Effects of a psychosocial intervention at one-year follow-up in a PREDIMED-plus sample with obesity and metabolic syndrome
Abstract This study examines if overweight/obesity are related to higher impulsivity, food addiction and depressive symptoms, and if these variables could be modified after 1 year of a multimodal intervention (diet, physical activity, psychosocial support). 342 adults (55–75 years) with overweight/o...
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Nature Portfolio
2021-04-01
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Series: | Scientific Reports |
Online Access: | https://doi.org/10.1038/s41598-021-88298-1 |
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author | Núria Mallorquí-Bagué María Lozano-Madrid Cristina Vintró-Alcaraz Laura Forcano Andrés Díaz-López Ana Galera Rebeca Fernández-Carrión Roser Granero Susana Jiménez-Murcia Dolores Corella Xavier Pintó Aida Cuenca-Royo Mònica Bulló Jordi Salas-Salvadó Rafael de la Torre Fernando Fernández-Aranda |
author_facet | Núria Mallorquí-Bagué María Lozano-Madrid Cristina Vintró-Alcaraz Laura Forcano Andrés Díaz-López Ana Galera Rebeca Fernández-Carrión Roser Granero Susana Jiménez-Murcia Dolores Corella Xavier Pintó Aida Cuenca-Royo Mònica Bulló Jordi Salas-Salvadó Rafael de la Torre Fernando Fernández-Aranda |
author_sort | Núria Mallorquí-Bagué |
collection | DOAJ |
description | Abstract This study examines if overweight/obesity are related to higher impulsivity, food addiction and depressive symptoms, and if these variables could be modified after 1 year of a multimodal intervention (diet, physical activity, psychosocial support). 342 adults (55–75 years) with overweight/obesity and metabolic syndrome (MetS) from the PREDIMED-Plus Cognition study were randomized to the intervention or to the control group (lifestyle recommendations). Cognitive and psychopathological assessments were performed at baseline and after 1-year follow-up. At baseline, higher impulsivity was linked to higher food addiction and depressive symptoms, but not to body mass index (BMI). Food addiction not only predicted higher BMI and depressive symptoms, but also achieved a mediational role between impulsivity and BMI/depressive symptoms. After 1 year, patients in both groups reported significant decreases in BMI, food addiction and impulsivity. BMI reduction and impulsivity improvements were higher in the intervention group. Higher BMI decrease was achieved in individuals with lower impulsivity. Higher scores in food addiction were also related to greater post-treatment impulsivity. To conclude, overweight/obesity are related to higher impulsivity, food addiction and depressive symptoms in mid/old age individuals with MetS. Our results also highlight the modifiable nature of the studied variables and the interest of promoting multimodal interventions within this population. |
first_indexed | 2024-12-19T04:47:15Z |
format | Article |
id | doaj.art-db388421bce84882b9dc89786d9dacc0 |
institution | Directory Open Access Journal |
issn | 2045-2322 |
language | English |
last_indexed | 2024-12-19T04:47:15Z |
publishDate | 2021-04-01 |
publisher | Nature Portfolio |
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series | Scientific Reports |
spelling | doaj.art-db388421bce84882b9dc89786d9dacc02022-12-21T20:35:26ZengNature PortfolioScientific Reports2045-23222021-04-0111111210.1038/s41598-021-88298-1Effects of a psychosocial intervention at one-year follow-up in a PREDIMED-plus sample with obesity and metabolic syndromeNúria Mallorquí-Bagué0María Lozano-Madrid1Cristina Vintró-Alcaraz2Laura Forcano3Andrés Díaz-López4Ana Galera5Rebeca Fernández-Carrión6Roser Granero7Susana Jiménez-Murcia8Dolores Corella9Xavier Pintó10Aida Cuenca-Royo11Mònica Bulló12Jordi Salas-Salvadó13Rafael de la Torre14Fernando Fernández-Aranda15Addictive Behaviours Unit, Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute Sant Pau (IIB Sant Pau)Department of Psychiatry, University Hospital of Bellvitge-IDIBELLDepartment of Psychiatry, University Hospital of Bellvitge-IDIBELLConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII)Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII)Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII)Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII)Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII)Department of Psychiatry, University Hospital of Bellvitge-IDIBELLConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII)Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII)Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII)Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII)Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII)Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII)Department of Psychiatry, University Hospital of Bellvitge-IDIBELLAbstract This study examines if overweight/obesity are related to higher impulsivity, food addiction and depressive symptoms, and if these variables could be modified after 1 year of a multimodal intervention (diet, physical activity, psychosocial support). 342 adults (55–75 years) with overweight/obesity and metabolic syndrome (MetS) from the PREDIMED-Plus Cognition study were randomized to the intervention or to the control group (lifestyle recommendations). Cognitive and psychopathological assessments were performed at baseline and after 1-year follow-up. At baseline, higher impulsivity was linked to higher food addiction and depressive symptoms, but not to body mass index (BMI). Food addiction not only predicted higher BMI and depressive symptoms, but also achieved a mediational role between impulsivity and BMI/depressive symptoms. After 1 year, patients in both groups reported significant decreases in BMI, food addiction and impulsivity. BMI reduction and impulsivity improvements were higher in the intervention group. Higher BMI decrease was achieved in individuals with lower impulsivity. Higher scores in food addiction were also related to greater post-treatment impulsivity. To conclude, overweight/obesity are related to higher impulsivity, food addiction and depressive symptoms in mid/old age individuals with MetS. Our results also highlight the modifiable nature of the studied variables and the interest of promoting multimodal interventions within this population.https://doi.org/10.1038/s41598-021-88298-1 |
spellingShingle | Núria Mallorquí-Bagué María Lozano-Madrid Cristina Vintró-Alcaraz Laura Forcano Andrés Díaz-López Ana Galera Rebeca Fernández-Carrión Roser Granero Susana Jiménez-Murcia Dolores Corella Xavier Pintó Aida Cuenca-Royo Mònica Bulló Jordi Salas-Salvadó Rafael de la Torre Fernando Fernández-Aranda Effects of a psychosocial intervention at one-year follow-up in a PREDIMED-plus sample with obesity and metabolic syndrome Scientific Reports |
title | Effects of a psychosocial intervention at one-year follow-up in a PREDIMED-plus sample with obesity and metabolic syndrome |
title_full | Effects of a psychosocial intervention at one-year follow-up in a PREDIMED-plus sample with obesity and metabolic syndrome |
title_fullStr | Effects of a psychosocial intervention at one-year follow-up in a PREDIMED-plus sample with obesity and metabolic syndrome |
title_full_unstemmed | Effects of a psychosocial intervention at one-year follow-up in a PREDIMED-plus sample with obesity and metabolic syndrome |
title_short | Effects of a psychosocial intervention at one-year follow-up in a PREDIMED-plus sample with obesity and metabolic syndrome |
title_sort | effects of a psychosocial intervention at one year follow up in a predimed plus sample with obesity and metabolic syndrome |
url | https://doi.org/10.1038/s41598-021-88298-1 |
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