Articles producció científica> Medicina i Cirurgia

Effectiveness of the physical activity intervention program in the PREDIMED-Plus study: a randomized controlled trial

  • Identification data

    Identifier: imarina:4090485
    Authors:
    Schroder, HelmutCardenas-Fuentes, GabrielaAngel Martinez-Gonzalez, MiguelCorella, DoloresVioque, JesusRomaguera, DoraAlfredo Martinez, JTinahones, Francisco JLopez Miranda, JoseEstruch, RamonBueno-Cavanillas, AuroraAros, FernandoMarcos, AscensionTur, Josep AWarnberg, JuliaSerra-Majem, LluisMartin, VicenteVazquez, ClotildeLapetra, JosePinto, XavierVidal, JosepDaimiel, LidiaJuan Gaforio, JoseMatia-Martin, PilarRos, EmilioCastaner, OlgaLassale, CamilleRuiz-Canela, MiguelAsensio, Eva MBasora, JosepTorres-Collado, LauraGarcia-Rios, AntonioAbete, ItziarToledo, EstefaniaBuil-Cosiales, PilarBullo, MonicaGoday, AlbertFito, MontserratSalas-Salvado, Jordi
    Abstract:
    The development and implementation of effective physical activity (PA) intervention programs is challenging, particularly in older adults. After the first year of the intervention program used in the ongoing PREvención con DIeta MEDiterránea (PREDIMED)-Plus trial, we assessed the initial effectiveness of the PA component.PREDIMED-Plus is an ongoing randomized clinical trial including 6874 participants randomized to an intensive weight-loss lifestyle intervention based on an energy-restricted Mediterranean diet (MedDiet), physical activity promotion and behavioral support and to a control group using MedDiet recommendations but without calorie restriction or PA advice. Body mass index (BMI) and waist circumference (WC) are measured by standard clinical protocols. Duration and intensity of PA is self-reported using the validated REGICOR Short Physical Activity Questionnaire. The primary endpoint of the PREDIMED-Plus trial is a combined cardiovascular outcome: myocardial infarction (acute coronary syndromes with positive troponin test), stroke, or cardiovascular mortality. The present study involved secondary analysis of PA data (n = 6059; mean age 65 ± 4.9 years) with one-year changes in total, light, and moderate-to-vigorous PA within and between intervention groups as the outcome. Generalized estimating equation models were fitted to evaluate time trends of PA, BMI, and WC within groups and differences between intervention and control groups.After 12 months, average daily MVPA increased by 27.2 (95%CI 5.7;48.7) METs-min/day and 123.1 (95%CI 109.7-136.6) METs-min/day in the control and intervention groups, respectively. Total-PA, light-PA, and MVPA increased significantly (p < 0.01) in both groups. A significant (p < 0.001) time*intervention group interaction was found f
  • Others:

