RT Journal Article T1 Mediterranean diet and quality of life: Baseline cross-sectional analysis of the PREDIMED-PLUS trial. A1 Galilea-Zabalza, Iñigo A1 Buil-Cosiales, Pilar A1 Salas-Salvadó, Jordi A1 Toledo, Estefanía A1 Ortega-Azorín, Carolina A1 Díez-Espino, Javier A1 Vázquez-Ruiz, Zenaida A1 Zomeño, María Dolores A1 Vioque, Jesús A1 Martínez, José Alfredo A1 Romaguera, Dora A1 Perez-Farinos, Napoleón A1 López-Miranda, José A1 Estruch, Ramón A1 Bueno-Cavanillas, Aurora A1 Arós, Fernando A1 Tur, Josep Antoni A1 Tinahones, Francisco A1 Serra-Majem, Lluis A1 Marcos-Delgado, Alba A1 Ortega-Calvo, Manuel A1 Vázquez, Clotilde A1 Pintó, Xavier A1 Vidal, Josep A1 Daimiel, Lidia A1 Delgado-Rodríguez, Miguel A1 Matía, Pilar A1 Corella, Dolores A1 Diaz-López, Andrés A1 Babio, Nancy A1 Muñoz, Miguel Angel A1 Fitó, Montse A1 González-Palacios, Sandra A1 Abete, Itziar A1 García-Rios, Antonio A1 Ros, Emilio A1 Martínez-González, Miguel Ángel A1 PREDIMED-PLUS Study Investigators, AB We assessed if a 17-item score capturing adherence to a traditional Mediterranean diet (MedDiet) was associated with better health-related quality of life among older Spanish men and women with overweight or obesity harboring the metabolic syndrome. We analyzed baseline data from 6430 men and women (age 55-70 years) participating in the PREDIMED-Plus study. PREDIMED-Plus is a multi-centre randomized trial testing an energy-restricted MedDiet combined with promotion of physical activity and behavioral therapy for primary cardiovascular prevention compared to a MedDiet alone. Participants answered a 36-item questionnaire about health-related quality of life (HRQoL) and a 17-item questionnaire that assessed adherence to an MedDiet. We used ANCOVA and multivariable-adjusted linear regression models to compare baseline adjusted means of the quality of life scales according to categories of adherence to the MedDiet. Higher adherence to the MedDiet was independently associated with significantly better scores in the eight dimensions of HRQoL. Adjusted differences of > = 3 points between the highest and the lowest dietary adherence groups to the MedDiet were observed for vitality, emotional role, and mental health and of > = 2 points for the other dimensions. In conclusion, this study shows a positive association between adherence to a MedDiet and several dimensions of quality of life. YR 2018 FD 2018-06-18 LK https://hdl.handle.net/10668/27656 UL https://hdl.handle.net/10668/27656 LA en DS RISalud RD Apr 12, 2025