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Title: Dietary quality changes according to the preceding maximum weight: A longitudinal analysis in the predimed-plus randomized trial
Authors: Bouzas, Cristina
Bibiloni, Maria Del Mar
Garcia, Silvia 
Mateos, David
Martínez-González, Miguel Ángel
Salas-Salvadó, Jordi
Corella, Dolores
Schröder, Helmut
Martínez, J. Alfredo
Alonso-Gómez, Ángel M.
Wärnberg, Julia
Vioque, Jesús
Romaguera, Dora
Lopez-Miranda, José
Estruch, Ramon
Tinahones, Francisco J.
Lapetra, José
Serra Majem, Luis 
Bueno-Cavanillas, Aurora
Micó-Pérez, Rafael M.
Pintó, Xavier
Delgado-Rodríguez, Miguel
Ortíz-Ramos, María
Altés-Boronat, Andreu
Luca, Bogdana L.
Daimiel, Lidia
Ros, Emilio
Sayon-Orea, Carmen
Becerra-Tomás, Nerea
Gimenez-Alba, Ignacio Manuel
Castañer, Olga
Abete, Itziar
Tojal-Sierra, Lucas
Pérez-López, Jéssica
Bernabé-Casanova, Andrea
Martin-Padillo, Marian
Garcia-Rios, Antonio
Castro-Barquero, Sara
Fernández-García, Juan C.
Santos-Lozano, José Manuel
Fernandez-Lazaro, Cesar I.
Hernández-Alonso, Pablo
Saiz, Carmen
Zomeño, Maria Dolors
Zulet, Maria Angeles
Belló-Mora, Maria C.
Basterra-Gortari, F. Javier
Canudas, Silvia
Goday, Albert
Tur, Josep A.
UNESCO Clasification: 3206 Ciencias de la nutrición
3210 Medicina preventiva
Keywords: Body Image
Dietary Pattern
Maximum Weight
Mediterranean Diet
Issue Date: 2020
Journal: Nutrients
Abstract: © 2020 by the authors. Licensee MDPI, Basel, Switzerland.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.
ISSN: 2072-6643
DOI: 10.3390/nu12103023
Source: Nutrients [EISSN 2072-6643], v. 12 (10), p. 1-15, (Octubre 2020)
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