title: [Quality of the diet "before and during" a weight loss treatment based on Mediterranean Diet; behavioural therapy and nutritional education].
abstract: BACKGROUND
  The "Garaulet" Method (Mediterranean Diet, therapy of behavior and nutritional education), has shown to be effective in the treatment of the obesity.
  
  
  OBJECTIVE
  To evaluate and to compare the quality of the diets ingested before and during the treatment by means of Index-of-Feeding-Healthful (IAS) and its relationship with others variables.
  
  
  METHODS
  The sample was of 450 patients (383 women, 67 men), age 39.3 + 11.5 years and 31.2 + 5.3 of IMC. IAS of" before" and "during" treatment was calculated with a 24 h-recall previous to the treatment and a Seven-days-dietary-record questionnaire during treatment. The IAS consists of 10 variables that include cereal consumption, fruits, vegetables, dairy products and meats and other variables related to the nutritional guidelines for the Spanish population (SENC, 2004).
  
  
  RESULTS
  Habitual dietary habits of the patients were acceptable with an IAS of 67 9 ± 13. However, lipids (43.9 ± 8.4%) and saturated fats (67.4 ± 20.1%) intakes were higher than recommended, while monounsaturated fats were lower (27.8 ± 15.1%). The IAS varied with the BMI and was significantly lower among obese subjects (65.1 ± 11.6) as compared to overweight (69.2 ± 13.9) (P < 0.05). Diet during the treatment, significantly improved with an IAS of 91.4 ± 9.8). IAS of the women studied was better (92.3 ± 9.0) than the one of men (86.4 ± 11.8) (P < 0.05). Patients who reached the goal in weight loss acquired better values of IAS (92.1 ± 9.2) during the treatment that those that did not reach it (87.9 ± 11.7) (P < 0.05).
  
  
  CONCLUSIONS
  In this Spanish population, the diet studied, is useful to promote weight loss through the introduction of changes in dietary habits towards the reincorporation of the Mediterranean cultural tradition.
authors.affiliation: Departamento de Química Agrícola, Universidad Autónoma de Madrid, España.
authors.forename: Eva María
authors.initials: EM
authors.lastname: Morales-Falo
authors.forename: Carmen
authors.initials: C
authors.lastname: Sánchez-Moreno
authors.forename: Alberto
authors.initials: A
authors.lastname: Esteban
authors.forename: Juan José
authors.initials: JJ
authors.lastname: Alburquerque
authors.forename: Marta
authors.initials: M
authors.lastname: Garaulet
mesh_terms: D000328:Adult; D001521:Behavior Therapy; D004032:Diet; D038441:Diet, Mediterranean; D005260:Female; D006266:Health Education; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D044623:Nutrition Therapy; D012727:Sex Characteristics; D013030:Spain; D011795:Surveys and Questionnaires; D015431:Weight Loss / Q000502:physiology*