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

Author

Bouzas, Cristina, Bibiloni, Maria del Mar, Garcia, Silvia, Mateos, David, Martínez-González, Miguel Ángel, 1957, Salas Salvadó, Jordi, Corella Piquer, Dolores, Goday Arnó, Albert, Martínez, J. Alfredo, 1957, Alonso Gómez, Ángel M., Wärnberg, Julia, Vioque, Jesús, Romaguera, Dora, Lopez Miranda, José, Estruch Riba, Ramon, Tinahones, Francisco J., Lapetra, José, Serra Majem, Lluís, Riquelme Gallego, Blanca, Martín Sánchez, Vicente, Pintó Sala, Xavier, Gaforio, José J., Matía Martín, Pilar, Vidal i Cortada, Josep, Vázquez, Clotilde, Daimiel, Lidia, Ros Rahola, Emilio, Pascual Roquet Jalmar, Elena, Babio, Nancy, Gonzalez Monge, Inmaculada, Castañer, Olga, Abete, Itziar, Sorto Sánchez, Carolina, Benavente Marín, Juan Carlos, Torres Collado, Laura, Martin, Marian, García Ríos, Antonio, Castro Barquero, Sara, Fernández García, José C., Santos Lozano, José Manuel, Fernandez Lazaro, Cesar I., Salas Huetos, Albert, Guillem Saiz, Patricia, Zomeño, María Dolores, Zulet, M. Ángeles, Goikoetxea Bahon, Amaia, Gea, Alfredo, Nishi, Stephanie K., Schröder, Helmut, 1958, Tur, Josep A., and The PREDIMED-plus Investigators

Subjects
Síndrome metabòlica, Weight loss, Nutrition and Dietetics, Endocrinology, Diabetes and Metabolism, desired weight loss, Metabolic syndrome, Hàbits sanitaris, Aprimament, Clinical trials, Mediterranean diet, PREDIMED-plus trial, Health behavior, health perception, Food Science, Assaigs clínics
Abstract

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), European Research Council (ERC) European Commission 20132018 340918, Spanish government, ISCIII, through the Fondo de Investigacion para la Salud (FIS) - European Regional Development Fund PI13/00673 PI13/00492 PI13/00272 PI13/01123 PI13/00462 PI13/00233 PI13/02184 PI13/00728 PI13/01090 PI13/01056 PI14/01722 PI14/00636 PI14/00618 PI14/00696 PI14/01206 PI14/01919, Especial Action Project entitled: Implementacion y evaluacion de una intervencion intensive sobre la actividad fisica Cohorte PREDIMED-Plus grant, Recercaixa Grant 2013ACUP00194, Junta de Andalucia PI0458/2013 PS0358/2016 PI0137/2018, Center for Forestry Research & Experimentation (CIEF), European Commission PROMETEO/2017/017 European Cooperation in Science and Technology (COST) European Commission CA16112, Balearic Islands Health Research Institute (IDISBA), European Commission CIBEROBN CB06/03 CB12/03 European Commission European Commission Joint Research Centre EAT2BENICE_H2020_SFS2016, Fundacio La Marato TV3 201630.10, Fernando Tarongi Bauza Grant, 'Spanish government, ISCIII, through the Fondo de Investigacion para la Salud (FIS) - European Regional Development Fund' PI17/00855 PI17/01347 PI17/00525 PI17/01827 PI17/00532 PI17/00215 PI17/01441 PI17/00508 PI17/01732 PI17/00926 PI19/00957 PI19/00386 PI19/00309 PI19/01032 PI19/00576 PI19/00017, the Spanish government, ISCIII, through the Fondo de Investigacion para la Salud (FIS) - European Regional Development Fund PI14/00853 PI14/01374 PI14/00972 PI14/00728 PI14/01471 PI16/00473 PI16/00662 PI16/01873 PI16/01094 PI16/00501 PI16/00533 PI16/00381 PI16/00366 PI16/01522 PI16/01120 PI17/00764 PI17/01183 PI19/01226, "Spanish government, ISCIII, through the Fondo de Investigacion para la Salud (FIS) - European Regional Development Fund" PI19/00781 PI19/01560 PI19/01332 PI20/01802 PI20/00138 PI20/01532 PI20/00456 PI20/00339 PI20/00557 PI20/00886 PI20/01158

Published
2022

8. Determinants of Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study

Author

Bibiloni, Maria del Mar, primary, Gallardo-Alfaro, Laura, additional, Gómez, Santiago F., additional, Wärnberg, Julia, additional, Osés-Recalde, Maddi, additional, González-Gross, Marcela, additional, Gusi, Narcís, additional, Aznar, Susana, additional, Marín-Cascales, Elena, additional, González-Valeiro, Miguel A., additional, Serra-Majem, Lluís, additional, Terrados, Nicolás, additional, Segu, Marta, additional, Lassale, Camille, additional, Homs, Clara, additional, Benavente-Marín, Juan Carlos, additional, Labayen, Idoia, additional, Zapico, Augusto G., additional, Sánchez-Gómez, Jesús, additional, Jiménez-Zazo, Fabio, additional, Alcaraz, Pedro E., additional, Sevilla-Sánchez, Marta, additional, Herrera-Ramos, Estefanía, additional, Pulgar, Susana, additional, Sistac, Clara, additional, Schröder, Helmut, additional, Bouzas, Cristina, additional, and Tur, Josep A., additional

Published
2022
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9. Combined Body Mass Index and Waist-to-Height Ratio and Its Association with Lifestyle and Health Factors among Spanish Children: The PASOS Study

Author

Bibiloni, Maria del Mar, primary, Gallardo-Alfaro, Laura, additional, Gómez, Santiago F., additional, Wärnberg, Julia, additional, Osés-Recalde, Maddi, additional, González-Gross, Marcela, additional, Gusi, Narcís, additional, Aznar, Susana, additional, Marín-Cascales, Elena, additional, González-Valeiro, Miguel, additional, Serra-Majem, Lluís, additional, Terrados, Nicolás, additional, Segu, Marta, additional, Lassale, Camille, additional, Homs, Clara, additional, Benavente-Marín, Juan Carlos, additional, Labayen, Idoia, additional, Zapico, Augusto G., additional, Sánchez-Gómez, Jesús, additional, Jiménez-Zazo, Fabio, additional, Alcaraz, Pedro E., additional, Sevilla-Sánchez, Marta, additional, Herrera-Ramos, Estefanía, additional, Pulgar, Susana, additional, Sistac, Clara, additional, Schröder, Helmut, additional, Bouzas, Cristina, additional, and Tur, Josep A., additional

Published
2022
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11. Physical activity and metabolic syndrome severity among older adults at cardiovascular risk: 1-Year trends

Author

Gallardo-Alfaro, Laura, primary, Bibiloni, Maria del Mar, additional, Bouzas, Cristina, additional, Mascaró, Catalina M., additional, Martínez-González, Miguel Ángel, additional, Salas-Salvadó, Jordi, additional, Corella, Dolores, additional, Schröder, Helmut, additional, Martínez, J. Alfredo, additional, Alonso-Gómez, Ángel M., additional, Wärnberg, Julia, additional, Vioque, Jesús, additional, Romaguera, Dora, additional, Lopez-Miranda, José, additional, Estruch, Ramon, additional, Tinahones, Francisco J., additional, Lapetra, José, additional, Serra-Majem, Luís, additional, Bueno-Cavanillas, Aurora, additional, Micó, Rafael M., additional, Pintó, Xavier, additional, Gaforio, José J., additional, Ortíz-Ramos, María, additional, Altés-Boronat, Andreu, additional, Luca, Bogdana L., additional, Daimiel, Lidia, additional, Ros, Emilio, additional, Sayon-Orea, Carmen, additional, Becerra-Tomás, Nerea, additional, Gimenez-Alba, Ignacio Manuel, additional, Castañer, Olga, additional, Abete, Itziar, additional, Tojal-Sierra, Lucas, additional, Pérez-López, Jéssica, additional, Torres-Collado, Laura, additional, Colom, Antoni, additional, Garcia-Rios, Antonio, additional, Castro-Barquero, Sara, additional, Bernal, Rosa, additional, Santos-Lozano, José Manuel, additional, Fernandez-Lazaro, Cesar I., additional, Hernández-Alonso, Pablo, additional, Saiz, Carmen, additional, Zomeño, Maria Dolors, additional, Zulet, Maria Angeles, additional, Belló-Mora, Maria C., additional, Basterra-Gortari, F. Javier, additional, Canudas, Silvia, additional, Goday, Albert, additional, and Tur, Josep A., additional

