Desired weight loss and its association with health, health behaviors and perceptions in an adult population with weight excess: One-year follow-up
BackgroundMetabolic 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.ObjectiveTo assess 1-year changes in cardiovascular risk scores, self...
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| Format: | Article |
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Frontiers Media S.A.
2022-07-01
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| Series: | Frontiers in Nutrition |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2022.848055/full |
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| author | Cristina Bouzas Cristina Bouzas Cristina Bouzas Maria del Mar Bibiloni Maria del Mar Bibiloni Maria del Mar Bibiloni Silvia Garcia Silvia Garcia Silvia Garcia David Mateos David Mateos David Mateos Miguel Ángel Martínez-González Miguel Ángel Martínez-González Miguel Ángel Martínez-González Jordi Salas-Salvadó Jordi Salas-Salvadó Dolores Corella Dolores Corella Albert Goday Albert Goday J. Alfredo Martínez J. Alfredo Martínez J. Alfredo Martínez Ángel M. Alonso-Gómez Ángel M. Alonso-Gómez Ángel M. Alonso-Gómez Ángel M. Alonso-Gómez Julia Wärnberg Julia Wärnberg Jesús Vioque Jesús Vioque Dora Romaguera Dora Romaguera José Lopez-Miranda José Lopez-Miranda Ramon Estruch Ramon Estruch Francisco J. Tinahones Francisco J. Tinahones José Lapetra José Lapetra Lluís Serra-Majem Lluís Serra-Majem Blanca Riquelme-Gallego Blanca Riquelme-Gallego Vicente Martín-Sánchez Vicente Martín-Sánchez Xavier Pintó Xavier Pintó José J. Gaforio José J. Gaforio Pilar Matía Josep Vidal Clotilde Vázquez Lidia Daimiel Emilio Ros Emilio Ros Elena Pascual-Roquet-Jalmar Elena Pascual-Roquet-Jalmar Nancy Babio Nancy Babio Inmaculada Gonzalez-Monge Olga Castañer Olga Castañer Itziar Abete Itziar Abete Carolina Sorto-Sánchez Carolina Sorto-Sánchez Carolina Sorto-Sánchez Carolina Sorto-Sánchez Juan Carlos Benavente-Marín Juan Carlos Benavente-Marín Laura Torres-Collado Laura Torres-Collado Marian Martin Marian Martin Antonio García-Ríos Antonio García-Ríos Sara Castro-Barquero Sara Castro-Barquero Jose C. Fernández-García Jose C. Fernández-García José Manuel Santos-Lozano José Manuel Santos-Lozano Cesar I. Fernandez-Lazaro Albert Salas-Huetos Albert Salas-Huetos Patricia Guillem-Saiz Patricia Guillem-Saiz María Dolores Zomeño María Dolores Zomeño Maria Ángeles Zulet Maria Ángeles Zulet Amaia Goikoetxea-Bahon Amaia Goikoetxea-Bahon Amaia Goikoetxea-Bahon Amaia Goikoetxea-Bahon Alfredo Gea Stephanie K. Nishi Stephanie K. Nishi Helmut Schröder Helmut Schröder Josep A. Tur Josep A. Tur Josep A. Tur The PREDIMED-Plus investigators |
| author_facet | Cristina Bouzas Cristina Bouzas Cristina Bouzas Maria del Mar Bibiloni Maria del Mar Bibiloni Maria del Mar Bibiloni Silvia Garcia Silvia Garcia Silvia Garcia David Mateos David Mateos David Mateos Miguel Ángel Martínez-González Miguel Ángel Martínez-González Miguel Ángel Martínez-González Jordi Salas-Salvadó Jordi Salas-Salvadó Dolores Corella Dolores Corella Albert Goday Albert Goday J. Alfredo Martínez J. Alfredo Martínez J. Alfredo Martínez Ángel M. Alonso-Gómez Ángel M. Alonso-Gómez Ángel M. Alonso-Gómez Ángel M. Alonso-Gómez Julia Wärnberg Julia Wärnberg Jesús Vioque Jesús Vioque Dora Romaguera Dora Romaguera José Lopez-Miranda José Lopez-Miranda Ramon Estruch Ramon Estruch Francisco J. Tinahones Francisco J. Tinahones José Lapetra José Lapetra Lluís Serra-Majem Lluís Serra-Majem Blanca Riquelme-Gallego Blanca Riquelme-Gallego Vicente Martín-Sánchez Vicente Martín-Sánchez Xavier Pintó Xavier Pintó José J. Gaforio José J. Gaforio Pilar Matía Josep Vidal Clotilde Vázquez Lidia Daimiel Emilio Ros Emilio Ros Elena Pascual-Roquet-Jalmar Elena Pascual-Roquet-Jalmar Nancy Babio Nancy Babio Inmaculada Gonzalez-Monge Olga Castañer Olga Castañer Itziar Abete Itziar Abete Carolina Sorto-Sánchez Carolina Sorto-Sánchez Carolina Sorto-Sánchez Carolina Sorto-Sánchez Juan Carlos Benavente-Marín Juan Carlos Benavente-Marín Laura Torres-Collado Laura Torres-Collado Marian Martin Marian Martin Antonio García-Ríos Antonio García-Ríos Sara Castro-Barquero Sara Castro-Barquero Jose C. Fernández-García Jose C. Fernández-García José Manuel Santos-Lozano José Manuel Santos-Lozano Cesar I. Fernandez-Lazaro Albert Salas-Huetos Albert Salas-Huetos Patricia Guillem-Saiz Patricia Guillem-Saiz María Dolores Zomeño María Dolores Zomeño Maria Ángeles Zulet Maria Ángeles Zulet Amaia Goikoetxea-Bahon Amaia Goikoetxea-Bahon Amaia Goikoetxea-Bahon Amaia Goikoetxea-Bahon Alfredo Gea Stephanie K. Nishi Stephanie K. Nishi Helmut Schröder Helmut Schröder Josep A. Tur Josep A. Tur Josep A. Tur The PREDIMED-Plus investigators |
