Affordable Access

Access to the full text

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

  • Bouzas, Cristina1, 2,
  • Bibiloni, Maria del Mar1, 2,
  • Garcia, Silvia1, 2,
  • Mateos, David1, 2,
  • Martínez-González, Miguel Ángel1, 3, 4
  • Salas-Salvadó, Jordi1, 5
  • Corella, Dolores1, 6
  • Schröder, Helmut
  • Martínez, J. Alfredo1, 7, 8
  • Alonso-Gómez, Ángel M.1, 9
  • Wärnberg, Julia1, 10
  • Vioque, Jesús
  • Romaguera, Dora1,
  • Lopez-Miranda, José1, 11
  • Estruch, Ramon1, 12
  • Tinahones, Francisco J.1, 13
  • Lapetra, José1, 14
  • Serra-Majem, Luís1, 15
  • Bueno-Cavanillas, Aurora16
  • Micó-Pérez, Rafael M.17
  • And 30 more
  • 1 (A.G.)
  • 2 Research Group on Community Nutrition & Oxidative Stress, University of Balearic Islands, & CIBEROBN, Guillem Colom Bldg, Campus E, 07122 Palma de Mallorca, Spain
  • 3 (F.J.B.-G.)
  • 4 Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA 02115, USA
  • 5 Human Nutrition Unit, Biochemistry and Biotechnology Department, IISPV, Hospital Universitari de Sant Joan, Universitat Rovira i Virgili, 43201 Reus, Spain
  • 6 Department of Preventive Medicine, University of Valencia, 46100 Valencia, Spain
  • 7 Cardiometabolic Precision Nutrition Program, IMDEA Food, CEI UAM + CSIC, 28049 Madrid, Spain
  • 8 Department of Nutrition, Food Sciences, and Physiology, Center for Nutrition Research, University of Navarra, 31008 Pamplona, Spain
  • 9 Bioaraba Health Research Institute, Osakidetza Basque Health Service, Araba University Hospital, University of the Basque Country UPV/EHU, 48013 Vitoria-Gasteiz, Spain
  • 10 Department of Nursing, School of Health Sciences, University of Málaga-IBIMA, 29071 Málaga, Spain
  • 11 Lipids and Atherosclerosis Unit, Department of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, 14004 Córdoba, Spain
  • 12 Department of Internal Medicine, IDIBAPS, Hospital Clinic, University of Barcelona, 08036 Barcelona, Spain
  • 13 Department of Endocrinology, Virgen de la Victoria Hospital, Instituto de Investigación Biomédica de Málaga, IBIMA, University of Málaga, 29010 Málaga, Spain
  • 14 Department of Family Medicine, Research Unit, Distrito Sanitario Atención Primaria Sevilla, 41013 Sevilla, Spain
  • 15 Institute for Biomedical Research, University of Las Palmas de Gran Canaria, 35016 Las Palmas, Spain
  • 16 Department of Preventive Medicine, University of Granada, 18071 Granada, Spain
  • 17 Cátedra de Investigación en Cronicidad, Miguel Hernández University-Semergen, 03550 Sant Joan d’Alacant, Spain
  • 18 Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, 08907 Barcelona, Spain
  • 19 Department of Health Sciences, Center for Advanced Studies in Olive Grove and Olive Oils, University of Jaen, 23071 Jaen, Spain
  • 20 Department of Endocrinology and Nutrition, Lipid Clinic Unit, Institut d’Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clínic, 08036 Barcelona, Spain
  • 21 Servicio Navarro de Salud, Osasunbidea, IDISNA, 31003 Pamplona, Spain
Published Article
Publication Date
Oct 02, 2020
DOI: 10.3390/nu12103023
PMID: 33023132
PMCID: PMC7600377
PubMed Central


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.

Report this publication


Seen <100 times