Adherence to the Mediterranean Lifestyle and Desired Body Weight Loss in a Mediterranean Adult Population with Overweight: A PREDIMED-Plus Study

被引:24
作者
Bouzas, Cristina [1 ,2 ,3 ]
del Mar Bibiloni, Maria [1 ,2 ,3 ]
Julibert, Alicia [1 ,2 ,3 ]
Ruiz-Canela, Miguel [1 ,4 ]
Salas-Salvado, Jordi [1 ,5 ,6 ]
Corella, Dolores [1 ,7 ]
Dolors Zomeno, Maria [1 ,8 ,9 ]
Romaguera, Dora [1 ,3 ]
Vioque, Jesus [10 ,11 ]
Alonso-Gomez, Angel M. [1 ,12 ,13 ]
Warnberg, Julia [1 ,14 ]
Alfredo Martinez, J. [1 ,15 ,16 ]
Serra-Majem, Luis [1 ,17 ]
Estruch, Ramon [1 ,18 ]
Tinahones, Francisco J. [1 ,19 ]
Lapetra, Jose [1 ,20 ]
Pinto, Xavier [1 ,21 ]
Garcia Rios, Antonio [1 ,22 ]
Bueno-Cavanillas, Aurora [11 ,23 ]
Gaforio, Jose J. [11 ,24 ]
Matia-Martin, Pilar [25 ]
Daimiel, Lidia [26 ]
Martin-Sanchez, Vicente [27 ,28 ]
Vidal, Josep [29 ]
Vazquez, Clotilde [1 ,30 ]
Ros, Emilio [1 ,31 ]
Ignacio Fernandez-Lazaro, Cesar [1 ,4 ]
Becerra-Tomas, Nerea [1 ,5 ]
Manuel Gimenez-Alba, Ignacio [1 ,7 ]
Munoz, Julia [1 ,8 ]
Morey, Marga [1 ,3 ]
Oncina-Canovas, Alejandro [10 ,11 ]
Tojal-Sierra, Lucas [2 ,12 ,13 ]
Perez-Lopez, Jessica [1 ,14 ]
Abete, Itziar [1 ,16 ]
Casanas-Quintana, Tamara [1 ,17 ]
Castro-Barquero, Sara [1 ,18 ]
Rosa Bernal-Lopez, M. [1 ,19 ]
Manuel Santos-Lozano, Jose [1 ,20 ]
Galera, Ana [1 ,21 ]
Angullo-Martinez, Escarlata [1 ,2 ,3 ,32 ]
Javier Basterra-Gortari, F. [1 ,4 ,33 ]
Basora, Josep [1 ,5 ]
Saiz, Carmen [1 ,7 ]
Castaner, Olga [1 ,8 ]
Martin, Marian [1 ,3 ]
Notario-Barandiaran, Leyre [10 ,11 ]
Bello-Mora, Maria C. [1 ,12 ,13 ]
Sayon-Orea, Carmen [1 ,4 ,33 ]
Garcia-Gavilan, Jesus [1 ,5 ]
机构
[1] Inst Salud Carlos III ISCIII, CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid 28029, Spain
[2] Univ Balearic Isl, Res Grp Community Nutr & Oxidat Stress, Guillem Colom Bldg, Palma De Mallorca 07122, Spain
[3] Hlth Res Inst Balearic Isl IdISBa, Palma De Mallorca 07120, Spain
[4] Univ Navarra, Dept Prevent Med & Publ Hlth, IdISNA, Pamplona 31008, Spain
[5] Univ Rovira & Virgili, Dept Biochem & Biotechnol, Human Nutr Unit, Reus 43201, Spain
[6] Inst Invest Sanitaria Pere Virgili IISPV, Reus 43201, Spain
[7] Univ Valencia, Dept Prevent Med, Valencia 46100, Spain
[8] Inst Hosp del Mar Invest Med Municipal Invest Med, Unit Cardiovasc Risk & Nutr, Barcelona 08003, Spain
[9] Univ Ramon Llull, Blanquerna Sch Hlth Sci, Barcelona 08022, Spain
[10] Miguel Hernandez Univ, ISABIAL UMH, Unit Nutr Epidemiol, Alicante 46020, Spain
[11] Inst Salud Carlos III ISCIII, CIBER Epidemiol & Salud Publ CIBERESP, Madrid 28029, Spain
[12] Univ Basque Country, UPV EHU, Araba Univ Hosp, Bioaraba Hlth Res Inst, Vitoria 48013, Spain
[13] Univ Basque Country, UPV EHU, Araba Univ Hosp, Osakidetza Basque Hlth Serv, Vitoria 48013, Spain
[14] Univ Malaga, IBIMA, Sch Hlth Sci, Dept Nursing, Malaga 29071, Spain
[15] CSIC, CEI UAM, IMDEA Food, Precis Nutr Program, Madrid 28049, Spain
[16] Univ Navarra, Ctr Nutr Res, Dept Nutr Food Sci & Physiol, Pamplona 31008, Spain
[17] Univ Las Palmas Gran Canaria, Inst Biomed Res, Las Palmas Gran Canaria 35016, Spain
[18] Univ Barcelona, Hosp Clin, IDIBAPS, Dept Internal Med, Barcelona 08036, Spain
[19] Univ Malaga, Biomed Res Inst Malaga IBIMA, Dept Endocrinol, Virgen de la Victoria Hosp, Malaga 29010, Spain
[20] Dist Sanitario Atenc Primaria Sevilla, Res Unit, Dept Family Med, Seville 41013, Spain
