{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T22:24:55Z","timestamp":1785363895275,"version":"3.55.0"},"reference-count":45,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2021,4,7]],"date-time":"2021-04-07T00:00:00Z","timestamp":1617753600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001872","name":"Centro para el Desarrollo Tecnol\u00f3gico Industrial","doi-asserted-by":"publisher","award":["ITC-20133014 & ITC-20151009"],"award-info":[{"award-number":["ITC-20133014 & ITC-20151009"]}],"id":[{"id":"10.13039\/501100001872","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>The Atlantic diet, the traditional dietary pattern in northern Portugal and northwest Spain, has been related to metabolic health and low ischemic heart disease mortality. The Galiat Study is a randomized controlled trial aimed to assess the effects of the Atlantic diet on anthropometric variables, metabolic profile, and nutritional habits. The dietary intervention was conducted in 250 families (720 adults and children) and performed at a primary care center. Over six months, families randomized to the intervention group received educational sessions, cooking classes, written supporting material, and foods that form part of the Atlantic diet, whereas those randomized to the control group followed their habitual lifestyle. 213 families (92.4%) completed the trial. Adults in the intervention group lost weight as opposed to controls who gained weight (adjusted mean difference \u22121.1 kg, p &lt; 0.001) and total serum cholesterol (adjusted mean difference \u22125.2 mg\/dL, p = 0.004). Significant differences in favor of the intervention were found in other anthropometric variables and low-density lipoprotein cholesterol, but changes in triglycerides, high-density lipoprotein cholesterol, inflammation markers, blood pressure, and glucose metabolism were not observed. A family-based nutritional intervention based on the Atlantic diet showed beneficial effects on adiposity and the lipid profile.<\/jats:p>","DOI":"10.3390\/nu13041211","type":"journal-article","created":{"date-parts":[[2021,4,7]],"date-time":"2021-04-07T03:52:03Z","timestamp":1617767523000},"page":"1211","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Effects of a Community-Based Behavioral Intervention with a Traditional Atlantic Diet on Cardiometabolic Risk Markers: A Cluster Randomized Controlled Trial (\u201cThe GALIAT Study\u201d)"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5690-8494","authenticated-orcid":false,"given":"Mar","family":"Calvo-Malvar","sequence":"first","affiliation":[{"name":"Department of Laboratory Medicine, Complejo Hospitalario Universitario de Santiago de Compostela, 15706 Santiago de Compostela, Spain"},{"name":"Research Methods Group, Health Research Institute of Santiago de Compostela, 15706 Santiago de Compostela, Spain"},{"name":"Primary Care Prevention and Health Promotion Network, Carlos III Health Institute, 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4543-3868","authenticated-orcid":false,"given":"Alfonso J.","family":"Ben\u00edtez-Est\u00e9vez","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine, Complejo Hospitalario Universitario de Santiago de Compostela, 15706 Santiago de Compostela, Spain"},{"name":"Research Methods Group, Health Research Institute of Santiago de Compostela, 15706 Santiago de Compostela, Spain"},{"name":"Primary Care Prevention and Health Promotion Network, Carlos III Health Institute, 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9483-9346","authenticated-orcid":false,"given":"Juan","family":"S\u00e1nchez-Castro","sequence":"additional","affiliation":[{"name":"Research Methods Group, Health Research Institute of Santiago de Compostela, 15706 Santiago de Compostela, Spain"},{"name":"Primary Care Prevention and Health Promotion Network, Carlos III Health Institute, 28029 Madrid, Spain"},{"name":"A Estrada Primary Care Center, A Estrada, 36680 Pontevedra, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0540-4210","authenticated-orcid":false,"given":"Rosaura","family":"Leis","sequence":"additional","affiliation":[{"name":"Unit of Investigation in Human Nutrition, Growth and Development of Galicia (GALINUT), University of Santiago de Compostela (USC), 15782 Santiago de Compostela, Spain"},{"name":"Unit of Pediatric Gastroenterology, Hepatology and Nutrition, Pediatric Service, University Clinical Hospital of Santiago (CHUS), 15706 Santiago de Compostela, Spain"},{"name":"Pediatric Nutrition Research Group, Institute of Sanitary Research of Santiago de Compostela (IDIS), CHUS-USC, 15706 Santiago de Compostela, Spain"},{"name":"CIBEROBN, (Physiopathology of Obesity and Nutrition) Institute of Health Carlos III (ISCIII), 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9681-1662","authenticated-orcid":false,"given":"Francisco","family":"Gude","sequence":"additional","affiliation":[{"name":"Research Methods Group, Health Research Institute of Santiago de Compostela, 15706 Santiago de Compostela, Spain"},{"name":"Primary Care Prevention and Health Promotion Network, Carlos III Health Institute, 28029 Madrid, Spain"},{"name":"Clinical Epidemiology and Biostatistics Unit, Complejo Hospitalario Universitario de Santiago de Compostela, 15706 Santiago de Compostela, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,4,7]]},"reference":[{"key":"ref_1","unstructured":"GBD 2017 Diet Collaborators (2019). 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