Intensive Weight-Loss Lifestyle Intervention Using Mediterranean Diet and COVID-19 Risk in Older Adults: Secondary Analysis of PREDIMED-Plus Trial

ObjectivesWe tested the effects of a weight-loss intervention encouraging energy-reduced MedDiet and physical activity (PA) in comparison to ad libitum MedDiet on COVID-19 incidence in older adults.DesignSecondary analysis of PREDIMED-Plus, a prospective, ongoing, multicentre randomized controlled t...

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Autores: Shyam, S, García-Gavilán, JF, Paz-Graniel, I, Gaforio, JJ, Martínez-González, MA, Corella, D, Martínez, JA, Alonso-Gómez, AM, Warnberg, J, Vioque, J, Romaguera, D, López-Miranda, J, Estruch, R, Tinahones, FJ, Lapetra, J, Serra-Majem, JL, Bueno-Cavanillas, A, Tur, JA, Sanchez, VM, Pinto, X, Matía-Martín, P, Vidal, J, Alcarria, MD, Daimiel, L, Ros, E, Fernandez-Aranda, F, Nishi, SK, Garcia-Regata, O, Araluce, RP, Asensio, EM, Castaner, O, Garcia-Rios, A, Oncina-Canovas, A, Bouzas, C, Zulet, MA, Rayo, E, Casas, R, Martin-Pelaez, S, Tojal-Sierra, L, Bernal-Lopez, MR, Carlos, S, Sorli, JV, Goday, A, Pena-Orihuela, PJ, Pastor-Morel, A, Eguaras, S, Zomeno, MD, Delgado-Rodriguez, M, Babio, N, Fito, M, Salas-Salvado, J
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
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:p9998
Acceso en línea:https://isabial.portalinvestigacion.com/publicaciones9998
Access Level:acceso abierto
Palabra clave:COVID-19
SARS-CoV2
PREDIMED-Plus
Mediterranean diet
Older adults
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spelling Intensive Weight-Loss Lifestyle Intervention Using Mediterranean Diet and COVID-19 Risk in Older Adults: Secondary Analysis of PREDIMED-Plus TrialShyam, SGarcía-Gavilán, JFPaz-Graniel, IGaforio, JJMartínez-González, MACorella, DMartínez, JAAlonso-Gómez, AMWarnberg, JVioque, JRomaguera, DLópez-Miranda, JEstruch, RTinahones, FJLapetra, JSerra-Majem, JLBueno-Cavanillas, ATur, JASanchez, VMPinto, XMatía-Martín, PVidal, JAlcarria, MDDaimiel, LRos, EFernandez-Aranda, FNishi, SKGarcia-Regata, OAraluce, RPAsensio, EMCastaner, OGarcia-Rios, AOncina-Canovas, ABouzas, CZulet, MARayo, ECasas, RMartin-Pelaez, STojal-Sierra, LBernal-Lopez, MRCarlos, SSorli, JVGoday, APena-Orihuela, PJPastor-Morel, AEguaras, SZomeno, MDDelgado-Rodriguez, MBabio, NFito, MSalas-Salvado, JCOVID-19SARS-CoV2PREDIMED-PlusMediterranean dietOlder adultsObjectivesWe tested the effects of a weight-loss intervention encouraging energy-reduced MedDiet and physical activity (PA) in comparison to ad libitum MedDiet on COVID-19 incidence in older adults.DesignSecondary analysis of PREDIMED-Plus, a prospective, ongoing, multicentre randomized controlled trial.SettingCommunity-dwelling, free-living participants in PREDIMED-Plus trial.Participants6,874 Spanish older adults (55-75 years, 49% women) with overweight/obesity and metabolic syndrome.InterventionParticipants were randomised to Intervention (IG) or Control (CG) Group. IG received intensive behavioural intervention for weight loss with an energy-reduced MedDiet intervention and PA promotion. CG was encouraged to consume ad libitum MedDiet without PA recommendations.MeasurementsCOVID-19 was ascertained by an independent Event Committee until December 31, 2021. COX regression models compared the effect of PREDIMED-Plus interventions on COVID-19 risk.ResultsOverall, 653 COVID-19 incident cases were documented (IG:317; CG:336) over a median (IQR) follow-up of 5.8 (1.3) years (inclusive of 4.0 (1.2) years before community transmission of COVID-19) in