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Martinez Crespo, Jose MªAuthorMartinez Ponsdomenech, JuditAuthorMartinez Quintanilla Martinez, JordiAuthorPena Gomez, CleofeAuthorGil Navarro, SilviaAuthorEstruch RAuthorVidal JAuthorCasas RAuthorVera JAuthorMartinez JaAuthorDomenech, MAuthorSierra, CAuthorCamafort, MAuthorCastro, SAuthorSadurni, MAuthorVinas, CAuthorVillanueva, PAuthorSoriano, RAuthorLlovet, JmAuthor

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January 28, 2019
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Lifestyle factors and visceral adipose tissue: Results from the PREDIMED-PLUS study

Publicated to: PLoS One. 14 (1): e0210726- - 2019-01-25 14(1), DOI: 10.1371/journal.pone.0210726

Authors:

Galmes-Panades, Aina M; Galmes-Panades, Aina M; Konieczna, Jadwiga; Abete, Itziar; Colom, Antoni; Rosique-Esteban, Nuria; Angeles Zulet, Maria; Vazquez, Zenaida; Estruch, Ramon; Vidal, Josep; Toledo, Estefania; Babio, Nancy; Fiol, Miguel; Casas, Rosa; Vera, Josep; Buil-Cosiales, Pilar; Antonio de Paz, Jose; Goday, Albert; Salas-Salvado, Jordi; Alfredo Martinez, J; Alfredo Martinez, J; Romaguera, Dora; Monino, Manuel; Morey, Margarita; Pereira, Veronica; Angeles Martin, Maria; Yanez, Aina; Llobera, Joan; Ripoll, Joana; Prieto, Rafael; Grases, Felix; Costa, Antonia; Fernandez-Palomeque, Carlos; Fortuny, Elena; Noris, Marta; Munuera, Susana; Tomas, Francisco; Fiol, Francisca; Jover, Antoni; Ma Janer, Juana; Vallespir, Catalina; Mattei, Isabel; Feuerbach, Natalia; del Mar Sureda, Maria; Vega, Silvia; Quintana, Lourdes; Fiol, Aina; Amador, Miriam; Gonzalez, Susana; Coll, Joan; Moya, Ana; Dolores Sanmartin, Teresa Pique y Maria; Pena, Cristina; Cantero, Irene; Cristobo, Carmen; Ibero-Baraibar, Idoia; Agreda Martinez, Javier; Lezaun Burgui, Ma Dolores; Goni Ruiz, Nuria; Bartolome Resano, Rafael; Cano Caceres, Eugenia; Elcarte Lopez, Teresa; Echarte Osacain, Elena; Perez Sanz, Beatriz; Blanco Platero, Itziar; Andueza Azcarate, Simón Antonio; Gimeno Aznar, Alvaro; Ursua Sesma, Eugenia; Ojeda Bilbao, Benito; Martinez Jarauta, Javier; Ugalde Sarasa, Lourdes; Ripodas Echarte, Blanca; Gueto Rubio, Ma Victoria; Diaz-Lopez, Andres; Pedret Llaberia, Roser; Gonzalez, Rosi; Sagarra Alamo, Ramon; Paris Palleja, Fransec; Balsells, Josep; Roca, Josep M; Roca, Josep M; Basora Gallisa, Teresa; Vizcaino, Jesus; Llobet Alpizarte, Pilar; Anguera Perpina, Carmen; Llaurado Vernet, Montse; Caballerom, Carmen; Garcia Barco, Maite; Moran Martinez, Maria Dolores; Garcia Rossello, Josep; Del Pozo, Albert; Poblet Calaf, Carmina; Arcelin Zabal, Pierre; Floresvi, Xavier; Ciutat Benet, Marta; Palau Galindo, Antonio; Cabre