TY - JOUR
T1 - Adherence to the mediterranean lifestyle and desired body weight loss in a mediterranean adult population with overweight
T2 - A predimed‐plus study
AU - Bouzas, Cristina
AU - Bibiloni, Maria Del Mar
AU - Julibert, Alicia
AU - Ruiz‐canela, Miguel
AU - Salas‐salvadó, Jordi
AU - Corella, Dolores
AU - Zomeño, Maria Dolors
AU - Romaguera, Dora
AU - Vioque, Jesús
AU - Alonso‐gómez, Ángel M.
AU - Wärnberg, Julia
AU - Alfredo Martínez, J.
AU - Serra‐majem, Luís
AU - Estruch, Ramon
AU - Tinahones, Francisco J.
AU - Lapetra, José
AU - Pintó, Xavier
AU - Ríos, Antonio García
AU - Bueno‐cavanillas, Aurora
AU - Gaforio, José J.
AU - Matía‐martín, Pilar
AU - Daimiel, Lidia
AU - Martín‐sánchez, Vicente
AU - Vidal, Josep
AU - Vázquez, Clotilde
AU - Ros, Emilio
AU - Fernandez‐lázaro, Cesar Ignacio
AU - Becerra‐tomás, Nerea
AU - Gimenez‐alba, Ignacio Manuel
AU - Muñoz, Julia
AU - Morey, Marga
AU - Oncina‐canovas, Alejandro
AU - Tojal‐sierra, Lucas
AU - Pérez‐lópez, Jéssica
AU - Abete, Itziar
AU - Casañas‐quintana, Tamara
AU - Castro‐barquero, Sara
AU - Rosa Bernal‐López, M.
AU - Santos‐lozano, José Manuel
AU - Galera, Ana
AU - Angullo‐martinez, Escarlata
AU - Javier Basterra‐Gortari, F.
AU - Basora, Josep
AU - Saiz, Carmen
AU - Castañer, Olga
AU - Martín, Marian
AU - Notario‐barandiarán, Leyre
AU - Belló‐mora, María C.
AU - Sayón‐orea, Carmen
AU - García‐gavilán, Jesús
AU - Goday, Albert
AU - Tur, Josep A.
N1 - Funding Information:
Funding: The PREDIMED‐Plus trial was supported by the official funding agency for biomedical research of the Spanish government, ISCIII, through the Fondo de Investigación para la Salud (FIS), which is co‐funded by the European Regional Development Fund (five coordinated FIS projects led by J.S.‐S. and J.Vidal, including the following projects: PI13/00673, PI13/00492, PI13/00272, PI13/01123, PI13/00462, PI13/00233, PI13/02184, PI13/00728, PI13/01090, PI13/01056, PI14/01722, PI14/00636, PI14/00618, PI14/00696, PI14/01206, PI14/01919, PI14/00853, PI14/01374, PI14/00972, PI14/00728, PI14/01471, PI16/00473, PI16/00662, PI16/01873, PI16/01094, PI16/00501, PI16/00533, PI16/00381, PI16/00366, PI16/01522, PI16/01120, PI17/00764, PI17/01183, PI17/00855, PI17/01347, PI17/00525, PI17/01827, PI17/00532, PI17/00215, PI17/01441, PI17/00508, PI17/01732, PI17/00926, PI19/00957, PI19/00386, PI19/00309, PI19/01032, PI19/00576, PI19/00017, PI19/01226, PI19/00781, PI19/01560, and PI19/01332, the Especial Action Project entitled: Implementación y evaluación de una intervención intensiva sobre la actividad física Cohorte PREDIMED‐Plus grant to J.S.‐S., the European Research Council (Advanced Research Grant 2013–2018, 340918) to Miguel Ángel Martínez‐González, the Recercaixa Grant to J.S.‐S. (2013ACUP00194), Grants from the Consejería de Salud de la Junta de Andalucía (PI0458/2013, PS0358/2016, and PI0137/2018), a Grant from the Generalitat Valenciana (PROMETEO/2017/017), a SEMERGEN Grant, EU‐COST Action CA16112, a Grant of support to research groups no. 35/2011 from the Balearic Islands Government, Grants from Balearic Islands Health Research Institute (IDISBA), funds from the European Regional Development Fund (CIBEROBN CB06/03 and CB12/03) and from the European Commission (EAT2BENICE_H2020_SFS2016). M. Rosa Bernal‐López was supported by “Miguel Servet Type I” program (CP15/00028) from the ISCIII‐Madrid (Spain), cofinanced by the European Regional Development Fund. Jordi Salas‐Salvadó is partially supported by ICREA under the ICREA Academia programme. Cristina Bouzas received a Fernando Tarongí Bauzà PhD Grant. I.M Gimenez‐Alba received a grant FPU from the Ministry of Science, Innovation and Univesities (reference FPU 18/01703).The funding sponsors had no role in the design of the study, in the collection, analyses, or interpretation of the data; in the writing of the manuscript, and in the decision to publish the results.
