Desired weight loss and its association with health, health behaviors and perceptions in an adult population with weight excess: One-year follow-up.

BACKGROUND: Metabolic 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. OBJECTIVE: To assess 1-year changes in cardiovascular risk scores,...

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Autores: Bouzas C, Bibiloni MDM, Garcia S, Mateos D, Martínez-González MÁ, Salas-Salvadó J, Corella D, Goday A, Martínez JA, Alonso-Gómez ÁM, Wärnberg J, Vioque J, Romaguera D, Lopez-Miranda J, Estruch R, Tinahones FJ, Lapetra J, Serra-Majem L, Riquelme-Gallego B, Martín-Sánchez V, Pintó X, Gaforio JJ, Matía P, Vidal J, Vázquez C, Daimiel L, Ros E, Pascual-Roquet-Jalmar E, Babio N, Gonzalez-Monge I, Castañer O, Abete I, Sorto-Sánchez C, Carlos Benavente-Marín J, Torres-Collado L, Martin M, García-Ríos A, Castro-Barquero S, Fernández-García JC, Santos-Lozano JM, Fernandez-Lazaro CI, Salas-Huetos A, Guillem-Saiz P, Zomeño MD, Ángeles Zulet M, Goikoetxea-Bahon A, Gea A, Nishi SK, Schröder H, Tur JA
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
Repositorio:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
OAI Identifier:oai:isabial.fundanetsuite.com:p9214
Acceso en línea:https://isabial.portalinvestigacion.com/publicaciones9214
Access Level:acceso abierto
Palabra clave:Mediterranean diet
PREDIMED-plus trial
desired weight loss
health perception
metabolic syndrome
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spelling Desired weight loss and its association with health, health behaviors and perceptions in an adult population with weight excess: One-year follow-up.Bouzas CBibiloni MDMGarcia SMateos DMartínez-González MÁSalas-Salvadó JCorella DGoday AMartínez JAAlonso-Gómez ÁMWärnberg JVioque JRomaguera DLopez-Miranda JEstruch RTinahones FJLapetra JSerra-Majem LRiquelme-Gallego BMartín-Sánchez VPintó XGaforio JJMatía PVidal JVázquez CDaimiel LRos EPascual-Roquet-Jalmar EBabio NGonzalez-Monge ICastañer OAbete ISorto-Sánchez CCarlos Benavente-Marín JTorres-Collado LMartin MGarcía-Ríos ACastro-Barquero SFernández-García JCSantos-Lozano JMFernandez-Lazaro CISalas-Huetos AGuillem-Saiz PZomeño MDÁngeles Zulet MGoikoetxea-Bahon AGea ANishi SKSchröder HTur JAMediterranean dietPREDIMED-plus trialdesired weight losshealth perceptionmetabolic syndromeBACKGROUND: Metabolic 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. OBJECTIVE: To 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. DESIGN: Prospective analysis of the PREDIMED-PLUS trial, including 5,499 adults (55-75 years old) with overweight or obesity at baseline. METHODS: The 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. RESULTS: BMI 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. CONCLUSIONS: In 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 REGISTRATION: http://www.isrctn.com/ISRCTN89898870, identifier 89898870.FRONTIERS MEDIA SA2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://isabial.portalinvestigacion.com/publicaciones9214Frontiers in NutritionISSN: 2296861Xreponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicanteinstname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)Inglésinfo:eu-repo/semantics/openAccessoai:isabial.fundanetsuite.com:p92142026-06-12T10:20:37Z
dc.title.none.fl_str_mv Desired weight loss and its association with health, health behaviors and perceptions in an adult population with weight excess: One-year follow-up.
title Desired weight loss and its association with health, health behaviors and perceptions in an adult population with weight excess: One-year follow-up.
spellingShingle Desired weight loss and its association with health, health behaviors and perceptions in an adult population with weight excess: One-year follow-up.
