Articles producció científica> Bioquímica i Biotecnologia

Interplay between cognition and weight reduction in individuals following a Mediterranean Diet: Three-year follow-up of the PREDIMED-Plus trial

  • Identification data

    Identifier: imarina:9229318
    Authors:
    Soldevila-Domenech, NataliaForcano, LauraVintro-Alcaraz, CristinaCuenca-Royo, AidaPinto, XavierJimenez-Murcia, SusanaGarcia-Gavilan, Jesus F.Nishi, Stephanei K.Babio, NancyGomis-Gonzalez, MariaCorella, DoloresV. Sorli, JoseFernandez-Carrion, RebecaMartinez-Gonzalez, Miguel AngelMarti, AmeliaSalas-Salvado, JordiCastaner, OlgaFernandez-Aranda, Fernandode la Torre, Rafael
    Abstract:
    Background & aims: Some cognitive profiles might facilitate successful weight loss and its maintenance. Also, weight reductions may result in cognitive benefits. However, little work to date has examined the interactions between cognition and weight changes in the context of interventions with the Mediterranean diet (MedDiet). We studied the within-subject longitudinal relationships between cognition, body mass index (BMI), physical activity (PA), and quality of life (QoL), in older adults following a MedDiet.Methods: The PREDIMED-Plus is a primary prevention trial testing the effect of a lifestyle intervention program with an energy-restricted MedDiet (er-MedDiet), weight-loss goals and PA promotion on cardiovascular disease. The PREDIMED-Plus-Cognition sub-study included 487 participants (50% women, mean age 65.2 +/- 4.7 years), with overweight/obesity, metabolic syndrome and normal cognitive performance at baseline. A comprehensive neurocognitive test battery was administered at baseline and after 1 and 3 years.Results: Baseline higher performance in verbal memory (OR = 1.5; 95%CI 1.0, 2.1), visuoconstructive praxis and attention (OR = 1.5; 95%CI 0.9, 2.3), and inhibition (OR = 1.3; 95%CI 0.9,1.9) were associated with a higher odd of achieving at least 8% weight loss after 3 years follow-up in participants randomized to the intervention group. There were moderate improvements in specific tests of memory and executive functions during follow-up. Higher adherence to the er-MedDiet was associated with greater improvements in memory. Women exhibited lower rates of change in global cognition, PA and QoL. Moreover, improvements in memory correlated with reductions in BMI after 1 year (beta(STD) = -0.14) and with improvements in PA after 3 years (beta(STD) = 0.13). Finally,
  • Others:

