Adherence to a Mediterranean dietary pattern and weight gain in a follow-up study: the SUN cohort
Abstract
Introduction The promotion of Mediterranean Diets has generated some doubts, because of the concern that its high fat content might lead to the development of obesity.Methods Longitudinal analysis of 6319 participants in the SUN cohort study. We used a validated semiquantitative food frequency questionnaire (136 items). Baseline adherence to a Mediterranean dietary pattern (MDP) was assessed using a score (score_1) including vegetables, fruits, cereals, nuts, pulses, fish, olive oil and moderate consumption of red wine (positively weighted), whereas meat and dairy products were negatively weighted. We assessed the association between the overall baseline adherence to the MDP (score_1) and subsequent weight change after 28 months of follow-up. We also built another score (score_2) to assess changes in diet during follow-up and appraised the association between the joint exposure to both scores and weight change during follow-up.Results Participants in the first quartile of score_1 (lowest baseline adherence to MDP) showed a higher weight gain (+0.73 kg) than those in the top quartile (+0.45 kg). The results indicated an inverse dose-response relationship (P for trend = 0.016). A similar inverse association was apparent when we used change in adherence to the MDP (score_2). However, both inverse associations did not remain statistically significant after adjusting for relevant confounders. Consumption of dairy products was inversely associated with weight gain.Conclusions Although participants increased their average weight during the follow-up period, weight increments were smaller among those with a higher adherence to an 'a priori' defined MDP. Results did not remain statistically significant after multivariate adjustment.
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Epidemiological studies have described an inverse association of adherence to the Mediterranean diet with body mass index and weight gain.
“epidemiological studies have described an inverse association of adherence to MD with Body Mass Index (BMI) and weight gain [17, 18].”
From Mediterranean Diet and Obesity-related Disorders: What is the Evidence? (2022) · cites this paper as [17]
In cross-sectional studies, adherence to the Mediterranean diet has been shown to be inversely associated with abdominal adiposity.
“In cross-sectional studies, adherence to MD has been shown to be inversely associated with abdominal adiposity [17, 27, 28].”
From Mediterranean Diet and Obesity-related Disorders: What is the Evidence? (2022) · cites this paper as [17]
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Retracted
- Authors
- Sánchez-Villegas, A., Bes-Rastrollo, M., Martínez-González, M. A., & Serra-Majem, L.
- Venue
- International Journal of Obesity
- Published
- 2005-10-11
- Volume
- 30
- Issue
- 2
- Pages
- 350-358
- ISSN
- 0307-0565 (ISSN-L)
- 1476-5497
- OpenAlex
- W2140808519
- Cited by
- 200
- References
- 36
- Citations by year
- 2025: 6 · 2024: 5 · 2023: 6 · 2022: 6 · 2021: 3 · 2020: 5 · 2019: 11 · 2018: 8 · 2017: 9 · 2016: 9 · 2015: 12 · 2014: 16 · 2013: 17 · 2012: 17
- FWCI
- 9.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Journal of Obesity (publishedVersion)
- PubMed (publishedVersion)
- Acceda (Universidad de Las Palmas de Gran Canaria) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Physiology › Dietary Effects on Health
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Keywords
- Mediterranean diet, dietary adherence, weight gain, obesity, SUN cohort, dairy products, olive oil, red wine, dose-response relationship, Mediterranean diet score
- MeSH terms
- Adult, Alcohol Drinking, Female, Follow-Up Studies, Health Surveys, Humans, Male, Motor Activity, Patient Compliance, Prospective Studies, Smoking, Spain, Weight Gain, Body Mass Index, Diet, Mediterranean
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