2026-04-17T06:50:33Zhttps://recercat.cat/oai/request

oai:recercat.cat:2445/1889072025-12-04T19:22:07Zcom_2072_1057col_2072_478798col_2072_478858col_2072_478916col_2072_478917

00925njm 22002777a 4500 dc Bouzas, Cristina author Bibiloni, Maria del Mar author Garcia, Silvia author Mateos, David author Martínez-González, Miguel Ángel, 1957- author Salas Salvadó, Jordi author Corella Piquer, Dolores author Goday Arnó, Albert author Martínez, J. Alfredo, 1957- author Alonso Gómez, Ángel M. author Wärnberg, Julia author Vioque, Jesús author Romaguera, Dora author López Miranda, José author Estruch Riba, Ramon author Tinahones, Francisco J. author Lapetra, José author Serra Majem, Lluís author Riquelme Gallego, Blanca author Martín Sánchez, Vicente author Pintó Sala, Xavier author Gaforio, José J. author Matía Martín, Pilar author Vidal i Cortada, Josep author Vázquez, Clotilde author Daimiel, Lidia author Ros Rahola, Emilio author Pascual Roquet Jalmar, Elena author Babio, Nancy author Gonzalez Monge, Inmaculada author Castañer, Olga author Abete, Itziar author Sorto Sanchez, Carolina author Benavente Marín, Juan Carlos author Torres Collado, Laura author Martin, Marian author García Ríos, Antonio author Castro-Barquero, Sara author Fernández García, José C. author Santos Lozano, José Manuel author Fernandez Lazaro, Cesar I. author Salas Huetos, Albert author Guillem Saiz, Patricia author Zomeño Fajardo, María Dolores author Zulet, M. Angeles author Goikoetxea Bahon, Amaia author Gea, Alfredo author Nishi, Stephanie K. author Schröder, Helmut, 1958- author Tur, Josep A. author The PREDIMED-plus Investigators author 2022-09-12T10:21:50Z 2022-09-12T10:21:50Z 2022-07-22 2022-08-18T12:14:54Z 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); <=-4.0 kg (T3, n = 1,958). A food frequency questionnaire assessed diet and the Minnesota-REGICOR questionnaire assessed physical activity. The Framingham equation assessed cardiovascular risks. The changes in the severity of MetS were also assessed. The Beck Depression Inventory assessed depressive symptoms and the SF-36 assessed health-related quality of life. Data were analyzed using general linear models. 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. Aprimament Hàbits sanitaris Síndrome metabòlica Assaigs clínics Weight loss Health behavior Metabolic syndrome Clinical trials Desired weight loss and its association with health, health behaviors and perceptions in an adult population with weight excess: One-year follow-up