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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Main Authors: 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
Format: Article
Language:English
Published: Nature Portfolio 2021-04-01
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.
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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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