Published
2021
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13. Effect of an Intensive Weight-Loss Lifestyle Intervention on Kidney Function: A Randomized Controlled Trial

Author

Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (España), Instituto de Salud Carlos III, European Commission, European Research Council, Junta de Andalucía, Generalitat Valenciana, Díaz-López, Andrés, Becerra-Tomás, Nerea, Ruiz, Verónica, Toledo, Estefanía, Babio, Nancy, Corella, Dolores, Fitó, Montserrat, Romaguera, Dora, Vioque, Jesús, Alonso-Gómez, Ángel M., Wärnberg, Julia, Martínez, J. Alfredo, Serra-Majem, Luís, Estruch, Ramón, Tinahones, Francisco J., Lapetra, José, Pintó, Xavier, López-Miranda, José, Cano-Ibáñez, Naomi, Delgado-Rodríguez, Miguel, Matía-Martín, Pilar, Daimiel, Lidia, Paz, José Antonio de, Vidal, Josep, Vázquez, Clotilde, Ruiz-Canela, Miguel, Bulló, Mònica, Sorlí, Jose V., Goday, Albert, Fiol, Miquel, García de la Hera, Manuela, Tojal-Sierra, Lucas, Pérez-Farinós, Napoleón, Zulet, M. Ángeles, Sánchez-Villegas, Almudena, Sacanella, Emilio, Fernandez-Garcia, José Carlos, Santos-Lozano, José Manuel, Gimenez-Gracia, Miquel, Bibiloni, Maria del Mar, Díez-Espino, Javier, Ortega-Azorín, Carolina, Castañer, Olga, Morey, Marga, Torres-Collado, Laura, Sorto-Sánchez, Carolina, Muñoz, Miguel Ángel, Ros, Emilio, Martínez-González, Miguel Ángel, Salas-Salvadó, Jordi, Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (España), Instituto de Salud Carlos III, European Commission, European Research Council, Junta de Andalucía, Generalitat Valenciana, Díaz-López, Andrés, Becerra-Tomás, Nerea, Ruiz, Verónica, Toledo, Estefanía, Babio, Nancy, Corella, Dolores, Fitó, Montserrat, Romaguera, Dora, Vioque, Jesús, Alonso-Gómez, Ángel M., Wärnberg, Julia, Martínez, J. Alfredo, Serra-Majem, Luís, Estruch, Ramón, Tinahones, Francisco J., Lapetra, José, Pintó, Xavier, López-Miranda, José, Cano-Ibáñez, Naomi, Delgado-Rodríguez, Miguel, Matía-Martín, Pilar, Daimiel, Lidia, Paz, José Antonio de, Vidal, Josep, Vázquez, Clotilde, Ruiz-Canela, Miguel, Bulló, Mònica, Sorlí, Jose V., Goday, Albert, Fiol, Miquel, García de la Hera, Manuela, Tojal-Sierra, Lucas, Pérez-Farinós, Napoleón, Zulet, M. Ángeles, Sánchez-Villegas, Almudena, Sacanella, Emilio, Fernandez-Garcia, José Carlos, Santos-Lozano, José Manuel, Gimenez-Gracia, Miquel, Bibiloni, Maria del Mar, Díez-Espino, Javier, Ortega-Azorín, Carolina, Castañer, Olga, Morey, Marga, Torres-Collado, Laura, Sorto-Sánchez, Carolina, Muñoz, Miguel Ángel, Ros, Emilio, Martínez-González, Miguel Ángel, and Salas-Salvadó, Jordi

Abstract

Introduction: Large randomized trials testing the effect of a multifactorial weight-loss lifestyle intervention including Mediterranean diet (MedDiet) on renal function are lacking. Here, we evaluated the 1-year efficacy of an intensive weight-loss intervention with an energy-reduced MedDiet (erMedDiet) plus increased physical activity (PA) on renal function. Methods: Randomized controlled "PREvención con DIeta MEDiterránea-Plus"(PREDIMED-Plus) trial is conducted in 23 Spanish centers comprising 208 primary care clinics. Overweight/obese (n = 6,719) adults aged 55-75 years with metabolic syndrome were randomly assigned (1:1) to an intensive weight-loss lifestyle intervention with an erMedDiet, PA promotion, and behavioral support (intervention) or usual-care advice to adhere to an energy-unrestricted MedDiet (control) between September 2013 and December 2016. The primary outcome was 1-year change in estimated glomerular filtration rate (EGFR). Secondary outcomes were changes in urine albumin-to-creatinine ratio (UACR), incidence of moderately/severely impaired EGFR (<60 mL/min/1.73 m2) and micro-to macroalbuminuria (UACR ≥30 mg/g), and reversion of moderately (45 to <60 mL/min/1.73 m2) to mildly impaired GFR (60 to <90 mL/min/1.73 m2) or micro-to macroalbuminuria. Results: After 1 year, EGFR declined by 0.66 and 1.25 mL/min/1.73 m2 in the intervention and control groups, respectively (mean difference, 0.58 mL/min/1.73 m2; 95% CI: 0.15-1.02). There were no between-group differences in mean UACR or micro-to macroalbuminuria changes. Moderately/severely impaired EGFR incidence and reversion of moderately to mildly impaired GFR were 40% lower (HR 0.60; 0.44-0.82) and 92% higher (HR 1.92; 1.35-2.73), respectively, in the intervention group. Conclusions: The PREDIMED-Plus lifestyle intervention approach may preserve renal function and delay CKD progression in overweight/obese adults.

Published
2021

14. Effect of an Intensive Weight-Loss Lifestyle Intervention on Kidney Function: A Randomized Controlled Trial

Author

Universitat Rovira i Virgili, Diaz-Lopez, Andres; Becerra-Tomas, Nerea; Ruiz, Veronica; Toledo, Estefania; Babio, Nancy; Corella, Dolores; Fito, Montse; Romaguera, Dora; Vioque, Jesus; Alonso-Gomez, Angel M.; Warnberg, Julia; Martinez, J. Alfredo; Serra-Majem, Luis; Estruch, Ramon; Tinahones, Francisco J.; Lapetra, Jose; Pinto, Xavier; Tur, Josep A.; Lopez-Miranda, Jose; Cano Ibanez, Naomi; Delgado-Rodriguez, Miguel; Matia-Martin, Pilar; Daimiel, Lidia; Antonio de Paz, Jose; Vidal, Josep; Vazquez, Clotilde; Ruiz-Canela, Miguel; Bullo, Monica; Sorli, Jose, V; Goday, Albert; Fiol, Miquel; Garcia-de-la-Hera, Manoli; Sierra, Lucas Tojal; Perez-Farinos, Napoleon; Zulet, Maria Angeles; Sanchez-Villegas, Almudena; Sacanella, Emilio; Carlos Fernandez-Garcia, Jose; Manuel Santos-Lozano, Jose; Gimenez-Gracia, Miquel; Bibiloni, Maria Del Mar; Diez-Espino, Javier; Ortega-Azorin, Carolina; Castaner, Olga; Morey, Marga; Torres-Collado, Laura; Sorto Sanchez, Carolina; Angel Munoz, Miguel; Ros, Emilio; Martinez-Gonzalez, Miguel A.; Salas-Salvado, Jordi;PREDIMED-Plus Investigators, Universitat Rovira i Virgili, and Diaz-Lopez, Andres; Becerra-Tomas, Nerea; Ruiz, Veronica; Toledo, Estefania; Babio, Nancy; Corella, Dolores; Fito, Montse; Romaguera, Dora; Vioque, Jesus; Alonso-Gomez, Angel M.; Warnberg, Julia; Martinez, J. Alfredo; Serra-Majem, Luis; Estruch, Ramon; Tinahones, Francisco J.; Lapetra, Jose; Pinto, Xavier; Tur, Josep A.; Lopez-Miranda, Jose; Cano Ibanez, Naomi; Delgado-Rodriguez, Miguel; Matia-Martin, Pilar; Daimiel, Lidia; Antonio de Paz, Jose; Vidal, Josep; Vazquez, Clotilde; Ruiz-Canela, Miguel; Bullo, Monica; Sorli, Jose, V; Goday, Albert; Fiol, Miquel; Garcia-de-la-Hera, Manoli; Sierra, Lucas Tojal; Perez-Farinos, Napoleon; Zulet, Maria Angeles; Sanchez-Villegas, Almudena; Sacanella, Emilio; Carlos Fernandez-Garcia, Jose; Manuel Santos-Lozano, Jose; Gimenez-Gracia, Miquel; Bibiloni, Maria Del Mar; Diez-Espino, Javier; Ortega-Azorin, Carolina; Castaner, Olga; Morey, Marga; Torres-Collado, Laura; Sorto Sanchez, Carolina; Angel Munoz, Miguel; Ros, Emilio; Martinez-Gonzalez, Miguel A.; Salas-Salvado, Jordi;PREDIMED-Plus Investigators

