RT Journal Article T1 Adherence to the Mediterranean Lifestyle and Desired Body Weight Loss in a Mediterranean Adult Population with Overweight: A PREDIMED-Plus Study A1 Bouzas, Cristina A1 Bibiloni, Maria del Mar A1 Julibert, Alicia A1 Ruiz-Canela, Miguel A1 Salas-Salvadó, Jordi A1 Corella, Dolores A1 Zomeño, Maria Dolors A1 Romaguera, Dora A1 Vioque, Jesús A1 Alonso-Gómez, Ángel M. A1 Wärnberg, Julia A1 Martínez, J. Alfredo A1 Serra-Majem, Luís A1 Estruch, Ramon A1 Tinahones, Francisco J. A1 Lapetra, José A1 Pintó, Xavier A1 García Ríos, Antonio A1 Bueno-Cavanillas, Aurora A1 Gaforio, José J. A1 Matía-Martín, Pilar A1 Daimiel, Lidia A1 Martín-Sánchez, Vicente A1 Vidal, Josep A1 Vázquez, Clotilde A1 Ros, Emilio A1 Fernandez-Lázaro, Cesar Ignacio A1 Becerra-Tomás, Nerea A1 Gimenez-Alba, Ignacio Manuel A1 Muñoz, Julia A1 Morey, Marga A1 Oncina-Canovas, Alejandro A1 Tojal-Sierra, Lucas A1 Pérez-López, Jéssica A1 Abete, Itziar A1 Casañas-Quintana, Tamara A1 Castro-Barquero, Sara A1 Bernal-López, M. Rosa A1 Santos-Lozano, José Manuel A1 Galera, Ana A1 Angullo-Martinez, Escarlata A1 Basterra-Gortari, F. Javier A1 Basora, Josep A1 Saiz, Carmen A1 Castañer, Olga A1 Martín, Marian A1 Notario-Barandiarán, Leyre A1 Belló-Mora, María C. A1 Sayón-Orea, Carmen A1 García-Gavilán, Jesús A1 Goday, Albert A1 Tur, Josep A. K1 Body image K1 Mediterranean lifestyle K1 Overweight K1 Obesity K1 Older adults K1 Desired weight loss K1 Ideal weight K1 PREDIMED-Plus K1 Imagen corporal K1 Estilo de vida K1 Dieta mediterránea K1 Sobrepeso K1 Obesidad K1 Personas mayores frágiles K1 Peso corporal ideal AB Background: Body weight dissatisfaction is a hindrance to following a healthy lifestyle and it has been associated with weight concerns.Objectives: The aim of this study was to assess the association between the adherence to the Mediterranean lifestyle (diet and exercise) and the desired body weight loss in an adult Mediterranean population with overweight.Methods: Cross-sectional analysis in 6355 participants (3268 men; 3087 women) with metabolic syndrome and BMI (Body mass index) between 27.0 and 40.0 kg/m2 (55-75 years old) from the PREDIMED-Plus trial. Desired weight loss was the percentage of weight that participants wished to lose. It was categorized into four cut-offs of this percentage (Q1: <10%, n = 1495; Q2: 10-15%, n = 1804; Q3: <15-20%, n = 1470; Q4: ≥20%, n = 1589). Diet was assessed using a validated food frequency questionnaire and a 17-item Mediterranean diet questionnaire. Physical activity was assessed by the validated Minnesota-REGICOR and the validated Spanish version of the Nurses' Health Study questionnaire.Results: Participants reporting higher percentages of desired weight loss (Q3 and Q4) were younger, had higher real and perceived BMI and were more likely to have abdominal obesity. Desired weight loss correlated inversely to physical activity (Q1: 2106 MET min/week; Q4: 1585 MET min/week. p < 0.001) and adherence to Mediterranean diet (Q1: 8.7; Q4: 8.3. p < 0.001).Conclusions: In older Mediterranean individuals with weight excess, desired weight loss was inversely associated with Mediterranean lifestyle adherence. Deeply rooted aspects of the MedDiet remained similar across groups. Longitudinal research is advised to be able to establish causality. PB MDPI YR 2020 FD 2020-07-16 LK http://hdl.handle.net/10668/3866 UL http://hdl.handle.net/10668/3866 LA en NO Bouzas C, Bibiloni MM, Julibert A, Ruiz-Canela M, Salas-Salvadó J, Corella D, et al. Adherence to the Mediterranean Lifestyle and Desired Body Weight Loss in a Mediterranean Adult Population with Overweight: A PREDIMED-Plus Study. Nutrients. 2020 Jul 16;12(7):2114 DS RISalud RD Apr 8, 2025