Mediterranean dietary patterns and prospective weight change in participants of the EPIC-PANACEA project

Dora Romaguera; Teresa Norat; Anne-Claire Vergnaud; Traci Mouw; Anne M. May; Antonio Agudo; Genevieve Buckland; Nadia Slimani; Sabina Rinaldi; Elisabeth Couto; Francoise Clavel-Chapelon; Marie-Christine Boutron-Ruault; Vanessa Cottet; Sabine Rohrmann; Birgit Teucher; Manuela Bergmann; Heiner Boeing; Anne Tjonneland; Jytte Halkjaer; Marianne Uhre Jakobsen; Christina C. Dahm; Noemie Travier; Laudina Rodriguez; Maria Jose Sanchez; Pilar Amiano; Aurelio Barricarte; Jose Maria Huerta; Jian'an Luan; Nick Wareham; Timothy J. Key; Elisabeth A. Spencer; Philippos Orfanos; Androniki Naska; Antonia Trichopoulou; Domenico Palli; Claudia Agnoli; Amalia Mattiello; Rosario Tumino; Paolo Vineis; H. Bas Bueno-de-Mesquita; Frederike L. Buechner; Jonas Manjer; Elisabet Wirfalt; Ingegerd Johansson; Veronica Hellstrom; Eiliv Lund; Toni Braaten; Dagrun Engeset; Andreani Odysseos; Elio Riboli; Petra H. M. Peeters

doi:10.3945/ajcn.2010.29482

Mediterranean dietary patterns and prospective weight change in participants of the EPIC-PANACEA project

Dora Romaguera, Teresa Norat, Anne-Claire Vergnaud, Traci Mouw, Anne M. May, Antonio Agudo, Genevieve Buckland, Nadia Slimani, Sabina Rinaldi, Elisabeth Couto, Francoise Clavel-Chapelon, Marie-Christine Boutron-Ruault, Vanessa Cottet, Sabine Rohrmann, Birgit Teucher, Manuela Bergmann, Heiner Boeing, Anne Tjonneland, Jytte Halkjaer, Marianne Uhre JakobsenChristina C. Dahm, Noemie Travier, Laudina Rodriguez, Maria Jose Sanchez, Pilar Amiano, Aurelio Barricarte, Jose Maria Huerta, Jian'an Luan, Nick Wareham, Timothy J. Key, Elisabeth A. Spencer, Philippos Orfanos, Androniki Naska, Antonia Trichopoulou, Domenico Palli, Claudia Agnoli, Amalia Mattiello, Rosario Tumino, Paolo Vineis, H. Bas Bueno-de-Mesquita, Frederike L. Buechner, Jonas Manjer, Elisabet Wirfalt, Ingegerd Johansson, Veronica Hellstrom, Eiliv Lund, Toni Braaten, Dagrun Engeset, Andreani Odysseos, Elio Riboli, Petra H. M. Peeters

Aarhus University Hospital

Research output: Contribution to journal › Journal article › Research › peer-review

Abstract

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.

Original language	English
Journal	AMERICAN JOURNAL OF CLINICAL NUTRITION
Volume	92
Issue number	4
Pages (from-to)	912-921
Number of pages	10
ISSN	0002-9165
DOIs	https://doi.org/10.3945/ajcn.2010.29482
Publication status	Published - 2010
Externally published	Yes

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Romaguera, D., Norat, T., Vergnaud, A.-C., Mouw, T., May, A. M., Agudo, A., Buckland, G., Slimani, N., Rinaldi, S., Couto, E., Clavel-Chapelon, F., Boutron-Ruault, M.-C., Cottet, V., Rohrmann, S., Teucher, B., Bergmann, M., Boeing, H., Tjonneland, A., Halkjaer, J., ... Peeters, P. H. M. (2010). Mediterranean dietary patterns and prospective weight change in participants of the EPIC-PANACEA project. AMERICAN JOURNAL OF CLINICAL NUTRITION, 92(4), 912-921. https://doi.org/10.3945/ajcn.2010.29482

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title = "Mediterranean dietary patterns and prospective weight change in participants of the EPIC-PANACEA project",

abstract = "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.",

author = "Dora Romaguera and Teresa Norat and Anne-Claire Vergnaud and Traci Mouw and May, {Anne M.} and Antonio Agudo and Genevieve Buckland and Nadia Slimani and Sabina Rinaldi and Elisabeth Couto and Francoise Clavel-Chapelon and Marie-Christine Boutron-Ruault and Vanessa Cottet and Sabine Rohrmann and Birgit Teucher and Manuela Bergmann and Heiner Boeing and Anne Tjonneland and Jytte Halkjaer and Jakobsen, {Marianne Uhre} and Dahm, {Christina C.} and Noemie Travier and Laudina Rodriguez and {Jose Sanchez}, Maria and Pilar Amiano and Aurelio Barricarte and {Maria Huerta}, Jose and Jian'an Luan and Nick Wareham and Key, {Timothy J.} and Spencer, {Elisabeth A.} and Philippos Orfanos and Androniki Naska and Antonia Trichopoulou and Domenico Palli and Claudia Agnoli and Amalia Mattiello and Rosario Tumino and Paolo Vineis and Bueno-de-Mesquita, {H. Bas} and Buechner, {Frederike L.} and Jonas Manjer and Elisabet Wirfalt and Ingegerd Johansson and Veronica Hellstrom and Eiliv Lund and Toni Braaten and Dagrun Engeset and Andreani Odysseos and Elio Riboli and Peeters, {Petra H. M.}",