Abstract

Introduction: Large randomized trials testing the effect of a multifactorial weight-loss lifestyle intervention including Mediterranean diet (MedDiet) on renal function are lacking. Here, we evaluated the 1-year efficacy of an intensive weight-loss intervention with an energy-reduced MedDiet (erMedDiet) plus increased physical activity (PA) on renal function. Methods: Randomized controlled PREvencion con DIeta MEDiterranea-Plus (PREDIMED-Plus) trial is conducted in 23 Spanish centers comprising 208 primary care clinics. Overweight/obese (n = 6,719) adults aged 55-75 years with metabolic syndrome were randomly assigned (1:1) to an intensive weight-loss lifestyle intervention with an erMedDiet, PA promotion, and behavioral support (intervention) or usual-care advice to adhere to an energy-unrestricted MedDiet (control) between September 2013 and December 2016. The primary outcome was 1-year change in estimated glomerular filtration rate (eGFR). Secondary outcomes were changes in urine albumin-to-creatinine ratio (UACR), incidence of moderately/severely impaired eGFR (<60 mL/min/1.73 m(2)) and micro- to macroalbuminuria (UACR >= 30 mg/g), and reversion of moderately (45 to <60 mL/min/1.73 m(2)) to mildly impaired GFR (60 to <90 mL/min/1.73 m(2)) or micro- to macroalbuminuria. Results: After 1 year, eGFR declined by 0.66 and 1.25 mL/min/1.73 m(2) in the intervention and control groups, respectively (mean difference, 0.58 mL/min/1.73 m(2); 95% CI: 0.15-1.02). There were no between-group differences in mean UACR or micro- to macroalbuminuria changes. Moderately/severely impaired eGFR incidence and reversion of moderately to mildly impaired GFR were 40% lower (HR 0.60; 0.44-0.82) and 92% higher (HR 1.92; 1.35-2.73), respectively, in the intervention group. Conclusions: The PRE

Published
2021

17. Leisure-Time Physical Activity, Sedentary Behaviour and Diet Quality are Associated with Metabolic Syndrome Severity: The PREDIMED-Plus Study

Author

Gallardo-Alfaro, Laura, Bibiloni, Maria Del Mar, Mascaró, Catalina M., Montemayor, Sofía, Ruiz-Canela, Miguel, Salas-Salvadó, Jordi, Santos Lozano, José Manuel, Tur, Josep A., Universidad de Sevilla. Departamento de Medicina, Balearic Islands Government, Balearic Islands Health Research Institute IDISBA, Consejeria de Salud de la Junta de Andalucia PI0458/2013, PS0358/2016, PI0137/2018, Especial Action Project, EU-COST Action, European Commission, European Regional Development Fund, European Research Council, Fundacio La Marato TV3, Generalitat Valenciana, Official funding agency for biomedical research of the Spanish government, ISCIII, through the Fondo de Investigacion para la Salud (FIS), Recercaixa Grant, SEMERGEN Grant, and Spanish Ministry of Education

Subjects
Physical activity, Mediterranean diet, Depression risk, Sedentary behaviour, Metabolic syndrome severity
Abstract

Healthy lifestyle factors, such as physical activity (PA) and Mediterranean diet (MD), decrease the likelihood of developing metabolic syndrome (MetS). The aim of this study was to report main lifestyle components and related factors according to the MetS severity. Cross-sectional analysis was done of baseline lifestyle factors from 5739 participants with overweight/obesity and MetS features (aged 55–75 years) included in the PREDIMED-PLUS primary cardiovascular prevention randomized trial. Participants were categorized in tertiles according to a validated MetS severity score (MetSSS). Anthropometrics, visceral adiposity index, dietary nutrient intake, biochemical marker levels, as well as a Dietary Inflammatory Index and depression symptoms (Beck Depression Inventory-II) were measured. Diet quality was assessed using a 17-item energy-restricted MD questionnaire. Duration and intensity of PA was self-reported using the Minnesota-REGICOR Short Physical Activity Questionnaire. Sedentary behaviours were measured using the Spanish version of the Nurses’ Health Study questionnaire. The 30 s chair stand test was also assessed. Participants with highest MetSSS showed higher values of cardiovascular risk factors (except for total cholesterol and LDL cholesterol), depression risk, sedentary and TV viewing time, and lower moderate and vigorous leisure-time physical activity (LTPA). Highest MetSSS participants tended to a pro-inflammatory dietary pattern and tended to lower MD adherence. In addition, they showed lower carbohydrate and nut intake and higher intake of protein, saturated and trans fatty acids, cholesterol, iodine, sodium, red and processed meat products, other oils different from olive oil and spirit alcoholic drinks. The highest MetS severity score was associated with lower moderate and vigorous LTPA and higher sedentary time and depression risk, as they tended to a pro-inflammatory dietary pattern and lower MD adherence.

Published
2020

18. Leisure-Time Physical Activity, Sedentary Behaviour and Diet Quality are Associated with Metabolic Syndrome Severity: The PREDIMED-Plus Study

Author

Universidad de Sevilla. Departamento de Medicina, Balearic Islands Government, Balearic Islands Health Research Institute IDISBA, Consejeria de Salud de la Junta de Andalucia PI0458/2013; PS0358/2016; PI0137/2018, Especial Action Project, EU-COST Action, European Commission, European Regional Development Fund, European Research Council, Fundacio La Marato TV3, Generalitat Valenciana, Official funding agency for biomedical research of the Spanish government, ISCIII, through the Fondo de Investigacion para la Salud (FIS), Recercaixa Grant, SEMERGEN Grant, Spanish Ministry of Education, Gallardo-Alfaro, Laura, Bibiloni, Maria Del Mar, Mascaró, Catalina M., Montemayor, Sofía, Ruiz-Canela, Miguel, Salas-Salvadó, Jordi, Santos Lozano, José Manuel, Tur, Josep A., Universidad de Sevilla. Departamento de Medicina, Balearic Islands Government, Balearic Islands Health Research Institute IDISBA, Consejeria de Salud de la Junta de Andalucia PI0458/2013; PS0358/2016; PI0137/2018, Especial Action Project, EU-COST Action, European Commission, European Regional Development Fund, European Research Council, Fundacio La Marato TV3, Generalitat Valenciana, Official funding agency for biomedical research of the Spanish government, ISCIII, through the Fondo de Investigacion para la Salud (FIS), Recercaixa Grant, SEMERGEN Grant, Spanish Ministry of Education, Gallardo-Alfaro, Laura, Bibiloni, Maria Del Mar, Mascaró, Catalina M., Montemayor, Sofía, Ruiz-Canela, Miguel, Salas-Salvadó, Jordi, Santos Lozano, José Manuel, and Tur, Josep A.