| author_sort | Cristina Bouzas |
| collection | DOAJ |
| description | BackgroundMetabolic 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.ObjectiveTo 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.DesignProspective analysis of the PREDIMED-PLUS trial, including 5,499 adults (55–75 years old) with overweight or obesity at baseline.MethodsThe 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.ResultsBMI 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.ConclusionsIn 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 registrationhttp://www.isrctn.com/ISRCTN89898870, identifier 89898870. |
| first_indexed | 2024-04-14T03:49:37Z |
| format | Article |
| id | doaj.art-47df2a11ba3d4d8f8f1820b1dcf6c9ba |
| institution | Directory Open Access Journal |
| issn | 2296-861X |
| language | English |
| last_indexed | 2024-04-14T03:49:37Z |
| publishDate | 2022-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Nutrition |
| spelling | doaj.art-47df2a11ba3d4d8f8f1820b1dcf6c9ba2022-12-22T02:14:04ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2022-07-01910.3389/fnut.2022.848055848055Desired weight loss and its association with health, health behaviors and perceptions in an adult population with weight excess: One-year follow-upCristina Bouzas0Cristina Bouzas1Cristina Bouzas2Maria del Mar Bibiloni3Maria del Mar Bibiloni4Maria del Mar Bibiloni5Silvia Garcia6Silvia Garcia7Silvia Garcia8David Mateos9David Mateos10David Mateos11Miguel Ángel Martínez-González12Miguel Ángel Martínez-González13Miguel Ángel Martínez-González14Jordi Salas-Salvadó15Jordi Salas-Salvadó16Dolores Corella17Dolores Corella18Albert Goday19Albert Goday20J. Alfredo Martínez21J. Alfredo Martínez22J. Alfredo Martínez23Ángel M. Alonso-Gómez24Ángel M. Alonso-Gómez25Ángel M. Alonso-Gómez26Ángel M. Alonso-Gómez27Julia Wärnberg28Julia Wärnberg29Jesús Vioque30Jesús Vioque31Dora Romaguera32Dora Romaguera33José Lopez-Miranda34José Lopez-Miranda35Ramon Estruch36Ramon Estruch37Francisco J. Tinahones38Francisco J. Tinahones39José Lapetra40José Lapetra41Lluís Serra-Majem42Lluís Serra-Majem43Blanca Riquelme-Gallego44Blanca Riquelme-Gallego45Vicente Martín-Sánchez46Vicente Martín-Sánchez47Xavier Pintó48Xavier Pintó49José J. Gaforio50José J. Gaforio51Pilar Matía52Josep Vidal53Clotilde Vázquez54Lidia Daimiel55Emilio Ros56Emilio Ros57Elena Pascual-Roquet-Jalmar58Elena Pascual-Roquet-Jalmar59Nancy Babio60Nancy Babio61Inmaculada Gonzalez-Monge62Olga Castañer63Olga Castañer64Itziar Abete65Itziar Abete66Carolina Sorto-Sánchez67Carolina Sorto-Sánchez68Carolina Sorto-Sánchez69Carolina Sorto-Sánchez70Juan Carlos Benavente-Marín71Juan Carlos Benavente-Marín72Laura Torres-Collado73Laura Torres-Collado74Marian Martin75Marian Martin76Antonio García-Ríos77Antonio García-Ríos78Sara Castro-Barquero79Sara Castro-Barquero80Jose C. Fernández-García81Jose C. Fernández-García82José Manuel Santos-Lozano83José Manuel Santos-Lozano84Cesar I. Fernandez-Lazaro85Albert Salas-Huetos86Albert Salas-Huetos87Patricia Guillem-Saiz88Patricia Guillem-Saiz89María Dolores Zomeño90María Dolores Zomeño91Maria Ángeles Zulet92Maria Ángeles Zulet93Amaia Goikoetxea-Bahon94Amaia Goikoetxea-Bahon95Amaia Goikoetxea-Bahon96Amaia Goikoetxea-Bahon97Alfredo Gea98Stephanie K. Nishi99Stephanie K. Nishi100Helmut Schröder101Helmut Schröder102Josep A. Tur103Josep A. Tur104Josep A. Tur105The PREDIMED-Plus investigatorsCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainResearch Group on Community Nutrition & Oxidative Stress, University of Balearic Islands, Palma de Mallorca, SpainHealth Research Institute of the Balearic Islands (IdISBa), Palma de Mallorca, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainResearch Group on Community Nutrition & Oxidative Stress, University of Balearic Islands, Palma de Mallorca, SpainHealth Research Institute of the Balearic Islands (IdISBa), Palma de Mallorca, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainResearch Group on Community Nutrition & Oxidative Stress, University of Balearic Islands, Palma de Mallorca, SpainHealth Research Institute of the Balearic Islands (IdISBa), Palma de