year = "2010",

doi = "10.3945/ajcn.2010.29482",

language = "English",

volume = "92",

pages = "912--921",

journal = "AMERICAN JOURNAL OF CLINICAL NUTRITION",

issn = "0002-9165",

publisher = "American Society for Nutrition",

number = "4",

}

Romaguera, D, Norat, T, Vergnaud, A-C, Mouw, T, May, AM, Agudo, A, Buckland, G, Slimani, N, Rinaldi, S, Couto, E, Clavel-Chapelon, F, Boutron-Ruault, M-C, Cottet, V, Rohrmann, S, Teucher, B, Bergmann, M, Boeing, H, Tjonneland, A, Halkjaer, J, Jakobsen, MU, Dahm, CC, Travier, N, Rodriguez, L, Jose Sanchez, M, Amiano, P, Barricarte, A, Maria Huerta, J, Luan, J, Wareham, N, Key, TJ, Spencer, EA, Orfanos, P, Naska, A, Trichopoulou, A, Palli, D, Agnoli, C, Mattiello, A, Tumino, R, Vineis, P, Bueno-de-Mesquita, HB, Buechner, FL, Manjer, J, Wirfalt, E, Johansson, I, Hellstrom, V, Lund, E, Braaten, T, Engeset, D, Odysseos, A, Riboli, E & Peeters, PHM 2010, 'Mediterranean dietary patterns and prospective weight change in participants of the EPIC-PANACEA project', AMERICAN JOURNAL OF CLINICAL NUTRITION, vol. 92, no. 4, pp. 912-921. https://doi.org/10.3945/ajcn.2010.29482

TY - JOUR

T1 - Mediterranean dietary patterns and prospective weight change in participants of the EPIC-PANACEA project

AU - Romaguera, Dora

AU - Norat, Teresa

AU - Vergnaud, Anne-Claire

AU - Mouw, Traci

AU - May, Anne M.

AU - Agudo, Antonio

AU - Buckland, Genevieve

AU - Slimani, Nadia

AU - Rinaldi, Sabina

AU - Couto, Elisabeth

AU - Clavel-Chapelon, Francoise

AU - Boutron-Ruault, Marie-Christine

AU - Cottet, Vanessa

AU - Rohrmann, Sabine

AU - Teucher, Birgit

AU - Bergmann, Manuela

AU - Boeing, Heiner

AU - Tjonneland, Anne

AU - Halkjaer, Jytte

AU - Jakobsen, Marianne Uhre

AU - Dahm, Christina C.

AU - Travier, Noemie

AU - Rodriguez, Laudina

AU - Jose Sanchez, Maria

AU - Amiano, Pilar

AU - Barricarte, Aurelio

AU - Maria Huerta, Jose

AU - Luan, Jian'an

AU - Wareham, Nick

AU - Key, Timothy J.

AU - Spencer, Elisabeth A.

AU - Orfanos, Philippos

AU - Naska, Androniki

AU - Trichopoulou, Antonia

AU - Palli, Domenico

AU - Agnoli, Claudia

AU - Mattiello, Amalia

AU - Tumino, Rosario

AU - Vineis, Paolo

AU - Bueno-de-Mesquita, H. Bas

AU - Buechner, Frederike L.

AU - Manjer, Jonas

AU - Wirfalt, Elisabet

AU - Johansson, Ingegerd

AU - Hellstrom, Veronica

AU - Lund, Eiliv

AU - Braaten, Toni

AU - Engeset, Dagrun

AU - Odysseos, Andreani

AU - Riboli, Elio

AU - Peeters, Petra H. M.

PY - 2010

Y1 - 2010

N2 - 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.

AB - 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.

U2 - 10.3945/ajcn.2010.29482

DO - 10.3945/ajcn.2010.29482

M3 - Journal article

SN - 0002-9165

VL - 92

SP - 912

EP - 921

JO - AMERICAN JOURNAL OF CLINICAL NUTRITION

JF - AMERICAN JOURNAL OF CLINICAL NUTRITION

IS - 4

ER -

Mediterranean dietary patterns and prospective weight change in participants of the EPIC-PANACEA project

Abstract

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