Abstract

Healthy lifestyle factors, such as physical activity (PA) and Mediterranean diet (MD), decrease the likelihood of developing metabolic syndrome (MetS). The aim of this study was to report main lifestyle components and related factors according to the MetS severity. Cross-sectional analysis was done of baseline lifestyle factors from 5739 participants with overweight/obesity and MetS features (aged 55–75 years) included in the PREDIMED-PLUS primary cardiovascular prevention randomized trial. Participants were categorized in tertiles according to a validated MetS severity score (MetSSS). Anthropometrics, visceral adiposity index, dietary nutrient intake, biochemical marker levels, as well as a Dietary Inflammatory Index and depression symptoms (Beck Depression Inventory-II) were measured. Diet quality was assessed using a 17-item energy-restricted MD questionnaire. Duration and intensity of PA was self-reported using the Minnesota-REGICOR Short Physical Activity Questionnaire. Sedentary behaviours were measured using the Spanish version of the Nurses’ Health Study questionnaire. The 30 s chair stand test was also assessed. Participants with highest MetSSS showed higher values of cardiovascular risk factors (except for total cholesterol and LDL cholesterol), depression risk, sedentary and TV viewing time, and lower moderate and vigorous leisure-time physical activity (LTPA). Highest MetSSS participants tended to a pro-inflammatory dietary pattern and tended to lower MD adherence. In addition, they showed lower carbohydrate and nut intake and higher intake of protein, saturated and trans fatty acids, cholesterol, iodine, sodium, red and processed meat products, other oils different from olive oil and spirit alcoholic drinks. The highest MetS severity score was associated with lower moderate and vigorous LTPA and higher sedentary time and depression risk, as they tended to a pro-inflammatory dietary pattern and lower MD adherence.

Published
2020

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

Author

Universidad de Sevilla. Departamento de Medicina, Bouzas, Cristina, Bibiloni, Maria Del Mar, Julibert, Alicia, Ruiz-Canela, Miguel, Salas-Salvadó, Jordi, Corella, Dolores, Santos Lozano, José Manuel, Tur, Josep A., Universidad de Sevilla. Departamento de Medicina, Bouzas, Cristina, Bibiloni, Maria Del Mar, Julibert, Alicia, Ruiz-Canela, Miguel, Salas-Salvadó, Jordi, Corella, Dolores, Santos Lozano, José Manuel, and Tur, Josep A.

Abstract

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.

Published
2020

20. Carbohydrate quality changes and concurrent changes in cardiovascular risk factors: a longitudinal analysis in the PREDIMED-Plus randomized trial

Author

European Research Council, European Commission, Instituto de Salud Carlos III, Junta de Andalucía, Generalitat Valenciana, Martínez-González, Miguel Ángel, Fernandez-Lazaro, Cesar I., Toledo, Estefanía, Díaz-López, Andrés, Corella, Dolores, Goday, Albert, Romaguera, Dora, Vioque, Jesús, Alonso-Gómez, Ángel M., Wärnberg, Julia, Martínez, J. Alfredo, Serra-Majem, Luís, Estruch, Ramón, Tinahones, Francisco J., Lapetra, José, Pintó, Xavier, Tur, Josep A., López-Miranda, José, Cano-Ibáñez, Naomi, Delgado-Rodríguez, Miguel, Matía-Martín, Pilar, Daimiel, Lidia, Martín Sánchez, Vicente, Vidal, Josep, Vázquez, Clotilde, Ros, Emilio, Buil-Cosiales, Pilar, Portolés, Olga, Soria-Florido, María, Konieczna, Jadwiga, Navarrete-Muñoz, Eva M., Tojal-Sierra, Lucas, Fernandez-Garcia, José Carlos, Abete, Itziar, Henríquez-Sánchez, Patricia, Muñoz-Garach, Araceli, Santos-Lozano, José Manuel, Corbella, Emili, Bibiloni, Maria del Mar, Becerra-Tomás, Nerea, Barragán, Rocío, Castañer, Olga, Fiol, Miquel, Hera, Manoli García de la, Belló-Mora, María C., Gea, Alfredo, Babio, Nancy, Fitó, Montserrat, Ruiz-Canela, Miguel, Zazpe, Itziar, Salas-Salvadó, Jordi, European Research Council, European Commission, Instituto de Salud Carlos III, Junta de Andalucía, Generalitat Valenciana, Martínez-González, Miguel Ángel, Fernandez-Lazaro, Cesar I., Toledo, Estefanía, Díaz-López, Andrés, Corella, Dolores, Goday, Albert, Romaguera, Dora, Vioque, Jesús, Alonso-Gómez, Ángel M., Wärnberg, Julia, Martínez, J. Alfredo, Serra-Majem, Luís, Estruch, Ramón, Tinahones, Francisco J., Lapetra, José, Pintó, Xavier, Tur, Josep A., López-Miranda, José, Cano-Ibáñez, Naomi, Delgado-Rodríguez, Miguel, Matía-Martín, Pilar, Daimiel, Lidia, Martín Sánchez, Vicente, Vidal, Josep, Vázquez, Clotilde, Ros, Emilio, Buil-Cosiales, Pilar, Portolés, Olga, Soria-Florido, María, Konieczna, Jadwiga, Navarrete-Muñoz, Eva M., Tojal-Sierra, Lucas, Fernandez-Garcia, José Carlos, Abete, Itziar, Henríquez-Sánchez, Patricia, Muñoz-Garach, Araceli, Santos-Lozano, José Manuel, Corbella, Emili, Bibiloni, Maria del Mar, Becerra-Tomás, Nerea, Barragán, Rocío, Castañer, Olga, Fiol, Miquel, Hera, Manoli García de la, Belló-Mora, María C., Gea, Alfredo, Babio, Nancy, Fitó, Montserrat, Ruiz-Canela, Miguel, Zazpe, Itziar, and Salas-Salvadó, Jordi

Abstract

[Background]: Overall quality of dietary carbohydrate intake rather than total carbohydrate intake may determine the risk of cardiovascular disease (CVD)., [Objective]: We examined 6- and 12-mo changes in carbohydrate quality index (CQI) and concurrent changes in several CVD risk factors in a multicenter, randomized, primary-prevention trial (PREDIMED-Plus) based on an intensive weight-loss lifestyle intervention program., [Methods]: Prospective analysis of 5373 overweight/obese Spanish adults (aged 55–75 y) with metabolic syndrome (MetS). Dietary intake information obtained from a validated 143-item semiquantitative food-frequency questionnaire was used to calculate 6- and 12-mo changes in CQI (categorized in quintiles), based on 4 criteria (total dietary fiber intake, glycemic index, whole grain/total grain ratio, and solid carbohydrate/total carbohydrate ratio). The outcomes were changes in intermediate markers of CVD., [Results]: During the 12-mo follow-up, the majority of participants improved their CQI by increasing their consumption of fruits, vegetables, legumes, fish, and nuts and decreasing their consumption of refined cereals, added sugars, and sugar-sweetened beverages. After 6 mo, body weight, waist circumference (WC), systolic and diastolic blood pressure (BP), fasting blood glucose, glycated hemoglobin (HbA1c), triglyceride levels, triglycerides and glucose (TyG) index, and TyG-WC decreased across successive quintiles of improvement in the CQI. After 12 mo, improvements were additionally observed for HDL cholesterol and for the ratio of total to HDL cholesterol. Favorable improvements (expressed in common units of SD and 95% CI) for quintile 5 compared with quintile 1 of CQI change were observed for most risk factors, including TyG-WC (SD −0.20; 95% CI −0.26, −0.15), HbA1c (SD −0.16; 95% CI −0.23, −0.10), weight (SD −0.12; 95% CI −0.14, −0.09), systolic BP (SD −0.11; 95% CI −0.19, −0.02) and diastolic BP (SD −0.11; 95% CI −0.19, −0.04)., [Conclusions]: Improvements in CQI were strongly associated with concurrent favorable CVD risk factor changes maintained over time in overweight/obese adults with MetS. This trial was registered as ISRCTN 89898870.