    Author, as appears in the article.: Soldevila-Domenech, Natalia; Forcano, Laura; Vintro-Alcaraz, Cristina; Cuenca-Royo, Aida; Pinto, Xavier; Jimenez-Murcia, Susana; Garcia-Gavilan, Jesus F.; Nishi, Stephanei K.; Babio, Nancy; Gomis-Gonzalez, Maria; Corella, Dolores; V. Sorli, Jose; Fernandez-Carrion, Rebeca; Martinez-Gonzalez, Miguel Angel; Marti, Amelia; Salas-Salvado, Jordi; Castaner, Olga; Fernandez-Aranda, Fernando; de la Torre, Rafael;
    Department: Bioquímica i Biotecnologia
    URV's Author/s: Babio Sánchez, Nancy Elvira / García Gavilán, Jesús Francisco / Nishi, Stephanie Kimiko / Salas Salvadó, Jorge
    Keywords: Wellbeing Volume Visuoconstructive praxis Verbal memory Therapy effect Symbol digit modalities test Short form 36 Sex difference Rey osterrieth complex figure test Rey auditory verbal learning test Recall Reaction time Quality of life Prevention Prevalence Physical-activity Physical activity Overweight Older-adults Obesity Obese individuals Nutrition Neuropsychological test Mini mental state examination Metabolic syndrome x Metabolic syndrome Mental function Memory Mediterranean diet Maximum-likelihood Male Longitudinal study Lifestyle modification Iowa gambling task Intervention Intelligence quotient Human Follow up Female Executive function Dietary compliance Depression Decline Correlational study Controlled study Cognition Clinical outcome Cardiovascular disease Brain function Body weight loss Body mass Behavior assessment Beck depression inventory Attention Article Aged Adherence
    Abstract: Background & aims: Some cognitive profiles might facilitate successful weight loss and its maintenance. Also, weight reductions may result in cognitive benefits. However, little work to date has examined the interactions between cognition and weight changes in the context of interventions with the Mediterranean diet (MedDiet). We studied the within-subject longitudinal relationships between cognition, body mass index (BMI), physical activity (PA), and quality of life (QoL), in older adults following a MedDiet.Methods: The PREDIMED-Plus is a primary prevention trial testing the effect of a lifestyle intervention program with an energy-restricted MedDiet (er-MedDiet), weight-loss goals and PA promotion on cardiovascular disease. The PREDIMED-Plus-Cognition sub-study included 487 participants (50% women, mean age 65.2 +/- 4.7 years), with overweight/obesity, metabolic syndrome and normal cognitive performance at baseline. A comprehensive neurocognitive test battery was administered at baseline and after 1 and 3 years.Results: Baseline higher performance in verbal memory (OR = 1.5; 95%CI 1.0, 2.1), visuoconstructive praxis and attention (OR = 1.5; 95%CI 0.9, 2.3), and inhibition (OR = 1.3; 95%CI 0.9,1.9) were associated with a higher odd of achieving at least 8% weight loss after 3 years follow-up in participants randomized to the intervention group. There were moderate improvements in specific tests of memory and executive functions during follow-up. Higher adherence to the er-MedDiet was associated with greater improvements in memory. Women exhibited lower rates of change in global cognition, PA and QoL. Moreover, improvements in memory correlated with reductions in BMI after 1 year (beta(STD) = -0.14) and with improvements in PA after 3 years (beta(STD) = 0.13). Finally, participants who experienced greater improvements in executive functions and global cognition also experienced greater improvements in their QoL.Conclusions: This study refines the understanding of the determinants and mutual interrelationships between longitudinally-assessed cognitive performance and weight loss, adding further evidence to the cognitive benefits associated with better adherence to a MedDiet. Our results also suggest that weight loss interventions tailored to the cognitive profile and gender of participants are promising avenues for future studies. (C) 2021 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
    Thematic Areas: Saúde coletiva Química Odontología Nutrition and dietetics Nutrition & dietetics Nutrição Medicina iii Medicina ii Medicina i Interdisciplinar General medicine Farmacia Engenharias iv Enfermagem Educação física Critical care and intensive care medicine Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciência de alimentos Biotecnología
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: jesusfrancisco.garcia@urv.cat stephanie.nishi@urv.cat jesusfrancisco.garcia@urv.cat jordi.salas@urv.cat nancy.babio@urv.cat
    Author identifier: 0000-0003-2700-7459 0000-0003-3527-5277
    Record's date: 2024-07-27
    Papper version: info:eu-repo/semantics/acceptedVersion
    Link to the original source: https://www.clinicalnutritionjournal.com/article/S0261-5614(21)00354-X/fulltext
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Clinical Nutrition. 40 (9): 5221-5237
    APA: Soldevila-Domenech, Natalia; Forcano, Laura; Vintro-Alcaraz, Cristina; Cuenca-Royo, Aida; Pinto, Xavier; Jimenez-Murcia, Susana; Garcia-Gavilan, Jesus (2021). Interplay between cognition and weight reduction in individuals following a Mediterranean Diet: Three-year follow-up of the PREDIMED-Plus trial. Clinical Nutrition, 40(9), 5221-5237. DOI: 10.1016/j.clnu.2021.07.020
    Article's DOI: 10.1016/j.clnu.2021.07.020
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2021
    Publication Type: Journal Publications
  • Keywords:

    Critical Care and Intensive Care Medicine,Nutrition & Dietetics,Nutrition and Dietetics
    Wellbeing
    Volume
    Visuoconstructive praxis
    Verbal memory
    Therapy effect
    Symbol digit modalities test
    Short form 36
    Sex difference
    Rey osterrieth complex figure test
    Rey auditory verbal learning test
    Recall
    Reaction time
    Quality of life
    Prevention
    Prevalence
    Physical-activity
    Physical activity
    Overweight
    Older-adults
    Obesity
    Obese individuals
    Nutrition
    Neuropsychological test
    Mini mental state examination
    Metabolic syndrome x
    Metabolic syndrome
    Mental function
    Memory
    Mediterranean diet
    Maximum-likelihood
    Male
    Longitudinal study
    Lifestyle modification
    Iowa gambling task
    Intervention
    Intelligence quotient
    Human
    Follow up
    Female
    Executive function
    Dietary compliance
    Depression
    Decline
    Correlational study
    Controlled study
    Cognition
    Clinical outcome
    Cardiovascular disease
    Brain function
    Body weight loss
    Body mass
    Behavior assessment
    Beck depression inventory
    Attention
    Article
    Aged
    Adherence
    Saúde coletiva
    Química
    Odontología
    Nutrition and dietetics
    Nutrition & dietetics
    Nutrição
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    General medicine
    Farmacia
    Engenharias iv
    Enfermagem
    Educação física
    Critical care and intensive care medicine
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Ciência de alimentos
    Biotecnología
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