Effect of a Lifestyle Intervention Program With Energy-Restricted Mediterranean Diet and Exercise on Weight Loss and Ca… (2024)

https://doi.org/10.2337/dc18-0836 · Повний текст

Видання: Diabetes Care, 2018, №5, с.777-788

Видавець: American Diabetes Association

Автори:

Jordi Salas-Salvadó
Andrés Díaz-López
Miguel Ruiz-Canela
Josep Basora
Montse Fitó
Dolores Corella
Luís Serra-Majem
Julia Wärnberg
Dora Romaguera
Ramon Estruch
Josep Vidal
J. Alfredo Martínez
Fernando Arós
Clotilde Vázquez
Emilio Ros
Jesús Vioque
José López-Miranda
Aurora Bueno-Cavanillas
Josep A. Tur
Francisco J. Tinahones
Vicente Martín
José Lapetra
Xavier Pintó
Lidia Daimiel
Miguel Delgado-Rodríguez
Pilar Matía
Enrique Gómez-Gracia
Javier Díez-Espino
Nancy Babio
Olga Castañer
José V. Sorlí
Miquel Fiol
María Ángeles Zulet
Mònica Bulló
Albert Goday
Miguel Á. Martínez-González
Ascensión Marcos
Fernando Fernández-Aranda
Cristina Botella
Mikel Aldamiz
Angel Alonso
Jesús Berjón
Luis Forga
Jaime Gállego
Alfredo García Layana
Arantxa Larrauri
Joseba Portu
Juan Timiraos
Manuel Serrano-Martínez
Estefanía Toledo
Pilar Buil-Cosiales
Cristina Razquin
Maira Bes-Rastrollo
Ana Sanchez Tainta
Beatriz SanJulian Aranguren
Estibaliz Goñi
Irene Barrientos
Maria Canales
Anais Rico
Javiar Basterra Gortari
Ana Garcia Arellano
Oscar Lecea-Juarez
Juan Carlos Cenoz-Osinaga
Javier Bartolome-Resano
Ana Sola-Larraza
Elisa Lozano-Oloriz
Begoña Cano-Valles
Sonia Eguaras
Elena Pascual Roquet-Jalmar
Iñigo Galilea-Zabalza
Hana Lancova
Raul Ramallal
Mª Luisa Garcia-Perez
Vicente Estremera-Urabayen
Mª Jose Ariz-Arnedo
Carmen Hijos-Larraz
Cristina Fernandez Alfaro
Begoña Iñigo-Martinez
Ramón Villanueva Moreno
Sonia Martin-Almendros
Luisa Barandiaran-Bengoetxea
Carmen Fuertes-Goñi
Ana Lezaun-Indurain
Mª Jose Guruchaga-Arcelus
Oscar Olmedo-Cruz
Begoña Iñigo-Martínez
Luis Escriche-Erviti
Roberto Ansorena-Ros
Rosario Sanmatin Zabaleta
Jon Apalategi-Lasa
Jerusalen Villanueva-Telleria
Mª Mar Hernández-Espinosa
Isabel Arroyo-Bergera
Lissy Herrera-Valdez
Lourdes Dorronsoro-Dorronsoro
José Ignacio González
Olga Portolés
Rebeca Fernández-Carrión
Carolina Ortega-Azorín
Rocío Barragán
Eva María Asensio
Oscar Coltell
Carmen Sáiz
Rosana Osma
Esther Férriz
Inmaculada González-Monje
Francisco Giménez-Fernández
Laura Quiles
Paula Carrasco
Nadia San Onofre
Arturo Carratalá-Calvo
Carmen Valero-Barceló
Francisco Antón
Carolina Mir
Silvia Sánchez-Navarro
Jesús Navas
Inmaculada González-Gallego
Laia Bort-Llorca
Laura Pérez-Ollero
Mercedes Giner-Valero
Rogelio Monfort-Sáez
Juan José Nadal-Sayol
Vicente Pascual-Fuster
Magdalena Martínez-Pérez
Concha Riera
María Vicenta Belda
Amparo Medina
Enrique Miralles
María José Ramírez-Esplugues
Manuel Rojo-Furió
George Mattingley
María Ángeles Delgado
María Ángeles Pages
Yolanda Riofrío
Lubna Abuomar