Mallorca, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainResearch Group on Community Nutrition & Oxidative Stress, University of Balearic Islands, Palma de Mallorca, SpainHealth Research Institute of the Balearic Islands (IdISBa), Palma de Mallorca, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainDepartment of Preventive Medicine and Public Health, Instituto de Investigación Sanitaria de Navarra (IDISNA), University of Navarra, Pamplona, SpainDepartment of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA, United StatesCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainHuman Nutrition Unit, Biochemistry and Biotechnology Department, Institut d'Investigació Sanitària Pere Virgili (IISPV), Hospital Universitari Sant Joan de Reus, Universitat Rovira i Virgili, Tarragona, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainDepartment of Preventive Medicine, University of Valencia, Valencia, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainUnit of Cardiovascular Risk and Nutrition, Institut Hospital del Mar de Investigaciones Médicas Municipal d'Investigació Mèdica (IMIM), Barcelona, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainCardiometabolics Precision Nutrition Program, Instituto Madrileño de Estudios Avanzados (IMDEA) Food, Campus Excelencia Internacional (CEI UAM + CSIC), Madrid, Spain0Department of Nutrition, Food Sciences, and Physiology, Center for Nutrition Research, University of Navarra, Pamplona, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain1Bioaraba Health Research Institute, Vitoria-Gasteiz, Spain2Osakidetza Basque Health Service, Araba University Hospital, Vitoria-Gasteiz, Spain3Department of Medicine, University of the Basque Country, Universidad del País Vasco/Euskal Herriko Unibertsitatea (UPV/EHU), Vitoria-Gasteiz, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain4Department of Nursing, School of Health Sciences, University of Málaga-IBIMA, Málaga, Spain5Instituto de Investigación Sanitaria y Biomédica de Alicante, Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL-UMH), Alicante, Spain6CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), Madrid, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainHealth Research Institute of the Balearic Islands (IdISBa), Palma de Mallorca, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain7Lipids and Atherosclerosis Unit, Department of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Córdoba, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain8Department of Internal Medicine, Institut d'Investigacions Biomédiques August Pi i Sunyer (IDIBAPS), Hospital Clinic, University of Barcelona, Barcelona, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain9Virgen de la Victoria Hospital, Department of Endocrinology, University of Málaga, Málaga, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain0Research Unit, Department of Family Medicine, Distrito Sanitario Atención Primaria Sevilla, Sevilla, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain1Institute for Biomedical Research, University of Las Palmas de Gran Canaria, Las Palmas, Spain6CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), Madrid, Spain2Department of Preventive Medicine, University of Granada, Granada, Spain3CIBER Diabetes y enfermedades metabólicas (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Madrid, Spain4Institute of Biomedicine (IBIOMED), University of León, Leon, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain5Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain4Department of Nursing, School of Health Sciences, University of Málaga-IBIMA, Málaga, Spain6Department of Health Sciences, Center for Advanced Studies in Olive Grove and Olive Oils, University of Jaen, Jaen, Spain7Department of Endocrinology and Nutrition, Fundación Para la Investigación Biomedica de El Hospital Clínico San Carlos (IdISSC), Madrid, Spain8Department of Endocrinology, Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clinic, University of Barcelona, Barcelona, Spain9Department of Endocrinology, Fundación Jiménez-Díaz, Madrid, Spain0Nutritional Control of the Epigenome Group, Precision Nutrition and Obesity Program, IMDEA Food, Campus Excelencia Internacional (CEI UAM + CSIC), Madrid, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain1Lipid Clinic, Department of Endocrinology and Nutrition, Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clínic, Barcelona, SpainDepartment