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                  <mods:namePart>Martínez, J Alfredo</mods:namePart>
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                  <mods:namePart>Daimiel, Lidia</mods:namePart>
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                  <mods:dateAccessioned encoding="iso8601">2024-02-27T15:08:51Z</mods:dateAccessioned>
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                  <mods:dateIssued encoding="iso8601">2022-06-29</mods:dateIssued>
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               <mods:identifier type="citation">Martínez-Urbistondo D, San Cristóbal R, Villares P, Martínez-González MÁ, Babio N, Corella D, et al. Role of NAFLD on the Health Related QoL Response to Lifestyle in Patients With Metabolic Syndrome: The PREDIMED Plus Cohort. Front Endocrinol (Lausanne). 2022 Jun 29;13.</mods:identifier>
               <mods:identifier type="issn">1664-2392</mods:identifier>
               <mods:identifier type="other">http://hdl.handle.net/10668/20564http://hdl.handle.net/20.500.13003/18128</mods:identifier>
               <mods:identifier type="uri">http://hdl.handle.net/20.500.12105/18690</mods:identifier>
               <mods:identifier type="pubmedID">35846291</mods:identifier>
               <mods:identifier type="doi">10.3389/fendo.2022.868795</mods:identifier>
               <mods:identifier type="journal">Frontiers in endocrinology</mods:identifier>
               <mods:identifier type="scopus">2-s2.0-85134176497</mods:identifier>
               <mods:identifier type="wos">835976900001</mods:identifier>
               <mods:identifier type="pui">L2018233028</mods:identifier>
               <mods:abstract>Objective: To evaluate the effect of Non-alcoholic fatty liver disease (NAFLD) status in the impact of lifestyle over Health-related quality of life (HRQoL) in patients with metabolic syndrome (MetS). Methods: Baseline and 1 year follow up data from the PREDIMED-plus cohort (men and women, 55-75 years old with overweight/obesity and MetS) were studied. Adherence to an energy-restricted Mediterranean Diet (er-MeDiet) and Physical Activity (PA) were assessed with a validated screeners. Hepatic steatosis index (HSI) was implemented to evaluate NAFLD while the SF-36 questionnaire provided HRQoL evaluation. Statistical analyses were performed to evaluate the influence of baseline NAFLD on HRQoL as affected by lifestyle during 1 year of follow up. Results: Data from 5205 patients with mean age of 65 years and a 48% of female participants. Adjusted linear multivariate mixed regression models showed that patients with lower probability of NAFLD (HSI &lt; 36 points) were more responsive to er-MeDiet (β 0.64 vs β 0.05 per er-MeDiet adherence point, p&lt; 0.01) and PA (β 0.05 vs β 0.01 per MET-h/week, p = 0.001) than those with high probability for NAFLD in terms Physical SF-36 summary in the 1 year follow up. 10 points of er-MeDiet adherence and 50 MET-h/week were thresholds for a beneficial effect of lifestyle on HRQoL physical domain in patients with lower probability of NAFLD. Conclusion: The evaluation of NAFLD by the HSI index in patients with MetS might identify subjects with different prospective sensitivity to lifestyle changes in terms of physical HRQoL (http://www.isrctn.com/ISRCTN89898870).</mods:abstract>
               <mods:language>
                  <mods:languageTerm authority="rfc3066">eng</mods:languageTerm>
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               <mods:accessCondition type="useAndReproduction"/>
               <mods:subject>
                  <mods:topic>HRQoL</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>NAFLD</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Mediterranean diet</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Metabolic syndrome</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Physical activity</mods:topic>
               </mods:subject>
               <mods:titleInfo>
                  <mods:title>Role of NAFLD on the Health Related QoL Response to Lifestyle in Patients With Metabolic Syndrome: The PREDIMED Plus Cohort</mods:title>
               </mods:titleInfo>
               <mods:genre>research article</mods:genre>
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