2026-08-29T09:17:24Zhttps://repisalud.isciii.es/rest/oai/request
oai:repisalud.isciii.es:20.500.12105/185002024-11-28T14:43:17Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16927
Repisalud author Cobos-Palacios, Lidia author Muñoz-Úbeda, Mónica author Ruiz-Moreno, Maria Isabel author Vilches-Perez, Alberto author Vargas-Candela, Antonio author Benítez-Porres, Javier author Navarro-Sanz, Ana author Lopez-Carmona, Maria Dolores author Pérez-Belmonte, Luis Miguel author Sanz-Canovas, Jaime author Gomez-Huelgas, Ricardo author Bernal-Lopez, Maria Rosa authoraffiliation [Cobos-Palacios,L; Muñoz-Úbeda,M; Ruiz-Moreno,MI; Vargas-Candela,A; Lopez-Carmona,MD; Pérez-Belmonte,LM; Sanz-Canovas,J; Gomez-Huelgas,R; Bernal-Lopez,MR] Internal Medicine Department, Instituto de Investigación Biomédica de Málaga (IBIMA), Regional University Hospital of Málaga, University of Málaga, Málaga, Spain. [Vilches-Perez,A] Endocrinology and Nutrition Department, Instituto de Investigación Biomédica de Málaga (IBIMA), Virgen de la Victoria University Hospital, Málaga, Spain. [Benítez-Porres,J] Physical Education and Sport Area, Faculty of Medicine, University of Málaga, Málaga, Spain. [Navarro-Sanz,A; Gomez-Huelgas,R; Bernal-Lopez,MR] Sports Area, Sport Medicine, Málaga City Hall, Málaga, Spain. 2024-02-19T15:31:58Z 2024-02-19T15:31:58Z 2021-11-13 10.3390/ijerph182211926 1660-4601 1661-7827 International Journal of Environmental Research and Public Health http://hdl.handle.net/10668/4237 34831680 http://hdl.handle.net/20.500.12105/18500 The SARS-CoV-2 pandemic led to lockdowns, which affected the elderly, a high-risk group. Lockdown may lead to weight gain due to increased food intake and reduced physical activity (PA). Our study aimed to analyze the impact of a 12-month lifestyle intervention on a metabolically healthy overweight/obese elderly (MHOe) population and how the lockdown by COVID-19 affected this program. Methods: MHOe participants (65-87 years) were recruited to participate in a lifestyle modification intervention based on the Mediterranean diet (MedDiet) and regular PA. Participants were classified into two groups: young-old (<75 years) or old-old (≥75 years). Anthropometric and clinical characteristics, energy intake, and energy expenditure were analyzed at baseline and after 12 months of intervention. Results: The final sample included 158 MHOe participants of both sexes (age: 72.21 ± 5.04 years, BMI: 31.56 ± 3.82 kg/m2): 109 young-old (age: 69.26 ± 2.83 years, BMI: 32.0 ± 3.85 kg/m2) and 49 old-old (age: 78.06 ± 2.88 years, BMI: 30.67 ± 3.64 kg/m2). After 12 months of intervention and despite lockdown, the young-old group increased MedDiet adherence (+1 point), but both groups drastically decreased daily PA, especially old-old participants. Fat mass significantly declined in the total population and the young-old. Depression significantly increased (26.9% vs. 21.0%, p < 0.0001), especially in the old-old (36.7% vs. 22.0%, p < 0.0001). No significant changes were found in the glycemic or lipid profile. Conclusions: This study indicates that ongoing MedDiet intake and regular PA can be considered preventative treatment for metabolic diseases in MHOe subjects. However, mental health worsened during the study and should be addressed in elderly individuals. eng SARS-CoV-2 Metabolically healthy obesity Elderly population Young-old Old-old Overweight Depression Pandemic Mediterranean diet COVID-19 Obesidad metabólica benigna Anciano de 80 o más años Sobrepeso Depresión Pandemias Dieta mediterránea Lifestyle Modification Program on a Metabolically Healthy Elderly Population with Overweight/Obesity, Young-Old vs. Old-Old. CONSEQUENCES of COVID-19 Lockdown in This Program research article