Published
2020

21. Effect of an Intensive Weight-Loss Lifestyle Intervention on Kidney Function: A Randomized Controlled Trial

Author

Díaz-López, Andrés, primary, Becerra-Tomás, Nerea, additional, Ruiz, Verónica, additional, Toledo, Estefanía, additional, Babio, Nancy, additional, Corella, Dolores, additional, Fíto, Montse, additional, Romaguera, Dora, additional, Vioque, Jesús, additional, Alonso-Gómez, Ángel M, additional, Wärnberg, Julia, additional, Martínez, J.Alfredo, additional, Serra-Majem, Luís, additional, Estruch, Ramon, additional, Tinahones, Francisco J, additional, Lapetra, José, additional, Pintó, Xavier, additional, Tur, Josep, additional, López-Miranda, José, additional, Ibañez, Naomi Cano, additional, Delgado-Rodríguez, Miguel, additional, Matía-Martín, Pilar, additional, Daimiel, Lidia, additional, Paz, Jose Antonio de la, additional, Vidal, Josep, additional, Vázquez, Clotilde, additional, Ruiz-Canela, Miguel, additional, Bulló, Mònica, additional, Sorlí, José V, additional, Goday, Albert, additional, Fiol, Miquel, additional, García-de-la-Hera, Manoli, additional, Sierra, Lucas Tojal, additional, Pérez-Farinós, Napoleón, additional, Zulet, Maria Angeles, additional, Sánchez-Villegas, Almudena, additional, Sacanella, Emilio, additional, Fernández-García, José Carlos, additional, Santos-Lozano, José Manuel, additional, Gimenez-Gracia, Miquel, additional, Bibiloni, Maria del Mar, additional, Diez-Espino, Javier, additional, Ortega-Azorin, Carolina, additional, Castañer, Olga, additional, Morey, Marga, additional, Torres-Collado, Laura, additional, Sanchez, Carolina Sorto, additional, Muñoz, Miguel Ángel, additional, Ros, Emilio, additional, Martínez-González, Miguel A, additional, and Salas-Salvadó, Jordi, additional

Published
2020
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22. Dietary Quality Changes According to the Preceding Maximum Weight: A Longitudinal Analysis in the PREDIMED-Plus Randomized Trial

Author

Bouzas, Cristina, primary, Bibiloni, Maria del Mar, additional, Garcia, Silvia, additional, Mateos, David, additional, Martínez-González, Miguel Ángel, additional, Salas-Salvadó, Jordi, additional, Corella, Dolores, additional, Schröder, Helmut, additional, Martínez, J. Alfredo, additional, Alonso-Gómez, Ángel M., additional, Wärnberg, Julia, additional, Vioque, Jesús, additional, Romaguera, Dora, additional, Lopez-Miranda, José, additional, Estruch, Ramon, additional, Tinahones, Francisco J., additional, Lapetra, José, additional, Serra-Majem, Luís, additional, Bueno-Cavanillas, Aurora, additional, Micó-Pérez, Rafael M., additional, Pintó, Xavier, additional, Delgado-Rodríguez, Miguel, additional, Ortíz-Ramos, María, additional, Altés-Boronat, Andreu, additional, Luca, Bogdana L., additional, Daimiel, Lidia, additional, Ros, Emilio, additional, Sayon-Orea, Carmen, additional, Becerra-Tomás, Nerea, additional, Gimenez-Alba, Ignacio Manuel, additional, Castañer, Olga, additional, Abete, Itziar, additional, Tojal-Sierra, Lucas, additional, Pérez-López, Jéssica, additional, Bernabé-Casanova, Andrea, additional, Martin-Padillo, Marian, additional, Garcia-Rios, Antonio, additional, Castro-Barquero, Sara, additional, Fernández-García, José Carlos, additional, Santos-Lozano, José Manuel, additional, Fernandez-Lazaro, Cesar I., additional, Hernández-Alonso, Pablo, additional, Saiz, Carmen, additional, Zomeño, Maria Dolors, additional, Zulet, Maria Angeles, additional, Belló-Mora, Maria C., additional, Basterra-Gortari, F. Javier, additional, Canudas, Silvia, additional, Goday, Albert, additional, and Tur, Josep A., additional

Published
2020
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23. Study protocol of a population-based cohort investigating Physical Activity, Sedentarism, lifestyles and Obesity in Spanish youth: the PASOS study

Author

Gómez, Santiago Felipe, primary, Homs, Clara, additional, Wärnberg, Julia, additional, Medrano, Maria, additional, Gonzalez-Gross, Marcela, additional, Gusi, Narcis, additional, Aznar, Susana, additional, Cascales, Elena Marín, additional, González-Valeiro, Miguel, additional, Serra-Majem, Lluis, additional, Terrados, Nicolás, additional, Tur, Josep A, additional, Segú, Marta, additional, Lassale, Camille, additional, Benavente-Marín, Juan Carlos, additional, Labayen, Idoia, additional, Zapico, Augusto García, additional, Sánchez-Gómez, Jesús, additional, Jiménez-Zazo, Fabio, additional, Alcaraz, Pedro Emilio, additional, Sevilla-Sanchez, Marta, additional, Herrera-Ramos, Estefania, additional, Pulgar, Susana, additional, Bibiloni, Maria del Mar, additional, Sancho, Olga, additional, and Schröder, Helmut, additional

Published
2020
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24. Adherence to the Mediterranean Lifestyle and Desired Body Weight Loss in a Mediterranean Adult Population with Overweight: A PREDIMED-Plus Study

Author

Bouzas, Cristina, primary, Bibiloni, Maria del Mar, additional, Julibert, Alicia, additional, Ruiz-Canela, Miguel, additional, Salas-Salvadó, Jordi, additional, Corella, Dolores, additional, Zomeño, Maria Dolors, additional, Romaguera, Dora, additional, Vioque, Jesús, additional, Alonso-Gómez, Ángel M., additional, Wärnberg, Julia, additional, Martínez, J. Alfredo, additional, Serra-Majem, Luís, additional, Estruch, Ramon, additional, Tinahones, Francisco J., additional, Lapetra, José, additional, Pintó, Xavier, additional, García Ríos, Antonio, additional, Bueno-Cavanillas, Aurora, additional, Gaforio, José J., additional, Matía-Martín, Pilar, additional, Daimiel, Lidia, additional, Martín-Sánchez, Vicente, additional, Vidal, Josep, additional, Vázquez, Clotilde, additional, Ros, Emilio, additional, Fernandez-Lázaro, Cesar Ignacio, additional, Becerra-Tomás, Nerea, additional, Gimenez-Alba, Ignacio Manuel, additional, Muñoz, Julia, additional, Morey, Marga, additional, Oncina-Canovas, Alejandro, additional, Tojal-Sierra, Lucas, additional, Pérez-López, Jéssica, additional, Abete, Itziar, additional, Casañas-Quintana, Tamara, additional, Castro-Barquero, Sara, additional, Bernal-López, M. Rosa, additional, Santos-Lozano, José Manuel, additional, Galera, Ana, additional, Angullo-Martinez, Escarlata, additional, Basterra-Gortari, F. Javier, additional, Basora, Josep, additional, Saiz, Carmen, additional, Castañer, Olga, additional, Martín, Marian, additional, Notario-Barandiarán, Leyre, additional, Belló-Mora, María C., additional, Sayón-Orea, Carmen, additional, García-Gavilán, Jesús, additional, Goday, Albert, additional, and Tur, Josep A., additional

Published
2020
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26. Leisure-Time Physical Activity, Sedentary Behaviour and Diet Quality are Associated with Metabolic Syndrome Severity: The PREDIMED-Plus Study

Author

Gallardo-Alfaro, Laura, primary, Bibiloni, Maria del Mar, additional, Mascaró, Catalina M., additional, Montemayor, Sofía, additional, Ruiz-Canela, Miguel, additional, Salas-Salvadó, Jordi, additional, Corella, Dolores, additional, Fitó, Montserrat, additional, Romaguera, Dora, additional, Vioque, Jesús, additional, Alonso-Gómez, Ángel M., additional, Wärnberg, Julia, additional, Martínez, J. Alfredo, additional, Serra-Majem, Lluís, additional, Estruch, Ramon, additional, Fernández-García, José Carlos, additional, Lapetra, José, additional, Pintó, Xavier, additional, García Ríos, Antonio, additional, Bueno-Cavanillas, Aurora, additional, Gaforio, José J., additional, Matía-Martín, Pilar, additional, Daimiel, Lidia, additional, Micó-Pérez, Rafael M., additional, Vidal, Josep, additional, Vázquez, Clotilde, additional, Ros, Emilio, additional, Fernandez-Lázaro, Cesar Ignacio, additional, Becerra-Tomás, Nerea, additional, Gimenez-Alba, Ignacio Manuel, additional, Zomeño, María Dolors, additional, Konieczna, Jadwiga, additional, Compañ-Gabucio, Laura, additional, Tojal-Sierra, Lucas, additional, Pérez-López, Jéssica, additional, Zulet, M. Ángeles, additional, Casañas-Quintana, Tamara, additional, Castro-Barquero, Sara, additional, Gómez-Pérez, Ana María, additional, Santos-Lozano, José Manuel, additional, Galera, Ana, additional, Basterra-Gortari, F. Javier, additional, Basora, Josep, additional, Saiz, Carmen, additional, Pérez-Vega, Karla Alejandra, additional, Galmés-Panadés, Aina M., additional, Tercero-Maciá, Cristina, additional, Sorto-Sánchez, Carolina, additional, Sayón-Orea, Carmen, additional, García-Gavilán, Jesús, additional, Muñoz-Martínez, Júlia, additional, and Tur, Josep A., additional

Published
2020
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27. Nutrient adequacy and diet quality in a Mediterranean population with metabolic syndrome: A cross-sectional study

Author

Bibiloni, Maria del Mar, primary, Bouzas, Cristina, additional, Abbate, Manuela, additional, Martínez-González, Miguel A., additional, Corella, Dolores, additional, Salas-Salvadó, Jordi, additional, Zomeño, M. Dolors, additional, Vioque, Jesús, additional, Romaguera, Dora, additional, Martínez, J. Alfredo, additional, Wärnberg, Julia, additional, López-Miranda, José, additional, Estruch, Ramón, additional, Bueno-Cavanillas, Aurora, additional, Alonso-Gómez, Ángel, additional, Tinahones, Francisco, additional, Serra-Majem, Lluis, additional, Martín, Vicente, additional, Lapetra, José, additional, Vázquez, Clotilde, additional, Pintó, Xavier, additional, Vidal, Josep, additional, Daimiel, Lidia, additional, Delgado-Rodríguez, Miguel, additional, Matía, Pilar, additional, Ros, Emilio, additional, Fernández-Carrión, Rebeca, additional, Garcia-Rios, Antonio, additional, Zulet, M. Angeles, additional, Asensio, Alberto, additional, Schröder, Helmut, additional, Fitó, Montserrat, additional, Becerra-Tomás, Nerea, additional, Basora, Josep, additional, Cenoz, Juan Carlos, additional, Diez-Espino, Javier, additional, Toledo, Estefanía, additional, and Tur, Josep A., additional

Published
2020
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30. Adaption and reliability of the Nutrition Environment Measures for stores (NEMS-S) instrument for use in urban areas of Chile.

Author

Gislaine, Granfeldt M., Montserrat, Victoriano R., Carrasco, Juan Antonio, Sáez, Katia C., Bibiloni, Maria del Mar, Tur, Josep A., Granfeldt, Gislaine, Victoriano, Montserrat, and Sáez, Katia

Subjects
FOOD, CITIES & towns, FOOD cooperatives, FOOD industry, RESEARCH, RESEARCH evaluation, RESEARCH methodology, EVALUATION research, FOOD supply, SURVEYS, COMPARATIVE studies, BUSINESS, RESEARCH funding
Abstract

Objective: To adapt and assess reliability of the Chilean version of Nutritional Environment Measurement for Stores (NEMS-S-CHILE) to measure the food environment of stores in urban areas.Design: NEMS-S-CHILE was the NEMS-S tool adapted to the Chilean food patterns; foods were grouped according to level of processing in (a) unprocessed or minimally processed foods, (b) processed culinary ingredients, (c) processed foods, and (d) ultra-processed foods, and scored according to NEMS-S-CHILE tool. Reliability inter evaluators was measured.Setting: City of Concepción, Bio-Bio region, Chile.Participants: Seventeen of a total of 25 supermarkets, and 9 out of 10 street markets according to the municipal registry and the street market trade unions, representing 74.3% of both types of food premises in Concepción.Results: Reliability inter evaluators was measured by the following aspects: product availability, price, quality, and variety, through the intraclass correlation coefficient (ICC), percent agreement, and Cohen's kappa analysis. Reliability was high for availability, where the kappa index and ICC were acceptable, ranging from moderate to high (0.42 to 1.00 for the kappa coefficient and 0.65 to 1.00 for ICC), as well as for prices (ICC: 0.65-1.00 ), variety (kappa: 0.76-1.00) and quality (percent agreement: 68.2- 100%).Conclusions: The adapted instrument, NEMS-S-CHILE, has a high reliability inter evaluators and can be useful to measure the availability of foods by the level of processing according to the prevalent food system in developing countries. [ABSTRACT FROM AUTHOR]

Published
2022
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31. Nut Consumptions as a Marker of Higher Diet Quality in a Mediterranean Population at High Cardiovascular Risk

Author

Medicina, Medikuntza, Bibiloni, Maria del Mar, Julibert, Alicia, Bouzas, Cristina, Martínez González, Miguel Ángel, Corella, Dolores, Salas Salvadó, Jordi, Zomeño Blanquerna, María Dolores, Vioque, Jesús, Romaguera, Dora, Martínez, J. Alfredo, Wärnberg, Julia, López Miranda, José, Estruch, Ramón, Bueno Cavanillas, Aurora, Arós Borau, Luis Fernando, Tinahones, Francisco J., Serra Majem, Lluís, Martín, Vicente, Lapetra, José, Vázquez, Clotilde, Pintó, Xavier, Vidal, Josep, Daimiel, Lidia, Delgado Rodríguez, Miguel, Matía Martín, Pilar, Ros, Emilio, Fernández Carrión, Rebeca, García Ríos, Antonio, Zulet, M. Ángeles, Orozco Beltrán, Domingo, Schröder, Helmut, Fitó, Montserrat, Bulló, Mónica, Basora, Josep, Cenoz, Juan Carlos, Díez Espino, Javier, Toledo, Estefanía, Tur, Josep A., Medicina, Medikuntza, Bibiloni, Maria del Mar, Julibert, Alicia, Bouzas, Cristina, Martínez González, Miguel Ángel, Corella, Dolores, Salas Salvadó, Jordi, Zomeño Blanquerna, María Dolores, Vioque, Jesús, Romaguera, Dora, Martínez, J. Alfredo, Wärnberg, Julia, López Miranda, José, Estruch, Ramón, Bueno Cavanillas, Aurora, Arós Borau, Luis Fernando, Tinahones, Francisco J., Serra Majem, Lluís, Martín, Vicente, Lapetra, José, Vázquez, Clotilde, Pintó, Xavier, Vidal, Josep, Daimiel, Lidia, Delgado Rodríguez, Miguel, Matía Martín, Pilar, Ros, Emilio, Fernández Carrión, Rebeca, García Ríos, Antonio, Zulet, M. Ángeles, Orozco Beltrán, Domingo, Schröder, Helmut, Fitó, Montserrat, Bulló, Mónica, Basora, Josep, Cenoz, Juan Carlos, Díez Espino, Javier, Toledo, Estefanía, and Tur, Josep A.

Abstract

BACKGROUND: Nut consumption has been associated with improved nutrient adequacy and diet quality in healthy adult populations but this association has never been explored in individuals at high cardiovascular risk. OBJECTIVE: to assess the associations between consumption of nuts and nutrient adequacy and diet quality in a Mediterranean population at high cardiovascular risk. DESIGN: baseline assessment of nutritional adequacy in participants (n = 6060, men and women, with ages 55⁻75 years old, with overweight/obesity and metabolic syndrome) in the PREDIMED-PLUS primary cardiovascular prevention randomized trial. METHODS: nut intake was assessed using a validated food frequency questionnaire. Participants who reported consuming zero quantity of nuts were classified as 'non-nut consumers'. 'Nut consumers' were participants who reported consuming any quantity of nuts. Nineteen micronutrients were examined (vitamins B1, B2, B3, B6, B12, A, C, D, E and folic acid; Ca, K, P, Mg, Fe, Se, Cr, Zn, and iodine). The proportion of micronutrient inadequacy was estimated using the estimated average requirements (EAR) or adequate intake (AI) cut-points. Diet quality was also assessed using a 17-item Mediterranean dietary questionnaire (Mediterranean diet score, MDS), a carbohydrate quality index (CQI) and a fat quality index (FQI). RESULTS: eighty-two percent of participants were nut consumers (median of nut consumption 12.6 g/day; interquartile range: 6.0⁻25.2). Nut consumers were less likely to be below the EAR for vitamins A, B1, B2, B6, C, D, E, folic acid, and Ca, Mg, Se and Zn than non-nut consumers. Nut consumers were also more likely to be above the AI for K and Cr than non-nut consumers. Nut consumers had lower prevalence of inadequate micronutrient intakes, but also higher CQI, higher FQI, and better scores of adherence to the Mediterranean diet (Mediterranean diet score, MDS). CONCLUSIONS: nut consumers had better nutrient adequacy, diet quality, and adherence to the M

