Nutrition, Metabolism & Cardiovascular Diseases
Volume 19, Issue 8 , Pages 563-570 , October 2009

Adherence to the Mediterranean diet and risk of metabolic syndrome and its components

  • N. Babio

      Affiliations

    • Human Nutrition Unit, Department of Biochemistry and Biotechnology, Faculty of Medicine and Health Sciences, Rovira i Virgili University, Spain
    • ,
  • M. Bulló

      Affiliations

    • Human Nutrition Unit, Department of Biochemistry and Biotechnology, Faculty of Medicine and Health Sciences, Rovira i Virgili University, Spain
    • CIBER Fisiopatología de la Obesidad y Nutrición CB06/03. Instituto de Salud Carlos III, Madrid, Spain
    • ,
  • J. Basora

      Affiliations

    • Human Nutrition Unit, Department of Biochemistry and Biotechnology, Faculty of Medicine and Health Sciences, Rovira i Virgili University, Spain
    • CIBER Fisiopatología de la Obesidad y Nutrición CB06/03. Instituto de Salud Carlos III, Madrid, Spain
    • Direcció d'Atenció Primària Tarragona-Reus. Institut Català de la Salut, Reus, Spain
    • ,
  • M.A. Martínez-González

      Affiliations

    • CIBER Fisiopatología de la Obesidad y Nutrición CB06/03. Instituto de Salud Carlos III, Madrid, Spain
    • Department of Preventive Medicine and Public Health, Medical School-Clínica Universitaria, University of Navarra, Pamplona, Spain
    • ,
  • J. Fernández-Ballart

      Affiliations

    • CIBER Fisiopatología de la Obesidad y Nutrición CB06/03. Instituto de Salud Carlos III, Madrid, Spain
    • Preventive Medicine and Public Health Unit, Faculty of Medicine and Health Sciences, Rovira i Virgili University, Spain
    • ,
  • F. Márquez-Sandoval

      Affiliations

    • Human Nutrition Unit, Department of Biochemistry and Biotechnology, Faculty of Medicine and Health Sciences, Rovira i Virgili University, Spain
    • ,
  • C. Molina

      Affiliations

    • Human Nutrition Unit, Department of Biochemistry and Biotechnology, Faculty of Medicine and Health Sciences, Rovira i Virgili University, Spain
    • CIBER Fisiopatología de la Obesidad y Nutrición CB06/03. Instituto de Salud Carlos III, Madrid, Spain
    • ,
  • J. Salas-Salvadó

      Affiliations

    • Human Nutrition Unit, Department of Biochemistry and Biotechnology, Faculty of Medicine and Health Sciences, Rovira i Virgili University, Spain
    • CIBER Fisiopatología de la Obesidad y Nutrición CB06/03. Instituto de Salud Carlos III, Madrid, Spain
    • Corresponding Author InformationCorresponding author. Human Nutrition Unit, Department of Biochemistry and Biotechnology, Faculty of Medicine and Health Sciences, Rovira i Virgili University, C/Sant Llorenç 21, 43201 Reus, Spain.
    • ,
  • on behalf of the Nureta-PREDIMED investigators

Received 28 July 2008 ,Revised 24 October 2008 ,Accepted 29 October 2008.