Bouzas C
Mediterranean diet
PREDIMED-plus trial
desired weight loss
health perception
metabolic syndrome
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_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_sort Desired weight loss and its association with health, health behaviors and perceptions in an adult population with weight excess: One-year follow-up.
dc.creator.none.fl_str_mv Bouzas C
Bibiloni MDM
Garcia S
Mateos D
Martínez-González MÁ
Salas-Salvadó J
Corella D
Goday A
Martínez JA
Alonso-Gómez ÁM
Wärnberg J
Vioque J
Romaguera D
Lopez-Miranda J
Estruch R
Tinahones FJ
Lapetra J
Serra-Majem L
Riquelme-Gallego B
Martín-Sánchez V
Pintó X
Gaforio JJ
Matía P
Vidal J
Vázquez C
Daimiel L
Ros E
Pascual-Roquet-Jalmar E
Babio N
Gonzalez-Monge I
Castañer O
Abete I
Sorto-Sánchez C
Carlos Benavente-Marín J
Torres-Collado L
Martin M
García-Ríos A
Castro-Barquero S
Fernández-García JC
Santos-Lozano JM
Fernandez-Lazaro CI
Salas-Huetos A
Guillem-Saiz P
Zomeño MD
Ángeles Zulet M
Goikoetxea-Bahon A
Gea A
Nishi SK
Schröder H
Tur JA
author Bouzas C
author_facet Bouzas C
Bibiloni MDM
Garcia S
Mateos D
Martínez-González MÁ
Salas-Salvadó J
Corella D
Goday A
Martínez JA
Alonso-Gómez ÁM
Wärnberg J
Vioque J
Romaguera D
Lopez-Miranda J
Estruch R
Tinahones FJ
Lapetra J
Serra-Majem L
Riquelme-Gallego B
Martín-Sánchez V
Pintó X
Gaforio JJ
Matía P
Vidal J
Vázquez C
Daimiel L
Ros E
Pascual-Roquet-Jalmar E
Babio N
Gonzalez-Monge I
Castañer O
Abete I
Sorto-Sánchez C
Carlos Benavente-Marín J
Torres-Collado L
Martin M
García-Ríos A
Castro-Barquero S
Fernández-García JC
Santos-Lozano JM
Fernandez-Lazaro CI
Salas-Huetos A
Guillem-Saiz P
Zomeño MD
Ángeles Zulet M
Goikoetxea-Bahon A
Gea A
Nishi SK
Schröder H
Tur JA
author_role author
author2 Bibiloni MDM
Garcia S
Mateos D
Martínez-González MÁ
Salas-Salvadó J
Corella D
Goday A
Martínez JA
Alonso-Gómez ÁM
Wärnberg J
Vioque J
Romaguera D
Lopez-Miranda J
Estruch R
Tinahones FJ
Lapetra J
Serra-Majem L
Riquelme-Gallego B
Martín-Sánchez V
Pintó X
Gaforio JJ
Matía P
Vidal J
Vázquez C
Daimiel L
Ros E
Pascual-Roquet-Jalmar E
Babio N
Gonzalez-Monge I
Castañer O
Abete I
Sorto-Sánchez C
Carlos Benavente-Marín J
Torres-Collado L
Martin M
García-Ríos A
Castro-Barquero S
Fernández-García JC
Santos-Lozano JM
Fernandez-Lazaro CI
Salas-Huetos A
Guillem-Saiz P
Zomeño MD
Ángeles Zulet M
Goikoetxea-Bahon A
Gea A
Nishi SK
Schröder H
Tur JA
author2_role author
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author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
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dc.subject.none.fl_str_mv Mediterranean diet
PREDIMED-plus trial
desired weight loss
health perception
metabolic syndrome
topic Mediterranean diet
PREDIMED-plus trial
desired weight loss
health perception
metabolic syndrome
description BACKGROUND: Metabolic 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. OBJECTIVE: To 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. DESIGN: Prospective analysis of the PREDIMED-PLUS trial, including 5,499 adults (55-75 years old) with overweight or obesity at baseline. METHODS: The 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. RESULTS: BMI 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. CONCLUSIONS: In 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 REGISTRATION: http://www.isrctn.com/ISRCTN89898870, identifier 89898870.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://isabial.portalinvestigacion.com/publicaciones9214
url https://isabial.portalinvestigacion.com/publicaciones9214
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv FRONTIERS MEDIA SA
publisher.none.fl_str_mv FRONTIERS MEDIA SA
dc.source.none.fl_str_mv Frontiers in Nutrition
ISSN: 2296861X
reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
instname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
instname_str Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
reponame_str r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
collection r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
repository.name.fl_str_mv
repository.mail.fl_str_mv
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