RT Journal Article
T1 Factors associated with successful dietary changes in an energy-reduced Mediterranean diet intervention: a longitudinal analysis in the PREDIMED-Plus trial.
A1 Fernandez-Lazaro, Cesar I
A1 Toledo, Estefania
A1 Buil-Cosiales, Pilar
A1 Salas-Salvado, Jordi
A1 Corella, Dolores
A1 Fito, Montserrat
A1 Martinez, J Alfredo
A1 Alonso-Gomez, Angel M
A1 Wärnberg, Julia
A1 Vioque, Jesus
A1 Romaguera, Dora
A1 Lopez-Miranda, Jose
A1 Estruch, Ramon
A1 Tinahones, Francisco J
A1 Lapetra, Jose
A1 Serra-Majem, Luis
A1 Bueno-Cavanillas, Aurora
A1 Tur, Josep A
A1 Martin Sanchez, Vicente
A1 Pinto, Xavier
A1 Delgado-Rodriguez, Miguel
A1 Matia-Martin, Pilar
A1 Vidal, Josep
A1 Ros, Emilio
A1 Vazquez, Clotilde
A1 Daimiel, Lidia
A1 SanJulian, Beatriz
A1 Garcia-Gavilan, Jesus F
A1 Sorli, Jose V
A1 Castañer, Olga
A1 Zulet, M Angeles
A1 Tojal-Sierra, Lucas
A1 Perez-Farinos, Napoleon
A1 Oncina-Canovas, Alejandro
A1 Moñino, Manuel
A1 Garcia-Rios, Antonio
A1 Sacanella, Emilio
A1 Bernal-Lopez, Rosa M
A1 Santos-Lozano, Jose Manuel
A1 Vazquez-Ruiz, Zenaida
A1 Muralidharan, Jananee
A1 Ortega-Azorin, Carolina
A1 Goday, Alberto
A1 Razquin, Cristina
A1 Goicolea-Güemez, Leire
A1 Ruiz-Canela, Miguel
A1 Becerra-Tomas, Nerea
A1 Schröder, Helmut
A1 Martinez Gonzalez, Miguel A
K1 Dietary adherence
K1 Dietary change
K1 Factors
K1 Mediterranean diet
K1 PREDIMED-Plus
K1 Randomized controlled trials
AB Long-term nutrition trials may fail to respond to their original hypotheses if participants do not comply with the intended dietary intervention. We aimed to identify baseline factors associated with successful dietary changes towards an energy-reduced Mediterranean diet (MedDiet) in the PREDIMED-Plus randomized trial. Longitudinal analysis of 2985 participants (Spanish overweight/obese older adults with metabolic syndrome) randomized to the active intervention arm of the PREDIMED-Plus trial. Dietary changes were assessed with a 17-item energy-reduced MedDiet questionnaire after 6 and 12 months of follow-up. Successful compliance was defined as dietary changes from baseline of ≥ 5 points for participants with baseline scores  Consistent factors independently associated with successful dietary change at both 6 and 12 months were high baseline perceived self-efficacy in modifying diet (OR6-month: 1.51, 95% CI 1.25-1.83; OR12-month: 1.66, 95% CI 1.37-2.01), higher baseline fiber intake (OR6-month: 1.62, 95% CI 1.07-2.46; OR12-month: 1.62, 95% CI 1.07-2.45), having > 3 chronic conditions (OR6-month: 0.65, 95% CI 0.53-0.79; OR12-month: 0.76, 95% CI 0.62-0.93), and suffering depression (OR6-month: 0.80, 95% CI 0.64-0.99; OR12-month: 0.71, 95% CI 0.57-0.88). Our results suggested that recruitment of individuals with high perceived self-efficacy to dietary change, and those who initially follow diets relatively richer in fiber may lead to greater changes in nutritional recommendations. Participants with multiple chronic conditions, specifically depression, should receive specific tailored interventions. 
PB Springer
YR 2021
FD 2021-10-01
LK http://hdl.handle.net/10668/19875
UL http://hdl.handle.net/10668/19875
LA en
NO Fernandez-Lazaro CI, Toledo E, Buil-Cosiales P, Salas-Salvadó J, Corella D, Fitó M, et al. Factors associated with successful dietary changes in an energy-reduced Mediterranean diet intervention: a longitudinal analysis in the PREDIMED-Plus trial. Eur J Nutr. 2022 Apr;61(3):1457-1475
DS RISalud
RD Apr 20, 2025