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Published on: November 1, 2019
Longitudinal changes in Mediterranean diet and transition between different obesity phenotypes.
J Konieczna1, A Yañez2, M Moñino1
1Instituto de Investigación Sanitaria Illes Balears (IdISBa), University Hospital Son Espases, Palma de Mallorca, Spain; CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain.
Improving adherence to the Mediterranean diet (MedDiet) is linked to healthier obesity phenotypes. Increased MedDiet adherence promotes metabolic health and can prevent obesity development in certain groups.
Area of Science:
- Nutrition Science
- Metabolic Health
- Obesity Research
Background:
- Specific dietary patterns' impact on obesity phenotypes remains unclear.
- Investigating longitudinal changes in Mediterranean diet (MedDiet) adherence is crucial for understanding obesity phenotype transitions.
Purpose of the Study:
- To determine the association between longitudinal changes in MedDiet adherence and shifts between obesity phenotypes.
- To analyze how adherence to the traditional MedDiet influences metabolic and body size-related health categories.
Main Methods:
- Utilized data from 5801 high cardiovascular risk participants in the PREDIMED trial.
- Measured MedDiet adherence using the 14-point Mediterranean Diet Adherence Screener (MEDAS).
- Employed Cox regression models with repeated measures and Markov chain assumptions to analyze transitions between four obesity phenotypes (MHO, MAO, MHNO, MANO) over 5 years.
Main Results:
- A 2-point increase in MEDAS score was associated with a 16% greater likelihood of abnormal obese individuals becoming metabolically healthy obese (MAO to MHO).
- Increased MEDAS adherence reduced the risk of metabolically healthy obese individuals becoming abnormal obese (MHO to MAO) by 14%.
- Higher MEDAS adherence decreased the risk of metabolically healthy non-obese individuals becoming metabolically unhealthy obese (MHNO to MHO) by 18% and increased the likelihood of abnormal non-obese women transitioning to metabolically healthy non-obese (MANO to MHNO) by 20%.
Conclusions:
- Greater adherence to the traditional Mediterranean diet is associated with transitions towards healthier obesity phenotypes.
- MedDiet adherence promotes metabolic health improvements in individuals with abnormal obesity and metabolically healthy obesity.
- MedDiet adherence protects against obesity incidence in metabolically healthy non-obese individuals and benefits abnormal non-obese women.
Related Concept Videos
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Phase Transitions
Obesity
Properties of Transition Metals
Cooperative Allosteric Transitions
Phase Transitions: Vaporization and Condensation

