Mixed
An intensive lifestyle intervention combining an energy-restricted Mediterranean diet (erMedDiet), physical activity promotion, and behavioral support significantly reduces body weight and improves cardiovascular risk factors in overweight/obese older adults with metabolic syndrome compared to usual care.
To lose weight and improve heart health, combine an energy-restricted Mediterranean diet with regular physical activity and behavioral support. Focus on reducing total calories while increasing healthy fats (olive oil, nuts) and protein. Attend regular support sessions to stay on track. This approach was shown to be more effective than usual care in older adults with metabolic syndrome.
PREDIMED-Plus intensive lifestyle intervention for 12 months was effective in decreasing adiposity and improving cardiovascular risk factors in overweight/obese older adults with metabolic syndrome, as well as in individuals with or at risk for diabetes.
Why this rating
Large-scale, multicenter, randomized controlled trial (RCT) with high statistical power and low attrition.
Source
Effect of a Lifestyle Intervention Program With Energy-Restricted Mediterranean Diet and Exercise on Weight Loss and Cardiovascular Risk Factors: One-Year Results of the PREDIMED-Plus Trial
Jordi Salas‐Salvadó et al. · Diabetes Care · 2018
DOI 10.2337/dc18-0836
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