Nieves Blasco-Lafarga
Ricardo Tosca
Luis Lizán
Ana María Valcarce
María Dolores Medina
Rogelio Monfort
Sonsoles de Valcárcel
Neus Tormo
Olaya Felipe-Román
Sagrario Lafuente
Eva Isabel Navío
Gonzalo Aldana
José Vicente Crespo
Juan Luis Llosa
Lara González-García
Remei Raga-Marí
Roser Pedret Llaberia
Rosi Gonzalez
Ramon Sagarra Álamo
Francesc París Palleja
Josep Balsells
Josep Mª Roca
Teresa Basora Gallisa
Jesus Vizcaino
Pilar Llobet Alpizarte
Carme Anguera Perpiñá
Montse Llauradó Vernet
Clara Caballero
Montserrat Garcia Barco
Maria Dolores Morán Martínez
Joaquín García Rosselló
Albert Del Pozo
Carmina Poblet Calaf
Pierre Arcelin Zabal
Xavier Floresví
Marta Ciutat Benet
Antoni Palau Galindo
Joan Josep Cabré Vila
Fernando Dolz Andrés
Marc Soler
Maite Garcia Vidal
Josep Vilalta
Juan Boj Casajuana
Meritxell Ricard
Francisco Saiz
Anna Isach
Mar Sanchez Marin Martinez
Ester Granado Font
Carmen Lucena Luque
Nerea Becerra-Tomás
Glòria Mestres
Josep Basora
Guillermo Mena-Sánchez
Laura Barrubés Piñol
Marta Gil Segura
Christopher Papandreou
Nuria Rosique-Esteban
Samira Chig
Iván Abellán Cano
Verónica Ruiz García
Albert Salas-Huetos
Indira Paz-Graniel
Laura Sánchez Niembro
Pablo Hernandez-Alonso
Silvia Canudas
Lucia Camacho-Barcia
Jesús García-Gavilán
Maria Dolores Zomeño
Álvaro Hernáez
Laura Torres
Mireia Quifer
Regina Llimona
Gal.la Freixer
Alejandra Pérez
Marta Farràs
Roberto Elosua Llanos
Jaume Marrugat de la Iglesia
Joan Vila
Isaac Subirana
Sílvia Pérez
Miguel Ángel Muñoz
Juan José Chillaron Jordan
Juana Antonia Flores Lerroux
David Benaiges Boix
Magí Farré
Esther Menoyo
Daniel Muñoz-Aguayo
Sonia Gaixas
Gemma Blanchart
Albert Sanllorente
María Soria
Julieta Valussi
Aïda Cuenca
Laura Forcano
Antoni Pastor
Anna Boronat
Susanna Tello Rovira
Marta Cabañero Marimon
Leny Franco Rojas
Helmut Schröder
Rafael De la Torre
Carmen Medrano
Joan Bayó
María Teresa García
Vanesa Robledo
Pilar Babi
Erik Canals
Nuria Soldevila
Lourdes Carrés
Carmen Roca
María de la Serra Comas
Griselda Gasulla
Xavier Herraiz
Aalba Martínez
Ernest Vinyoles
Josep Maria Verdú
Mireia Masague Aguade
Enric Baltasar Massip
Mercè Lopez Grau
Maira Mengual
Véronica Moldon
Manuel Vila Vergaz
Robert Cabanes Gómez
Joan Ciurana
María del Mar Gili Riu
Ana Palomeras Vidal
Manuela Garcia de la Hera
Eva Mª Navarrete Muñoz
Sandra González Palacios
Laura Torres Collado
Desirée Valera Gran
Laura Compañ Gabucio
Alejandro Oncina Canovas
Orozco Beltran Domingo
Salvador Pertusa Martínez
Josep Basora Gallisà
María Vicenta Hernándis Marsán
Blas Cloquell Rodrigo
Alberto Asensio
María Consuelo Altozano Rodado
Norma Iranzo García
Noelia Fernándis Brufal
Josefa Román Maciá
Mª Carmen Martínez Vergara
Inma Candela García
Rafael Valls Enguix
Eugenio Pedro Cases Pérez
Carmen Mª López García
Cristina Tercero Maciá
Juan Manuel Zazo