of Preventive Medicine and Public Health, Instituto de Investigación Sanitaria de Navarra (IDISNA), University of Navarra, Pamplona, Spain2Osasunbidea, Servicio Navarro de Salud, Atención Primaria, Pamplona, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainHuman Nutrition Unit, Biochemistry and Biotechnology Department, Institut d'Investigació Sanitària Pere Virgili (IISPV), Hospital Universitari Sant Joan de Reus, Universitat Rovira i Virgili, Tarragona, SpainDepartment of Preventive Medicine, University of Valencia, Valencia, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainUnit of Cardiovascular Risk and Nutrition, Institut Hospital del Mar de Investigaciones Médicas Municipal d'Investigació Mèdica (IMIM), Barcelona, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainDepartment of Preventive Medicine and Public Health, Instituto de Investigación Sanitaria de Navarra (IDISNA), University of Navarra, Pamplona, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain1Bioaraba Health Research Institute, Vitoria-Gasteiz, Spain2Osakidetza Basque Health Service, Araba University Hospital, Vitoria-Gasteiz, Spain3Department of Medicine, University of the Basque Country, Universidad del País Vasco/Euskal Herriko Unibertsitatea (UPV/EHU), Vitoria-Gasteiz, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain4Department of Nursing, School of Health Sciences, University of Málaga-IBIMA, Málaga, Spain5Instituto de Investigación Sanitaria y Biomédica de Alicante, Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL-UMH), Alicante, Spain6CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), Madrid, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainHealth Research Institute of the Balearic Islands (IdISBa), Palma de Mallorca, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain7Lipids and Atherosclerosis Unit, Department of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Córdoba, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain8Department of Internal Medicine, Institut d'Investigacions Biomédiques August Pi i Sunyer (IDIBAPS), Hospital Clinic, University of Barcelona, Barcelona, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain9Virgen de la Victoria Hospital, Department of Endocrinology, University of Málaga, Málaga, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain0Research Unit, Department of Family Medicine, Distrito Sanitario Atención Primaria Sevilla, Sevilla, SpainDepartment of Preventive Medicine and Public Health, Instituto de Investigación Sanitaria de Navarra (IDISNA), University of Navarra, Pamplona, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainHuman Nutrition Unit, Biochemistry and Biotechnology Department, Institut d'Investigació Sanitària Pere Virgili (IISPV), Hospital Universitari Sant Joan de Reus, Universitat Rovira i Virgili, Tarragona, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainDepartment of Preventive Medicine, University of Valencia, Valencia, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainUnit of Cardiovascular Risk and Nutrition, Institut Hospital del Mar de Investigaciones Médicas Municipal d'Investigació Mèdica (IMIM), Barcelona, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainDepartment of Preventive Medicine and Public Health, Instituto de Investigación Sanitaria de Navarra (IDISNA), University of Navarra, Pamplona, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain1Bioaraba Health Research Institute, Vitoria-Gasteiz, Spain2Osakidetza Basque Health Service, Araba University Hospital, Vitoria-Gasteiz, Spain3Department of Medicine, University of the Basque Country, Universidad del País Vasco/Euskal Herriko Unibertsitatea (UPV/EHU), Vitoria-Gasteiz, SpainDepartment of Preventive Medicine and Public Health, Instituto de Investigación Sanitaria de Navarra (IDISNA), University of Navarra, Pamplona, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainHuman Nutrition Unit, Biochemistry and Biotechnology Department, Institut d'Investigació Sanitària Pere Virgili (IISPV), Hospital Universitari Sant Joan de Reus, Universitat Rovira i Virgili, Tarragona, SpainUnit of Cardiovascular Risk and Nutrition, Institut Hospital del Mar de Investigaciones Médicas Municipal d'Investigació Mèdica (IMIM), Barcelona, Spain6CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), Madrid, SpainCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, SpainResearch