Vila, Josep J; Cabre Vila, Josep J; Dolz Andres, Fernando; Soler, Marc; Gracia Vidal, Mayte; Maritxell Ricard, J Vilalta Juan Boj Casajuana; Maritxell Ricard, J Vilalta Juan Boj Casajuana; Saiz, F; Saiz, F; Isach, Anna; Marin Martinez, M Sanchez; Marin Martinez, M Sanchez; Granado Font, Esther; Lucena Luque, Carmen; Bullo, Monica; Becerra-Tomas, Nerea; Mestres, Gloria; Basora, Josep; Mena-Sanchez, Guilermo; Barrubes Pinol, Laura; Gil Segura, Marta; Papandreou, Christopher; Chig, Samira; Abellan Cano, I; Abellan Cano, I; Ruiz Garcia, Veronica; Salas-Huetos, Albert; Paz, Indira; Sanchez Niembro, Laura; Hernandez, Pablo; Camacho-Barcia, Lucia; Garcia-Gavilan, Jesus; Martinez-Gonzalez, Miguel A; Martinez-Gonzalez, Miguel A; Ruiz-Canela, Miguel; Razquin, Cristina; Bes-Rastrollo, Maira; Sanchez Tainta, Ana; SanJulian Aranguren, Beatriz; Goni, Estibaliz; Barrientos, Irene; Canales, Maria; Rico, Anais; Basterra Gortari, Javier; Garcia Arellano, Ana; Diez-Espino, Javier; Lecea Juarez, Oscar; Cenoz Osinaga, Juan Carlos; Bartolome Resano, Javier; Sola-Larraza, Ana; Lozano-Oloriz, Elisa; Cano-Valles, Begona; Eguaras, Sonia; Pascual Roquet-Jalmar, Elena; Galilea-Zabalza, Inigo; Lancova, Hana; Ramallal, Raul; Luisa Garcia-Perez, Ma; Estremera-Urabayen, Vicente; Jose Ariz-Arnedo, Ma; Hijos-Larraz, Carmen; Fernandez Alfaro, Cristina; Villanueva Moreno, Ramon; Martin-Almendros, Sonia; Barandiaran-Bengoetxea, Luisa; Fuertes-Goni, Carmen; Lezaun-Indurain, Ana; Jose Guruchaga-Arcelus, Ma; Olmedo-Cruz, Oscar; Inigo-Martinez, Begona; Escriche-Erviti, Luis; Ansorena-Ros, Roberto; Sanmatin Zabaleta, Rosario; Apalategi-Lasa, Jon; Villanueva-Telleria, Jerusalen; Mar Hernandez-Espinosa, Ma; Arroyo-Bergera, Isabel; Herrera-Valdez, Lissy; Dorronsoro-Dorronsoro, Lourdes; Mestre Reina, Carla; Martinez de la Victoria, Emilio Ortega; Vinagre Torres, Irene; Viaplana Masclans, Judit; Pla Puig, Jose Ignacio; Tania-Marisa; Freitas-Simoes; Domenech, M; Domenech, M; Sierra, C; Sierra, C; Camafort, M; Camafort, M; Fontana, Gabriel; Castro, S; Castro, S; Sadurni, M; Sadurni, M; Vinas, C; Vinas, C; Villanueva, P; Villanueva, P; Soriano, R; Soriano, R; de la Poza, M; de la Poza, M; Cots, J M; Cots, J M; Llovet, J M; Llovet, J M; Carbonell, C; Carbonell, C; Garcia, Y; Garcia, Y; Altirriba, J; Altirriba, J; Aragunde, V; Aragunde, V; Fernandez Villa, Tania; de Abajo Olea, Serafín; Escobar Fernandez, Miguel; Fernandez Vazquez, Jose Pedro; Lopez de la Iglesia, Jaime; Lopez Gil, Juan Ignacio; Carriedo Ule, Elena; Rodriguez Bul, Manuel; Adlbi Sibai, Abdurrahman; Garcia Hernandez, Alberto
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Affiliations

