Gender differences in adherence and retention in Mediterranean diet interventions with a weight‐loss outcome: A systematic review and meta‐analysis

Summary Background The Mediterranean diet has been shown to be effective in improving health outcomes and for weight loss. Adherence and retention in dietary interventions are critical to ensure the benefits of the exposure. No studies to date have assessed the role of gender in understanding partic...

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Published in:Obesity reviews Vol. 25; no. 12; pp. e13824 - n/a
Main Authors: Rose, Laekin, Wood, Amelia, Gill, Timothy
Format: Journal Article
Language:English
Published: England Wiley Subscription Services, Inc 01-12-2024
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Abstract Summary Background The Mediterranean diet has been shown to be effective in improving health outcomes and for weight loss. Adherence and retention in dietary interventions are critical to ensure the benefits of the exposure. No studies to date have assessed the role of gender in understanding participants who remain engaged and adhere to Mediterranean diet interventions. Aims This study aimed to explore gender differences in recruitment, adherence, and retention for Mediterranean diet interventions and whether these were associated with differences in weight‐loss outcomes. Methods A systematic search was completed in EMBASE, Medline, Cochrane, and clinicaltrials.gov from inception to March 2023. A meta‐analysis of studies reporting retention by gender was completed using odds ratios comparing female to male dropout numbers. A second meta‐analysis was completed for adherence comparing standardized mean difference of Mediterranean diet scores stratified by gender. Newcastle Ottawa score was used to assess risk of bias. Results A total of 70 articles were included in the systematic review with six articles included in the adherence meta‐analysis and nine in the dropout meta‐analysis. No statistically significant difference was shown for adherence or retention by gender. Weight‐loss outcomes were inconsistent. Conclusions The results of the study suggest a higher adherence and lower dropout for women although these results were not statistically significant. Future studies of Mediterranean diet interventions should include adherence, retention, and weight‐loss data stratified by gender to allow further investigation of this relationship.
AbstractList BackgroundThe Mediterranean diet has been shown to be effective in improving health outcomes and for weight loss. Adherence and retention in dietary interventions are critical to ensure the benefits of the exposure. No studies to date have assessed the role of gender in understanding participants who remain engaged and adhere to Mediterranean diet interventions.AimsThis study aimed to explore gender differences in recruitment, adherence, and retention for Mediterranean diet interventions and whether these were associated with differences in weight‐loss outcomes.MethodsA systematic search was completed in EMBASE, Medline, Cochrane, and clinicaltrials.gov from inception to March 2023. A meta‐analysis of studies reporting retention by gender was completed using odds ratios comparing female to male dropout numbers. A second meta‐analysis was completed for adherence comparing standardized mean difference of Mediterranean diet scores stratified by gender. Newcastle Ottawa score was used to assess risk of bias.ResultsA total of 70 articles were included in the systematic review with six articles included in the adherence meta‐analysis and nine in the dropout meta‐analysis. No statistically significant difference was shown for adherence or retention by gender. Weight‐loss outcomes were inconsistent.ConclusionsThe results of the study suggest a higher adherence and lower dropout for women although these results were not statistically significant. Future studies of Mediterranean diet interventions should include adherence, retention, and weight‐loss data stratified by gender to allow further investigation of this relationship.
Summary Background The Mediterranean diet has been shown to be effective in improving health outcomes and for weight loss. Adherence and retention in dietary interventions are critical to ensure the benefits of the exposure. No studies to date have assessed the role of gender in understanding participants who remain engaged and adhere to Mediterranean diet interventions. Aims This study aimed to explore gender differences in recruitment, adherence, and retention for Mediterranean diet interventions and whether these were associated with differences in weight‐loss outcomes. Methods A systematic search was completed in EMBASE, Medline, Cochrane, and clinicaltrials.gov from inception to March 2023. A meta‐analysis of studies reporting retention by gender was completed using odds ratios comparing female to male dropout numbers. A second meta‐analysis was completed for adherence comparing standardized mean difference of Mediterranean diet scores stratified by gender. Newcastle Ottawa score was used to assess risk of bias. Results A total of 70 articles were included in the systematic review with six articles included in the adherence meta‐analysis and nine in the dropout meta‐analysis. No statistically significant difference was shown for adherence or retention by gender. Weight‐loss outcomes were inconsistent. Conclusions The results of the study suggest a higher adherence and lower dropout for women although these results were not statistically significant. Future studies of Mediterranean diet interventions should include adherence, retention, and weight‐loss data stratified by gender to allow further investigation of this relationship.
Summary Background The Mediterranean diet has been shown to be effective in improving health outcomes and for weight loss. Adherence and retention in dietary interventions are critical to ensure the benefits of the exposure. No studies to date have assessed the role of gender in understanding participants who remain engaged and adhere to Mediterranean diet interventions. Aims This study aimed to explore gender differences in recruitment, adherence, and retention for Mediterranean diet interventions and whether these were associated with differences in weight‐loss outcomes. Methods A systematic search was completed in EMBASE, Medline, Cochrane, and clinicaltrials.gov from inception to March 2023. A meta‐analysis of studies reporting retention by gender was completed using odds ratios comparing female to male dropout numbers. A second meta‐analysis was completed for adherence comparing standardized mean difference of Mediterranean diet scores stratified by gender. Newcastle Ottawa score was used to assess risk of bias. Results A total of 70 articles were included in the systematic review with six articles included in the adherence meta‐analysis and nine in the dropout meta‐analysis. No statistically significant difference was shown for adherence or retention by gender. Weight‐loss outcomes were inconsistent. Conclusions The results of the study suggest a higher adherence and lower dropout for women although these results were not statistically significant. Future studies of Mediterranean diet interventions should include adherence, retention, and weight‐loss data stratified by gender to allow further investigation of this relationship.
