Effects of a psychosocial intervention at one-year follow-up in a PREDIMED-plus sample with obesity and metabolic syndrome
Mallorquí-Bagué, Núria (Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición)
Lozano Madrid, María (Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición)
Vintró Alcaraz, Cristina (Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición)
Forcano, Laura (Institut Hospital del Mar d'Investigacions Mèdiques)
Díaz-López, Andrés (Universitat Rovira i Virgili)
Galera, Ana (Hospital Universitari de Bellvitge)
Fernández-Carrión, Rebeca (University of Valencia. Department of Preventive Medicine)
Granero, Roser (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de Ciències de la Salut)
Jiménez-Murcia, Susana (Universitat de Barcelona. Departament de Ciències Clíniques)
Corella, Dolores (University of Valencia. Department of Preventive Medicine)
Pintó, Xavier (Hospital Universitari de Bellvitge)
Cuenca-Royo, Aida (Institut Hospital del Mar d'Investigacions Mèdiques)
Bulló, Mònica (Institut d'Investigació Sanitària Pere Virgili)
Salas-Salvadó, Jordi (Hospital Universitari Sant Joan de Reus (Tarragona))
De La Torre, Rafael (Universitat Pompeu Fabra. Departament de Ciències Experimentals i de la Salut)
Fernández-Aranda, Fernando (Universitat de Barcelona. Departament de Ciències Clíniques)

Fecha:	2021
Resumen:	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.
Ayudas:	Generalitat de Catalunya. Departament de Salut SLT006/17/00246 Generalitat de Catalunya. Departament de Salut SLT002/16/00045 European Commission. Horizon 2020 728018 European Commission. Horizon 2020 847879 Instituto de Salud Carlos III PI17/01167 Agència de Gestió d'Ajuts Universitaris i de Recerca 2017-SGR-138 Ministerio de Educación, Cultura y Deporte FPU15/02911 Ministerio de Educación, Cultura y Deporte FPU16/01453
Nota:	Altres ajuts: This project was funded by Instituto de Salud Carlos III (ISCIII), the Spanish Government Official Agency for funding biomedical research-with competitive grants leaded by Jordi Salas-Salvadó and Josep Vidal for the periods 2014-2016, 2015-2017, 2017-2019 and 2018-2020, through the Fondo de Investigación para la Salud (FIS), which is co-funded by the European Regional Development Fund [grants: PI13/00233, PI13/00728, PI13/01123, PI13/00462, PI16/00533, PI16/00366, PI16/01094, PI16/00501, PI19/00017, PI19/00781, PI19/01032, PI19/00576]; the Especial Action Project entitled: Implementación y evaluación de una intervención intensiva sobre la actividad física Cohorte PREDIMED-Plus grant to Jordi Salas-Salvadó; the European Research Council [Advanced Research Grant 2014-2019; agreement #340918] granted to Miguel Ángel Martínez-González; the Recercaixa (number 2013ACUP00194) grant to Jordi Salas-Salvadó.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Psychology ; Human behaviour
Publicado en:	Scientific reports, Vol. 11 (april 2021) , ISSN 2045-2322

DOI: 10.1038/s41598-021-88298-1
PMID: 33911087

12 p, 1.1 MB

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