References 

  1. Gami AS, Witt BJ, Howard DE, Erwin PJ, Gami LA, Somers VK, et al. Metabolic syndrome and risk of incident cardiovascular events and death: a systematic review and meta-analysis of longitudinal studies. J Am Coll Cardiol. 2007;49:403–414
  2. Lakka HM, Laaksonen DE, Lakka TA, Niskanen LK, Kumpusalo E, Tuomilehto J. The metabolic syndrome and total and cardiovascular disease mortality in middle-aged men. JAMA. 2002;288:2709–2716
  3. Athyros VG, Ganotakis ES, Elisaf M, Mikhailidis DP. The prevalence of the metabolic syndrome using the National Cholesterol Educational Program and International Diabetes Federation definitions. Curr Med Res Opin. 2005;21:1157–1159
  4. Ford ES, Giles WH, Mokdad AH. Increasing prevalence of the metabolic syndrome among US adults. Diabetes Care. 2004;27:2444–2449
  5. Park YW, Zhu S, Palaniappan L, Heshka S, Carnethon MR, Heymsfield SB. The metabolic syndrome: prevalence and associated risk factor findings in the US population from the Third National Health and Nutrition Examination Survey, 1988–1994. Arch Intern Med. 2003;163:427–436
  6. Mirmiran P, Noori N, Azizi F. A prospective study of determinants of the metabolic syndrome in adults. Nutr Metab Cardiovasc Dis. 2008;18:567–573
  7. Branth S, Ronquist G, Stridsberg M, Hambraeus L, Kindgren E, Olsson R, et al. Development of abdominal fat and incipient metabolic syndrome in young healthy men exposed to long-term stress. Nutr Metab Cardiovasc Dis. 2007;7:427–435
  8. Phelan S, Wadden TA, Berkowitz RI, Sarwer DB, Womble LG, Cato RK, et al. Impact of weight loss on the metabolic syndrome. Int J Obes (Lond). 2007;31:1442–1448
  9. Buckland G, Salas-Salvadó J, Roure E, Bulló M, Serra-Majem L. Sociodemographic risk factors associated with metabolic syndrome in a Mediterranean population. Public Health Nutr. 2008;11:1372–1815
  10. Williams DE, Prevost AT, Whichelow MJ, Cox BD, Day NE, Wareham NJ. A cross-sectional study of dietary patterns with glucose intolerance and other features of the metabolic syndrome. Br J Nutr. 2000;83:257–266
  11. Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Hu FB, Willett WC. Dietary patterns and markers of systemic inflammation among Iranian women. J Nutr. 2007;137:992–998
  12. Newby PK, Muller D, Tucker KL. Associations of empirically derived eating patterns with plasma lipid biomarkers: a comparison of factor and cluster analysis methods. Am J Clin Nutr. 2004;80:759–767
  13. van Dam RM, Rimm EB, Willett WC, Stampfer MJ, Hu FB. Dietary patterns and risk for type 2 diabetes mellitus in U.S. men. Ann Intern Med. 2002;136:201–209
  14. Lutsey PL, Steffen LM, Stevens J. Dietary intake and the development of the metabolic syndrome: the atherosclerosis risk in communities study. Circulation. 2008;117:754–761
  15. Esposito K, Marfella R, Ciotola M, Di Palo C, Giugliano F, Giugliano G, et al. Effect of a Mediterranean-style diet on endothelial dysfunction and markers of vascular inflammation in the metabolic syndrome: a randomized trial. JAMA. 2004;292:1440–1446
  16. Azadbakht L, Mirmiran P, Esmaillzadeh A, Azizi T, Azizi F. Beneficial effects of a Dietary Approaches to Stop Hypertension eating plan on features of the metabolic syndrome. Diabetes Care. 2005;28:2823–2831
  17. Orchard TJ, Temprosa M, Goldberg R, Haffner S, Ratner R, Marcovina S, et al. Diabetes Prevention Program Research Group. The effect of metformin and intensive lifestyle intervention on the metabolic syndrome: the Diabetes Prevention Program randomized trial. Ann Intern Med. 2005;142:611–619
  18. Martínez-González MA, Sánchez-Villegas A. The emerging role of Mediterranean diets in cardiovascular epidemiology: monounsaturated fats, olive oil, red wine or the whole pattern?. Eur J Epidemiol. 2004;19:9–13
  19. Alvarez-León EE, Henríquez P, Serra-Majem L. Mediterranean diet and metabolic syndrome: a cross-sectional study in the Canary Islands. Public Health Nutr. 2006;9:1089–1098
