Change to a healthy diet in people over 70 years old: the PREDIMED experience

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• dc.contributor.author Casas, Rosa
• dc.contributor.author Ribó Coll, Margarita
• dc.contributor.author Ros, Emilio
• dc.contributor.author Fitó Colomer, Montserrat
• dc.contributor.author Lamuela-Raventós, Rosa M.
• dc.contributor.author Salas Salvadó, Jordi
• dc.contributor.author Zazpe, Itziar
• dc.contributor.author Martínez-González, Miguel Ángel, 1957-
• dc.contributor.author Sorlí, José Vicente
• dc.contributor.author Estruch, Ramón
• dc.contributor.author Sacanella, Emilio
• dc.date.accessioned 2022-07-26T06:43:14Z
• dc.date.available 2022-07-26T06:43:14Z
• dc.date.issued 2022
• dc.description.abstract Purpose: it is difficult to change dietary habits and maintain them in the long run, particularly in elderly people. We aimed to assess whether adherence to the Mediterranean diet (MedDiet) and cardiovascular risk factor were similar in the middle-aged and oldest participants in the PREDIMED study. Methods: we analyzed participants belonging to the first and fourth quartiles of age (Q1 and Q4, respectively) to compare between-group differences in adherence to the nutritional intervention and cardiovascular risk factor (CRF) control during a 3-year follow-up. All participants underwent yearly clinical, nutritional, and laboratory assessments during the following. Results: a total of 2278 patients were included (1091 and 1187 in Q1 and Q4, respectively). At baseline, mean ages were 59.6 ± 2.1 years in Q1 and 74.2 ± 2.6 years in Q4. In Q4, there were more women, greater prevalence of hypertension and diabetes, and lower obesity and smoking rates than the younger cohort (P ≤ 0.001, all). Adherence to the MedDiet was similar in Q1 and Q4 at baseline (mean 8.7 of 14 points for both) and improved significantly (P < 0.01) and to a similar extent (mean 10.2 and 10.0 points, respectively) during follow-up. Systolic blood pressure, low density-lipoprotein cholesterol, and body weight were similarly reduced at 3 years in Q1 and Q4 participants. Conclusion: the youngest and oldest participants showed improved dietary habits and CRFs to a similar extent after 3 years' intervention. Therefore, it is never too late to improve dietary habits and ameliorate CRF in high-risk individuals, even those of advanced age.
• dc.format.mimetype application/pdf
• dc.identifier.citation Casas R, Ribó-Coll M, Ros E, Fitó M, Lamuela-Raventos RM, Salas-Salvadó J, et al. Change to a healthy diet in people over 70 years old: the PREDIMED experience. Eur J Nutr. 2022 Apr; 61(3):1429-44. DOI: 10.1007/s00394-021-02741-7
• dc.identifier.doi http://dx.doi.org/10.1007/s00394-021-02741-7
• dc.identifier.issn 1436-6207
• dc.identifier.uri http://hdl.handle.net/10230/53808
• dc.language.iso eng
• dc.publisher SpringerOpen
• dc.rights This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Cardiovascular disease
• dc.subject.keyword Cardiovascular risk factor
• dc.subject.keyword Dietary habits
• dc.subject.keyword Fragility
• dc.subject.keyword Healthy diet
• dc.subject.keyword Mediterranean diet
• dc.title Change to a healthy diet in people over 70 years old: the PREDIMED experience
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion