Effect of changes in adherence to Mediterranean diet on nutrient density after 1-year of follow-up: results from the PREDIMED-Plus Study.
Mediterranean diet
Metabolic syndrome
Nutrient density
Journal
European journal of nutrition
ISSN: 1436-6215
Titre abrégé: Eur J Nutr
Pays: Germany
ID NLM: 100888704
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
23
05
2019
accepted:
30
08
2019
pubmed:
17
9
2019
medline:
26
5
2021
entrez:
17
9
2019
Statut:
ppublish
Résumé
The prevalence of overweight/obesity and related manifestations such as metabolic syndrome (MetS) is increasing worldwide. High energy density diets, usually with low nutrient density, are among the main causes. Some high-quality dietary patterns like the Mediterranean diet (MedDiet) have been linked to the prevention and better control of MetS. However, it is needed to show that nutritional interventions promoting the MedDiet are able to improve nutrient intake. To assess the effect of improving MedDiet adherence on nutrient density after 1 year of follow-up at the PREDIMED-Plus trial. We assessed 5777 men (55-75 years) and women (60-75 years) with overweight or obesity and MetS at baseline from the PREDIMED-Plus trial. Dietary changes and MedDiet adherence were evaluated at baseline and after 1 year. The primary outcome was the change in nutrient density (measured as nutrient intake per 1000 kcal). Multivariable-adjusted linear regression models were fitted to analyse longitudinal changes in adherence to the MedDiet and concurrent changes in nutrient density. During 1-year follow-up, participants showed improvements in nutrient density for all micronutrients assessed. The density of carbohydrates (- 9.0%), saturated fatty acids (- 10.4%) and total energy intake (- 6.3%) decreased. These changes were more pronounced in the subset of participants with higher improvements in MedDiet adherence. The PREDIMED-Plus dietary intervention, based on MedDiet recommendations for older adults, maybe a feasible strategy to improve nutrient density in Spanish population at high risk of cardiovascular disease with overweight or obesity.
Sections du résumé
BACKGROUND
BACKGROUND
The prevalence of overweight/obesity and related manifestations such as metabolic syndrome (MetS) is increasing worldwide. High energy density diets, usually with low nutrient density, are among the main causes. Some high-quality dietary patterns like the Mediterranean diet (MedDiet) have been linked to the prevention and better control of MetS. However, it is needed to show that nutritional interventions promoting the MedDiet are able to improve nutrient intake.
OBJECTIVE
OBJECTIVE
To assess the effect of improving MedDiet adherence on nutrient density after 1 year of follow-up at the PREDIMED-Plus trial.
METHODS
METHODS
We assessed 5777 men (55-75 years) and women (60-75 years) with overweight or obesity and MetS at baseline from the PREDIMED-Plus trial. Dietary changes and MedDiet adherence were evaluated at baseline and after 1 year. The primary outcome was the change in nutrient density (measured as nutrient intake per 1000 kcal). Multivariable-adjusted linear regression models were fitted to analyse longitudinal changes in adherence to the MedDiet and concurrent changes in nutrient density.
RESULTS
RESULTS
During 1-year follow-up, participants showed improvements in nutrient density for all micronutrients assessed. The density of carbohydrates (- 9.0%), saturated fatty acids (- 10.4%) and total energy intake (- 6.3%) decreased. These changes were more pronounced in the subset of participants with higher improvements in MedDiet adherence.
CONCLUSIONS
CONCLUSIONS
The PREDIMED-Plus dietary intervention, based on MedDiet recommendations for older adults, maybe a feasible strategy to improve nutrient density in Spanish population at high risk of cardiovascular disease with overweight or obesity.
Identifiants
pubmed: 31523780
doi: 10.1007/s00394-019-02087-1
pii: 10.1007/s00394-019-02087-1
doi:
Types de publication
Journal Article
Multicenter Study
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
2395-2409Subventions
Organisme : Ministry of Education of Spain
ID : FPU14/3630
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI13/00673
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI13/00492
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI13/00272
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI13/01123
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI13/00462
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI13/00233
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI13/02184
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI13/00728
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI13/01090
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI13/01056
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI14/01722
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI14/00636
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI14/00618
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI14/00696
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI14/01206
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI14/01919
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI14/00853
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI14/01374
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI16/00473
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI16/00662
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI16/01873
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI16/01094
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI16/00501
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI16/00533
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI16/00381
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI16/00366
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI16/01522
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI16/01120
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI17/00764
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI17/01183
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI17/00855
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI17/01347
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI17/00525
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI17/01827
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI17/00532
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI17/00215
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI17/01441
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI17/00508
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI17/01732
Organisme : Official funding agency for biomedical research of the Spanish Government, ISCIII
ID : PI17/00926
Organisme : Recercaixa
ID : 2013ACUP00194
Organisme : Consejería de Salud de la Junta de Andalucía
ID : PI0458/2013
Organisme : Consejería de Salud de la Junta de Andalucía
ID : PS0358/2016
Organisme : Consejería de Salud de la Junta de Andalucía
ID : PI0137/2018
Organisme : Generalitat Valenciana
ID : PROMETEO/2017/017
Organisme : CIBEROBN, ISCIII
ID : CB06/03
Organisme : International Nut&Dried Fruit Council- FESNAD
ID : 201302
Organisme : European Research Council
ID : 340918
Pays : International
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