Bouzas, CristinaBibiloni, Maria del MarJulibert, AliciaRuiz-Canela, MiguelSalas-Salvadó, JordiCorella, DoloresZomeño, Maria DolorsRomaguera, DoraVioque, JesúsAlonso-Gómez, Ángel M.Wärnberg, JuliaMartínez, J. AlfredoSerra-Majem, LuísEstruch, RamonTinahones, Francisco J.Lapetra, JoséPintó, XavierGarcía Ríos, AntonioBueno-Cavanillas, AuroraGaforio, José J.Matía-Martín, PilarDaimiel, LidiaMartín-Sánchez, VicenteVidal, JosepVázquez, ClotildeRos, EmilioFernandez-Lázaro, Cesar IgnacioBecerra-Tomás, NereaGimenez-Alba, Ignacio ManuelMuñoz, JuliaMorey, MargaOncina-Canovas, AlejandroTojal-Sierra, LucasPérez-López, JéssicaAbete, ItziarCasañas-Quintana, TamaraCastro-Barquero, SaraBernal-López, M. RosaSantos-Lozano, José ManuelGalera, AnaAngullo-Martinez, EscarlataBasterra-Gortari, F. JavierBasora, JosepSaiz, CarmenCastañer, OlgaMartín, MarianNotario-Barandiarán, LeyreBelló-Mora, María C.Sayón-Orea, CarmenGarcía-Gavilán, JesúsGoday, AlbertTur, Josep A.2022-08-022022-08-022020-07-16Bouzas 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):2114http://hdl.handle.net/10668/3866Background: 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.enAtribución 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/Body imageMediterranean lifestyleOverweightObesityOlder adultsDesired weight lossIdeal weightPREDIMED-PlusImagen corporalEstilo de vidaDieta mediterráneaSobrepesoObesidadPersonas mayores frágilesPeso corporal idealMedical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Epidemiologic Factors::Age FactorsMedical Subject Headings::Persons::Persons::Age Groups::Adult::AgedMedical Subject Headings::Phenomena and Processes::Physiological Phenomena::Body Constitution::Body Weights and Measures::Body Mass IndexMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Physical Examination::Body Constitution::Body Weights and Measures::Body Size::Body Weight::OverweightMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cross-Sectional StudiesMedical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Human Activities::ExerciseMedical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Feeding BehaviorMedical Subject Headings::Check Tags::FemaleMedical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::HumansMedical Subject Headings::Phenomena and Processes::Physiological Phenomena::Body Constitution::Body Weights and Measures::Body Size::Body Weight::Ideal Body WeightMedical Subject Headings::Diseases::Nutritional and Metabolic Diseases::Metabolic Diseases::Metabolic Syndrome XMedical Subject Headings::Check Tags::MaleMedical Subject Headings::Persons::Persons::Age Groups::Adult::Middle AgedMedical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Promotion::Weight Reduction ProgramsMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Nutrition Therapy::Diet Therapy::Diet, MediterraneanMedical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Services::Preventive Health Services::Health Promotion::Healthy People ProgramsMedical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Health Behavior::Patient ComplianceMedical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Psychology, Social::Life StyleMedical Subject Headings::Psychiatry and Psychology::Psychological Phenomena and Processes::Mental Processes::Perception::Body ImageMedical Subject Headings::Geographical Locations::Geographic Locations::Europe::Spainresearch article32708828open access10.3390/nu120721142072-6643PMC7400596