Balearic Islands Health Research Institute (IdISBa), University Hospital Son Espases, Palma de Mallorca, Spain - Author
CIBER Diabetes and Metabolic Diseases (CIBERdem), Health Institute Carlos III (ISCIII), Madrid, Spain - Author
CIBER Pathophysiology of Obesity and Nutrition (CIBEROBN), Health Institute Carlos III (ISCIII), Madrid, Spain - Author
Department of Endocrinology, IDIBAPS, Hospital Clinic, University of Barcelona, Barcelona, Spain - Author
Department of Internal Medicine, IDIBAPS, Hospital Clinic, University of Barcelona, Barcelona, Spain - Author
Department of Nutrition, Food Sciences and Physiology, Center for Nutrition Research, University of Navarra (UNAV), Pamplona, Spain - Author
Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain - Author
Division of Preventive Medicine, University of León, León, Spain - Author
Gerencia Atenc Primaria Sacyl, Leon, Spain - Author
Hlth Inst Carlos III ISCIII, CIBER Diabet & Metab Dis CIBERdem, Madrid, Spain - Author
Hlth Inst Carlos III ISCIII, CIBER Pathophysiol Obes & Nutr CIBEROBN, Madrid, Spain - Author
Hlth Serv Navarra Osasunbidea, Primary Care, Pamplona, Spain - Author
Hosp Clin Barcelona, Dept Endocrinol & Nutr, Barcelona, Spain - Author
Hosp Son Espases HUSE, Palma De Mallorca, Spain - Author
Human Nutrition Unit, University Hospital of Sant Joan de Reus, Department of Biochemistry and Biotechnology, Pere Virgili Institute for Health Research, Rovira i Virgili University, Reus, Spain - Author
Inst Biomed Res August Pi & Sunyer IDIBAPS, Barcelona, Spain - Author
Inst Invest Sanitaria Illes Balea IdISBa, Palma De Mallorca, Spain - Author
Institute for Biomedical Research August Pi i Sunyer (IDIBAPS), Barcelona, Spain - Author
Lipids and Cardiovascular Epidemiology Research Unit, Municipal Institute of Medical Research (IMIM), Barcelona, Spain - Author
Madrid Inst Adv Studies IMDEA, Food Inst, Madrid, Spain - Author
Madrid Institute for Advanced Studies (IMDEA) Food Institute, Madrid, Spain - Author
Municipal Inst Med Res IMIM, Lipids & Cardiovasc Epidemiol Res Unit, Barcelona, Spain - Author
Primary Care, Health Service of Navarra-Osasunbidea, Pamplona, Spain - Author
Rovira & Virgili Univ, Human Nutr Unit, Univ Hosp St Joan de Reus, Dept Biochem & Biotechnol,Pere Virgili Inst Hlth, Reus, Spain - Author
Univ Barcelona, Hosp Clin, IDIBAPS, Dept Endocrinol, Barcelona, Spain - Author
Univ Barcelona, Hosp Clin, IDIBAPS, Dept Internal Med, Barcelona, Spain - Author
Univ Barcelona, IDIBAPS August Pi & Sunyer Biomed Res Inst, Hosp Clin, Dept Internal Med,Biomed Res Inst, Barcelona, Spain - Author
Univ Hosp Son Espases, Balearic Isl Hlth Res Inst IdISBa, Palma De Mallorca, Spain - Author
Univ Leon, Div Prevent Med, Leon, Spain - Author
Univ Leon, Grp Invest Interacc Gen Ambiente & Salud, Leon, Spain - Author
Univ Navarra UNAV, Ctr Nutr Res, Dept Nutr Food Sci & Physiol, Pamplona, Spain - Author
Univ Navarra, Dept Nutr Food Sci & Physiol, Ctr Nutr Res, Pamplona, Spain - Author
Univ Navarra, Dept Prevent Med & Publ Hlth, Navarra Inst Hlth Res, Pamplona, Spain - Author
Univ Navarra, Dept Prevent Med & Publ Hlth, Pamplona, Spain - Author
Univ Navarra, Dept Prevent Med & Publ Hlth, Primary Care Ctr, Pamplona, Spain - Author
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Abstract

