Adherence to a plant-based diet and consumption of specific plant foods—associations with 3-year weight-loss maintenance and cardiometabolic risk factors : A secondary analysis of the preview intervention study

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Zhu , R , Fogelholm , M , Poppitt , S D , Silvestre , M P , Møller , G , Huttunen-Lenz , M , Stratton , G , Sundvall , J , Råman , L , Jalo , E , Taylor , M A , Macdonald , I A , Handjiev , S , Handjieva-Darlenska , T , Martinez , J A , Muirhead , R , Brand-Miller , J & Raben , A 2021 , ' Adherence to a plant-based diet and consumption of specific plant foods—associations with 3-year weight-loss maintenance and cardiometabolic risk factors : A secondary analysis of the preview intervention study ' , Nutrients , vol. 13 , no. 11 , 3916 . https://doi.org/10.3390/nu13113916

Title: Adherence to a plant-based diet and consumption of specific plant foods—associations with 3-year weight-loss maintenance and cardiometabolic risk factors : A secondary analysis of the preview intervention study
Author: Zhu, Ruixin; Fogelholm, Mikael; Poppitt, Sally D.; Silvestre, Marta P.; Møller, Grith; Huttunen-Lenz, Maija; Stratton, Gareth; Sundvall, Jouko; Råman, Laura; Jalo, Elli; Taylor, Moira A.; Macdonald, Ian A.; Handjiev, Svetoslav; Handjieva-Darlenska, Teodora; Martinez, J. Alfredo; Muirhead, Roslyn; Brand-Miller, Jennie; Raben, Anne
Contributor organization: Department of Food and Nutrition
Date: 2021-11
Language: eng
Number of pages: 16
Belongs to series: Nutrients
ISSN: 2072-6643
DOI: https://doi.org/10.3390/nu13113916
URI: http://hdl.handle.net/10138/336329
Abstract: Plant-based diets are recommended by dietary guidelines. This secondary analysis aimed to assess longitudinal associations of an overall plant-based diet and specific plant foods with weight-loss maintenance and cardiometabolic risk factors. Longitudinal data on 710 participants (aged 26–70 years) with overweight or obesity and pre-diabetes from the 3-year weight-loss maintenance phase of the PREVIEW intervention were analyzed. Adherence to an overall plant-based diet was evaluated using a novel plant-based diet index, where all plant-based foods received positive scores and all animal-based foods received negative scores. After adjustment for potential confounders, linear mixed models with repeated measures showed that the plant-based diet index was inversely associated with weight regain, but not with cardiometabolic risk factors. Nut intake was inversely associated with regain of weight and fat mass and increments in total cholesterol and LDL cholesterol. Fruit intake was inversely associated with increments in diastolic blood pressure, total cholesterol, and LDL cholesterol. Vegetable intake was inversely associated with an increment in diastolic blood pressure and triglycerides and was positively associated with an increase in HDL cholesterol. All reported associations with cardiometabolic risk factors were independent of weight change. Long-term consumption of nuts, fruits, and vegetables may be beneficial for weight management and cardiometabolic health, whereas an overall plant-based diet may improve weight management only.
Description: Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
Subject: Cardiovascular disease
Fruits
Grains
Legumes
Nuts
Obesity
Plant-based dietary patterns
Vegetables
plant-based dietary patterns
cardiovascular disease
METAANALYSIS
legumes
vegetables
grains
BIOMARKERS
fruits
FRUIT
REDUCTION
nuts
VEGETARIAN DIETS
CARDIOVASCULAR-DISEASE
VEGETABLE INTAKE
MULTIPLE IMPUTATION
obesity
3143 Nutrition
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


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