Nutrients (Oct 2020)

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

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

DOI
https://doi.org/10.3390/nu12103023
Journal volume & issue
Vol. 12, no. 10
p. 3023

Abstract

Read online

One-year dietary quality change according to the preceding maximum weight in a lifestyle intervention program (PREDIMED-Plus trial, 55–75-year-old overweight or obese adults; n = 5695) was assessed. A validated food frequency questionnaire was used to assess dietary intake. A total of 3 groups were made according to the difference between baseline measured weight and lifetime maximum reported weight: (a) participants entering the study at their maximum weight, (b) moderate weight loss maintainers (WLM), and (c) large WLM. Data were analyzed by General Linear Model. All participants improved average lifestyle. Participants entering the study at their maximum weight were the most susceptible to improve significantly their dietary quality, assessed by adherence to Mediterranean diet, DII and both healthful and unhealthful provegetarian patterns. People at maximum weight are the most benefitted in the short term by a weight management program. Long term weight loss efforts may also reduce the effect of a weight management program.

Keywords