Author, as appears in the article.: Bouzas C; Bibiloni MdM; Garcia S; Mateos D; Martínez-González MÁ; Salas-Salvadó J; Corella D; Goday A; Martínez JA; Alonso-Gómez ÁM; Wärnberg J; Vioque J; Romaguera D; Lopez-Miranda J; Estruch R; Tinahones FJ; Lapetra J; Serra-Majem L; Riquelme-Gallego B; Martín-Sánchez V; Pintó X; Gaforio JJ; Matía P; Vidal J; Vázquez C; Daimiel L; Ros E; Pascual-Roquet-Jalmar E; Babio N; Gonzalez-Monge I; Castañer O; Abete I; Sorto-Sánchez C; Carlos Benavente-Marín J; Torres-Collado L; Martin M; García-Ríos A; Castro-Barquero S; Fernández-García JC; Santos-Lozano JM; Fernandez-Lazaro CI; Salas-Huetos A; Guillem-Saiz P; Zomeño MD; Ángeles Zulet M; Goikoetxea-Bahon A; Gea A; Nishi SK; Schröder H; Tur JA
Department: Bioquímica i Biotecnologia
URV's Author/s: Babio Sánchez, Nancy Elvira / Nishi, Stephanie Kimiko / Salas Huetos, Albert / Salas Salvadó, Jorge
Keywords: Predimed-plus trial Metabolic syndrome Mediterranean diet Health perception Desired weight loss
Abstract: Background: Metabolic syndrome (MetS) worsens quality of life and increases mortality. Dissatisfaction with weight in patients with MetS may modify the effect of lifestyle interventions to achieve changes in health-related behaviors. Objective: To assess 1-year changes in cardiovascular risk scores, self-perceived general health and health-related behaviors according to observed changes in desired weight loss during the first year of intervention in a large cardiovascular prevention trial. Design: Prospective analysis of the PREDIMED-PLUS trial, including 5,499 adults (55–75 years old) with overweight or obesity at baseline. Methods: The desired weight loss was the difference between ideal and measured weight. Tertiles of change in desired weight loss (1 year vs. baseline) were defined by the following cut-off points: ≥0.0 kg (T1, n = 1,638); 0.0 to −4.0 kg (T2, n = 1,903); ≤−4.0 kg (T3, n = 1,958). A food frequency questionnaire assessed diet and the Minnesota-REGICOR questionnaire assessed physical activity. The Framingham equation assessed cardiovascular risks. The changes in the severity of MetS were also assessed. The Beck Depression Inventory assessed depressive symptoms and the SF-36 assessed health-related quality of life. Data were analyzed using general linear models. Results: BMI decreased at T2 and T3 (T1: 0.3, T2: −0.7, T3: −1.9). The most significant improvement in diet quality was observed at T3. Cardiovascular risk decreased at T2 and T3. Mean reductions in MetS severity score were: −0.02 at T1, −0.39 at T2 and −0.78 at T3. The perception of physical health increases in successive tertiles. Conclusions: In older adults with MetS, more ambitious desired weight loss goals were associated with improvements in diet, cardiovascular health and perceived physical health during the first year of a healthy lifestyle intervention programme. Weight dissatisfaction needs to be considered by health professionals. Clinical trial registration: http://www.isrctn.com/ISRCTN89898870, identifier 89898870.
Thematic Areas: Saúde coletiva Nutrition and dietetics Nutrition & dietetics Nutrição Medicina i Interdisciplinar Food science Endocrinology, diabetes and metabolism Educação física
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: albert.salas@urv.cat stephanie.nishi@urv.cat nancy.babio@urv.cat jordi.salas@urv.cat
Author identifier: 0000-0001-5914-6862 0000-0003-3527-5277 0000-0003-2700-7459
Record's date: 2024-01-13
Papper version: info:eu-repo/semantics/publishedVersion
Link to the original source: https://www.frontiersin.org/articles/10.3389/fnut.2022.848055/full
Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: Front Nutr. 9
APA: Bouzas C; Bibiloni MdM; Garcia S; Mateos D; Martínez-González MÁ; Salas-Salvadó J; Corella D; Goday A; Martínez JA; Alonso-Gómez ÁM; Wärnberg J; Vioqu (2022). Desired weight loss and its association with health, health behaviors and perceptions in an adult population with weight excess: One-year follow-up. Front Nutr, 9(), -. DOI: 10.3389/fnut.2022.848055
Article's DOI: 10.3389/fnut.2022.848055
Entity: Universitat Rovira i Virgili
Journal publication year: 2022
Publication Type: Journal Publications
Repositori URV