Intervention calorie and nutrient recommendations
−750, Diabetes
DIABETES
The Med-A and WL-Med arms will receive similar recommendations regarding macro-and micronutrient composition, with an emphasis on consuming fruits, vegetables, whole grains, plant proteins such as nuts and legumes, olive oil as the main dietary fat, and red wine. Fast foods, red and processed meats, fried foods, pastries, refined carbohydrates (e.g., white bread and white rice), sugary beverages, and high-fat dairy products will be discouraged. Recommended daily exchanges will be based on individual caloric needs to maintain weight (Med-A) or to achieve approximately 5% WL from baseline at study end (WL-Med). For participants randomized to WL-A, the focus will be on daily calorie restriction (−500 to −750 kcal/day) to achieve approximately 5% WL at study end. The content for the WL-A arm will be adapted from the Diabetes Prevention Program open-source intervention materials [Intervention calorie and nutrient recommendations