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

Autor según el artículo: Bouzas, Cristina; Bibiloni, Maria del Mar; Garcia, Silvia; Mateos, David; Martinez-Gonzalez, Miguel Angel; Salas-Salvado, Jordi; Corella, Dolores; Goday, Albert; Martinez, J Alfredo; Alonso-Gomez, Angel M; Waernberg, Julia; Vioque, Jesus; Romaguera, Dora; Lopez-Miranda, Jose; Estruch, Ramon; Tinahones, Francisco J; Lapetra, Jose; Serra-Majem, Lluis; Riquelme-Gallego, Blanca; Martin-Sanchez, Vicente; Pinto, Xavier; Gaforio, Jose J; Matia, Pilar; Vidal, Josep; Vazquez, Clotilde; Daimiel, Lidia; Ros, Emilio; Pascual-Roquet-Jalmar, Elena; Babio, Nancy; Gonzalez-Monge, Inmaculada; Castaner, Olga; Abete, Itziar; Sorto-Sanchez, Carolina; Carlos Benavente-Marin, Juan; Torres-Collado, Laura; Martin, Marian; Garcia-Rios, Antonio; Castro-Barquero, Sara; Fernandez-Garcia, Jose C; Santos-Lozano, Jose Manuel; Fernandez-Lazaro, Cesar I; Salas-Huetos, Albert; Guillem-Saiz, Patricia; Zomeno, Maria Dolores; angeles Zulet, Maria; Goikoetxea-Bahon, Amaia; Gea, Alfredo; Nishi, Stephanie K; Schroeder, Helmut; Tur, Josep A

Departamento: Bioquímica i Biotecnologia

Autor/es de la URV: Babio Sánchez, Nancy Elvira / Nishi, Stephanie Kimiko / Salas Huetos, Albert / Salas Salvadó, Jorge

Palabras clave: Predimed-plus trial; Metabolic syndrome; Mediterranean diet; Health perception; Desired weight loss

Resumen: 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.

Áreas temáticas: Saúde coletiva; Nutrition and dietetics; Nutrition & dietetics; Nutrição; Medicina i; Interdisciplinar; Food science; Endocrinology, diabetes and metabolism; Educação física

Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/

Direcció de correo del autor: stephanie.nishi@urv.cat; albert.salas@urv.cat; jordi.salas@urv.cat; nancy.babio@urv.cat

Fecha de alta del registro: 2025-02-19

Versión del articulo depositado: info:eu-repo/semantics/publishedVersion

Enlace a la fuente original: https://www.frontiersin.org/articles/10.3389/fnut.2022.848055/full

URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/

Referencia al articulo segun fuente origial: Front Nutr. 9 848055-

Referencia de l'ítem segons les normes APA: Bouzas, Cristina; Bibiloni, Maria del Mar; Garcia, Silvia; Mateos, David; Martinez-Gonzalez, Miguel Angel; Salas-Salvado, Jordi; Corella, Dolores; God (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(), 848055-. DOI: 10.3389/fnut.2022.848055

DOI del artículo: 10.3389/fnut.2022.848055

Entidad: Universitat Rovira i Virgili

Año de publicación de la revista: 2022

Tipo de publicación: Journal Publications