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Adherence to a plant-based diet and consumption of specific plant foods—associations with 3-year weight-loss maintenance and cardiometabolic risk factors

dc.contributor.authorZhu, Ruixin
dc.contributor.authorFogelholm, Mikael
dc.contributor.authorPoppitt, Sally D.
dc.contributor.authorSilvestre, Marta P.
dc.contributor.authorMøller, Grith
dc.contributor.authorHuttunen-Lenz, Maija
dc.contributor.authorStratton, Gareth
dc.contributor.authorSundvall, Jouko
dc.contributor.authorRåman, Laura
dc.contributor.authorJalo, Elli
dc.contributor.authorTaylor, Moira A.
dc.contributor.authorMacdonald, Ian A.
dc.contributor.authorHandjiev, Svetoslav
dc.contributor.authorHandjieva-Darlenska, Teodora
dc.contributor.authorMartinez, J. Alfredo
dc.contributor.authorMuirhead, Roslyn
dc.contributor.authorBrand-Miller, Jennie
dc.contributor.authorRaben, Anne
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblMDPI AG
dc.date.accessioned2021-11-15T23:36:46Z
dc.date.available2021-11-15T23:36:46Z
dc.date.issued2021-11
dc.description14/191) and University of Auckland Faculty Research Development Fund. The Cambridge Weight Plan© donated all products for the 8-week LED period. The Danish Agriculture & Food Council. The Danish Meat and Research Institute. National Institute for Health Research Biomedical Research Centre (NIHR BRC) (UK). Engineering and Physical Sciences Research Council (EPSRC) (UK). Nutritics (Dublin) donated all dietary analyses software used by UNOTT. Juho Vainio Foundation (FIN), Academy of Finland (grant numbers: 272376, 314383, 266286, 314135), Finnish Medical Foundation, Gyllenberg Foundation, Novo Nordisk Foundation, Finnish Diabetes Research Foundation, University of Helsinki, Government Research Funds for Helsinki University Hospital (FIN), Jenny and Antti Wihuri Foundation (FIN), Emil Aaltonen Foundation (FIN). China Scholarship Council.
dc.description.abstractPlant-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.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1374033
dc.identifier.doi10.3390/nu13113916
dc.identifier.issn1422-8599
dc.identifier.otherPURE: 34734732
dc.identifier.otherPURE UUID: 1a8d8eb4-44f9-4dad-b0a2-91fe56d7427c
dc.identifier.otherScopus: 85118202453
dc.identifier.otherORCID: /0000-0001-9327-2897/work/103231410
dc.identifier.urihttp://hdl.handle.net/10362/127793
dc.identifier.urlhttps://www.scopus.com/pages/publications/85118202453
dc.language.isoeng
dc.peerreviewedyes
dc.relationFunding: EU framework programme 7 (FP7/2007-2013) grant agreement
dc.relation312057. National Health and Medical Research Council—EU Collaborative Grant, AUS 8, ID 1067711). The Glycemic Index Foundation Australia through royalties to the University of Sydney. The New Zealand Health Research Council (grant
dc.subjectCardiovascular disease
dc.subjectFruits
dc.subjectGrains
dc.subjectLegumes
dc.subjectNuts
dc.subjectObesity
dc.subjectPlant-based dietary patterns
dc.subjectVegetables
dc.subjectFood Science
dc.subjectNutrition and Dietetics
dc.subjectSDG 3 - Good Health and Well-being
dc.titleAdherence to a plant-based diet and consumption of specific plant foods—associations with 3-year weight-loss maintenance and cardiometabolic risk factorsen
dc.title.subtitleA secondary analysis of the preview intervention studyen
dc.typejournal article
degois.publication.issue11
degois.publication.titleNutrients
degois.publication.volume13
dspace.entity.typePublication
rcaap.rightsopenAccess

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