Cristina Gisbert Sellés
Concepción Sánchez Botella
Miquel Fiol
Manuel Moñino
Antoni Colom
Jadwiga Konieczna
Margarita Morey
Rocío Zamanillo
Aina Maria Galmés
Verónica Pereira
Maria Ángeles Martín Padillo
Aina Yáñez
Joan Llobera
Joana Ripoll
Rafael Prieto
Felix Grases
Antonia Costa
Carlos Fernández-Palomeque
Elena Fortuny
Marta Noris
Susana Munuera
Francisco Tomás
Francisca Fiol
Antoni Jover
Juana Mª Janer
Catalina Vallespir
Isabel Mattei
Natalia Feuerbach
Maria del Mar Sureda
Silvia Vega
Lourdes Quintana
Aina Fiol
Miriam Amador
Susana González
Joan Coll
Ana Moyá
Itziar Abete
Irene Cantero
Carmen Cristobo
Idoia Ibero-Baraibar
Marian Zulet
Javier Ágreda Martínez
Maria Dolores Lezáun Burgui
Nuria Goñi Ruiz
Rafael Bartolomé Resano
Eugenia Cano Cáceres
Teresa Elcarte López
Elena Echarte Osacain
Beatriz Pérez Sanz
Itziar Blanco Platero
Simón Antonio Andueza Azcárate
Álvaro Gimeno Aznar
Eugenia Ursúa Sesma
Benito Ojeda Bilbao
Javier Martinez Jarauta
Lourdes Ugalde Sarasa
Blanca Rípodas Echarte
Mª Victoria Güeto Rubio
Francisco Javier Barón-López
José Carlos Fernández García
Napoleón Pérez-Farinós
Noelia Moreno-Morales
Maria del Carmen Rodríguez-Martínez
Jessica Pérez-López
Juan Carlos Benavente-Marín
Edelys Crespo Oliva
Eugenio Contreras Fernández
Francisco Jesús Carmona González
Rosa Carabaño Moral
Salvador Torres Moreno
Maria Victoria Martín Ruíz
María Isabel Alcalá Cornide
Victor Fuentes Gómez
Antonio Garcia-Rios
Juan Criado García
Ana Isabel Jiménez-Morales
Nieves Delgado Casado
Ana Ortiz Morales
Jose David Torres Peña
Francisco Gómez-Delgado
Fernando Rodríguez-Cantalejo
Javier Caballero Villaraso
Juan Francisco Alcalá-Díaz
Patricia Peña Orihuela
Gracia Quintana Navarro
Rosa Casas
Mónica Domenech
Concha Viñas
Sara Castro-Barquero
Ana Maria Ruiz-León
Marina Sadurní
Gabriel Frontana
Paula Villanueva
María Gual
Rosa Soriano
Miguel Camafort
Cristina Sierra
Emilio Sacanella
Aleix Sala-Vila
Josep Maria Cots Yago
Miriam Sarroca Sarrera
Manel García Lareo
Noemi Bermúdez Chillida
Almudena Pérez Orcero
Isabel Duaso Allue
Ana de la Arada Acebes
Rosario Hernández Ibáñez
Consuelo Simón Muela
Maria Amparo de la Poza Abad
Inmaculada Gil Canalda
Miquel Vila Capdevila
Carmen Iglesias Serrano
Núria Assens Mampel
Marta Amatller
Francesc Rams Rams
Teresa Benet Gusta
Guadalupe Fernández Esteve
José Antonio Teruel Gila
Adriana Azorin Armela
Magdalena Cubells Ribé
David López Heras
Josep Miquel Llovet Lombarte
Maria Luz Gómez López
Pilar Climente Urrea
Laura de Paula
Julián Soto Marata
Cristina Carbonell Abella
Carles Llor Vila
Xavier Abat Linares
Adoracion Cama LLena
Montserrat Fortuny Roger
Cristina Domingo Puig
Ana Isabel Liberal Planas
María Teresa Martínez Mendoza
Eulalia Yañez Rodriguez
María Jose Nieto Lopez
Ana Pérez Aragües
Eugenia Lloret Cortés
