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A Provegetarian Food Pattern Emphasizing Preference for Healthy Plant-Derived Foods Reduces the Risk of Overweight/Obesity in the SUN Cohort.
Nutrients. 2019 Jul 09; 11(7)N

Abstract

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.

Authors+Show Affiliations

Department of Preventive Medicine and Public Health, School of Medicine, University of Navarra, 31008 Pamplona, Spain. Biomedical Research Centre Network of Physiopathology of Obesity and Nutrition (CIBERobn), Institute of Health Carlos III, 28029 Madrid, Spain.Department of Preventive Medicine and Public Health, School of Medicine, University of Navarra, 31008 Pamplona, Spain. Biomedical Research Centre Network of Physiopathology of Obesity and Nutrition (CIBERobn), Institute of Health Carlos III, 28029 Madrid, Spain. Navarra Institute for Health Research (IdiSNA), 31008 Pamplona, Spain. Department of Nutrition, Harvard TH Chan School of Public Health, Boston, MA 02115, USA.Biomedical Research Centre Network of Physiopathology of Obesity and Nutrition (CIBERobn), Institute of Health Carlos III, 28029 Madrid, Spain. Navarra Institute for Health Research (IdiSNA), 31008 Pamplona, Spain. Department of Nutrition, Food Sciences and Physiology, School of Pharmacy and Nutrition, University of Navarra, 31008 Pamplona, Spain.Department of Preventive Medicine and Public Health, School of Medicine, University of Navarra, 31008 Pamplona, Spain. Biomedical Research Centre Network of Physiopathology of Obesity and Nutrition (CIBERobn), Institute of Health Carlos III, 28029 Madrid, Spain. Navarra Institute for Health Research (IdiSNA), 31008 Pamplona, Spain.Department of Pharmacology and Toxicology, School of Pharmacy and Nutrition, University of Navarra, 31008 Pamplona, Spain.Food Design and Consumer Behavior Section, Department of Food Science, University of Copenhagen, Rolighedsvej 26, 1958 Frederiksberg C, Denmark.Department of Preventive Medicine and Public Health, School of Medicine, University of Navarra, 31008 Pamplona, Spain. mbes@unav.es. Biomedical Research Centre Network of Physiopathology of Obesity and Nutrition (CIBERobn), Institute of Health Carlos III, 28029 Madrid, Spain. mbes@unav.es. Navarra Institute for Health Research (IdiSNA), 31008 Pamplona, Spain. mbes@unav.es.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31324022

Citation

Gómez-Donoso, Clara, et al. "A Provegetarian Food Pattern Emphasizing Preference for Healthy Plant-Derived Foods Reduces the Risk of Overweight/Obesity in the SUN Cohort." Nutrients, vol. 11, no. 7, 2019.
Gómez-Donoso C, Martínez-González MÁ, Martínez JA, et al. A Provegetarian Food Pattern Emphasizing Preference for Healthy Plant-Derived Foods Reduces the Risk of Overweight/Obesity in the SUN Cohort. Nutrients. 2019;11(7).
Gómez-Donoso, C., Martínez-González, M. Á., Martínez, J. A., Gea, A., Sanz-Serrano, J., Perez-Cueto, F. J. A., & Bes-Rastrollo, M. (2019). A Provegetarian Food Pattern Emphasizing Preference for Healthy Plant-Derived Foods Reduces the Risk of Overweight/Obesity in the SUN Cohort. Nutrients, 11(7). https://doi.org/10.3390/nu11071553
Gómez-Donoso C, et al. A Provegetarian Food Pattern Emphasizing Preference for Healthy Plant-Derived Foods Reduces the Risk of Overweight/Obesity in the SUN Cohort. Nutrients. 2019 Jul 9;11(7) PubMed PMID: 31324022.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Provegetarian Food Pattern Emphasizing Preference for Healthy Plant-Derived Foods Reduces the Risk of Overweight/Obesity in the SUN Cohort. AU - Gómez-Donoso,Clara, AU - Martínez-González,Miguel Ángel, AU - Martínez,J Alfredo, AU - Gea,Alfredo, AU - Sanz-Serrano,Julen, AU - Perez-Cueto,Federico J A, AU - Bes-Rastrollo,Maira, Y1 - 2019/07/09/ PY - 2019/05/21/received PY - 2019/06/24/revised PY - 2019/07/05/accepted PY - 2019/7/21/entrez PY - 2019/7/22/pubmed PY - 2020/1/10/medline KW - dietary patterns KW - epidemiology KW - nutrition KW - obesity KW - overweight KW - prospective cohort study KW - provegetarian KW - vegetarian JF - Nutrients JO - Nutrients VL - 11 IS - 7 N2 - 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. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/31324022/A_Provegetarian_Food_Pattern_Emphasizing_Preference_for_Healthy_Plant_Derived_Foods_Reduces_the_Risk_of_Overweight/Obesity_in_the_SUN_Cohort_ DB - PRIME DP - Unbound Medicine ER -