[21] Hosp Univ Bellvitge, Lipids & Vasc Risk Unit, Internal Med, Barcelona 08907, Spain
[22] Univ Cordoba, Reina Sofia Univ Hosp, Maimonides Biomed Res Inst Cordoba IMIBIC, Dept Internal Med,Lipids & Atherosclerosis Unit, Cordoba 14004, Spain
[23] Univ Granada, Dept Prevent Med, Granada 18071, Spain
[24] Univ Jaen, Ctr Estudios Avanzados Olivar & Aceites Oliva, Dept Hlth Sci, Jaen 23071, Spain
[25] Inst Invest Sanitaria Hosp Clin San Carlos IdISSC, Dept Endocrinol & Nutr, Madrid 28040, Spain
[26] CSIC, CEI UAM, IMDEA Food, Nutr Genom & Epigen Grp, Madrid 28049, Spain
[27] Inst Salud Carlos III ISCIII, CIBER Diabet & Enfermedades Metab CIBERDEM, Madrid 28029, Spain
[28] Univ Leon, Inst Biomed IBIOMED, Leon 24071, Spain
[29] Univ Barcelona, Hosp Clin, IDIBAPS, Dept Endocrinol, Barcelona 08036, Spain
[30] Fdn Jimenez Diaz, Dept Endocrinol, Madrid 28040, Spain
[31] Hosp Clin Barcelona, Dept Endocrinol & Nutr, Lipid Clin, Inst Invest Biomed August Pi Sunyer IDIBAPS, Barcelona 08036, Spain
[32] IBSalut, Primary Hlth Care Ctr, Escola Grad, Palma De Mallorca 07002, Spain
[33] Serv Navarro Salud, Osasunbidea, Pamplona 31071, Spain
基金
欧盟地平线“2020”; 欧洲研究理事会;
关键词
body image; mediterranean lifestyle; overweight; obesity; older adults; desired weight loss; ideal weight; PREDIMED-Plus; PHYSICAL-ACTIVITY QUESTIONNAIRE; HEALTH; DIET; VALIDATION; PERCEPTION; ATTITUDES; IMAGE; BEHAVIORS; OBESITY; STIGMA;
D O I
10.3390/nu12072114
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background. Body weight dissatisfaction is a hindrance to following a healthy lifestyle and it has been associated with weight concerns. Objectives. The aim of this study was to assess the association between the adherence to the Mediterranean lifestyle (diet and exercise) and the desired body weight loss in an adult Mediterranean population with overweight. Methods. Cross-sectional analysis in 6355 participants (3268 men; 3087 women) with metabolic syndrome and BMI (Body mass index) between 27.0 and 40.0 kg/m(2)(55-75 years old) from the PREDIMED-Plus trial. Desired weight loss was the percentage of weight that participants wished to lose. It was categorized into four cut-offs of this percentage (Q1: <10%,n= 1495; Q2: 10-15%,n= 1804; Q3: <15-20%,n= 1470; Q4: >= 20%,n= 1589). Diet was assessed using a validated food frequency questionnaire and a 17-item Mediterranean diet questionnaire. Physical activity was assessed by the validated Minnesota-REGICOR and the validated Spanish version of the Nurses' Health Study questionnaire. Results. Participants reporting higher percentages of desired weight loss (Q3 and Q4) were younger, had higher real and perceived BMI and were more likely to have abdominal obesity. Desired weight loss correlated inversely to physical activity (Q1: 2106 MET min/week; Q4: 1585 MET min/week.p< 0.001) and adherence to Mediterranean diet (Q1: 8.7; Q4: 8.3.p< 0.001). Conclusions. In older Mediterranean individuals with weight excess, desired weight loss was inversely associated with Mediterranean lifestyle adherence. Deeply rooted aspects of the MedDiet remained similar across groups. Longitudinal research is advised to be able to establish causality.
引用
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页码:1 / 21
页数:18
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