Carmen Carrazoni Muñoz
Carmen Olmos Dominguez
Merçé Ramentol
Ramon Casas Moré
Isabel Giner Rodriguez
Ana Muñoz Rubio
Raquel Martín Peñacoba
Elias Moron Bermejo
Ana Bonillo
Maria Gabriela Sánchez Ruiz
Cristina Calbó
Josefa Pous Viñeta
Meritxell Massip Besó
Ylenia García Navarro
Maria Clara Massagué Camins
Rosario Ibañez
Josep Llaona Butiñá
Gloria Segura
Jordi Altirriba Vives
Guillem Fluxà Terrasa
Prudencia Toribio
Eulália Torrent Bonafont
Juan Jose Anton Alvarez
Angela Viaplana Serra
Gerardo Vieytes
Nuria Duch Pérez
Ana Pereira Rosalen
Maria Angeles Moreno Ubiedo
Alfonso Pérez Jimenez
Elisenda Sant Arderiu
Joan Gené Badia
Higinio Calvillo Serratosa
Francesc Pont Barrio
Marta Puig Soler
Merçé Casasayas Guilera
Antoni Garrich
Esther Senar Abellan
Angela Martínez Pérez
Isabel Boix Soriano
Ethel Sequeira Aymara
Valentin Aragunde Miguens
Sandra Riera Carmona
Montse Salgado Pineda
Matide Fuentes Riaza
Elisabeth Martín
Antonio Ubieto Lope
Francisco Pallarés Jiménez
Cristina Sala Bozano
Araceli Abilla Lumbiarres
Sonia Moreno Gutierrez
Eva Mayor Isaac
Teresa Colom Gabarró
Ana Gaspar
Ana Mª Gómez Saldaña
Laura Palacios Soler
Rosa Garrigosa
Laura García Molina
Blanca Riquelme Gallego
Naomi Cano Ibañez
Aurora Maldonado Calvo
Alicia López Maldonado
Eva Maria Garrido Garrido
Ana Baena Dominguez
Francisco García Jiménez
Esther Thomas Carazo
Antonio Jesús Turnes González
Francisco González Jiménez
Francisco Padilla Ruiz
Javier Machado Santiago
María Dolores Martínez Bellón
Armando Pueyos Sánchez
Lorenzo Arribas Mir
Reyes Rodríguez Tapioles
Francisca Dorador Atienza
Lisardo Baena Camus
Carolina Osorio Martos
Dolores Rueda Lozano
Miguel López Alcázar
Francisco Ramos Díaz
María Cruz Rosales Sierra
Purificación Alguacil Cubero
Antonio López Rodriguez
Francisco Guerrero García
Juan Tormo Molina
Fatima Ruiz Rodríguez
Javier Rekondo
Itziar Salaverria
Ángel Alonso-Gómez
María Cocepción Belló
Angel Loma-Osorio
Lucas Tojal
Pilar Bruyel Pérez
Leire Goicolea
Carolina Sorto
Alfonso Casi Casanellas
María Luz Arnal Otero
Jesús Ortueta Martínez De Arbulo
Julia Vinagre Morgado
Jorge Romeo Ollora
Javier Urraca
María Isabel Sarriegui Carrera
Francisco Javier Toribio
Elena Magán
Alfonso Rodríguez
Sagrario Castro Madrid
Maria Teresa Gómez Merino
Manuela Rodríguez Jiménez
Maxi Gutiérrez Jodra
Begoña López Alonso
Jesús Iturralde Iriso
Concepción Pascual Romero
Ana Izquierdo De La Guerra
Manuela Abbate
Irene Aguilar
Escarlata Angullo
Alejandra Arenas
Emma Argelich
Maria del Mar Bibiloni
Yolanda Bisbal
Cristina Bouzas
Carla Busquets
Xavier Capó
Sandra Carreres
Andrés De la Peña
Laura Gallardo
José Maria Gámez
Belén García
Cristina García
Alicia Julibert
Isabel Llompart
Catalina Maria Mascaró
David Mateos
Sofia Montemayor
Antonio Pons
Tomas Ripoll
Tomas Rodríguez
Eduardo Salaberry
Antonio Sureda
