Effects of a psychosocial intervention at one-year follow-up in a PREDIMED-plus sample with obesity and metabolic syndrome

Abstract This study examines if overweight/obesity are related to higher impulsivity, food addiction and depressive symptoms, and if these variables could be modified after 1 year of a multimodal intervention (diet, physical activity, psychosocial support). 342 adults (55–75 years) with overweight/o...

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Autores principales: Núria Mallorquí-Bagué, María Lozano-Madrid, Cristina Vintró-Alcaraz, Laura Forcano, Andrés Díaz-López, Ana Galera, Rebeca Fernández-Carrión, Roser Granero, Susana Jiménez-Murcia, Dolores Corella, Xavier Pintó, Aida Cuenca-Royo, Mònica Bulló, Jordi Salas-Salvadó, Rafael de la Torre, Fernando Fernández-Aranda
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/db388421bce84882b9dc89786d9dacc0
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spelling oai:doaj.org-article:db388421bce84882b9dc89786d9dacc02021-12-02T16:56:09ZEffects of a psychosocial intervention at one-year follow-up in a PREDIMED-plus sample with obesity and metabolic syndrome10.1038/s41598-021-88298-12045-2322https://doaj.org/article/db388421bce84882b9dc89786d9dacc02021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-88298-1https://doaj.org/toc/2045-2322Abstract This study examines if overweight/obesity are related to higher impulsivity, food addiction and depressive symptoms, and if these variables could be modified after 1 year of a multimodal intervention (diet, physical activity, psychosocial support). 342 adults (55–75 years) with overweight/obesity and metabolic syndrome (MetS) from the PREDIMED-Plus Cognition study were randomized to the intervention or to the control group (lifestyle recommendations). Cognitive and psychopathological assessments were performed at baseline and after 1-year follow-up. At baseline, higher impulsivity was linked to higher food addiction and depressive symptoms, but not to body mass index (BMI). Food addiction not only predicted higher BMI and depressive symptoms, but also achieved a mediational role between impulsivity and BMI/depressive symptoms. After 1 year, patients in both groups reported significant decreases in BMI, food addiction and impulsivity. BMI reduction and impulsivity improvements were higher in the intervention group. Higher BMI decrease was achieved in individuals with lower impulsivity. Higher scores in food addiction were also related to greater post-treatment impulsivity. To conclude, overweight/obesity are related to higher impulsivity, food addiction and depressive symptoms in mid/old age individuals with MetS. Our results also highlight the modifiable nature of the studied variables and the interest of promoting multimodal interventions within this population.Núria Mallorquí-BaguéMaría Lozano-MadridCristina Vintró-AlcarazLaura ForcanoAndrés Díaz-LópezAna GaleraRebeca Fernández-CarriónRoser GraneroSusana Jiménez-MurciaDolores CorellaXavier PintóAida Cuenca-RoyoMònica BullóJordi Salas-SalvadóRafael de la TorreFernando Fernández-ArandaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Núria Mallorquí-Bagué
María Lozano-Madrid
Cristina Vintró-Alcaraz
Laura Forcano
Andrés Díaz-López
Ana Galera
Rebeca Fernández-Carrión
Roser Granero
Susana Jiménez-Murcia
Dolores Corella
Xavier Pintó
Aida Cuenca-Royo
Mònica Bulló
Jordi Salas-Salvadó
Rafael de la Torre
Fernando Fernández-Aranda
Effects of a psychosocial intervention at one-year follow-up in a PREDIMED-plus sample with obesity and metabolic syndrome
description Abstract This study examines if overweight/obesity are related to higher impulsivity, food addiction and depressive symptoms, and if these variables could be modified after 1 year of a multimodal intervention (diet, physical activity, psychosocial support). 342 adults (55–75 years) with overweight/obesity and metabolic syndrome (MetS) from the PREDIMED-Plus Cognition study were randomized to the intervention or to the control group (lifestyle recommendations). Cognitive and psychopathological assessments were performed at baseline and after 1-year follow-up. At baseline, higher impulsivity was linked to higher food addiction and depressive symptoms, but not to body mass index (BMI). Food addiction not only predicted higher BMI and depressive symptoms, but also achieved a mediational role between impulsivity and BMI/depressive symptoms. After 1 year, patients in both groups reported significant decreases in BMI, food addiction and impulsivity. BMI reduction and impulsivity improvements were higher in the intervention group. Higher BMI decrease was achieved in individuals with lower impulsivity. Higher scores in food addiction were also related to greater post-treatment impulsivity. To conclude, overweight/obesity are related to higher impulsivity, food addiction and depressive symptoms in mid/old age individuals with MetS. Our results also highlight the modifiable nature of the studied variables and the interest of promoting multimodal interventions within this population.
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author Núria Mallorquí-Bagué
María Lozano-Madrid
Cristina Vintró-Alcaraz
Laura Forcano
Andrés Díaz-López
Ana Galera
Rebeca Fernández-Carrión
Roser Granero
Susana Jiménez-Murcia
Dolores Corella
Xavier Pintó
Aida Cuenca-Royo
Mònica Bulló
Jordi Salas-Salvadó
Rafael de la Torre
Fernando Fernández-Aranda
author_facet Núria Mallorquí-Bagué
María Lozano-Madrid
Cristina Vintró-Alcaraz
Laura Forcano
Andrés Díaz-López
Ana Galera
Rebeca Fernández-Carrión
Roser Granero
Susana Jiménez-Murcia
Dolores Corella
Xavier Pintó
Aida Cuenca-Royo
Mònica Bulló
Jordi Salas-Salvadó
Rafael de la Torre
Fernando Fernández-Aranda
author_sort Núria Mallorquí-Bagué
title Effects of a psychosocial intervention at one-year follow-up in a PREDIMED-plus sample with obesity and metabolic syndrome
title_short Effects of a psychosocial intervention at one-year follow-up in a PREDIMED-plus sample with obesity and metabolic syndrome
title_full Effects of a psychosocial intervention at one-year follow-up in a PREDIMED-plus sample with obesity and metabolic syndrome
title_fullStr Effects of a psychosocial intervention at one-year follow-up in a PREDIMED-plus sample with obesity and metabolic syndrome
title_full_unstemmed Effects of a psychosocial intervention at one-year follow-up in a PREDIMED-plus sample with obesity and metabolic syndrome
title_sort effects of a psychosocial intervention at one-year follow-up in a predimed-plus sample with obesity and metabolic syndrome
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/db388421bce84882b9dc89786d9dacc0
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