both groups. A significantly lowered risk of COVID-19 incidence was not evident in IG, compared to CG (fully-adjusted HR (95% CI): 0.96 (0.81,1.12)).ConclusionsThere was no evidence to show that an intensive weight-loss intervention encouraging energy-reduced MedDiet and PA significantly lowered COVID-19 risk in older adults with overweight/ obesity and metabolic syndrome in comparison to ad libitum MedDiet. Recommendations to improve adherence to MedDiet provided with or without lifestyle modification suggestions for weight loss may have similar effects in protecting against COVID-19 risk in older adults with high cardiovascular risks.ELSEVIER SCIENCE INC2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://isabial.portalinvestigacion.com/publicaciones9998Journal of Nutrition Health & AgingISSN: 12797707ISSNe: 17604788reponame: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:p99982026-06-12T10:20:37Z
dc.title.none.fl_str_mv Intensive Weight-Loss Lifestyle Intervention Using Mediterranean Diet and COVID-19 Risk in Older Adults: Secondary Analysis of PREDIMED-Plus Trial
title Intensive Weight-Loss Lifestyle Intervention Using Mediterranean Diet and COVID-19 Risk in Older Adults: Secondary Analysis of PREDIMED-Plus Trial
spellingShingle Intensive Weight-Loss Lifestyle Intervention Using Mediterranean Diet and COVID-19 Risk in Older Adults: Secondary Analysis of PREDIMED-Plus Trial
Shyam, S
COVID-19
SARS-CoV2
PREDIMED-Plus
Mediterranean diet
Older adults
title_short Intensive Weight-Loss Lifestyle Intervention Using Mediterranean Diet and COVID-19 Risk in Older Adults: Secondary Analysis of PREDIMED-Plus Trial
title_full Intensive Weight-Loss Lifestyle Intervention Using Mediterranean Diet and COVID-19 Risk in Older Adults: Secondary Analysis of PREDIMED-Plus Trial
title_fullStr Intensive Weight-Loss Lifestyle Intervention Using Mediterranean Diet and COVID-19 Risk in Older Adults: Secondary Analysis of PREDIMED-Plus Trial
title_full_unstemmed Intensive Weight-Loss Lifestyle Intervention Using Mediterranean Diet and COVID-19 Risk in Older Adults: Secondary Analysis of PREDIMED-Plus Trial
title_sort Intensive Weight-Loss Lifestyle Intervention Using Mediterranean Diet and COVID-19 Risk in Older Adults: Secondary Analysis of PREDIMED-Plus Trial
dc.creator.none.fl_str_mv Shyam, S
García-Gavilán, JF
Paz-Graniel, I
Gaforio, JJ
Martínez-González, MA
Corella, D
Martínez, JA
Alonso-Gómez, AM
Warnberg, J
Vioque, J
Romaguera, D
López-Miranda, J
Estruch, R
Tinahones, FJ
Lapetra, J
Serra-Majem, JL
Bueno-Cavanillas, A
Tur, JA
Sanchez, VM
Pinto, X
Matía-Martín, P
Vidal, J
Alcarria, MD
Daimiel, L
Ros, E
Fernandez-Aranda, F
Nishi, SK
Garcia-Regata, O
Araluce, RP
Asensio, EM
Castaner, O
Garcia-Rios, A
Oncina-Canovas, A
Bouzas, C
Zulet, MA
Rayo, E
Casas, R
Martin-Pelaez, S
Tojal-Sierra, L
Bernal-Lopez, MR
Carlos, S
Sorli, JV
Goday, A
Pena-Orihuela, PJ
Pastor-Morel, A
Eguaras, S
Zomeno, MD
Delgado-Rodriguez, M
Babio, N
Fito, M
Salas-Salvado, J
author Shyam, S
author_facet Shyam, S
García-Gavilán, JF
Paz-Graniel, I
Gaforio, JJ
Martínez-González, MA
Corella, D
Martínez, JA
Alonso-Gómez, AM
Warnberg, J
Vioque, J
Romaguera, D
López-Miranda, J
Estruch, R
Tinahones, FJ
Lapetra, J
Serra-Majem, JL
Bueno-Cavanillas, A
Tur, JA
Sanchez, VM
Pinto, X
Matía-Martín, P
Vidal, J
Alcarria, MD
Daimiel, L
Ros, E
Fernandez-Aranda, F
Nishi, SK
Garcia-Regata, O
Araluce, RP
Asensio, EM
Castaner, O
Garcia-Rios, A
Oncina-Canovas, A
Bouzas, C
Zulet, MA
Rayo, E
Casas, R
Martin-Pelaez, S
Tojal-Sierra, L
Bernal-Lopez, MR
Carlos, S
Sorli, JV
Goday, A
