Exploring the relationship between the Mediterranean diet and weight loss maintenance: the MedWeight study

Bibliographic Details
Main Author: Poulimeneas, Dimitrios
Publication Date: 2020
Other Authors: Anastasiou, Costas A., Santos, Inês, Hill, James O., Panagiotakos, Demosthenes B., Yannakoulia, Mary
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10451/56513
Summary: © The Author(s), 2020. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
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spelling Exploring the relationship between the Mediterranean diet and weight loss maintenance: the MedWeight studyDietary patternsMediterranean dietObesityWeight controlWeight regain© The Author(s), 2020. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.Weight loss maintenance is crucial for obesity management, yet optimal dietary patterns for this period are not established. We aimed to explore the relationship between adherence to the Mediterranean diet and weight loss maintenance. Sample includes 565 adults (62 % women) of the MedWeight study. Eligible volunteers were those reporting intentional weight loss of ≥10 %, starting from a BMI ≥ 25 kg/m2, over 12 months prior to enrolment. Based on current weight, participants were characterised as maintainers (≤90 % maximum weight) or regainers (>95 % maximum weight). Socio-demographics and weight history were recorded. Dietary intake was assessed by two non-consecutive 24-h recalls within 10 d and analysed in energy, macronutrient and food group intakes. Adherence to the Mediterranean diet was assessed with the Mediterranean Diet Score (MedDietScore) (range 0-55, greater scores showing higher adherence). Protein intake was higher in maintainers than in regainers (P < 0·001). When MedDietScore quartiles were considered, a linear trend for weight loss maintenance was revealed (P < 0·05). After adjustment for basic demographic characteristics, being in the third or fourth quartile of the MedDietScore (v. first) was associated with 2·30 (95 % CI 1·29, 4·09) and 1·88 (95 % CI 1·10, 3·22) increased odds of maintenance. Regarding individual MedDietScore components, only fruit intake is associated with increased odds for maintenance (1·03 (95 % CI 1·01, 1·06)). The leave-one-out approach revealed that at least six MedDietScore components were essential for the observed relationship. Higher adherence to the Mediterranean diet was associated with 2-fold increased likelihood of weight loss maintenance. Future studies should replicate these findings in non-Mediterranean populations as well.The MedWeight study was initially funded by the Coca-Cola Foundation (2012–2015, KA 221; Principal Investigator: Mary Yannakoulia). D. P. received financial support by the Greek State Scholarship Foundation (MIS 5000432).Cambridge University PressRepositório da Universidade de LisboaPoulimeneas, DimitriosAnastasiou, Costas A.Santos, InêsHill, James O.Panagiotakos, Demosthenes B.Yannakoulia, Mary2023-03-02T14:24:24Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/56513engBr J Nutr. 2020 Oct 28;124(8):874-8800007-114510.1017/S00071145200017981475-2662info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-03-17T14:54:31Zoai:repositorio.ulisboa.pt:10451/56513Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-29T03:28:22.183778Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Exploring the relationship between the Mediterranean diet and weight loss maintenance: the MedWeight study
title Exploring the relationship between the Mediterranean diet and weight loss maintenance: the MedWeight study
spellingShingle Exploring the relationship between the Mediterranean diet and weight loss maintenance: the MedWeight study
Poulimeneas, Dimitrios
Dietary patterns
Mediterranean diet
Obesity
Weight control
Weight regain
title_short Exploring the relationship between the Mediterranean diet and weight loss maintenance: the MedWeight study
title_full Exploring the relationship between the Mediterranean diet and weight loss maintenance: the MedWeight study
title_fullStr Exploring the relationship between the Mediterranean diet and weight loss maintenance: the MedWeight study
title_full_unstemmed Exploring the relationship between the Mediterranean diet and weight loss maintenance: the MedWeight study
title_sort Exploring the relationship between the Mediterranean diet and weight loss maintenance: the MedWeight study
author Poulimeneas, Dimitrios
author_facet Poulimeneas, Dimitrios
Anastasiou, Costas A.
Santos, Inês
Hill, James O.
Panagiotakos, Demosthenes B.
Yannakoulia, Mary
author_role author
author2 Anastasiou, Costas A.
Santos, Inês
Hill, James O.
Panagiotakos, Demosthenes B.
Yannakoulia, Mary
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Poulimeneas, Dimitrios
Anastasiou, Costas A.
Santos, Inês
Hill, James O.
Panagiotakos, Demosthenes B.
Yannakoulia, Mary
dc.subject.por.fl_str_mv Dietary patterns
Mediterranean diet
Obesity
Weight control
Weight regain
topic Dietary patterns
Mediterranean diet
Obesity
Weight control
Weight regain
description © The Author(s), 2020. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
publishDate 2020
dc.date.none.fl_str_mv 2020
2020-01-01T00:00:00Z
2023-03-02T14:24:24Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/56513
url http://hdl.handle.net/10451/56513
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Br J Nutr. 2020 Oct 28;124(8):874-880
0007-1145
10.1017/S0007114520001798
1475-2662
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Cambridge University Press
publisher.none.fl_str_mv Cambridge University Press
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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