Published
2019

32. Cross-sectional association between non-soy legume consumption, serum uric acid and hyperuricemia: the PREDIMED-Plus study

Author

Instituto de Salud Carlos III, European Commission, European Research Council, Junta de Andalucía, Generalitat Valenciana, Becerra-Tomás, Nerea, Mena-Sánchez, Guillermo, Díaz-López, Andrés, Martínez-González, Miguel Ángel, Babio, Nancy, Corella, Dolores, Freixer, Gala, Romaguera, Dora, Vioque, Jesús, Alonso-Gómez, Ángel M., Wärnberg, Julia, Martínez, Alfredo J., Serra-Majem, Lluis, Estruch, Ramón, Fernández-García, José C., Lapetra, José, Pintó, Xavier, Tur, Josep A., López-Miranda, José, Bueno-Cavanillas, Aurora, Gaforio, José Juan, Matía-Martín, Pilar, Daimiel, Lidia, Martín-Sánchez, Vicente, Vidal, Josep, Vázquez, Clotilde, Ros, Emilio, Razquin, Cristina, Abellán Cano, Iván, Sorlí, José V., Torres, Laura, Morey, Marga, Navarrete-Muñoz, María A., Tojal Sierra, Lucas, Crespo-Oliva, Edelys, Zulet, M. Ángeles, Sanchez-Villegas, Almudena, Casas, Rosa, Bernal-Lopez, M, Rosa, Santos-Lozano, J. M., Corbella, Emili, Bibiloni, Maria del Mar, Ruiz-Canela, Miguel, Fernández-Carrión, Rebeca, Quifer, Mireia, Prieto, Rafel M., Fernandez-Brufal, Noelia, Salaverria Lete, Itziar, Cenoz, Juan Carlos, Llimona, Regina, Salas-Salvadó, Jordi, Instituto de Salud Carlos III, European Commission, European Research Council, Junta de Andalucía, Generalitat Valenciana, Becerra-Tomás, Nerea, Mena-Sánchez, Guillermo, Díaz-López, Andrés, Martínez-González, Miguel Ángel, Babio, Nancy, Corella, Dolores, Freixer, Gala, Romaguera, Dora, Vioque, Jesús, Alonso-Gómez, Ángel M., Wärnberg, Julia, Martínez, Alfredo J., Serra-Majem, Lluis, Estruch, Ramón, Fernández-García, José C., Lapetra, José, Pintó, Xavier, Tur, Josep A., López-Miranda, José, Bueno-Cavanillas, Aurora, Gaforio, José Juan, Matía-Martín, Pilar, Daimiel, Lidia, Martín-Sánchez, Vicente, Vidal, Josep, Vázquez, Clotilde, Ros, Emilio, Razquin, Cristina, Abellán Cano, Iván, Sorlí, José V., Torres, Laura, Morey, Marga, Navarrete-Muñoz, María A., Tojal Sierra, Lucas, Crespo-Oliva, Edelys, Zulet, M. Ángeles, Sanchez-Villegas, Almudena, Casas, Rosa, Bernal-Lopez, M, Rosa, Santos-Lozano, J. M., Corbella, Emili, Bibiloni, Maria del Mar, Ruiz-Canela, Miguel, Fernández-Carrión, Rebeca, Quifer, Mireia, Prieto, Rafel M., Fernandez-Brufal, Noelia, Salaverria Lete, Itziar, Cenoz, Juan Carlos, Llimona, Regina, and Salas-Salvadó, Jordi

Abstract

[Purpose]: To assess the association between the consumption of non-soy legumes and different subtypes of non-soy legumes and serum uric acid (SUA) or hyperuricemia in elderly individuals with overweight or obesity and metabolic syndrome. [Methods]:A cross-sectional analysis was conducted in the framework of the PREDIMED-Plus study. We included 6329 participants with information on non-soy legume consumption and SUA levels. Non-soy legume consumption was estimated using a semi-quantitative food frequency questionnaire. Linear regression models and Cox regression models were used to assess the associations between tertiles of non-soy legume consumption, different subtypes of non-soy legume consumption and SUA levels or hyperuricemia prevalence, respectively., [Results]: Individuals in the highest tertile (T3) of total non-soy legume, lentil and pea consumption, had 0.14 mg/dL, 0.19 mg/dL and 0.12 mg/dL lower SUA levels, respectively, compared to those in the lowest tertile (T1), which was considered the reference one. Chickpea and dry bean consumption showed no association. In multivariable models, participants located in the top tertile of total non-soy legumes [prevalence ratio (PR): 0.89; 95% CI 0.82–0.97; p trend = 0.01, lentils (PR: 0.89; 95% CI 0.82–0.97; p trend = 0.01), dry beans (PR: 0.91; 95% C: 0.84–0.99; p trend = 0.03) and peas (PR: 0.89; 95% CI 0.82–0.97; p trend = 0.01)] presented a lower prevalence of hyperuricemia (vs. the bottom tertile). Chickpea consumption was not associated with hyperuricemia prevalence., [Conclusions]: In this study of elderly subjects with metabolic syndrome, we observed that despite being a purine-rich food, non-soy legumes were inversely associated with SUA levels and hyperuricemia prevalence.

Published
2019

33. Association between sedentary behaviour and socioeconomic factors, diet and lifestyle among the Balearic Islands adolescents

Author

Bibiloni Maria del Mar, Pich Jordi, Córdova Alfredo, Pons Antoni, and Tur Josep A

Subjects
Public aspects of medicine, RA1-1270
Abstract

Abstract Background Many different factors influenced food habits and physical activity patterns of adolescents in a complex interactive way. The aim of this study was to assess association between sedentary behaviour and socioeconomic factors, diet and lifestyle among the Balearic Islands adolescents. Methods A cross-sectional survey (n = 1961; 12–17 years old) was carried out. Physical activity was assessed using the International Physical Activity Questionnaire for adolescents (IPAQ-A). Sedentary behaviour was defined as Results The prevalence of sedentary behaviour was 37.1% (22.0% boys, 50.8% girls). Active boys consumed frequently breakfast cereals and fresh fruit; active girls yogurt, cheese, breakfast cereals, and fresh fruit; and sedentary girls high fat foods and soft drinks. Sedentary behaviour of girls was directly associated to age, and time spent on media screen and homework, and inversely related to adherence to Mediterranean diet, and body composition. Sedentary behaviour of boys was inversely related to adherence to the Mediterranean diet, and the desire to remain the same weight. Conclusions The prevalence of sedentary behaviour among Balearic Islands adolescents is high, mainly among girls. Age, sex, parental educational and profession levels, body size dissatisfaction, and poor quality diet are important factors of physical activity practice among adolescents.

Published
2012
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36. A CRITICAL REVIEW OF THE ORGANIZATION, METHODOLOGY AND ASSESSMENT IN THE FIRST-YEAR LABORATORY LECTURES OF SCIENCE AND ENGINEERING DEGREES AT THE UNIVERSITY OF THE BALEARIC ISLANDS (SPAIN)

Author

Jiménez, Maria A., primary, Moranta, David, additional, Torrens, Joan, additional, Ferrer, Laura, additional, Jurado-Rivera, José A., additional, Palomino, Carlos, additional, Borràs, Antoni, additional, Santamarta, Rubén, additional, Tejada, Silvia, additional, Sureda, Antoni, additional, Masdeu, Francesc, additional, and Bibiloni, Maria Del Mar, additional

Published
2019
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38. Ten-year trends (2000-2010) in bias of self-reported weight, height and body mass index in a Mediterranean adult population

Author

Bibiloni, Maria del Mar, Coll, Josep Ll., Salas, Rogelio, Pich, Jordi, Pons, Antoni, and Tur, Josep A.

