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dc.contributor.authorBizzozero-Peroni, Bruno
dc.contributor.authorBrazo-Sayavera, Javier
dc.contributor.authorMartínez-Vizcaíno, Vicente
dc.contributor.authorFernández-Rodríguez, Rubén
dc.contributor.authorLópez-Gil, José F
dc.contributor.authorDíaz-Goñi, Valentina
dc.contributor.authorCavero-Redondo, Iván
dc.contributor.authorMesas, Arthur E
dc.date.accessioned2024-04-10T06:15:36Z
dc.date.available2024-04-10T06:15:36Z
dc.date.issued2022
dc.identifier10.1093/advances/nmac104
dc.identifier.issn21618313
dc.identifier.urihttps://hdl.handle.net/20.500.12728/10936
dc.description.abstractAlthough prior research has synthesized the relationships between the Mediterranean diet (MD) and components of physical fitness (PF) in adults, they are limited and inconclusive. This study aimed to synthesize the associations between high (compared with low) MD adherence and PF levels with each of its components (cardiorespiratory, motor, and musculoskeletal) in adulthood. We conducted a systematic search in 5 databases from inception to January 2022. Observational studies and randomized controlled trials were included. Pooled odds ratios (ORs) and effect sizes (Cohen d index) with their 95% CIs were calculated via a random effects model. A total of 30 studies were included (19 cross-sectional in young, middle-aged, and older adults; 10 prospective cohort in older adults; and 1 randomized controlled trial in young adults) involving 36,807 individuals (mean age range: 20.9–86.3 y). Pooled effect sizes showed a significant cross-sectional association between higher MD adherence scores (as a continuous variable) and overall PF (d = 0.45; 95% CI: 0.14, 0.75; I2 = 91.0%, n = 6). The pooled ORs from cross-sectional data showed that high adherence to MD was associated with higher cardiorespiratory fitness (OR: 2.26; 95% CI: 2.06, 2.47; I2 = 0%, n = 4), musculoskeletal fitness (OR: 1.26; 95% CI: 1.05, 1.47; I2 = 61.4%, n = 13), and overall PF (OR: 1.44; 95% CI: 1.20, 1.68; I2 = 83.2%, n = 17) than low adherence to MD (reference category: 1). Pooled ORs from prospective cohort studies (3- to 12-y follow-up) showed that high adherence to MD was associated with higher musculoskeletal fitness (OR: 1.20; 95% CI: 1.01, 1.38; I2 = 0%, n = 4) and overall PF (OR: 1.14; 95% CI: 1.02, 1.26; I2 = 9.7%, n = 7) than low adherence to MD (reference category: 1). Conversely, no significant association was observed between MD and motor fitness. High adherence to MD was associated with higher PF levels, a crucial marker of health status throughout adulthood. This trial was registered at PROSPERO as CRD42022308259. © 2022 The Author(s) 2022. Published by Oxford University Press on behalf of the American Society for Nutrition.es_ES
dc.description.sponsorshipAgencia Nacional de Investigación e Innovación, ANII, (POS_EXT_2020_20_1_165371); Ministerio de Educación, Cultura y Deporte, MECD, (BEAGAL18/00093, FPU 19/00167); European Social Fund, ESF, (2020-PREDUCLM-16746); Universidad de Castilla-La Mancha, UCLMes_ES
dc.language.isoenes_ES
dc.publisherElsevier B.V.es_ES
dc.subjectadulthoodes_ES
dc.subjectaerobic capacityes_ES
dc.subjecthealthy dietes_ES
dc.subjectMediterranean diet adherencees_ES
dc.subjectMediterranean foodses_ES
dc.subjectmotor skillses_ES
dc.subjectmuscular strengthes_ES
dc.titleHigh Adherence to the Mediterranean Diet is Associated with Higher Physical Fitness in Adults: a Systematic Review and Meta-Analysises_ES
dc.typeArticlees_ES


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