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, 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,

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.

Informations de copyright

Copyright © 2022 Bouzas, Bibiloni, Garcia, Mateos, Martínez-González, Salas-Salvadó, Corella, Goday, Martínez, Alonso-Gómez, Wärnberg, Vioque, Romaguera, Lopez-Miranda, Estruch, Tinahones, Lapetra, Serra-Majem, Riquelme-Gallego, Martín-Sánchez, Pintó, Gaforio, Matía, Vidal, Vázquez, Daimiel, Ros, Pascual-Roquet-Jalmar, Babio, Gonzalez-Monge, Castañer, Abete, Sorto-Sánchez, Carlos Benavente-Marín, Torres-Collado, Martin, García-Ríos, Castro-Barquero, Fernández-García, Santos-Lozano, Fernandez-Lazaro, Salas-Huetos, Guillem-Saiz, Zomeño, Ángeles Zulet, Goikoetxea-Bahon, Gea, Nishi, Schröder, Tur and the PREDIMED-Plus investigators.

Déclaration de conflit d'intérêts

Author JS-S reports serving on the board of and receiving grant support through his institution from the International Nut and Dried Fruit Council, and Eroski Foundation. Reports serving in the Executive Committee of the Instituto Danone Spain and on the Scientific Committee of the Danone International Institute. He has received research support from the Patrimonio Comunal Olivarero, Spain and Borges S.A., Spain. Reports receiving consulting fees or travel expenses from Danone; Eroski Foundation; Instituto Danone—Spain; and Abbot Laboratories. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The reviewer MM-A declared a shared affiliation with the author BR-G to the handling editor at the time of review.