Author, as appears in the article.: Aldubayan, Mona A; Pigsborg, Kristina; Gormsen, Sophia M O; Serra, Francisca; Palou, Mariona; Galmes, Sebastia; Palou-March, Andreu; Favari, Claudia; Wetzels, Mart; Calleja, Alberto; Rodriguez Gomez, Miguel Angel; Guirro Castellnou, Maria; Caimari, Antoni; Galofre, Mar; Sunol, David; Escote, Xavier; Maria Alcaide-Hidalgo, Juan; del Bas, Josep M; Gutierrez, Biotza; Krarup, Thure; Hjorth, Mads F; Magkos, Faidon
Department: Bioquímica i Biotecnologia
URV's Author/s: Del Bas Prior, José María / Escote Miro, Xavier
Keywords: Weight management Precision nutrition Personalized nutrition Obesity Nutrigenetics Metabolomics Health-biomarkers weight management values precision nutrition overweight obesity nutrigenetics metabolomics insulin health-biomarkers dietary restraint controlled-trial body-weight association adults
Abstract: Background & aims: Growing evidence suggests that biomarker-guided dietary interventions can optimize response to treatment. In this study, we evaluated the efficacy of the PREVENTOMCIS platform—which uses metabolomic and genetic information to classify individuals into different ‘metabolic clusters’ and create personalized dietary plans—for improving health outcomes in subjects with overweight or obesity. Methods: A 10-week parallel, double-blinded, randomized intervention was conducted in 100 adults (82 completers) aged 18–65 years, with body mass index ≥27 but <40 kg/m2, who were allocated into either a personalized diet group (n = 49) or a control diet group (n = 51). About 60% of all food was provided free-of-charge. No specific instruction to restrict energy intake was given. The primary outcome was change in fat mass from baseline, evaluated by dual energy X-ray absorptiometry. Other endpoints included body weight, waist circumference, lipid profile, glucose homeostasis markers, inflammatory markers, blood pressure, physical activity, stress and eating behavior. Results: There were significant main effects of time (P < 0.01), but no group main effects, or time-by-group interactions, for the change in fat mass (personalized: −2.1 [95% CI -2.9, −1.4] kg; control: −2.0 [95% CI -2.7, −1.3] kg) and body weight (personalized: −3.1 [95% CI -4.1, −2.1] kg; control: −3.3 [95% CI −4.2, −2.4] kg). The difference between groups in fat mass change was −0.1 kg (95% CI −1.2, 0.9 kg, P = 0.77). Both diets resulted in significant improvements in insulin resistance and lipid profile, but there were no significant differences between groups. Conclusion: Personalized dietary plans did not result in greater benefits over a generic, but generally healthy diet, in this 10-week clinical trial. Further studies are required to establish the soundness of different precision nutrition approaches, and translate this science into clinically relevant dietary advice to reduce the burden of obesity and its comorbidities. Clinical trial registry: ClinicalTrials.gov registry (NCT04590989).
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: josepm.delbas@urv.cat xavier.escote@urv.cat
Author identifier: 0000-0003-1172-3995
Record's date: 2025-03-15
Paper version: info:eu-repo/semantics/publishedVersion
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Paper original source: Clinical Nutrition. 41 (8): 1834-1844
APA: Aldubayan, Mona A; Pigsborg, Kristina; Gormsen, Sophia M O; Serra, Francisca; Palou, Mariona; Galmes, Sebastia; Palou-March, Andreu; Favari, Claudia; (2022). A double-blinded, randomized, parallel intervention to evaluate biomarker-based nutrition plans for weight loss: The PREVENTOMICS study. Clinical Nutrition, 41(8), 1834-1844. DOI: 10.1016/j.clnu.2022.06.032
Entity: Universitat Rovira i Virgili
Journal publication year: 2022
Publication Type: Journal Publications