Silvia Tejada
Lucia Ugarriza
Laura Valiño
Maria Rosa Bernal López
Manuel Macías González
Josefina Ruiz Nava
José Carlos Fernández García
Araceli Muñoz Garach
Alberto Vilches Pérez
Arantxa González Banderas
Juan Alcaide Torres
Antonio Vargas Candela
Maria León Fernández
Rosa Hernández Robles
Sonia Santamaría Fernández
José Manuel Marín
Sergio Valdés Hernández
Juan Carlos Villalobos
Antonio Ortiz
Jacqueline Álvarez-Pérez
Elena María Díaz Benítez
Fátima Díaz-Collado
Almudena Sánchez-Villegas
Judith Pérez-Cabrera
Tamara Casañas-Quintana
Romualdo Bentor García-Guerra
Inmaculada Bautista-Castaño
Cristina Ruano-Rodríguez
Francisco Sarmiento de la Fe
Juan Antonio García-Pastor
Bernardo Macías-Gutiérrez
Ismael Falcón-Sanabria
Concepción Simón-García
Ángel Julio Santana-Santana
Juan Bartolome Álvarez-Álvarez
Beatriz Vanessa Díaz-González
José Manuel Castillo Anzalas
Rosa Esther Sosa-Also
Jonothan Medina-Ponce
Serafín Abajo Olea
Abdurrahman Adlbi Sibai
Andrea Aguado Arconada
Laura Álvarez Álvarez
Elena Carriedo Ule
Miguel Escobar Fernández
José Ignacio Ferradal García
José Pedro Fernández Vázquez
María García González
Carmen González Donquiles
Carmen González Quintana
Faustino González Rivero
Monica Lavinia Popescu
Juan Ignacio López Gil
Jaime López de la Iglesia
Alba Marcos Delgado
Carlos Merino Acevedo
Sofia Reguero Celada
Manuel Rodríguez Bul
Laura Vilorio-Marqués
José Manuel Santos-Lozano
Leticia Miró-Moriano
Cristina Domínguez-Espinaco
Sergio Vaquero-Díaz
Francisco José García-Corte
Amparo Santos-Calonge
Carmen Toro-Cortés
Nelia Pelegrina-López
Victor Urbano-Fernández
Manuel Ortega-Calvo
Jesus Manuel Lozano-Rodríguez
Inmaculada Rivera-Benítez
María Caballero-Valderrama
Pablo Iglesias-Bonilla
Pilar Román-Torres
Yolanda Corchado-Albalat
Lidia Mellado-Martín
Ana Isabel de Cos Blanco
Sonsoles Gutierrez
Sara Artola
María Alva Galdon Sanz-Pastor
Irene Gonzalo
Ana Galera
Miquel Gimenez-Gracia
Rosaura Figueras
Marta Poch Rosa Freixedas
Ferran Trias
Itziar Sarasa
Marta Fanlo
Hannia Lafuente
Manuela Liceran
Ángeles Rodriguez-Sanchez
Carla Pallarols
Jordi Monedero
Xavier Corbella
Emilio Corbella
Andreu Altés
Irene Vinagre Torres
Carla Mestres Reina
Judith Viaplana Masclans
Mercè Serra
Josep Vera
Tania Marisa Freitas-Simoes
Emilio Ortega Martínez de la Victoria
José Ignacio Pla Puig
José María Ordovás
Victor Micó
Laura Berninches Pintado
María José Concejo Carranza
Javier Muñoz Gutiérrez
Mercedes Adrián Sanz
Yolanda de la Fuente
Cecilia Albertos
Esther Villahoz
Maria Luisa Cornejo
Carolina Cuesta
Jose Juan Gaforio
Sandra Moraleda
Norberto Liétor
José Ignacio Peis
Tomas Ureña
Montserrat Rueda
Maria Isabel Ballesta Rodriguez
Carmen Moreno Lopera
Concepción Aragoneses Isabel
Miguel Angel Sirur Flores
María Ceballos de Diego
Teresa Bescos Cáceres
Yolanda Peña Cereceda
