{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T16:23:34Z","timestamp":1789575814155,"version":"build-2803163510"},"reference-count":45,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100012514","name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red-Fisiopatolog\u00eda de la Obesidad y Nutrici\u00f3n","doi-asserted-by":"publisher","award":["CB12\/03\/30002"],"award-info":[{"award-number":["CB12\/03\/30002"]}],"id":[{"id":"10.13039\/501100012514","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012514","name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red-Fisiopatolog\u00eda de la Obesidad y Nutrici\u00f3n","doi-asserted-by":"publisher","award":["CB12\/03\/30038"],"award-info":[{"award-number":["CB12\/03\/30038"]}],"id":[{"id":"10.13039\/501100012514","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100017266","name":"Gobierno de Navarra","doi-asserted-by":"publisher","award":["61\/2015"],"award-info":[{"award-number":["61\/2015"]}],"id":[{"id":"10.13039\/501100017266","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100017266","name":"Gobierno de Navarra","doi-asserted-by":"publisher","award":["Obekit\u2010PT024"],"award-info":[{"award-number":["Obekit\u2010PT024"]}],"id":[{"id":"10.13039\/501100017266","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100017266","name":"Gobierno de Navarra","doi-asserted-by":"publisher","award":["Microbiota\u2010PI035"],"award-info":[{"award-number":["Microbiota\u2010PI035"]}],"id":[{"id":"10.13039\/501100017266","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008666","name":"Fundaci\u00f3 la Marat\u00f3 de TV3","doi-asserted-by":"publisher","award":["201630.10"],"award-info":[{"award-number":["201630.10"]}],"id":[{"id":"10.13039\/100008666","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014440","name":"Ministerio de Ciencia, Innovaci\u00f3n y Universidades","doi-asserted-by":"publisher","award":["FPU22\/01560"],"award-info":[{"award-number":["FPU22\/01560"]}],"id":[{"id":"10.13039\/100014440","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Obesity management relies on energy restriction, yet the contribution of dietary quality to weight\u2010loss and body composition outcomes during hypocaloric interventions remains poorly characterized. This study evaluated whether adherence to the Planetary Health Diet (PHD), as a measure of diet quality, and its key components is associated with weight loss and body composition during energy restriction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from 403 adults with overweight or obesity were analyzed at baseline and at 3, and 6\u2009months across two controlled dietary interventions prescribing a 30% energy deficit. PHD adherence was quantified using an energy\u2010adjusted score based on EAT\u2013Lancet dietary targets. Excellent weight loss was defined as \u2265\u200910% body weight reduction. Associations were assessed using mixed models, logistic regression, and mediation analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Higher PHD adherence was associated with lower BMI, waist circumference, and body fat percentage. Participants in the highest\u2010adherence quartile had lower BMI than those in the lowest\u2010adherence quartile (\u22120.94\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ; 95% CI: \u22121.62 to \u22120.31;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005). Each 10\u2010point increase in adherence increased odds of achieving \u2265\u200910% weight loss by 49% (OR\u2009=\u20091.49; 95% CI: 1.03\u20132.16). Red and processed meat reduction and higher whole\u2010grain intake mediated associations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Greater PHD adherence during energy restriction was associated with greater weight loss and improved body composition.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trail registration:<\/jats:bold>\n                      ClinicalTrials.gov identifiers NCT02737267 and NCT03183193\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/oby.70215","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T12:53:25Z","timestamp":1779281605000},"page":"1265-1276","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Planetary Health Diet Adherence Improves Weight and Body Composition During Energy Restriction"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6058-312X","authenticated-orcid":false,"given":"Paola","family":"Mogna\u2010Pel\u00e1ez","sequence":"first","affiliation":[{"name":"Department of Nutrition, Food Sciences and Physiology; Centre for Nutrition Research Institute for Nutrition and Health (INS); IdisNA, University of Navarra  Pamplona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naixin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Public Health, Section of Epidemiology and Novo Nordisk Foundation Center for Basic Metabolic Research University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Guasch\u2010Ferr\u00e9","sequence":"additional","affiliation":[{"name":"Department of Public Health, Section of Epidemiology and Novo Nordisk Foundation Center for Basic Metabolic Research University of Copenhagen  Copenhagen Denmark"},{"name":"Department of Nutrition Harvard T.H. Chan School of Public Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fermin I.","family":"Milagro","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Food Sciences and Physiology; Centre for Nutrition Research Institute for Nutrition and Health (INS); IdisNA, University of Navarra  Pamplona Spain"},{"name":"Biomedical Research Centre Network in Physiopathology of Obesity and Nutrition (CIBERobn) Instituto de Salud Carlos III  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 I.","family":"Riezu\u2010Boj","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Food Sciences and Physiology; Centre for Nutrition Research Institute for Nutrition and Health (INS); IdisNA, University of Navarra  Pamplona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 I.","family":"Herrero","sequence":"additional","affiliation":[{"name":"Liver Unit Cl\u00ednica Universidad de Navarra  Pamplona Spain"},{"name":"Biomedical Research Centre Network in Hepatic and Digestive Diseases (CIBERehd)  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1580-3629","authenticated-orcid":false,"given":"Mariana","family":"Elorz","sequence":"additional","affiliation":[{"name":"Department of Radiology Cl\u00ednica Universidad de Navarra, IdiSNA  Pamplona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Benito\u2010Boillos","sequence":"additional","affiliation":[{"name":"Department of Radiology Cl\u00ednica Universidad de Navarra, IdiSNA  