Group on Community Nutrition & Oxidative Stress, University of Balearic Islands, Palma de Mallorca, SpainHealth Research Institute of the Balearic Islands (IdISBa), Palma de Mallorca, SpainBackgroundMetabolic 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.ObjectiveTo 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.DesignProspective analysis of the PREDIMED-PLUS trial, including 5,499 adults (55–75 years old) with overweight or obesity at baseline.MethodsThe 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.ResultsBMI 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.ConclusionsIn 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 registrationhttp://www.isrctn.com/ISRCTN89898870, identifier 89898870.https://www.frontiersin.org/articles/10.3389/fnut.2022.848055/fulldesired weight lossMediterranean diethealth perceptionPREDIMED-plus trialmetabolic syndrome |
| spellingShingle | Cristina Bouzas Cristina Bouzas Cristina Bouzas Maria del Mar Bibiloni Maria del Mar Bibiloni Maria del Mar Bibiloni Silvia Garcia Silvia Garcia Silvia Garcia David Mateos David Mateos David Mateos Miguel Ángel Martínez-González Miguel Ángel Martínez-González Miguel Ángel Martínez-González Jordi Salas-Salvadó Jordi Salas-Salvadó Dolores Corella Dolores Corella Albert Goday Albert Goday J. Alfredo Martínez J. Alfredo Martínez J. Alfredo Martínez Ángel M. Alonso-Gómez Ángel M. Alonso-Gómez Ángel M. Alonso-Gómez Ángel M. Alonso-Gómez Julia Wärnberg Julia Wärnberg Jesús Vioque Jesús Vioque Dora Romaguera Dora Romaguera José Lopez-Miranda José Lopez-Miranda Ramon Estruch Ramon Estruch Francisco J. Tinahones Francisco J. Tinahones José Lapetra José Lapetra Lluís Serra-Majem Lluís Serra-Majem Blanca Riquelme-Gallego Blanca Riquelme-Gallego Vicente Martín-Sánchez Vicente Martín-Sánchez Xavier Pintó Xavier Pintó José J. Gaforio José J. Gaforio Pilar Matía Josep Vidal Clotilde Vázquez Lidia Daimiel Emilio Ros Emilio Ros Elena Pascual-Roquet-Jalmar Elena Pascual-Roquet-Jalmar Nancy Babio Nancy Babio Inmaculada Gonzalez-Monge Olga Castañer Olga Castañer Itziar Abete Itziar Abete Carolina Sorto-Sánchez Carolina Sorto-Sánchez Carolina Sorto-Sánchez Carolina Sorto-Sánchez Juan Carlos Benavente-Marín Juan Carlos Benavente-Marín Laura Torres-Collado Laura Torres-Collado Marian Martin Marian Martin Antonio García-Ríos Antonio García-Ríos Sara Castro-Barquero Sara Castro-Barquero Jose C. Fernández-García Jose C. Fernández-García José Manuel Santos-Lozano José Manuel Santos-Lozano Cesar I. Fernandez-Lazaro Albert Salas-Huetos Albert Salas-Huetos Patricia Guillem-Saiz Patricia Guillem-Saiz María Dolores Zomeño María Dolores Zomeño Maria Ángeles Zulet Maria Ángeles Zulet Amaia Goikoetxea-Bahon Amaia Goikoetxea-Bahon Amaia Goikoetxea-Bahon Amaia Goikoetxea-Bahon Alfredo Gea Stephanie K. Nishi Stephanie K. Nishi Helmut Schröder Helmut Schröder Josep A. Tur Josep A. Tur Josep A. Tur The PREDIMED-Plus investigators Desired weight loss and its association with health, health behaviors and perceptions in an adult population with weight excess: One-year follow-up Frontiers in Nutrition desired weight loss Mediterranean diet health perception PREDIMED-plus trial metabolic syndrome |
| title | Desired weight loss and its association with health, health behaviors and perceptions in an adult population with weight excess: One-year follow-up |
| title_full | Desired weight loss and its association with health, health behaviors and perceptions in an adult population with weight excess: One-year follow-up |
| title_fullStr | Desired weight loss and its association with health, health behaviors and perceptions in an adult population with weight excess: One-year follow-up |
| title_full_unstemmed | Desired weight loss and its association with health, health behaviors and perceptions in an adult population with weight excess: One-year follow-up |
| title_short | Desired weight loss and its association with health, health behaviors and perceptions in an adult population with weight excess: One-year follow-up |
| title_sort | desired weight loss and its association with health health behaviors and perceptions in an adult population with weight excess one year follow up |
| topic | desired weight loss Mediterranean diet health perception PREDIMED-plus trial metabolic syndrome |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2022.848055/full |
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