Energy-reduced Mediterranean diet plus physical activity

Energy-reduced Mediterranean diet plus physical activity has been studied in 1 paper since 2025: 1 trial in people. The newest paper, Apr 1, 2025: “Mediterranean Diet, Physical Activity, and Bone Health in Older Adults: A Secondary Analysis of a Randomized Clinical Trial”.

Intervention

1 paper studies it5 findingsUpdated

See all 1 papers on energy-reduced Mediterranean diet plus physical activity

At a glance

The findings reach people, from one lab or study. 1 lab in 1 country.

“Significant differences in mean changes between groups were observed, with an overall 3-year intervention increase in the intervention group (n = 460) compared with the control group (n = 464) in lumbar spine (L1-L4) BMD”
Mediterranean Diet, Physical Activity, and Bone Health in Older Adults: A Secondary Analysis of a Randomized Clinical TrialJAMA network open2025doi:10.1001/jamanetworkopen.2025.3710

None of its findings points the other way.

Humans: a single group. Cells, worms or flies and mice: nothing yet.
  • 1 lab in 1 country
  • Funders: Agència de Gestió d'Ajuts Universitaris i de Recerca and others
  • 5 of 5 findings with company ties
  • Human trial1

Studies in people

1 study gave energy-reduced Mediterranean diet plus physical activity to people and measured what changed.

What changedDesignPeopleSource

up: Increases lumbar spine bone mineral density

no change: Has no effect on osteopenia

down: Decreases body weight–2.2 kg [95% CI, –2.7 to –1.6 kg] after 3 years

Randomized trial3 years924 people454 women (49.1%) and 470 men (50.9%)mean (SD) 65.1 (5.0) yearsCommunity-dwelling adults (aged 55-75 years) with overweight or obesity who met at least 3 criteria for metabolic syndromeJAMA network open, Apr 1, 2025

What did studies of energy-reduced Mediterranean diet plus physical activity find?

4

Studies of energy-reduced Mediterranean diet plus physical activity measured 4 outcomes; the most studied are lumbar spine bone mineral density (1 study), body weight (1) and osteopenia (1).

Lumbar spine bone mineral density

upin humans1

1 study
  1. Energy-reduced Mediterranean diet plus physical activity increases lumbar spine bone mineral density in humans.

    “An overall 3-year intervention increase was observed for the intervention group compared with the control group for lumbar spine (L1-L4) BMD in the overall population”

    Human triallumbar spine3 yearsn = 924

    Mediterranean Diet, Physical Activity, and Bone Health in Older Adults: A Secondary Analysis of a Randomized Clinical Trial

    JAMA network open

  2. Energy-reduced Mediterranean diet plus physical activity increases lumbar spine bone mineral density in humans (metabolic syndrome and overweight or obesity) (0.9 (95% CI, 0.1-1.8) g/cm2 after 3 years; overall P = .05).

    “Significant differences in mean changes between groups were observed, with an overall 3-year intervention increase in the intervention group (n = 460) compared with the control group (n = 464) in lumbar spine (L1-L4) BMD”

    Human trialmetabolic syndrome and overweight or obesityenergy-reduced Mediterranean diet and increased physical activity3 yearsn = 924

    Mediterranean Diet, Physical Activity, and Bone Health in Older Adults: A Secondary Analysis of a Randomized Clinical Trial

    JAMA network open

More on Lumbar spine bone mineral density

Body weight

downin humans1

1 study
  1. Energy-reduced Mediterranean diet plus physical activity decreases body weight in humans (–2.2 kg [95% CI, –2.7 to –1.6 kg] after 3 years).

    “Overall 3-year differences in changes in total body weight between groups were significant”

    Human trial3 yearsn = 924

    Mediterranean Diet, Physical Activity, and Bone Health in Older Adults: A Secondary Analysis of a Randomized Clinical Trial

    JAMA network open

Osteopenia

no changein humans1

1 study
  1. Energy-reduced Mediterranean diet plus physical activity showed no clear effect on osteopenia in humans.

    “Moreover, no overall intervention group effect on low BMD prevalence was shown over 3 years of follow-up ( and eTable 4 in ).”

    Human trial3 yearsn = 924

    Mediterranean Diet, Physical Activity, and Bone Health in Older Adults: A Secondary Analysis of a Randomized Clinical Trial

    JAMA network open

More on Osteopenia

Bone mineral content

no changein humans1

1 study
  1. Energy-reduced Mediterranean diet plus physical activity showed no clear effect on bone mineral content in humans (metabolic syndrome and overweight or obesity).

    “No overall 3-year intervention effect on total BMC and low BMD prevalence was observed.”

    Human trialmetabolic syndrome and overweight or obesityenergy-reduced Mediterranean diet and increased physical activity3 yearsn = 924

    Mediterranean Diet, Physical Activity, and Bone Health in Older Adults: A Secondary Analysis of a Randomized Clinical Trial

    JAMA network open

More on Bone mineral content

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