Pamplona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Luz","family":"Tobaruela\u2010Resola","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Food Sciences and Physiology; Centre for Nutrition Research Institute for Nutrition and Health (INS); IdisNA, University of Navarra  Pamplona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amelia","family":"Marti Del Moral","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Food Sciences and Physiology; Centre for Nutrition Research Institute for Nutrition and Health (INS); IdisNA, University of Navarra  Pamplona Spain"},{"name":"Biomedical Research Centre Network in Physiopathology of Obesity and Nutrition (CIBERobn) Instituto de Salud Carlos III  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6940-0761","authenticated-orcid":false,"given":"Josep A.","family":"Tur","sequence":"additional","affiliation":[{"name":"Biomedical Research Centre Network in Physiopathology of Obesity and Nutrition (CIBERobn) Instituto de Salud Carlos III  Madrid Spain"},{"name":"Research Group on Community Nutrition and Oxidative Stress University of Balearic Islands\u2010IUNICS &amp; IDISBA  Palma Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Alfredo","family":"Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Biomedical Research Centre Network in Physiopathology of Obesity and Nutrition (CIBERobn) Instituto de Salud Carlos III  Madrid Spain"},{"name":"Precision Nutrition and Cardiovascular Health Program, IMDEA Food, CEI UAM + CSIC  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itziar","family":"Abete","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Food Sciences and Physiology; Centre for Nutrition Research Institute for Nutrition and Health (INS); IdisNA, University of Navarra  Pamplona Spain"},{"name":"Biomedical Research Centre Network in Physiopathology of Obesity and Nutrition (CIBERobn) Instituto de Salud Carlos III  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. \u00c1ngeles","family":"Zulet","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Food Sciences and Physiology; Centre for Nutrition Research Institute for Nutrition and Health (INS); IdisNA, University of Navarra  Pamplona Spain"},{"name":"Biomedical Research Centre Network in Physiopathology of Obesity and Nutrition (CIBERobn) Instituto de Salud Carlos III  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13679-015-0169-4"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-14504-0_157"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.obpill.2025.100175"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.22369"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/17446651.2021.1991310"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2021.09.018"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.118.010951"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13668-024-00550-y"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu16213585"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1172\/JCI140065"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31788-4"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajcnut.2024.03.019"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(25)01201-2"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2542-5196(24)00170-0"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2542-5196(24)00305-X"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajcnut.2025.06.013"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu13113691"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cdnut.2025.107468"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.29219\/fnr.v67.9107"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1155\/adph\/9615321"},{"key":"e_1_2_11_22_1","first-page":"3279","article-title":"Diet\u2010 and Sex\u2010Related Changes of Gut Microbiota Composition and Functional Profiles After 4 Months of Weight Loss Intervention","volume":"60","author":"Cuevas\u2010Sierra A.","year":"2021","journal-title":"European Journal of Nutrition"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2022.06.008"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-021-00904-4"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11102543"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/liv.14818"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2024.05.042"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114509993837"},{"key":"e_1_2_11_29_1","volume-title":"Tablas de Composicion de Alimentos","author":"Moreiras O.","year":"2009"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/liv.14818"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v067.i01"},{"key":"e_1_2_11_32_1","unstructured":"R. V.Lenth \u201cEmmeans: Estimated Marginal Means Aka Least\u2010Squares Means \u201dhttps:\/\/CRAN.R\u2010project.org\/package=emmeans."},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v059.i05"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2542-5196(24)00094-9"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-016-4153-y"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.23618"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12986\u2010024\u201000890\u20100"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/HCO.0000000000000960"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2011.570867"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12937\u2010018\u20100370\u2010x"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/20551029211055264"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1177\/13591053231225934"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.23944"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.23783"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2024.2426685"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.2196\/58735"}],"container-title":["Obesity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/oby.70215","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/oby.70215","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/oby.70215","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:03:10Z","timestamp":1782691390000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/oby.70215"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,20]]},"references-count":45,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/oby.70215"],"URL":"https:\/\/doi.org\/10.1002\/oby.70215","archive":["Portico"],"relation":{},"ISSN":["1930-7381","1930-739X"],"issn-type":[{"value":"1930-7381","type":"print"},{"value":"1930-739X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,20]]},"assertion":[{"value":"2026-01-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}