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Body composition and physical fitness variables were assessed through dual X-ray absorptiometry, anthropometric measurements, and senior fitness tests. Repeated measures ANOVA, with terms for group, time, and interaction, was performed. Results: Our results showed that a combined intervention significantly lowered BMI and total fat. Also, significant differences between assessments in all physical fitness tests, except for aerobic endurance, were observed. Adjusted models show significant differences in BMI (p = 0.049) and WHR (p = 0.037) between groups and in total fat (p = 0.030) for the interaction term. Body strength (p &lt; 0.001), balance tests (p &lt; 0.001), and aerobic endurance (p = 0.005) had significant differences amongst groups. Considering the interaction term, differences were observed for upper body strength (p = 0.046) and flexibility tests (p = 0.004 sit and reach, p = 0.048 back scratch). Conclusions: Our intervention study demonstrates the potential of implementing healthy lifestyle and sustainable models to promote healthy and active aging.<\/jats:p>","DOI":"10.3390\/nu16203527","type":"journal-article","created":{"date-parts":[[2024,10,18]],"date-time":"2024-10-18T05:03:49Z","timestamp":1729227829000},"page":"3527","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Mediterranean Diet-Based Sustainable Healthy Diet and Multicomponent Training Combined Intervention Effect on Body Composition, Anthropometry, and Physical Fitness in Healthy Aging"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3998-6500","authenticated-orcid":false,"given":"Joana","family":"Sampaio","sequence":"first","affiliation":[{"name":"Faculty of Sport (FADEUP), University of Porto, 4200-450 Porto, Portugal"},{"name":"Research Centre in Physical Activity, Health, and Leisure (CIAFEL), 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(i4HB), University of Porto, 4050-313 Porto, Portugal"},{"name":"Research Unit on Applied Molecular Biosciences (UCIBIO\/REQUIMTE), Laboratory of Toxicology, Department of Biological Sciences, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7710-4284","authenticated-orcid":false,"given":"Bruno","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Faculty of Nutrition and Food Sciences (FCNAUP), University of Porto, 4150-180 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7294-9296","authenticated-orcid":false,"given":"Andr\u00e9","family":"Moreira","sequence":"additional","affiliation":[{"name":"Epidemiology Research Unit (EPIUnit), Public Health Institute (ISPUP), University of Porto, 4050-600 Porto, Portugal"},{"name":"Laboratory for Integrative and Translational Research in Population Health (ITR), 4050-600 Porto, Portugal"},{"name":"Faculty of Medicine (FMUP), University of Porto, 4200-319 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6310-4956","authenticated-orcid":false,"given":"Patr\u00edcia","family":"Padr\u00e3o","sequence":"additional","affiliation":[{"name":"Epidemiology Research Unit (EPIUnit), Public Health Institute (ISPUP), University of Porto, 4050-600 Porto, Portugal"},{"name":"Laboratory for Integrative and Translational Research in Population Health (ITR), 4050-600 Porto, Portugal"},{"name":"Faculty of Nutrition and Food Sciences (FCNAUP), University of Porto, 4150-180 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7395-5700","authenticated-orcid":false,"given":"Paula","family":"Guedes de Pinho","sequence":"additional","affiliation":[{"name":"Associate Laboratory Institute for Health and Bioeconomy (i4HB), University of Porto, 4050-313 Porto, Portugal"},{"name":"Research Unit on Applied Molecular Biosciences (UCIBIO\/REQUIMTE), Laboratory of Toxicology, Department of Biological Sciences, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7035-7799","authenticated-orcid":false,"given":"Pedro","family":"Moreira","sequence":"additional","affiliation":[{"name":"Research Centre in Physical Activity, Health, and Leisure (CIAFEL), University of Porto, 4200-450 Porto, Portugal"},{"name":"Epidemiology Research Unit (EPIUnit), Public Health Institute (ISPUP), University of Porto, 4050-600 Porto, Portugal"},{"name":"Laboratory for Integrative and Translational Research in Population Health (ITR), 4050-600 Porto, Portugal"},{"name":"Faculty of Nutrition and Food Sciences (FCNAUP), University of Porto, 4150-180 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3043-1720","authenticated-orcid":false,"given":"Renata","family":"Barros","sequence":"additional","affiliation":[{"name":"Epidemiology Research Unit (EPIUnit), Public Health Institute (ISPUP), University of Porto, 4050-600 Porto, Portugal"},{"name":"Laboratory for Integrative and 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