A Provegetarian Food Pattern Emphasizing Preference for Healthy Plant-Derived Foods Reduces the Risk of Overweight/Obesity in the SUN Cohort
Provegetarian diets (i.e., preference for plant-derived foods but not exclusion of animal foods) have been associated with a reduced risk of long-term weight gain and could be more easily embraced than strict vegetarian diets. However, not all plant-derived foods are equally healthy. In the "Se...
| Main Authors: | , , , , , , |
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| Format: | info:eu-repo/semantics/article |
| Language: | eng |
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MDPI AG
2021
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| Online Access: | https://hdl.handle.net/10171/62055 |
| _version_ | 1793400132769677312 |
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| author | Gómez-Donoso, C. (Clara) Martinez-Gonzalez, M.A. (Miguel Ángel) Martinez, A. (Alfredo) Gea, A. (Alfredo) Sanz-Serrano, J. (Julen) Pérez-Cueto, F.J.A. (Federico J. A.) Bes-Rastrollo, M. (Maira) |
| author_facet | Gómez-Donoso, C. (Clara) Martinez-Gonzalez, M.A. (Miguel Ángel) Martinez, A. (Alfredo) Gea, A. (Alfredo) Sanz-Serrano, J. (Julen) Pérez-Cueto, F.J.A. (Federico J. A.) Bes-Rastrollo, M. (Maira) |
| author_sort | Gómez-Donoso, C. (Clara) |
| collection | DSpace |
| description | Provegetarian diets (i.e., preference for plant-derived foods but not exclusion of animal foods) have been associated with a reduced risk of long-term weight gain and could be more easily embraced than strict vegetarian diets. However, not all plant-derived foods are equally healthy. In the "Seguimiento Universidad de Navarra" (SUN) cohort, we prospectively evaluated the association between different provegetarian food patterns and the incidence of overweight/obesity in 11,554 participants with initial body mass index <25 kg/m2. A provegetarian food pattern (FP) was built by assigning positive scores to plant foods and reverse scores to animal foods. A healthful and an unhealthful provegetarian FP, which distinguished between healthy (fruits/vegetables/whole grains/nuts/legumes/olive oil/coffee) and less-healthy plant foods (fruit juices/potatoes/refined grains/pastries/sugary beverages), were also built. A total of 2320 new cases of overweight or obesity were identified after a median follow-up of 10.3 years. Higher baseline conformity with the overall provegetarian FP was inversely associated with overweight/obesity (HR comparing extreme quintiles: 0.85; 95% CI: 0.75 to 0.96; p-trend: 0.014). This association was stronger for the healthful FP (HR: 0.78; 95% CI: 0.67 to 0.90; p-trend: <0.001) and was not apparent for the unhealthful FP (HR: 1.07; 95% CI: 0.92 to 1.23; p-trend: 0.551). In a large prospective cohort of relatively young adults, better conformity with a healthy provegetarian diet was associated with a reduced long-term risk of overweight/obesity, whereas no consistent trend was found for a FP that emphasized less-healthy plant foods. |
| format | info:eu-repo/semantics/article |
| id | oai:dadun.unav.edu:10171-62055 |
| institution | Universidad de Navarra |
| language | eng |
| publishDate | 2021 |
| publisher | MDPI AG |
| record_format | dspace |