    Author, as appears in the article.: Schroder, Helmut; Cardenas-Fuentes, Gabriela; Angel Martinez-Gonzalez, Miguel; Corella, Dolores; Vioque, Jesus; Romaguera, Dora; Alfredo Martinez, J; Tinahones, Francisco J; Lopez Miranda, Jose; Estruch, Ramon; Bueno-Cavanillas, Aurora; Aros, Fernando; Marcos, Ascension; Tur, Josep A; Warnberg, Julia; Serra-Majem, Lluis; Martin, Vicente; Vazquez, Clotilde; Lapetra, Jose; Pinto, Xavier; Vidal, Josep; Daimiel, Lidia; Juan Gaforio, Jose; Matia-Martin, Pilar; Ros, Emilio; Castaner, Olga; Lassale, Camille; Ruiz-Canela, Miguel; Asensio, Eva M; Basora, Josep; Torres-Collado, Laura; Garcia-Rios, Antonio; Abete, Itziar; Toledo, Estefania; Buil-Cosiales, Pilar; Bullo, Monica; Goday, Albert; Fito, Montserrat; Salas-Salvado, Jordi
    Department: Medicina i Cirurgia Bioquímica i Biotecnologia
    URV's Author/s: Basora Gallisa, Josep / Bulló Bonet, Mònica / Salas Salvadó, Jorge
    Keywords: Women Waist circumference Randomized control trial Prevention Physical activity Older-adults Older adults Missing data Metaanalysis Intervention program Health Cardiovascular-disease Body mass index Behavior randomized control trial physical activity older adults intervention program body mass index
    Abstract: The development and implementation of effective physical activity (PA) intervention programs is challenging, particularly in older adults. After the first year of the intervention program used in the ongoing PREvención con DIeta MEDiterránea (PREDIMED)-Plus trial, we assessed the initial effectiveness of the PA component.PREDIMED-Plus is an ongoing randomized clinical trial including 6874 participants randomized to an intensive weight-loss lifestyle intervention based on an energy-restricted Mediterranean diet (MedDiet), physical activity promotion and behavioral support and to a control group using MedDiet recommendations but without calorie restriction or PA advice. Body mass index (BMI) and waist circumference (WC) are measured by standard clinical protocols. Duration and intensity of PA is self-reported using the validated REGICOR Short Physical Activity Questionnaire. The primary endpoint of the PREDIMED-Plus trial is a combined cardiovascular outcome: myocardial infarction (acute coronary syndromes with positive troponin test), stroke, or cardiovascular mortality. The present study involved secondary analysis of PA data (n = 6059; mean age 65 ± 4.9 years) with one-year changes in total, light, and moderate-to-vigorous PA within and between intervention groups as the outcome. Generalized estimating equation models were fitted to evaluate time trends of PA, BMI, and WC within groups and differences between intervention and control groups.After 12 months, average daily MVPA increased by 27.2 (95%CI 5.7;48.7) METs-min/day and 123.1 (95%CI 109.7-136.6) METs-min/day in the control and intervention groups, respectively. Total-PA, light-PA, and MVPA increased significantly (p < 0.01) in both groups. A significant (p < 0.001) time*intervention group interaction was found for Total-PA and MVPA, meaning the PA trajectory over time differed between the intervention and control groups. Age, sex, education level, and BMI did not moderate the effectiveness of the PA intervention. BMI and WC decreased significantly with increasing MVPA, compared with participants who reported no changes in MVPA.After one year of follow-up, the PREDIMED-Plus PA intervention has been effective in increasing daily PA in older adults.Retrospectively registered at the International Standard Randomized Controlled Trial ( http://www.isrctn.com/ISRCTN89898870 ), registration date: 24 July 2014.
    Thematic Areas: Saúde coletiva Planejamento urbano e regional / demografia Physiology Physical therapy, sports therapy and rehabilitation Nutrition and dietetics Nutrition & dietetics Nutrição Medicine (miscellaneous) Medicina ii Medicina i Engenharias iii Enfermagem Educação física Antropologia / arqueologia
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 14795868
    Author's mail: josep.basora@urv.cat monica.bullo@urv.cat josep.basora@urv.cat jordi.salas@urv.cat
    Author identifier: 0000-0002-0218-7046 0000-0003-2700-7459
    Record's date: 2024-10-12
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-018-0741-x
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: International Journal Of Behavioral Nutrition And Physical Activity. 15 (1): 110-
    APA: Schroder, Helmut; Cardenas-Fuentes, Gabriela; Angel Martinez-Gonzalez, Miguel; Corella, Dolores; Vioque, Jesus; Romaguera, Dora; Alfredo Martinez, J; (2018). Effectiveness of the physical activity intervention program in the PREDIMED-Plus study: a randomized controlled trial. International Journal Of Behavioral Nutrition And Physical Activity, 15(1), 110-. DOI: 10.1186/s12966-018-0741-x
    Article's DOI: 10.1186/s12966-018-0741-x
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2018
    Publication Type: Journal Publications
  • Keywords:

    Medicine (Miscellaneous),Nutrition & Dietetics,Nutrition and Dietetics,Physical Therapy, Sports Therapy and Rehabilitation,Physiology
    Women
    Waist circumference
    Randomized control trial
    Prevention
    Physical activity
    Older-adults
    Older adults
    Missing data
    Metaanalysis
    Intervention program
    Health
    Cardiovascular-disease
    Body mass index
    Behavior
    randomized control trial
    physical activity
    older adults
    intervention program
    body mass index
    Saúde coletiva
    Planejamento urbano e regional / demografia
    Physiology
    Physical therapy, sports therapy and rehabilitation
    Nutrition and dietetics
    Nutrition & dietetics
    Nutrição
    Medicine (miscellaneous)
    Medicina ii
    Medicina i
    Engenharias iii
    Enfermagem
    Educação física
    Antropologia / arqueologia
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