Advanced

Mediterranean dietary patterns and prospective weight change in participants of the EPIC-PANACEA project

Romaguera, Dora; Norat, Teresa; Vergnaud, Anne-Claire; Mouw, Traci; May, Anne M.; Agudo, Antonio; Buckland, Genevieve; Slimani, Nadia; Rinaldi, Sabina and Couto, Elisabeth, et al. (2010) In American Journal of Clinical Nutrition 92(4). p.912-921
Abstract
Background: There is an association between a greater adherence to a Mediterranean diet and a reduced risk of developing chronic diseases. However, it is not clear whether this dietary pattern may be protective also against the development of obesity. Objective: We assessed the association between the adherence to the Mediterranean dietary pattern (MDP), prospective weight change, and the incidence of overweight or obesity. Design: We conducted a prospective cohort study [the European Prospective Investigation into Cancer and Nutrition Physical Activity, Nutrition, Alcohol Consumption, Cessation of Smoking, Eating Out of Home, and Obesity (EPIC-PANACEA) project] in 373,803 individuals (103,455 men and 270,348 women; age range: 25-70 y)... (More)
Background: There is an association between a greater adherence to a Mediterranean diet and a reduced risk of developing chronic diseases. However, it is not clear whether this dietary pattern may be protective also against the development of obesity. Objective: We assessed the association between the adherence to the Mediterranean dietary pattern (MDP), prospective weight change, and the incidence of overweight or obesity. Design: We conducted a prospective cohort study [the European Prospective Investigation into Cancer and Nutrition Physical Activity, Nutrition, Alcohol Consumption, Cessation of Smoking, Eating Out of Home, and Obesity (EPIC-PANACEA) project] in 373,803 individuals (103,455 men and 270,348 women; age range: 25-70 y) from 10 European countries. Anthropometric measurements were obtained at recruitment and after a median follow-up time of 5 y. The relative Mediterranean Diet Score (rMED; score range: 0-18) was used to assess adherence to the MDP according to the consumption of 9 dietary components that are characteristic of the Mediterranean diet. The association between the rMED and 5-y weight change was modeled through multiadjusted mixed-effects linear regression. Results: Individuals with a high adherence to the MDP according to the rMED (11-18 points) showed a 5-y weight change of 0.16 kg (95% CI: 0.24, 0.07 kg) and were 10% (95% CI: 4%, 18%) less likely to develop overweight or obesity than were individuals with a low adherence to the MDP (0-6 points). The low meat content of the Mediterranean diet seemed to account for most of its positive effect against weight gain. Conclusion: This study shows that promoting the MDP as a model of healthy eating may help to prevent weight gain and the development of obesity. Am J Clin Nutr 2010;92:912-21. (Less)
Please use this url to cite or link to this publication:
author
, et al. (More)
(Less)
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
American Journal of Clinical Nutrition
volume
92
issue
4
pages
912 - 921
publisher
American Society for Clinical Nutrition
external identifiers
  • wos:000282234100031
  • scopus:78049418732
ISSN
1938-3207
DOI
10.3945/ajcn.2010.29482
language
English
LU publication?
yes
id
1b3a8247-100a-4928-b69b-857416dffd2f (old id 1695705)
date added to LUP
2010-10-25 15:44:47
date last changed
2018-07-08 03:36:47
@article{1b3a8247-100a-4928-b69b-857416dffd2f,
  abstract     = {Background: There is an association between a greater adherence to a Mediterranean diet and a reduced risk of developing chronic diseases. However, it is not clear whether this dietary pattern may be protective also against the development of obesity. Objective: We assessed the association between the adherence to the Mediterranean dietary pattern (MDP), prospective weight change, and the incidence of overweight or obesity. Design: We conducted a prospective cohort study [the European Prospective Investigation into Cancer and Nutrition Physical Activity, Nutrition, Alcohol Consumption, Cessation of Smoking, Eating Out of Home, and Obesity (EPIC-PANACEA) project] in 373,803 individuals (103,455 men and 270,348 women; age range: 25-70 y) from 10 European countries. Anthropometric measurements were obtained at recruitment and after a median follow-up time of 5 y. The relative Mediterranean Diet Score (rMED; score range: 0-18) was used to assess adherence to the MDP according to the consumption of 9 dietary components that are characteristic of the Mediterranean diet. The association between the rMED and 5-y weight change was modeled through multiadjusted mixed-effects linear regression. Results: Individuals with a high adherence to the MDP according to the rMED (11-18 points) showed a 5-y weight change of 0.16 kg (95% CI: 0.24, 0.07 kg) and were 10% (95% CI: 4%, 18%) less likely to develop overweight or obesity than were individuals with a low adherence to the MDP (0-6 points). The low meat content of the Mediterranean diet seemed to account for most of its positive effect against weight gain. Conclusion: This study shows that promoting the MDP as a model of healthy eating may help to prevent weight gain and the development of obesity. Am J Clin Nutr 2010;92:912-21.},
  author       = {Romaguera, Dora and Norat, Teresa and Vergnaud, Anne-Claire and Mouw, Traci and May, Anne M. and Agudo, Antonio and Buckland, Genevieve and Slimani, Nadia and Rinaldi, Sabina and Couto, Elisabeth and Clavel-Chapelon, Francoise and Boutron-Ruault, Marie-Christine and Cottet, Vanessa and Rohrmann, Sabine and Teucher, Birgit and Bergmann, Manuela and Boeing, Heiner and Tjonneland, Anne and Halkjaer, Jytte and Jakobsen, Marianne Uhre and Dahm, Christina C. and Travier, Noemie and Rodriguez, Laudina and Jose Sanchez, Maria and Amiano, Pilar and Barricarte, Aurelio and Maria Huerta, Jose and Luan, Jian'an and Wareham, Nick and Key, Timothy J. and Spencer, Elisabeth A. and Orfanos, Philippos and Naska, Androniki and Trichopoulou, Antonia and Palli, Domenico and Agnoli, Claudia and Mattiello, Amalia and Tumino, Rosario and Vineis, Paolo and Bueno-de-Mesquita, H. Bas and Buechner, Frederike L. and Manjer, Jonas and Wirfält, Elisabet and Johansson, Ingegerd and Hellstrom, Veronica and Lund, Eiliv and Braaten, Toni and Engeset, Dagrun and Odysseos, Andreani and Riboli, Elio and Peeters, Petra H. M.},
  issn         = {1938-3207},
  language     = {eng},
  number       = {4},
  pages        = {912--921},
  publisher    = {American Society for Clinical Nutrition},
  series       = {American Journal of Clinical Nutrition},
  title        = {Mediterranean dietary patterns and prospective weight change in participants of the EPIC-PANACEA project},
  url          = {http://dx.doi.org/10.3945/ajcn.2010.29482},
  volume       = {92},
  year         = {2010},
}