Factors associated with successful dietary changes in an energy-reduced Mediterranean diet intervention: a longitudinal analysis in the PREDIMED-Plus trial

被引：11

作者：

Fernandez-Lazaro, Cesar, I ^{[1
]}

Toledo, Estefania ^{[1
,2
]}

Buil-Cosiales, Pilar ^{[1
,2
,3
]}

Salas-Salvado, Jordi ^{[2
,4
,5
,6
]}

Corella, Dolores ^{[2
,7
]}

Fito, Montserrat ^{[2
,8
]}

Alfredo Martinez, J. ^{[2
,9
,10
]}

Alonso-Gomez, Angel M. ^{[2
,11
]}

Warnberg, Julia ^{[2
,12
]}

Vioque, Jesus ^{[13
,14
]}

Romaguera, Dora ^{[2
,15
]}

Lopez-Miranda, Jose ^{[2
,16
]}

Estruch, Ramon ^{[2
,17
]}

Tinahones, Francisco J. ^{[2
,18
]}

Lapetra, Jose ^{[2
,19
]}

Serra-Majem, Luis ^{[2
,20
,21
]}

Bueno-Cavanillas, Aurora ^{[13
,22
]}

Tur, Josep A. ^{[2
,23
,24
]}

Martin Sanchez, Vicente ^{[13
,25
]}

Pinto, Xavier ^{[2
,26
]}

Delgado-Rodriguez, Miguel ^{[13
,27
]}

Matia-Martin, Pilar ^{[28
]}

Vidal, Josep ^{[29
,30
]}

Ros, Emilio ^{[2
,30
,31
]}

Vazquez, Clotilde ^{[32
]}

Daimiel, Lidia ^{[33
]}

SanJulian, Beatriz ^{[1
]}

Garcia-Gavilan, Jesus F. ^{[2
,4
]}

Sorli, Jose, V ^{[2
,7
]}

Castaner, Olga ^{[2
,8
]}

Angeles Zulet, M. ^{[2
,10
]}

Tojal-Sierra, Lucas ^{[2
,11
]}

Perez-Farinos, Napoleon ^{[2
,12
]}

Oncina-Canovas, Alejandro ^{[14
]}

Monino, Manuel ^{[2
,15
]}

Garcia-Rios, Antonio ^{[2
,16
]}

Sacanella, Emilio ^{[2
,17
]}

Bernal-Lopez, Rosa M. ^{[2
,18
]}

Manuel Santos-Lozano, Jose ^{[2
,19
]}

Vazquez-Ruiz, Zenaida ^{[1
,2
]}

Muralidharan, Jananee ^{[2
,4
]}

Ortega-Azorin, Carolina ^{[2
,7
]}

Goday, Alberto ^{[2
,8
]}

Razquin, Cristina ^{[1
,2
]}

Goicolea-Guemez, Leire ^{[2
,11
]}

Ruiz-Canela, Miguel ^{[1
,2
]}

Becerra-Tomas, Nerea ^{[2
,4
,6
]}

Schroder, Helmut ^{[2
,8
]}

Martinez Gonzalez, Miguel A. ^{[1
,2
,34
]}

机构：

[1] NavarraUniv Navarra, Dept Prevent Med & Publ Hlth, IdiSNA, Pamplona 31008, Spain

[2] Inst Hlth Carlos III, Ctr Invest Biomed Red Fisiopatol Obesidad & Nutr, Madrid, Spain

[3] IdiSNA, Serv Atenc Primaria, Navarra Reg Hlth Serv Osasunbidea, Pamplona, Spain

[4] Univ Rovira & Virgili, Dept Bioquim & Biotecnol, Unitat Nutr Humana, Reus, Spain

[5] Univ Hosp St Joan Reus, Nutr Unit, Reus, Spain

[6] Inst Invest Sanitaria Pere Virgili IISPV, Reus, Spain

[7] Univ Valencia, Dept Prevent Med, Valencia, Spain

[8] Inst Hosp Mar Invest Med Municipal Invest Med IMI, Unit Cardiovasc Risk & Nutr, Barcelona, Spain

[9] Univ Navarra, Ctr Nutr Res, Dept Nutr Food Sci & Physiol, Pamplona, Spain

[10] CEI UAM CSIC, IMDEA Food, Cardiometab Nutr Grp, Madrid, Spain

[11] Univ Basque Country UPV EHU, Araba Univ Hosp, Bioaraba Hlth Res Inst, Cardiovasc Resp & Metab Area,Osakidetza Basque Hl, Vitoria, Spain

[12] Univ Malaga, Sch Hlth Sci, Inst Invest Biomed Malaga IBIMA, Epiphaan Res Grp, Malaga 29071, Spain

[13] Inst Salud Carlos III, CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain

[14] Inst Invest Sanitaria & Biomed Alicante ISABIAL U, Alicante, Spain

[15] Hlth Res Inst Balearic Isl IdISBa, Palma De Mallorca, Spain

[16] Univ Cordoba, Reina Sofia Univ Hosp, Maimonides Biomed Res Inst Cordoba IMIBIC, Dept Internal Med, Cordoba, Spain

[17] Univ Barcelona, Hosp Clin, Inst Invest Biomed August Pi Sunyer IDIBAPS, Dept Internal Med, Barcelona, Spain

[18] Univ Malaga, Virgen de la Victoria Hosp, Inst Invest Biomed Malaga IBIMA, Dept Endocrinol, Malaga, Spain

[19] Dist Sanitario Atenc Primaria Sevilla, Res Unit, Dept Family Med, Seville, Spain

[20] Univ Las Palmas Gran Canaria, Res Inst Biomed & Hlth Sci IUIBS, Las Palmas Gran Canaria, Spain

[21] Ctr Hosp Univ Insular Materno Infantil CHUIMI, Canarian Hlth Serv, Las Palmas Gran Canaria, Spain

[22] Univ Granada, Dept Prevent Med & Publ Hlth, Granada, Spain

[23] Univ Balearic Isl IUNICS, Res Grp Community Nutr & Oxidat Stress, Palma De Mallorca, Spain

[24] IDISBA, Palma De Mallorca, Spain

[25] Univ Leon, Inst Biomed IBIOMED, Leon, Spain

[26] Hosp Univ Bellvitge, Lipids & Vasc Risk Unit, Internal Med, Barcelona, Spain

[27] Univ Jaen, Fac Med, Div Prevent Med, Jaen, Spain

[28] Inst Invest Sanitaria Hosp Clin San Carlos IdISSC, Dept Endocrinol & Nutr, Madrid, Spain

[29] Inst Salud Carlos III ISCIII, CIBER Diabet & Enfermedades Metab CIBERDEM, Madrid, Spain

[30] Univ Barcelona, Hosp Clin, Inst Invest Biomed August Pi Sunyer IDIBAPS, Dept Endocrinol, Barcelona, Spain

[31] Hosp Clin Barcelona, Inst Invest Biomed August Pi Sunyer IDIBAPS, Dept Endocrinol & Nutr, Lipid Clin, Barcelona, Spain

[32] Univ Autonoma, Hosp Fdn Jimenez Diaz, Inst Invest Biomed IISFJD, Dept Endocrinol & Nutr, Madrid, Spain

[33] CEI UAM CSIC, IMDEA Food, Nutr Control Epigenome Grp, Madrid, Spain

[34] Harvard TH Chan Sch Publ Hlth, Dept Nutr, Boston, MA 02115 USA

来源：

EUROPEAN JOURNAL OF NUTRITION | 2022年 / 61卷 / 03期

基金：

欧洲研究理事会;

关键词：

PREDIMED-Plus; Dietary change; Factors; Dietary adherence; Mediterranean diet; Randomized controlled trials; WEIGHT-LOSS; CARDIOVASCULAR-DISEASE; BREAST-CANCER; ADHERENCE; HEALTH; PATTERN; RISK; FAT; QUESTIONNAIRE; POPULATION;

D O I：

10.1007/s00394-021-02697-8

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：

Purpose Long-term nutrition trials may fail to respond to their original hypotheses if participants do not comply with the intended dietary intervention. We aimed to identify baseline factors associated with successful dietary changes towards an energy-reduced Mediterranean diet (MedDiet) in the PREDIMED-Plus randomized trial. Methods Longitudinal analysis of 2985 participants (Spanish overweight/obese older adults with metabolic syndrome) randomized to the active intervention arm of the PREDIMED-Plus trial. Dietary changes were assessed with a 17-item energy-reduced MedDiet questionnaire after 6 and 12 months of follow-up. Successful compliance was defined as dietary changes from baseline of >= 5 points for participants with baseline scores < 13 points or any increase if baseline score was >= 13 points. We conducted crude and adjusted multivariable logistic regression models to identify baseline factors related to compliance. Results Consistent factors independently associated with successful dietary change at both 6 and 12 months were high baseline perceived self-efficacy in modifying diet (OR6-month: 1.51, 95% CI 1.25-1.83; OR12-month: 1.66, 95% CI 1.37-2.01), higher baseline fiber intake (OR6-month: 1.62, 95% CI 1.07-2.46; OR12-month: 1.62, 95% CI 1.07-2.45), having > 3 chronic conditions (OR6-month: 0.65, 95% CI 0.53-0.79; OR12-month: 0.76, 95% CI 0.62-0.93), and suffering depression (OR6-month: 0.80, 95% CI 0.64-0.99; OR12-month: 0.71, 95% CI 0.57-0.88). Conclusion Our results suggested that recruitment of individuals with high perceived self-efficacy to dietary change, and those who initially follow diets relatively richer in fiber may lead to greater changes in nutritional recommendations. Participants with multiple chronic conditions, specifically depression, should receive specific tailored interventions.

引用

页码：1457 / 1475

页数：19

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