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,...
| Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| 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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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 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 author author author author author author author author author author author author author author author author author author author author author author |
| 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 |
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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) |
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Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL) |
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r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante |
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r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante |
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1869408960638877696 |
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15,812455 |