TY - JOUR
TI - Mediterranean dietary patterns and prospective weight change in participants of the EPIC-PANACEA project
AU - Romaguera, D.
AU - Norat, T.
AU - Vergnaud, A.-C.
AU - Mouw, T.
AU - May, A.M.
AU - Agudo, A.
AU - Buckland, G.
AU - Slimani, N.
AU - Rinaldi, S.
AU - Couto, E.
AU - Clavel-Chapelon, F.
AU - Boutron-Ruault, M.-C.
AU - Cottet, V.
AU - Rohrmann, S.
AU - Teucher, B.
AU - Bergmann, M.
AU - Boeing, H.
AU - Tjønneland, A.
AU - Halkjaer, J.
AU - Jakobsen, M.U.
AU - Dahm, C.C.
AU - Travier, N.
AU - Rodriguez, L.
AU - Sanchez, M.J.
AU - Amiano, P.
AU - Barricarte, A.
AU - Huerta, J.M.
AU - Luan, J.
AU - Wareham, N.
AU - Key, T.J.
AU - Spencer, E.A.
AU - Orfanos, P.
AU - Naska, A.
AU - Trichopoulou, A.
AU - Palli, D.
AU - Agnoli, C.
AU - Mattiello, A.
AU - Tumino, R.
AU - Vineis, P.
AU - Bueno-de-Mesquita, H.B.
AU - Büchner, F.L.
AU - Manjer, J.
AU - Wirfält, E.
AU - Johansson, I.
AU - Hellstrom, V.
AU - Lund, E.
AU - Braaten, T.
AU - Engeset, D.
AU - Odysseos, A.
AU - Riboli, E.
AU - Peeters, P.H.M.
JO - AMERICAN JOURNAL OF CLINICAL NUTRITION
PY - 2010
VL - 92
TODO - 4
SP - 912-921
PB - 
SN - 0002-9165
TODO - 10.3945/ajcn.2010.29482
TODO - adult;  aged;  article;  body height;  body weight;  female;  follow up;  geographic distribution;  human;  male;  Mediterranean diet;  Mediterranean Diet Score;  model;  nutritional assessment;  obesity;  prospective study;  scoring system;  weight change;  body mass;  body weight;  clinical trial;  cohort analysis;  educational status;  Europe;  middle aged;  motor activity;  multicenter study;  obesity;  patient compliance;  probability;  time, Adult;  Body Mass Index;  Body Weight;  Cohort Studies;  Diet, Mediterranean;  Educational Status;  Europe;  Female;  Humans;  Male;  Middle Aged;  Motor Activity;  Obesity;  Overweight;  Patient Compliance;  Probability;  Prospective Studies;  Thinness;  Time Factors
TODO - 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. © 2010 American Society for Nutrition.
ER -