ABSTRACT INTRODUCTION: The promotion of Mediterranean Diets has generated some doubts, because of the concern that its high fat content might lead to the development of obesity. METHODS:

Longitudinal analysis of 6319 participants in the SUN cohort study. We used a validated semiquantitative food frequency questionnaire (136 items). Baseline adherence to a Mediterranean

dietary pattern (MDP) was assessed using a score (score_1) including vegetables, fruits, cereals, nuts, pulses, fish, olive oil and moderate consumption of red wine (positively weighted),

whereas meat and dairy products were negatively weighted. We assessed the association between the overall baseline adherence to the MDP (score_1) and subsequent weight change after 28 months

The results indicated an inverse dose–response relationship (_P_ for trend=0.016). A similar inverse association was apparent when we used change in adherence to the MDP (score_2). However,

both inverse associations did not remain statistically significant after adjusting for relevant confounders. Consumption of dairy products was inversely associated with weight gain.

CONCLUSIONS: Although participants increased their average weight during the follow-up period, weight increments were smaller among those with a higher adherence to an ‘_a priori_’ defined

MDP. Results did not remain statistically significant after multivariate adjustment. Access through your institution Buy or subscribe This is a preview of subscription content, access via

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INDEX Article 09 October 2024 LONGITUDINAL ASSOCIATIONS OF DIETARY PATTERNS WITH SOCIODEMOGRAPHIC AND LIFESTYLE FACTORS IN OLDER ADULTS: THE TASOAC STUDY Article 16 November 2020 BREAKFAST

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Epidemiol_ 2003; 32: 138–146. Article  Google Scholar  Download references ACKNOWLEDGEMENTS We are indebted to the participants of the SUN Study for their continued cooperation and

participation. The Department of Health of the Navarre Regional Government and Spanish Ministry of Health (Fondo de Investigaciones Sanitarias, projects 01/0619 and 04/042241 and G03/140,

Red Temática de Dieta y Enfermedad Cardiovascular) are gratefully acknowledged for supporting the present study. We would like to thank other members of the SUN Study Group: M Seguí-Gómez, A

Alonso, RM Pajares, JA Martinez, M Delgado-Rodríguez, M Serrano-Martínez, M Marques, A Marti, M Muñoz, F Guillén-Grima and I Aguinaga and our advisors from the Department of Nutrition of

the Harvard School of Public Health: A Ascherio, W Willett and FB Hu, who helped us to design the SUN cohort study. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Clinical

Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain A Sánchez-Villegas & L Serra-Majem * Department of Preventive Medicine and Public Health, University of Navarra,

Navarra, Spain A Sánchez-Villegas, M Bes-Rastrollo & M A Martínez-González Authors * A Sánchez-Villegas View author publications You can also search for this author inPubMed Google

Scholar * M Bes-Rastrollo View author publications You can also search for this author inPubMed Google Scholar * M A Martínez-González View author publications You can also search for this

author inPubMed Google Scholar * L Serra-Majem View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to A Sánchez-Villegas.

RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Sánchez-Villegas, A., Bes-Rastrollo, M., Martínez-González, M. _et al._ Adherence to a Mediterranean

dietary pattern and weight gain in a follow-up study: the SUN cohort. _Int J Obes_ 30, 350–358 (2006). https://doi.org/10.1038/sj.ijo.0803118 Download citation * Received: 22 March 2005 *

Revised: 24 June 2005 * Accepted: 20 July 2005 * Published: 11 October 2005 * Issue Date: 01 February 2006 * DOI: https://doi.org/10.1038/sj.ijo.0803118 SHARE THIS ARTICLE Anyone you share

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Nature SharedIt content-sharing initiative KEYWORDS * Mediterranean dietary pattern * olive oil * overweight * weight gain * cohort study