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

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CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain
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Research Group on Community Nutrition & Oxidative Stress, University of Balearic Islands, Guillem Colom Bldg, Campus, 07122 Palma de Mallorca, Spain
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Health Research Institute of the Balearic Islands (IdISBa), 07120 Palma de Mallorca, Spain
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Department of Preventive Medicine and Public Health, IdISNA, University of Navarra, 31008 Pamplona, Spain
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Universitat Rovira i Virgili, Department of Biochemistry and Biotechnology, Human Nutrition Unit, 43201 Reus, Spain
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Institut d’Investigació Sanitària Pere Virgili (IISPV), 43201 Reus, Spain
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Department of Preventive Medicine, University of Valencia, 46100 Valencia, Spain
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Unit of Cardiovascular Risk and Nutrition, Institut Hospital del Mar de Investigaciones Médicas Municipal d’Investigació Mèdica (IMIM), 08003 Barcelona, Spain
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Blanquerna School of Health Sciences, Universitat Ramon Llull, 08022 Barcelona, Spain
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Unit of Nutritional Epidemiology, Miguel Hernández University, ISABIAL-UMH, 46020 Alicante, Spain
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CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain
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Bioaraba Health Research Institute; Osakidetza Basque Health Service, Araba University Hospital, University of the Basque Country UPV/EHU, 48013 Vitoria-Gasteiz, Spain
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Department of Nursing, School of Health Sciences, University of Málaga-IBIMA, 29071 Málaga, Spain
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Precision Nutrition Program, IMDEA Food, CEI UAM + CSIC, 28049 Madrid, Spain
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Department of Nutrition, Food Sciences, and Physiology, Center for Nutrition Research, University of Navarra, 31008 Pamplona, Spain
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Institute for Biomedical Research, University of Las Palmas de Gran Canaria, 35016 Las Palmas de Gran Canaria, Spain
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Department of Internal Medicine, IDIBAPS, Hospital Clinic, University of Barcelona, 08036 Barcelona, Spain
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Virgen de la Victoria Hospital, Department of Endocrinology, Biomedical Research Institute of Málaga (IBIMA), University of Málaga, 29010 Málaga, Spain
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Department of Family Medicine, Research Unit, Distrito Sanitario Atención Primaria Sevilla, 41013 Sevilla, Spain
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Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, 08907 Barcelona, Spain
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Lipids and Atherosclerosis Unit, Department of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, 14004 Cordoba, Spain
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Department of Preventive Medicine, University of Granada, 18071 Granada, Spain
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Department of Health Sciences, Centro de Estudios Avanzados en Olivar y Aceites de Oliva, University of Jaen, 23071 Jaen, Spain
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Department of Endocrinology and Nutrition, Instituto de Investigación Sanitaria Hospital Clínico San Carlos (IdISSC), 28040 Madrid, Spain
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Nutritional Genomics and Epigenomics Group, IMDEA Food, CEI UAM + CSIC, 28049 Madrid, Spain
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CIBER Diabetes y Enfermedades Metabólicas (CIBERDEM), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain
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Institute of Biomedicine (IBIOMED), University of León, 24071 León, Spain
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Department of Endocrinology, IDIBAPS, Hospital Clinic, University of Barcelona, 08036 Barcelona, Spain
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Department of Endocrinology, Fundación Jiménez-Díaz, 28040 Madrid, Spain
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Lipid Clinic, Department of Endocrinology and Nutrition, Institut d’Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clínic, 08036 Barcelona, Spain
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Escola Graduada Primary Health Care Center, IBSalut, 07002 Palma de Mallorca, Spain
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Servicio Navarro de Salud, Osasunbidea, 31071 Pamplona, Spain
*
Author to whom correspondence should be addressed.
Nutrients 2020, 12(7), 2114; https://doi.org/10.3390/nu12072114
Received: 2 June 2020 / Revised: 3 July 2020 / Accepted: 9 July 2020 / Published: 16 July 2020
(This article belongs to the Section Nutritional Epidemiology)
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/m2 (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. View Full-Text
Keywords: body image; mediterranean lifestyle; overweight; obesity; older adults; desired weight loss; ideal weight; PREDIMED-Plus body image; mediterranean lifestyle; overweight; obesity; older adults; desired weight loss; ideal weight; PREDIMED-Plus
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MDPI and ACS Style