Mercedes Martínez Abad
Roberto Cabrera Vela
María González Cerrajero
Miguel Ángel Rubio Herrera
Macarena Torrego Ellacuría
Ana Barabash Bustelo
María Ortiz Ramos
Usoa Garin Barrutia
Rosa María Baños
Azucena García-Palacios
Concha Cerdá Micó
Nuria Estáñ Capell
Antonio Iradi Casal
Marta Fandos Sánchez
Joaquin Fernández-Crehuet Navajas
Mario Gutiérrez Bedmar
Antonio García Rodriguez
Alberto Mariscal Larrubia
Manuel Carnero Varo
Carlos Muñoz Bravo
PREDIMED-Plus investigators

Анотація

<jats:sec> OBJECTIVE The long-term impact of intentional weight loss on cardiovascular events remains unknown. We describe 12-month changes in body weight and cardiovascular risk factors in PREvención con DIeta MEDiterránea (PREDIMED)-Plus, a trial designed to evaluate the long-term effectiveness of an intensive weight loss lifestyle intervention on primary cardiovascular prevention. </jats:sec> <jats:sec> RESEARCH DESIGN AND METHODS Overweight/obese adults with metabolic syndrome aged 55–75 years (n = 626) were randomized to an intensive weight loss lifestyle intervention based on an energy-restricted Mediterranean diet, physical activity promotion, and behavioral support (IG) or a control group (CG). The primary and secondary outcomes were changes in weight and cardiovascular risk markers, respectively. </jats:sec> <jats:sec> RESULTS Diet and physical activity changes were in the expected direction, with significant improvements in IG versus CG. After 12 months, IG participants lost an average of 3.2 kg vs. 0.7 kg in the CG (P &lt; 0.001), a mean difference of −2.5 kg (95% CI −3.1 to −1.9). Weight loss ≥5% occurred in 33.7% of IG participants compared with 11.9% in the CG (P &lt; 0.001). Compared with the CG, cardiovascular risk factors, including waist circumference, fasting glucose, triglycerides, and HDL cholesterol, significantly improved in IG participants (P &lt; 0.002). Reductions in insulin resistance, HbA1c, and circulating levels of leptin, interleukin-18, and MCP-1 were greater in IG than CG participants (P &lt; 0.05). IG participants with prediabetes/diabetes significantly improved glycemic control and insulin sensitivity, along with triglycerides and HDL cholesterol levels compared with their CG counterparts. </jats:sec> <jats:sec> CONCLUSIONS PREDIMED-Plus intensive lifestyle intervention for 12 months was effective in decreasing adiposity and improving cardiovascular risk factors in overweight/obese older adults with metabolic syndrome, as well as in individuals with or at risk for diabetes. </jats:sec>

Джерела фінансування

Fondo de Investigación para la Salud
European Research Council
Recercaixa
Consejería de Salud de la Junta de Andalucía
Generalitat Valenciana
European Regional Development Fund
ISCIII

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