Funding Information:
The PREDIMED?Plus trial was supported by the official funding agency for biomedical research of the Spanish government, ISCIII, through the Fondo de Investigaci?n para la Salud (FIS), which is co?funded by the European Regional Development Fund (five coordinated FIS projects led by J.S.?S. and J.Vidal, including the following projects: PI13/00673, PI13/00492, PI13/00272, PI13/01123, PI13/00462, PI13/00233, PI13/02184, PI13/00728, PI13/01090, PI13/01056, PI14/01722, PI14/00636, PI14/00618, PI14/00696, PI14/01206, PI14/01919, PI14/00853, PI14/01374, PI14/00972, PI14/00728, PI14/01471, PI16/00473, PI16/00662, PI16/01873, PI16/01094, PI16/00501, PI16/00533, PI16/00381, PI16/00366, PI16/01522, PI16/01120, PI17/00764, PI17/01183, PI17/00855, PI17/01347, PI17/00525, PI17/01827, PI17/00532, PI17/00215, PI17/01441, PI17/00508, PI17/01732, PI17/00926, PI19/00957, PI19/00386, PI19/00309, PI19/01032, PI19/00576, PI19/00017, PI19/01226, PI19/00781, PI19/01560, and PI19/01332, the Especial Action Project entitled: Implementaci?n y evaluaci?n de una intervenci?n intensiva sobre la actividad f?sica Cohorte PREDIMED?Plus grant to J.S.?S., the European Research Council (Advanced Research Grant 2013?2018, 340918) to Miguel ?ngel Mart?nez?Gonz?lez, the Recercaixa Grant to J.S.?S. (2013ACUP00194), Grants from the Consejer?a de Salud de la Junta de Andaluc?a (PI0458/2013, PS0358/2016, and PI0137/2018), a Grant from the Generalitat Valenciana (PROMETEO/2017/017), a SEMERGEN Grant, EU?COST Action CA16112, a Grant of support to research groups no. 35/2011 from the Balearic Islands Government, Grants from Balearic Islands Health Research Institute (IDISBA), funds from the European Regional Development Fund (CIBEROBN CB06/03 and CB12/03) and from the European Commission (EAT2BENICE_H2020_SFS2016). M. Rosa Bernal?L?pez was supported by ?Miguel Servet Type I? program (CP15/00028) from the ISCIII?Madrid (Spain), cofinanced by the European Regional Development Fund. Jordi Salas?Salvad? is partially supported by ICREA under the ICREA Academia programme. Cristina Bouzas received a Fernando Tarong? Bauz? PhD Grant. I.M Gimenez?Alba received a grant FPU from the Ministry of Science, Innovation and Univesities (reference FPU 18/01703).The funding sponsors had no role in the design of the study, in the collection, analyses, or interpretation of the data; in the writing of the manuscript, and in the decision to publish the results.
Funding Information:
Conflicts of Interest: J.S.‐S. reports serving on the board of and receiving grant support through his institution from the International Nut and Dried Fruit Council, and Eroski Foundation. Reports serving in the Executive Committee of the Instituto Danone Spain and on the Scientific Committee of the Danone International Institute. He has received research support from PatrimonioComunalOlivarero, Spain; and Borges S.A., Spain. Reports receiving consulting fees or travel expenses from Danone; Eroski Foundation, Instituto Danone—Spain, and Abbot Laboratories.
