Characteristics of European adults who dropped out from the Food4Me Internet-based personalised nutrition intervention

Katherine M. Livingstone, Carlos Celis-Morales, Anna L. Macready, Rosalind Fallaize, Hannah Forster, Clara Woolhead, Clare B. O'Donovan, Cyril Marsaux, Santiago Navas-Carretero, Rodrigo San-Cristobal, Silvia Kolossa, L. Tsirigoti, Christina P. Lambrinou, George Moschonis, Agnieszka Surwillo, Christian A. Drevon, Yannis Manios, Iwona Traczyk, Eileen R. Gibney, Lorraine BrennanM. Walsh, Julie A. Lovegrove, J. Alfredo Martinez, Wim Saris, Hannelore Daniel, M. Gibney, John C Mathers*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Objective: To characterise participants who dropped out of the Food4Me Proof-of-Principle study.

Design: The Food4Me study was an Internet-based, 6-month, four-arm, randomised controlled trial. The control group received generalised dietary and lifestyle recommendations, whereas participants randomised to three different levels of personalised nutrition (PN) received advice based on dietary, phenotypic and/or genotypic data, respectively (with either more or less frequent feedback).

Setting: Seven recruitment sites: UK, Ireland, The Netherlands, Germany, Spain, Poland and Greece.

Subjects: Adults aged 18-79 years (n 1607).

Results: A total of 337 (21 %) participants dropped out during the intervention. At baseline, dropouts had higher BMI (0.5kg/m(2); P

Conclusions: Attrition did not differ between participants receiving generalised or PN advice but more frequent feedback was related to attrition for those randomised to PN interventions. Better strategies are required to minimise dropouts among younger and obese individuals participating in PN interventions and more frequent feedback may be an unnecessary burden.

Original languageEnglish
Pages (from-to)53–63
Number of pages11
JournalPublic Health Nutrition
Issue number1
Publication statusPublished - Jan 2017


  • Dropout
  • Personalised nutrition
  • Internet-based
  • European adults
  • Food4Me
  • DIET

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