Autor segons l'article: Fernandez-Lazaro, Cesar, I; Toledo, Estefania; Buil-Cosiales, Pilar; Salas-Salvado, Jordi; Corella, Dolores; Fito, Montserrat; Alfredo Martinez, J; Alonso-Gomez, Angel M; Warnberg, Julia; Vioque, Jesus; Romaguera, Dora; Lopez-Miranda, Jose; Estruch, Ramon; Tinahones, Francisco J; Lapetra, Jose; Serra-Majem, Luis; Bueno-Cavanillas, Aurora; Tur, Josep A; Martin Sanchez, Vicente; Pinto, Xavier; Delgado-Rodriguez, Miguel; Matia-Martin, Pilar; Vidal, Josep; Ros, Emilio; Vazquez, Clotilde; Daimiel, Lidia; SanJulian, Beatriz; Garcia-Gavilan, Jesus F; Sorli, Jose, V; Castaner, Olga; Angeles Zulet, M; Tojal-Sierra, Lucas; Perez-Farinos, Napoleon; Oncina-Canovas, Alejandro; Monino, Manuel; Garcia-Rios, Antonio; Sacanella, Emilio; Bernal-Lopez, Rosa M; Manuel Santos-Lozano, Jose; Vazquez-Ruiz, Zenaida; Muralidharan, Jananee; Ortega-Azorin, Carolina; Goday, Alberto; Razquin, Cristina; Goicolea-Guemez, Leire; Ruiz-Canela, Miguel; Becerra-Tomas, Nerea; Schroder, Helmut; Martinez Gonzalez, Miguel A
Departament: Bioquímica i Biotecnologia
Autor/s de la URV: Becerra Tomás, Nerea / García Gavilán, Jesús Francisco / Muralidharan, Jananee / Salas Salvadó, Jorge
Paraules clau: Risk factors Randomized controlled trials Predimed-plus Overweight Obesity Nutritional status Metabolic syndrome Mediterranean diet Humans Factors Dietary change Dietary adherence Diet, mediterranean Cardiovascular diseases Aged
Resum: Purpose: Long-term nutrition trials may fail to respond to their original hypotheses if participants do not comply with the intended dietary intervention. We aimed to identify baseline factors associated with successful dietary changes towards an energy-reduced Mediterranean diet (MedDiet) in the PREDIMED-Plus randomized trial. Methods: Longitudinal analysis of 2985 participants (Spanish overweight/obese older adults with metabolic syndrome) randomized to the active intervention arm of the PREDIMED-Plus trial. Dietary changes were assessed with a 17-item energy-reduced MedDiet questionnaire after 6 and 12 months of follow-up. Successful compliance was defined as dietary changes from baseline of ? 5 points for participants with baseline scores < 13 points or any increase if baseline score was ? 13 points. We conducted crude and adjusted multivariable logistic regression models to identify baseline factors related to compliance. Results: Consistent factors independently associated with successful dietary change at both 6 and 12 months were high baseline perceived self-efficacy in modifying diet (OR6-month: 1.51, 95% CI 1.25–1.83; OR12-month: 1.66, 95% CI 1.37–2.01), higher baseline fiber intake (OR6-month: 1.62, 95% CI 1.07–2.46; OR12-month: 1.62, 95% CI 1.07–2.45), having > 3 chronic conditions (OR6-month: 0.65, 95% CI 0.53–0.79; OR12-month: 0.76, 95% CI 0.62–0.93), and suffering depression (OR6-month: 0.80, 95% CI 0.64–0.99; OR12-month: 0.71, 95% CI 0.57–0.88). Conclusion: Our results suggested that recruitment of individuals with high perceived self-efficacy to dietary change, and those who initially follow diets relatively richer in fiber may lead to greater changes in nutritional recommendations. Participants with multiple chronic conditions, specifically depression, should receive specific tailored interventions. Trial registration: ISRCTN registry 89898870, 24th July 2014 retrospectively registered http://www.isrctn.com/ISRCTN89898870. © 2021, The Author(s).
Àrees temàtiques: Serviço social Saúde coletiva Química Nutrition and dietetics Nutrition & dietetics Nutrição Medicine (miscellaneous) Medicina veterinaria Medicina iii Medicina ii Medicina i Interdisciplinar Farmacia Educação física Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciências agrárias i Ciência de alimentos
Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
Adreça de correu electrònic de l'autor: jesusfrancisco.garcia@urv.cat nerea.becerra@urv.cat jesusfrancisco.garcia@urv.cat jordi.salas@urv.cat
Identificador de l'autor: 0000-0002-3707-5255 https://orcid.org/0000-0002-4429-6507 0000-0002-4429-6507 0000-0002-3707-5255 0000-0003-2700-7459
Data d'alta del registre: 2025-02-19
Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
Referència a l'article segons font original: European Journal Of Nutrition. 61 (3): 1457-1475
Referència de l'ítem segons les normes APA: Fernandez-Lazaro, Cesar, I; Toledo, Estefania; Buil-Cosiales, Pilar; Salas-Salvado, Jordi; Corella, Dolores; Fito, Montserrat; Alfredo Martinez, J; Al (2022). Factors associated with successful dietary changes in an energy-reduced Mediterranean diet intervention: a longitudinal analysis in the PREDIMED-Plus trial. European Journal Of Nutrition, 61(3), 1457-1475. DOI: 10.1007/s00394-021-02697-8
Entitat: Universitat Rovira i Virgili
Any de publicació de la revista: 2022
Tipus de publicació: Journal Publications
Repositori URV