The PRISMA Project investigates the health implications of dietary patterns, particularly focusing on plant-based foods and their associated risks and benefits. The research primarily addresses the following areas:
1) Mycotoxin Exposure in Plant-Based Foods - Our first study focused on the occurrence and co-occurrence of 16 mycotoxins in 105 plant-based meat alternatives purchased from the Italian market. The main ingredients, used for understanding the source of contamination, were wheat, legumes, and vegetables. Occurrence and co-occurrence data were collected using a well-established LC-MS/MS analytical procedure developed at UNIPR. Once collected the occurrence data and starting from the official Italian consumption database, we developed a simulation model to assess dietary exposure and potential health risks. The collected results pinpointed a widespread occurrence of mycotoxins, although at very low levels, in all the plant-based meat alternative categories, thus suggesting a need for further mycotoxin assessment in these products.
2) Health Impact of Dietary Patterns - In order to better evaluate the impact of shifting from an omnivore meat-based diet to a vegetarian/flexitarian plant-based one, we analyzed the burden of disease associated to dietary changes using DALYs as a well-established indicator. In particular, our work estimated the risk of ten illnesses based on dietary exposure to chemical contaminants and consumption patterns of unprocessed red meat, processed meat, and legumes among European adults. The findings suggest that a balanced diet incorporating a variety of foods is essential to minimize health risks.
3) Knowledge and Attitudes of Food Professionals - in order to understand the consumer's awareness towards potential risks associated to the dietary shift, we examined how food and health professionals' knowledge and attitudes towards dietary patterns (flexitarian, omnivore, vegetarian, vegan) influence their dietary practices related to plant-based foods. In particular, we included three group populations based in Italy, Romania and the UK, aiming at reflecting differences in the market as well as in the traditional diets. The research indicates that knowledge and attitudes significantly impact dietary choices, emphasizing the importance of education in promoting healthy dietary habits.
4) Mycotoxins exposure in a target population with low/medium/high adherence to alternative diets - thanks to the combination of mycotoxins analysis in urine of volunteers and the analysis of their dietary habits using food frequency questionnaires, we compared the exposure to mycotoxins in volunteers following a vegetarian, flexiterian or Mediterranean diet. The results returned a generally low exposure to mycotoxins and no significant differences among categories for regulated mycotoxins, while an high intake of plant-based alternative suggested an higher exposure to non regulated mycotoxins such as enniatins/beauvericins and those produced by Alternaria spp. fungi. Data mining is still in process, with the aim of identifying potential correlation among exposure fingerprint and food consumption patterns.