Publisher Copyright:
© 2020 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2020/7
Y1 - 2020/7
N2 - Background. Body weight dissatisfaction is a hindrance to following a healthy lifestyle and it has been associated with weight concerns. Objectives. The aim of this study was to assess the association between the adherence to the Mediterranean lifestyle (diet and exercise) and the desired body weight loss in an adult Mediterranean population with overweight. Methods. Cross‐sectional analysis in 6355 participants (3268 men; 3087 women) with metabolic syndrome and BMI (Body mass index) between 27.0 and 40.0 kg/m2 (55–75 years old) from the PREDIMED‐Plus trial. Desired weight loss was the percentage of weight that participants wished to lose. It was categorized into four cut‐offs of this percentage (Q1: <10%, n = 1495; Q2: 10–15%, n = 1804; Q3: <15–20%, n = 1470; Q4: ≥20%, n = 1589). Diet was assessed using a validated food frequency questionnaire and a 17‐item Mediterranean diet questionnaire. Physical activity was assessed by the validated Minnesota‐REGICOR and the validated Spanish version of the Nurses’ Health Study questionnaire. Results. Participants reporting higher percentages of desired weight loss (Q3 and Q4) were younger, had higher real and perceived BMI and were more likely to have abdominal obesity. Desired weight loss correlated inversely to physical activity (Q1: 2106 MET min/week; Q4: 1585 MET min/week. p < 0.001) and adherence to Mediterranean diet (Q1: 8.7; Q4: 8.3. p < 0.001). Conclusions. In older Mediterranean individuals with weight excess, desired weight loss was inversely associated with Mediterranean lifestyle adherence. Deeply rooted aspects of the MedDiet remained similar across groups. Longitudinal research is advised to be able to establish causality.
AB - Background. Body weight dissatisfaction is a hindrance to following a healthy lifestyle and it has been associated with weight concerns. Objectives. The aim of this study was to assess the association between the adherence to the Mediterranean lifestyle (diet and exercise) and the desired body weight loss in an adult Mediterranean population with overweight. Methods. Cross‐sectional analysis in 6355 participants (3268 men; 3087 women) with metabolic syndrome and BMI (Body mass index) between 27.0 and 40.0 kg/m2 (55–75 years old) from the PREDIMED‐Plus trial. Desired weight loss was the percentage of weight that participants wished to lose. It was categorized into four cut‐offs of this percentage (Q1: <10%, n = 1495; Q2: 10–15%, n = 1804; Q3: <15–20%, n = 1470; Q4: ≥20%, n = 1589). Diet was assessed using a validated food frequency questionnaire and a 17‐item Mediterranean diet questionnaire. Physical activity was assessed by the validated Minnesota‐REGICOR and the validated Spanish version of the Nurses’ Health Study questionnaire. Results. Participants reporting higher percentages of desired weight loss (Q3 and Q4) were younger, had higher real and perceived BMI and were more likely to have abdominal obesity. Desired weight loss correlated inversely to physical activity (Q1: 2106 MET min/week; Q4: 1585 MET min/week. p < 0.001) and adherence to Mediterranean diet (Q1: 8.7; Q4: 8.3. p < 0.001). Conclusions. In older Mediterranean individuals with weight excess, desired weight loss was inversely associated with Mediterranean lifestyle adherence. Deeply rooted aspects of the MedDiet remained similar across groups. Longitudinal research is advised to be able to establish causality.
KW - Body image
KW - Desired weight loss
KW - Ideal weight
KW - Mediterranean lifestyle
KW - Obesity
KW - Older adults
KW - Overweight
KW - PREDIMED‐Plus
UR - http://www.scopus.com/inward/record.url?scp=85088487650&partnerID=8YFLogxK
U2 - 10.3390/nu12072114
DO - 10.3390/nu12072114
M3 - Article
C2 - 32708828
AN - SCOPUS:85088487650
SN - 2072-6643
VL - 12
SP - 1
EP - 21
JO - Nutrients
JF - Nutrients
IS - 7
M1 - 2114
ER -
