of adopting a healthy lifestyle to fight non-communicable diseases (NCDs) is not fully used. We hypothesised that the Healthy Lifestyle Community Programme (HLCP, cohort 1) reduces weight and other risk markers compared with baseline and control. Methods 24-month, non-randomised, controlled intervention trial. Intervention: intensive 8-week phase with seminars, workshops and coaching focusing on a healthy lifestyle (eg, plant-based diet, physical activity, stress management) and group support followed by a 22-month alumni phase. Weight reduction as the primary outcome and other NCD risk parameters were assessed at six time points. Participants were recruited from the general population. Multiple linear regression analyses were conducted. Results 143 participants (58±12 years, 71% female) were enrolled (91 in the intervention (IG) and 52 in the control group (CG)). Groups’ baseline characteristics were comparable, except participants of IG were younger, more often females, overweight and reported lower energy intake (kcal/day). Weight significantly decreased in IG at all follow-ups by −1.5 ± 1.9 kg after 8 weeks to −1.9 ± 4.0 kg after 24 months and more than in CG (except after 24 months). Being male, in the IG or overweight at baseline and having a university degree predicted more weight loss. After the intervention, there were more participants in the IG with a ‘high’ adherence (+12%) to plant-based food patterns. The change of other risk parameters was most distinct after 8 weeks and in people at elevated risk. Diabetes-related risk parameters did not improve. Conclusion The HLCP was able to reduce weight and to improve aspects of the NCD risk profile. Weight loss in the IG was moderate but maintained for 24 months. Participants of lower educational status might benefit from even more practical units. Future interventions should aim to include more participants at higher risk. Trial registration number DRKS00018821. Y1 - 2022 U6 - http://dx.doi.org/10.1136/bmjnph-2021-000340 ER - TY - CHAP A1 - Bernhold, Torben A1 - Wiesweg, Niklas A1 - Löhmer, Thomas A1 - Lill, Susanne T1 - Beyond Satisfaction - Internal Service Barometer for measuring customer satisfaction T2 - The 21st EuroFM Research Symposium. Ed. Tuuli Jylhä, Vitalija Danivska KW - Structural equation KW - Internal service barometer KW - Customer satisfaction KW - Facility Services Y1 - 2022 U6 - http://dx.doi.org/10.4233/uuid:7001767d-0ba1-4aca-abd2-613ccb2f7456 SP - 36 EP - 46 PB - Delft University of Technology - Breda University of Applied Sciences CY - Breda ER - TY - JOUR A1 - Koeder, Christian A1 - Husain, Sarah A1 - Kranz, Ragna-Marie A1 - Anand, Corinna A1 - Alzughayyar, Dima A1 - Schoch, Nora A1 - Hahn, Andrea A1 - Englert, Heike T1 - Healthy lifestyle changes favourably affect common carotid intima-media thickness: the Healthy Lifestyle Community Programme (cohort 2) JF - Journal of Nutritional Science N2 - Common carotid intima-media thickness (ccIMT) progression is a risk marker for cardiovascular disease (CVD), whereas healthy lifestyle habits are associated with lower ccIMT. The objective of the present study was to test whether a healthy lifestyle intervention can beneficially affect ccIMT progression. A community-based non-randomised, controlled lifestyle intervention was conducted, focusing on a predominantly plant-based diet (strongest emphasis), physical activity, stress management and social health. Assessments of ccIMT were made at baseline, 6 months and 1 year. Participants had an average age of 57 years and were recruited from the general population in rural northwest Germany (intervention: n 114; control: n 87). From baseline to 1 year, mean ccIMT significantly increased in both the intervention (0⋅026 [95 % CI 0⋅012, 0⋅039] mm) and control group (0⋅045 [95 % CI 0⋅033, 0⋅056] mm). The 1-year trajectory of mean ccIMT was lower in the intervention group (P = 0⋅022; adjusted for baseline). In a subgroup analysis with participants with high baseline mean ccIMT (≥0⋅800 mm), mean ccIMT non-significantly decreased in the intervention group (−0⋅016 [95 % CI −0⋅050, 0⋅017] mm; n 18) and significantly increased in the control group (0⋅065 [95 % CI 0⋅033, 0⋅096] mm; n 12). In the subgroup, the 1-year trajectory of mean ccIMT was significantly lower in the intervention group (between-group difference: −0⋅051 [95 % CI −0⋅075, −0⋅027] mm; P < 0⋅001; adjusted for baseline). The results indicate that healthy lifestyle changes may beneficially affect ccIMT within 1 year, particularly if baseline ccIMT is high. KW - plant-based diet KW - carotid intima-media thickness KW - cardiovascular disease KW - atherosclerosis KW - lifestyle Y1 - 2022 UR - https://www.cambridge.org/core/journals/journal-of-nutritional-science/article/healthy-lifestyle-changes-favourably-affect-common-carotid-intimamedia-thickness-the-healthy-lifestyle-community-programme-cohort-2/DD29870A14031B1EB3DF112B2A381695#article U6 - http://dx.doi.org/10.1017/jns.2022.46 VL - 11 ER -