Subjects
Balearic Islands, Percepción subjetiva, Adults, Islas Baleares, Self-reported, Adultos, Índice de masa corporal, Biases, Body mass index, Sesgo
Abstract

Aim: To assess trends in the biases of self-reported versus measured weight, height, and body mass index (BMI) in adults over the period 2000-2010 in a Mediterranean adult population. Methods: The sample population consisted of young (18-35) and middle-aged (36-55) adults living in the Balearic Islands, Spain. The data represent 1,089 people during 1999-2000 and 1,081 people during 2000-2010. Weighted-based frequency estimates were used. Results: While no differences between self-reported and measured weight, height and BMI were found in the respondents, it was seen that a decreasing percentage of the population knows their own weight and/or height. A rise in awareness was found in normal-weight men (from 95.0% to 98.9%), and also in normal-weight men and in the middle-aged obese category whose self-reported BMI was not defined as "correct" (from 41.2% to 85.7% and from 41.0% to 67.6% respectively). Conclusions: A substantial proportion of the population does not know their own weight or height. The obtained results suggest the need to develop strategies to enhance awareness of own weight and height. Objetivo: evaluar la tendencia del sesgo de la percepción subjetiva frente a la medida de peso, talla e índice de masa corporal (IMC) en una población adulta mediterránea durante el periodo 2000-2010. Métodos: la población estudiada fueron adultos jóvenes (18-35 años) y de mediana edad (36-55 años) de las Islas Baleares. Los datos representan 1089 personas durante 1999-2000 y 1081 personas durante 2000-2010 en los que se registró la percepción subjetiva y la medida de peso, altura e IMC. Se utilizaron datos ponderados sobre el censo. Resultados: si bien no se encontraron diferencias entre la percepción subjetiva y la medición de peso, altura e IMC en los encuestados, se observó que un porcentaje cada vez menor de la población conoce su propio peso y/o altura. Aumenta la propia percepción en hombres con peso normal (de 95,0% a 98,9%); la percepción subjetiva de IMC no se definió como "correcta" en estos mismos sujetos y en obesos de mediana edad (de 41,2 % a 85,7% y de 41,0% a 67,6%, respectivamente). Conclusiones: una proporción importante de la población no conoce su propio peso o altura. Los resultados obtenidos sugieren la necesidad de desarrollar estrategias para aumentar la conciencia del propio peso y altura

Published
2016

41. [Improving diet quality in children through a new nutritional education programme: INFADIMED]

Author

Bibiloni, Maria del Mar, Fernández-Blanco, Jordi, Pujol-Plana, Noemí, Martín-Galindo, Núria, Fernández-Vallejo, Maria Mercè, Roca-Domingo, Mariona, Chamorro-Medina, Juan, and Tur, Josep A.

Subjects
Male, Pediatric Obesity, Nutritional education, Educación nutricional, humanos, Obesidad, Child Nutrition Sciences, Health Promotion, Diet, Mediterranean, ciencias de la nutrición infantil, Food Preferences, Mediterranean diet, Humans, evaluación de programas y proyectos de salud, Obesity, Child, refrigerios, Children, Breakfast, conducta alimentaria, Anthropometry, dieta, Feeding Behavior, Overweight, INFADIMED, Dieta mediterránea, preferencias alimenticias, obesidad pediátrica, Diet, antropometría, Spain, Sobrepeso, Child, Preschool, Female, Snacks, desayuno, Población infantil, Program Evaluation
Abstract

Resumen Objetivo: Evaluar los resultados de un programa de educación nutricional desarrollado con recursos locales para mejorar la calidad de la dieta y reducir la prevalencia de sobrepeso y obesidad en la población infantil. Método: Estudio longitudinal de intervención por educación nutricional (INFADIMED) en población infantil (3-7 años) de Vilafranca del Penedès (Barcelona) reclutada en centros de educación infantil y primaria, con grupo de intervención o INFADIMED (n = 319; 50,2% niñas) y grupo control (n = 880; 49,8% niñas). En ambos grupos se determinaron el peso, la talla y el índice de masa corporal al inicio y al final del programa. También se evaluó la adherencia al patrón dietético mediterráneo mediante el test KIDMED. Resultados: INFADIMED incrementó el porcentaje de sujetos que consumían fruta o zumos, vegetales, yogures o queso, pasta o arroz, y frutos secos; disminuyó el porcentaje de quienes no desayunaban o consumían bollería para desayunar, así como el consumo de dulces o caramelos varias veces al día. INFADIMED cambió, de inicio a final, los porcentajes de adherencia a la dieta mediterránea: alta (39,2% a 70,5%), aceptable (49,2% a 28,2%) y baja (11,6% a 1,3%). Los/las participantes que al inicio del estudio presentaron sobrepeso u obesidad y evolucionaron a normopeso fueron un 2,6% en el grupo control y un 11,3% en INFADIMED (odds ratio: 4,08; intervalo de confianza del 95%: 2,37-7,04). Conclusiones: INFADIMED es un programa de educación nutricional con incidencia positiva sobre la calidad de la dieta y la prevalencia de sobrepeso y obesidad en la población infantil. Abstract Objective: To assess the results of a nutritional education programme developed by using available local resources to improve diet quality and decrease overweight and obesity prevalence among children. Method: A longitudinal intervention study by means of nutritional education (INFADIMED) in children (aged 3-7 years) from Vilafranca del Penedès (Barcelona, Spain), recruited from preschool centres and primary schools, with an intervention or INFADIMED group (n = 319; 50.2% female) and a control group (n = 880; 49.8% female). Weight, height and body mass index were measured in both groups at the beginning and at the end of the programme. Adherence to the Mediterranean diet was also assessed using the KIDMED test. Results: Consumption of fruit or juices, vegetables, yogurt and/or cheese, pasta or rice, and nuts increased, while skipping breakfast, consumption of bakery products for breakfast, and/or consumption of sweets several times per day decreased in the INFADIMED group. INFADIMED also changed, from the beginning to the end of the study, the adherence to a Mediterranean diet: high (39.2% to 70.5%), acceptable (49.2% to 28.2%), and low (11.6% to 1.3%). Approximately 2.6% of the participants in the control group and 11.3% of the participants in the INFADIMED group who were overweight and obese changed to normal weight (odds ratio: 4.08; 95% confidence interval: 2.37-7.04). Conclusions: INFADIMED is a nutritional education programme with benefits on both diet quality and overweight and obesity prevalence among children.

Published
2016

47. Prevalence of Overweight and Obesity in Adolescents: A Systematic Review

Author

Bibiloni, Maria del Mar, Pons, Antoni, and Tur, Josep A.

Subjects
Article Subject
Abstract

Objective. To review the extant literature on the prevalence of overweight and obesity in adolescents (10–19 years old) of both sexes. Design. The search was carried out using Medline and Scopus considering articles published from the establishment of the databanks until June 7, 2012. Data on the prevalence of children being overweight and obese from the International Obesity Task Force (IOTF) website was also reviewed. Only original articles and one National Health Report were considered. Forty studies met the inclusion criteria. Results. Twenty-five of these studies were nationally representative, and ten countries were represented only by regional data. Conclusions. The prevalence of overweight and obesity among adolescents worldwide is high, and obesity is higher among boys. The IOTF criterion is the most frequently used method to classify adolescents as overweighed or obese in public health research.

Published
2013
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48. Adherence to the Mediterranean Diet and Inflammatory Markers.

Author

Sureda, Antoni, Bibiloni, Maria del Mar, Julibert, Alicia, Bouzas, Cristina, Argelich, Emma, Llompart, Isabel, Pons, Antoni, and Tur, Josep A.

Abstract

The aim was to assess inflammatory markers among adults and adolescents in relation to the adherence to the Mediterranean diet. A random sample (219 males and 379 females) of the Balearic Islands population (12-65 years) was anthropometrically measured and provided a blood sample to determine biomarkers of inflammation. Dietary habits were assessed and the adherence to the Mediterranean dietary pattern calculated. The prevalence of metabolic syndrome increased with age in both sexes. The adherence to the Mediterranean diet in adolescent males was 51.3% and 45.7% in adults, whereas in females 53.1% and 44.3%, respectively. In males, higher adherence to the Mediterranean diet was associated with higher levels of adiponectin and lower levels of leptin, tumor necrosis factor alpha (TNF-α), plasminogen activator inhibitor 1 (PAI-1) and high-sensitivity C-reactive protein (hs-CRP) in adults, but not in young subjects. In females, higher adherence was associated with lower levels of leptin in the young group, PAI-1 in adults and hs-CRP in both groups. With increasing age in both sexes, metabolic syndrome increases, but the adherence to the Mediterranean diet decreases. Low adherence to the Mediterranean dietary pattern (MDP) is directly associated with a worse profile of plasmatic inflammation markers. [ABSTRACT FROM AUTHOR]

Published
2018
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