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Desired weight loss and its association with health, health behaviors and perceptions in an adult population with weight excess: One-year follow-up

  • Identification data

    Identifier: imarina:9280521
    Handle: https://hdl.handle.net/20.500.11797/imarina9280521
    Authors:
    Bouzas CBibiloni MdMGarcia SMateos DMartínez-González MÁSalas-Salvadó JCorella DGoday AMartínez JAAlonso-Gómez ÁMWärnberg JVioque JRomaguera DLopez-Miranda JEstruch RTinahones FJLapetra JSerra-Majem LRiquelme-Gallego BMartín-Sánchez VPintó XGaforio JJMatía PVidal JVázquez CDaimiel LRos EPascual-Roquet-Jalmar EBabio NGonzalez-Monge ICastañer OAbete ISorto-Sánchez CCarlos Benavente-Marín JTorres-Collado LMartin MGarcía-Ríos ACastro-Barquero SFernández-García JCSantos-Lozano JMFernandez-Lazaro CISalas-Huetos AGuillem-Saiz PZomeño MDÁngeles Zulet MGoikoetxea-Bahon AGea ANishi SKSchröder HTur JA
    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 physic

  • Others:

    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: stephanie.nishi@urv.cat albert.salas@urv.cat jordi.salas@urv.cat nancy.babio@urv.cat
    Author identifier: 0000-0001-5914-6862 0000-0003-2700-7459 0000-0003-3527-5277
    Record's date: 2024-09-07
    Papper version: info:eu-repo/semantics/publishedVersion
    Licence document URL: https://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
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2022
    Publication Type: Journal Publications

  • Keywords:

    Endocrinology, Diabetes and Metabolism,Food Science,Nutrition & Dietetics,Nutrition and Dietetics
    Predimed-plus trial
    Metabolic syndrome
    Mediterranean diet
    Health perception
    Desired weight loss
    Saúde coletiva
    Nutrition and dietetics
    Nutrition & dietetics
    Nutrição
    Medicina i
    Interdisciplinar
    Food science
    Endocrinology, diabetes and metabolism
    Educação física

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