| spelling | oai:dadun.unav.edu:10171-620552022-06-29T09:41:40Z A Provegetarian Food Pattern Emphasizing Preference for Healthy Plant-Derived Foods Reduces the Risk of Overweight/Obesity in the SUN Cohort Gómez-Donoso, C. (Clara) Martinez-Gonzalez, M.A. (Miguel Ángel) Martinez, A. (Alfredo) Gea, A. (Alfredo) Sanz-Serrano, J. (Julen) Pérez-Cueto, F.J.A. (Federico J. A.) Bes-Rastrollo, M. (Maira) Materias Investigacion::Ciencias de la Salud::Medicina preventiva Dietary patterns Epidemiology Nutrition Obesity Overweight Prospective cohort study Provegetarian Vegetarian Provegetarian diets (i.e., preference for plant-derived foods but not exclusion of animal foods) have been associated with a reduced risk of long-term weight gain and could be more easily embraced than strict vegetarian diets. However, not all plant-derived foods are equally healthy. In the "Seguimiento Universidad de Navarra" (SUN) cohort, we prospectively evaluated the association between different provegetarian food patterns and the incidence of overweight/obesity in 11,554 participants with initial body mass index <25 kg/m2. A provegetarian food pattern (FP) was built by assigning positive scores to plant foods and reverse scores to animal foods. A healthful and an unhealthful provegetarian FP, which distinguished between healthy (fruits/vegetables/whole grains/nuts/legumes/olive oil/coffee) and less-healthy plant foods (fruit juices/potatoes/refined grains/pastries/sugary beverages), were also built. A total of 2320 new cases of overweight or obesity were identified after a median follow-up of 10.3 years. Higher baseline conformity with the overall provegetarian FP was inversely associated with overweight/obesity (HR comparing extreme quintiles: 0.85; 95% CI: 0.75 to 0.96; p-trend: 0.014). This association was stronger for the healthful FP (HR: 0.78; 95% CI: 0.67 to 0.90; p-trend: <0.001) and was not apparent for the unhealthful FP (HR: 1.07; 95% CI: 0.92 to 1.23; p-trend: 0.551). In a large prospective cohort of relatively young adults, better conformity with a healthy provegetarian diet was associated with a reduced long-term risk of overweight/obesity, whereas no consistent trend was found for a FP that emphasized less-healthy plant foods. 2021-09-23T09:39:46Z 2021-09-23T09:39:46Z 2019 info:eu-repo/semantics/article https://hdl.handle.net/10171/62055 eng info:eu-repo/semantics/openAccess application/pdf MDPI AG |
| spellingShingle | Materias Investigacion::Ciencias de la Salud::Medicina preventiva Dietary patterns Epidemiology Nutrition Obesity Overweight Prospective cohort study Provegetarian Vegetarian Gómez-Donoso, C. (Clara) Martinez-Gonzalez, M.A. (Miguel Ángel) Martinez, A. (Alfredo) Gea, A. (Alfredo) Sanz-Serrano, J. (Julen) Pérez-Cueto, F.J.A. (Federico J. A.) Bes-Rastrollo, M. (Maira) A Provegetarian Food Pattern Emphasizing Preference for Healthy Plant-Derived Foods Reduces the Risk of Overweight/Obesity in the SUN Cohort |
| title | A Provegetarian Food Pattern Emphasizing Preference for Healthy Plant-Derived Foods Reduces the Risk of Overweight/Obesity in the SUN Cohort |
| title_full | A Provegetarian Food Pattern Emphasizing Preference for Healthy Plant-Derived Foods Reduces the Risk of Overweight/Obesity in the SUN Cohort |
| title_fullStr | A Provegetarian Food Pattern Emphasizing Preference for Healthy Plant-Derived Foods Reduces the Risk of Overweight/Obesity in the SUN Cohort |
| title_full_unstemmed | A Provegetarian Food Pattern Emphasizing Preference for Healthy Plant-Derived Foods Reduces the Risk of Overweight/Obesity in the SUN Cohort |
| title_short | A Provegetarian Food Pattern Emphasizing Preference for Healthy Plant-Derived Foods Reduces the Risk of Overweight/Obesity in the SUN Cohort |
| title_sort | provegetarian food pattern emphasizing preference for healthy plant-derived foods reduces the risk of overweight/obesity in the sun cohort |
| topic | Materias Investigacion::Ciencias de la Salud::Medicina preventiva Dietary patterns Epidemiology Nutrition Obesity Overweight Prospective cohort study Provegetarian Vegetarian |
| url | https://hdl.handle.net/10171/62055 |
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