Visceral adipose tissue (VAT) is a strong predictor of cardiometabolic health, and lifestyle factors may have a positive influence on VAT depot. This study aimed to assess the cross-sectional associations between baseline levels of physical activity (PA), sedentary behaviours (SB) and adherence to the Mediterranean diet (MedDiet) with VAT depot in older individuals with overweight/obesity and metabolic syndrome.Baseline data of the PREDIMED-Plus study including a sample of 1,231 Caucasian men and women aged 55-75 years were used. Levels of leisure-time PA (total, light, and moderate-to-vigorous, in METs·min/day) and SB (total and TV-viewing, in h/day) were evaluated using validated questionnaires. Adherence to the MedDiet was evaluated using a 17-item energy-restricted MedDiet (erMedDiet) screener. The chair-stand test was used to estimate the muscle strength. VAT depot was assessed with DXA-CoreScan. Multivariable adjusted linear regression models were used to evaluate the association between lifestyle factors and VAT. For the statistics we had used multiadjusted linear regression models.Total leisure-time PA (100 METs·min/day: β -24.3g, -36.7;-11.9g), moderate-to-vigorous PA (β -27.8g, 95% CI -40.8;-14.8g), chair-stand test (repeat: β -11.5g, 95% CI -20.1;-2.93g) were inversely associated, and total SB (h/day: β 38.2g, 95% CI 14.7;61.7) positively associated with VAT. Light PA, TV-viewing time and adherence to an erMedDiet were not significantly associated with VAT.In older adults with overweigh/obesity and metabolic syndrome, greater PA, muscle strength, and lower total SB were associated with less VAT depot. In this study, adherence to an erMedDiet was not associated with lower VAT.
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Keywords

abdominal fatadherenceaerobic exerciseassociationobesityoverweightphysical-activitysedentary timewomenAdipose tissuesDiabetesDiabetisMediterranean dietObesitatObesityTeixit adipós

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal PLoS One due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2019, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Multidisciplinary. Notably, the journal is positioned above the 90th percentile.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2026-04-27:

  • WoS: 17
  • Scopus: 21
  • Europe PMC: 8
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Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2026-04-27:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 193.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 193 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 11.
  • The number of mentions on the social network X (formerly Twitter): 14 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
  • Assignment of a Handle/URN as an identifier within the deposit in the Institutional Repository: http://hdl.handle.net/2445/149230
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Awards linked to the item

This work was supported by the official Spanish Institutions for funding scientific biomedical research, CIBER Fisiopatologia de la Obesidad y Nutricion (CIBERobn) and Instituto de Salud Carlos III (ISCIII), through the Fondo de Investigacion para la Salud (FIS), which is co-funded by the European Regional Development Fund (four coordinated FIS projects leaded by J.S.-S. and J.Vi., including the following projects: PI13/00462, PI13/01090, PI13/02184, PI14/00853, PI14/00728, PI14/01919, PI16/00501, PI16/00381, PI16/01522, PI17/00525, PI17/00532, PI17/00215, PI17/00926 and the Especial Action Project entitled: Implementacion y evaluacion de una intervencion intensiva sobre la actividad fisica Cohorte PREDIMED-Plus [J.S.-S.]; the European Research Council (Advanced Research Grant 2013-2018; grant number 340918); the Recercaixa (grant number 2013ACUP00194) [J.S.-S.]; the SEMERGEN grant; International Nut & Dried Fruit Council -FESNAD (Long-term effects of an energy-restricted Mediterranean diet on mortality and cardiovascular disease 2014 -2015, No. 201302) [Miguel A. Martinez-Gonzalez]; the AstraZeneca Young Investigators Award in Category of Obesity and T2D 2017 [D.R.]; Juan de la Cierva-formacion research grant (FJCI-2015-24058) of the Spanish Ministry of Economy, Industry and Competitiveness [J.K.]. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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