Pena-Orihuela, PJ
Pastor-Morel, A
Eguaras, S
Zomeno, MD
Delgado-Rodriguez, M
Babio, N
Fito, M
Salas-Salvado, J
author_role author
author2 García-Gavilán, JF
Paz-Graniel, I
Gaforio, JJ
Martínez-González, MA
Corella, D
Martínez, JA
Alonso-Gómez, AM
Warnberg, J
Vioque, J
Romaguera, D
López-Miranda, J
Estruch, R
Tinahones, FJ
Lapetra, J
Serra-Majem, JL
Bueno-Cavanillas, A
Tur, JA
Sanchez, VM
Pinto, X
Matía-Martín, P
Vidal, J
Alcarria, MD
Daimiel, L
Ros, E
Fernandez-Aranda, F
Nishi, SK
Garcia-Regata, O
Araluce, RP
Asensio, EM
Castaner, O
Garcia-Rios, A
Oncina-Canovas, A
Bouzas, C
Zulet, MA
Rayo, E
Casas, R
Martin-Pelaez, S
Tojal-Sierra, L
Bernal-Lopez, MR
Carlos, S
Sorli, JV
Goday, A
Pena-Orihuela, PJ
Pastor-Morel, A
Eguaras, S
Zomeno, MD
Delgado-Rodriguez, M
Babio, N
Fito, M
Salas-Salvado, J
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author
author
author
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author
author
author
author
author
author
author
author
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author
author
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dc.subject.none.fl_str_mv COVID-19
SARS-CoV2
PREDIMED-Plus
Mediterranean diet
Older adults
topic COVID-19
SARS-CoV2
PREDIMED-Plus
Mediterranean diet
Older adults
description ObjectivesWe tested the effects of a weight-loss intervention encouraging energy-reduced MedDiet and physical activity (PA) in comparison to ad libitum MedDiet on COVID-19 incidence in older adults.DesignSecondary analysis of PREDIMED-Plus, a prospective, ongoing, multicentre randomized controlled trial.SettingCommunity-dwelling, free-living participants in PREDIMED-Plus trial.Participants6,874 Spanish older adults (55-75 years, 49% women) with overweight/obesity and metabolic syndrome.InterventionParticipants were randomised to Intervention (IG) or Control (CG) Group. IG received intensive behavioural intervention for weight loss with an energy-reduced MedDiet intervention and PA promotion. CG was encouraged to consume ad libitum MedDiet without PA recommendations.MeasurementsCOVID-19 was ascertained by an independent Event Committee until December 31, 2021. COX regression models compared the effect of PREDIMED-Plus interventions on COVID-19 risk.ResultsOverall, 653 COVID-19 incident cases were documented (IG:317; CG:336) over a median (IQR) follow-up of 5.8 (1.3) years (inclusive of 4.0 (1.2) years before community transmission of COVID-19) in both groups. A significantly lowered risk of COVID-19 incidence was not evident in IG, compared to CG (fully-adjusted HR (95% CI): 0.96 (0.81,1.12)).ConclusionsThere was no evidence to show that an intensive weight-loss intervention encouraging energy-reduced MedDiet and PA significantly lowered COVID-19 risk in older adults with overweight/ obesity and metabolic syndrome in comparison to ad libitum MedDiet. Recommendations to improve adherence to MedDiet provided with or without lifestyle modification suggestions for weight loss may have similar effects in protecting against COVID-19 risk in older adults with high cardiovascular risks.
publishDate 2023
dc.date.none.fl_str_mv 2023
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/publicaciones9998
url https://isabial.portalinvestigacion.com/publicaciones9998
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 ELSEVIER SCIENCE INC
publisher.none.fl_str_mv ELSEVIER SCIENCE INC
dc.source.none.fl_str_mv Journal of Nutrition Health & Aging
ISSN: 12797707
ISSNe: 17604788
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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