A Mediterranean dietary pattern intervention does not improve cardiometabolic risk but does improve quality of life and body composition in an Aotearoa New Zealand population at increased cardiometabolic risk: A randomised controlled trial
Primary result · MetSSSResult — go to the resultEstimated difference −0.05 95% CI −0.16 to 0.06Authors' conclusion
In participants with increased cardiometabolic risk, food provision with a Mediterranean dietary pattern and a behavioural intervention did not improve metabolic risk scores but was associated with reduced weight and improved quality of life.
Study context
- Population
- Adults with increased cardiometabolic risk (MetSSS > 0.35), enrolled with household/whānau; mean (SD) age 49.9 (10.9) years, 62% women; Aotearoa New Zealand
- Participants
- 200 adults
- Comparison
- NZ food-based Mediterranean diet (NZMedDiet) with behavioural intervention vs usual diet
- NZMedDietn = 102
- Controln = 98reference
- Primary endpoint
- Metabolic syndrome severity score (MetSSS)
- Follow-up
- 12 weeks
Primary result
MetSSS
Estimated difference
−0.05
95% CI −0.16 to 0.06
P = 0.35
By group
NZMedDiet
0.8
mean · SD 0.5
Control
1.0
mean · SD 0.7
NZMedDietvs Control
estimated difference −0.05 (95% CI −0.16 to 0.06); P = 0.35
As reported in the abstract
Further findings
| Outcome | Difference (CI) | P value | |
|---|---|---|---|
| Mediterranean diet score (PyrMDS) | 1.6 (1.1–2.1) | P < 0.001 | |
| −10123Difference (linear scale) |
| Outcome | Difference (kg) (CI) | P value | |
|---|---|---|---|
| Weight | −1.9 (−2.0 to −0.34) | P = 0.006 | |
| −3−2−101Difference, kg (linear scale) |
| Outcome | Estimate | P value |
|---|---|---|
| SF-36 quality of lifeBetween NZMedDiet and Control · improved with NZMedDiet | physical component summary score difference 4.0 (95% CI 2.4–5.7) | P < 0.001 |
| SF-36 quality of lifeBetween NZMedDiet and Control · improved with NZMedDiet | mental component summary score difference 3.0 (95% CI 0.7–5.2) | P = 0.01 |
SF-36 quality of life
- Wellbeing (SF-36) improved across all domains
Original publication
A Mediterranean dietary pattern intervention does not improve cardiometabolic risk but does improve quality of life and body composition in an Aotearoa New Zealand population at increased cardiometabolic risk: A randomised controlled trial. Diabetes Obes Metab. Published 29 October 2024. doi:10. 1111/ dom. 16030
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