Fig. 1

Eighteen-month changes in abdominal adipose tissues (mean (SE)) between the intervention groups (n = 286). After 18 months of intervention, all groups reduced all three abdominal adipose tissues significantly. Significant differences in VAT% change between the green-MED group and MED, as well as HDG groups, were observed after adjustment for age, sex, and waist circumference change. Deep SAT, deep subcutaneous; superficial SAT, superficial subcutaneous; HDG, healthy dietary guidelines; MED, Mediterranean; VAT, visceral adipose tissue. *Significant within-group change vs. baseline at the 0.05 level. **Significant differences between the groups at the 0.05 level