Planetary Health Diet Adherence Improves Weight and Body Composition During Energy Restriction
Primary result · BMIResult — go to the resultDifference −0.94 kg/m² 95% CI −1.62 to −0.31Authors' conclusion
Greater PHD adherence during energy restriction was associated with greater weight loss and improved body composition.
Study context
- Population
- Adults with overweight or obesity in two controlled dietary interventions prescribing a 30% energy deficit
- Participants
- 403 adults
- Comparison
- Higher vs lower Planetary Health Diet (PHD) adherence during energy restriction
Methodological details30% energy deficit, energy-adjusted PHD score based on EAT-Lancet targets, mixed models, logistic regression and mediation analyses
- 30% energy deficit
- Energy-adjusted PHD score based on EAT-Lancet targets
- Mixed models, logistic regression and mediation analyses
Primary result
BMI
Difference
−0.94 kg/m²
95% CI −1.62 to −0.31
P = 0.005
Highest-adherence quartilevs Lowest-adherence quartile
difference −0.94 kg/m² (95% CI −1.62 to −0.31); P = 0.005
As reported in the abstract
Further findings
Excellent weight loss (≥ 10% body weight reduction), per 10-point increase in adherence
- OR per 10-point increase in PHD adherence
- 1.49 (95% CI 1.03-2.16)
Mediation
- Red and processed meat reduction and higher whole-grain intake mediated associations
Original publication
Planetary Health Diet Adherence Improves Weight and Body Composition During Energy Restriction. Obesity (Silver Spring). Published 20 May 2026. doi:10. 1002/ oby. 70215
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