Bouzas, C.; Bibiloni, M.d.M.; Julibert, A.; Ruiz-Canela, M.; Salas-Salvadó, J.; Corella, D.; Zomeño, M.D.; Romaguera, D.; Vioque, J.; Alonso-Gómez, Á.M.; Wärnberg, J.; Martínez, J.A.; Serra-Majem, L.; Estruch, R.; Tinahones, F.J.; Lapetra, J.; Pintó, X.; García Ríos, A.; Bueno-Cavanillas, A.; Gaforio, J.J.; Matía-Martín, P.; Daimiel, L.; Martín-Sánchez, V.; Vidal, J.; Vázquez, C.; Ros, E.; Fernandez-Lázaro, C.I.; Becerra-Tomás, N.; Gimenez-Alba, I.M.; Muñoz, J.; Morey, M.; Oncina-Canovas, A.; Tojal-Sierra, L.; Pérez-López, J.; Abete, I.; Casañas-Quintana, T.; Castro-Barquero, S.; Bernal-López, M.R.; Santos-Lozano, J.M.; Galera, A.; Angullo-Martinez, E.; Basterra-Gortari, F.J.; Basora, J.; Saiz, C.; Castañer, O.; Martín, M.; Notario-Barandiarán, L.; Belló-Mora, M.C.; Sayón-Orea, C.; García-Gavilán, J.; Goday, A.; Tur, J.A. Adherence to the Mediterranean Lifestyle and Desired Body Weight Loss in a Mediterranean Adult Population with Overweight: A PREDIMED-Plus Study. Nutrients 2020, 12, 2114. https://doi.org/10.3390/nu12072114

AMA Style

Bouzas C, Bibiloni MdM, Julibert A, Ruiz-Canela M, Salas-Salvadó J, Corella D, Zomeño MD, Romaguera D, Vioque J, Alonso-Gómez ÁM, Wärnberg J, Martínez JA, Serra-Majem L, Estruch R, Tinahones FJ, Lapetra J, Pintó X, García Ríos A, Bueno-Cavanillas A, Gaforio JJ, Matía-Martín P, Daimiel L, Martín-Sánchez V, Vidal J, Vázquez C, Ros E, Fernandez-Lázaro CI, Becerra-Tomás N, Gimenez-Alba IM, Muñoz J, Morey M, Oncina-Canovas A, Tojal-Sierra L, Pérez-López J, Abete I, Casañas-Quintana T, Castro-Barquero S, Bernal-López MR, Santos-Lozano JM, Galera A, Angullo-Martinez E, Basterra-Gortari FJ, Basora J, Saiz C, Castañer O, Martín M, Notario-Barandiarán L, Belló-Mora MC, Sayón-Orea C, García-Gavilán J, Goday A, Tur JA. Adherence to the Mediterranean Lifestyle and Desired Body Weight Loss in a Mediterranean Adult Population with Overweight: A PREDIMED-Plus Study. Nutrients. 2020; 12(7):2114. https://doi.org/10.3390/nu12072114

Chicago/Turabian Style

Bouzas, Cristina, Maria d.M. Bibiloni, Alicia Julibert, Miguel Ruiz-Canela, Jordi Salas-Salvadó, Dolores Corella, Maria D. Zomeño, Dora Romaguera, Jesús Vioque, Ángel M. Alonso-Gómez, Julia Wärnberg, J. A. Martínez, Luís Serra-Majem, Ramon Estruch, Francisco J. Tinahones, José Lapetra, Xavier Pintó, Antonio García Ríos, Aurora Bueno-Cavanillas, José J. Gaforio, Pilar Matía-Martín, Lidia Daimiel, Vicente Martín-Sánchez, Josep Vidal, Clotilde Vázquez, Emilio Ros, Cesar I. Fernandez-Lázaro, Nerea Becerra-Tomás, Ignacio M. Gimenez-Alba, Julia Muñoz, Marga Morey, Alejandro Oncina-Canovas, Lucas Tojal-Sierra, Jéssica Pérez-López, Itziar Abete, Tamara Casañas-Quintana, Sara Castro-Barquero, M. R. Bernal-López, José M. Santos-Lozano, Ana Galera, Escarlata Angullo-Martinez, F. J. Basterra-Gortari, Josep Basora, Carmen Saiz, Olga Castañer, Marian Martín, Leyre Notario-Barandiarán, María C. Belló-Mora, Carmen Sayón-Orea, Jesús García-Gavilán, Albert Goday, and Josep A. Tur 2020. "Adherence to the Mediterranean Lifestyle and Desired Body Weight Loss in a Mediterranean Adult Population with Overweight: A PREDIMED-Plus Study" Nutrients 12, no. 7: 2114. https://doi.org/10.3390/nu12072114

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