RT Journal Article T1 Effectiveness of Mediterranean Diet Implementation in Dry Eye Parameters: A Study of PREDIMED-PLUS Trial. A1 Molina-Leyva, Ignacio A1 Molina-Leyva, Alejandro A1 Riquelme-Gallego, Blanca A1 Cano-Ibáñez, Naomi A1 García-Molina, Laura A1 Bueno-Cavanillas, Aurora K1 Dry eye K1 Extra virgin olive oil K1 Fatty acids K1 Mediterranean diet K1 PREDIMED-PLUS trial AB The purpose of this study is to evaluate the effect of a Mediterranean diet supplemented with extra virgin olive oil and nuts on dry eye parameters. The participants in this study were randomized into one of the two interventional arms: (1) a standard intervention group, a Mediterranean diet supplemented with extra virgin olive oil and nuts; and (2) an intensive intervention group, based on a hypocaloric Mediterranean diet and an intensive lifestyle program with physical activity and weight-loss goals. In both groups, common dry eye tests were conducted at baseline and after six months: the Ocular Surface Disease Index (OSDI), the Dry Eye Scoring System (DESS), tear break-up time (TBUT), the Schirmer's test, and the Oxford staining grade. Sixty-seven eyes were examined. After six months, dry eye parameters improved in both groups; differences between groups were favorable for the intensive intervention group. The implementation of a Mediterranean diet pattern was beneficial for the selected patients with dry eye, and could be beneficial for patients with dry eye in general. Behavioral support for diet adherence and the promotion of healthy lifestyles (exercise) and weight loss (calorie restriction) have an added positive effect. YR 2020 FD 2020-05-01 LK http://hdl.handle.net/10668/15501 UL http://hdl.handle.net/10668/15501 LA en DS RISalud RD Apr 10, 2025