The Mediterranean diet has been shown to be effective in improving health outcomes and for weight loss. Adherence and retention in dietary interventions are critical to ensure the benefits of the exposure. No studies to date have assessed the role of gender in understanding participants who remain engaged and adhere to Mediterranean diet interventions. This study aimed to explore gender differences in recruitment, adherence, and retention for Mediterranean diet interventions and whether these were associated with differences in weight-loss outcomes. A systematic search was completed in EMBASE, Medline, Cochrane, and clinicaltrials.gov from inception to March 2023. A meta-analysis of studies reporting retention by gender was completed using odds ratios comparing female to male dropout numbers. A second meta-analysis was completed for adherence comparing standardized mean difference of Mediterranean diet scores stratified by gender. Newcastle Ottawa score was used to assess risk of bias. A total of 70 articles were included in the systematic review with six articles included in the adherence meta-analysis and nine in the dropout meta-analysis. No statistically significant difference was shown for adherence or retention by gender. Weight-loss outcomes were inconsistent. The results of the study suggest a higher adherence and lower dropout for women although these results were not statistically significant. Future studies of Mediterranean diet interventions should include adherence, retention, and weight-loss data stratified by gender to allow further investigation of this relationship.
The Mediterranean diet has been shown to be effective in improving health outcomes and for weight loss. Adherence and retention in dietary interventions are critical to ensure the benefits of the exposure. No studies to date have assessed the role of gender in understanding participants who remain engaged and adhere to Mediterranean diet interventions.BACKGROUNDThe Mediterranean diet has been shown to be effective in improving health outcomes and for weight loss. Adherence and retention in dietary interventions are critical to ensure the benefits of the exposure. No studies to date have assessed the role of gender in understanding participants who remain engaged and adhere to Mediterranean diet interventions.This study aimed to explore gender differences in recruitment, adherence, and retention for Mediterranean diet interventions and whether these were associated with differences in weight-loss outcomes.AIMSThis study aimed to explore gender differences in recruitment, adherence, and retention for Mediterranean diet interventions and whether these were associated with differences in weight-loss outcomes.A systematic search was completed in EMBASE, Medline, Cochrane, and clinicaltrials.gov from inception to March 2023. A meta-analysis of studies reporting retention by gender was completed using odds ratios comparing female to male dropout numbers. A second meta-analysis was completed for adherence comparing standardized mean difference of Mediterranean diet scores stratified by gender. Newcastle Ottawa score was used to assess risk of bias.METHODSA systematic search was completed in EMBASE, Medline, Cochrane, and clinicaltrials.gov from inception to March 2023. A meta-analysis of studies reporting retention by gender was completed using odds ratios comparing female to male dropout numbers. A second meta-analysis was completed for adherence comparing standardized mean difference of Mediterranean diet scores stratified by gender. Newcastle Ottawa score was used to assess risk of bias.A total of 70 articles were included in the systematic review with six articles included in the adherence meta-analysis and nine in the dropout meta-analysis. No statistically significant difference was shown for adherence or retention by gender. Weight-loss outcomes were inconsistent.RESULTSA total of 70 articles were included in the systematic review with six articles included in the adherence meta-analysis and nine in the dropout meta-analysis. No statistically significant difference was shown for adherence or retention by gender. Weight-loss outcomes were inconsistent.The results of the study suggest a higher adherence and lower dropout for women although these results were not statistically significant. Future studies of Mediterranean diet interventions should include adherence, retention, and weight-loss data stratified by gender to allow further investigation of this relationship.CONCLUSIONSThe results of the study suggest a higher adherence and lower dropout for women although these results were not statistically significant. Future studies of Mediterranean diet interventions should include adherence, retention, and weight-loss data stratified by gender to allow further investigation of this relationship.
Author Rose, Laekin
Wood, Amelia
Gill, Timothy
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  surname: Gill
  fullname: Gill, Timothy
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  organization: University of Sydney
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Copyright 2024 The Author(s). published by John Wiley & Sons Ltd on behalf of World Obesity Federation.
2024 The Author(s). Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation.
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Issue 12
Keywords meta‐analysis
gender
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Mediterranean diet
adherence
retention
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Snippet Summary Background The Mediterranean diet has been shown to be effective in improving health outcomes and for weight loss. Adherence and retention in dietary...
The Mediterranean diet has been shown to be effective in improving health outcomes and for weight loss. Adherence and retention in dietary interventions are...
Summary Background The Mediterranean diet has been shown to be effective in improving health outcomes and for weight loss. Adherence and retention in dietary...
BackgroundThe Mediterranean diet has been shown to be effective in improving health outcomes and for weight loss. Adherence and retention in dietary...
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SubjectTerms adherence
Body weight loss
Diet
Gender
Gender aspects
Gender differences
Mediterranean diet
Meta-analysis
Retention
Risk assessment
Sex differences
Statistical analysis
Systematic review
Weight loss
Title Gender differences in adherence and retention in Mediterranean diet interventions with a weight‐loss outcome: A systematic review and meta‐analysis
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fobr.13824
https://www.ncbi.nlm.nih.gov/pubmed/39228092
https://www.proquest.com/docview/3127418640
https://www.proquest.com/docview/3100561628
Volume 25
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