  20. Panagiotakos DB, Pitsavos C, Chrysohoou C, Skoumas J, Tousoulis D, Toutouza M, et al. Impact of lifestyle habits on the prevalence of the metabolic syndrome among Greek adults from the ATTICA study. Am Heart J. 2004;147:106–112
  21. Tortosa A, Bes-Rastrollo M, Sanchez-Villegas A, Basterra-Gortari FJ, Nuñez-Cordoba JM, Martinez-Gonzalez MA. Mediterranean diet inversely associated with the incidence of metabolic syndrome: the SUN prospective cohort. Diabetes Care. 2007;30:2957–2959
  22. Estruch R, Martínez-González MA, Corella D, Salas-Salvadó J, Ruiz-Gutiérrez V, Covas MI, et al. Effects of a Mediterranean-style diet on cardiovascular risk factors: a randomized trial. Ann Intern Med. 2006;145:1–11
  23. Elosua R, Garcia M, Aguilar A, Molina L, Covas MI, Marrugat J. Validation of the Minnesota leisure time physical activity questionnaire in Spanish women. Investigators of the MARATDON group. Med Sci Sports Exerc. 2000;32:1431–1437
  24. Martin-Moreno JM, Boyle P, Gorgojo L, Maisonneuve P, Fernandez-Rodriguez JC, Salvini S, et al. Development and validation of a food frequency questionnaire in Spain. Int J Epidemiol. 1993;22:512–519
  25. Martínez-González MA, Fernández-Jarne E, Serrano-Martínez M, Wright M, Gomez-Gracia E. Development of a short dietary intake questionnaire for the quantitative estimation of adherence to a cardioprotective Mediterranean diet. Eur J Clin Nutr. 2004;58:1550–1552
  26. Trichopoulou A, Costacou T, Bamia C, Trichopoulos D. Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med. 2003;348:2599–2608
  27. Panagiotakos DB, Pitsavos C, Stefanadis C. Dietary patterns: a Mediterranean diet score and its relation to clinical and biological markers of cardiovascular risk. Nutr Metab Cardiovasc Dis. 2006;16:559–568
  28. Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, et al. Diagnosis and management of the metabolic syndrome. An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation. 2005;112:2735–2752
  29. Martínez-González MA, Tortosa A, Basterra-Gortari FJ, Bes-Rastrollo M. Mediterranean diet inversely associated with the incidence of metabolic syndrome: the SUN prospective cohort: response to Giugliano, Ceriello, and Esposito. Diabetes Care. 2008;31:e37
  30. Panagiotakos DB, Pitsavos C, Das UN, Skoumas Y, Stefanadis C. The implications of anthropometric, inflammatory and glycaemic control indices in the epidemiology of the metabolic syndrome given by different definitions: a classification analysis. Diabetes Obes Metab. 2007;9:660–668
  31. Aparicio R, Roda L, Albi MS, Gutierrez F. Effect of various compounds on virgin olive oil stability measured by rancimat. J Agric Food Chem. 1999;47:4150–4155
  32. Kecely T, Gordon MH. The antioxidant activity and stability of the phenolic fraction of green olives and extra virgin olive oil. J Agric Food Chem. 2001;81:1391–1396
  33. Vessby B, Uusitupa M, Hermansen K, Riccardi G, Rivellese AA, Tapsell LC, et al. Substituting dietary saturated for monounsaturated fat impairs insulin sensitivity in healthy men and women: The KANWU Study. Diabetologia. 2001;44:312–319
  34. Alonso A, Martínez-González MA. Olive oil consumption and reduced incidence of hypertension: the SUN study. Lipids. 2004;39:1233–1238
  35. Ferrara LA, Raimondi AS. d'Episcopo L, Guida L, Dello Russo A, Marotta T. Olive oil and reduced need for antihypertensive medications. Arch Intern Med. 2000;160:837–842
  36. Rasmussen BM, Vessby B, Uusitupa M, Berglund L, Pedersen E, Riccardi G, et al. Effects of dietary saturated, monounsaturated, and n-3 fatty acids on blood pressure in healthy subjects. Am J Clin Nutr. 2006;83:221–226
  37. Mensink RP, Janssen MC, Katan MB. Effect on blood pressure of two diets differing in total fat but not in saturated and polyunsaturated fatty acids in healthy volunteers. Am J Clin Nutr. 1988;47:976–980
  38. Brenn T. The Tromsø heart study: alcoholic beverages and coronary risk factors. J Epidemiol Community Health. 1986;40:249–256
  39. Zilkens RR, Burke V, Hodgson JM, Barden A, Beilin LJ, Puddey IB. Red wine and beer elevate blood pressure in normotensive men. Hypertension. 2005;45:874–887
  40. Ellison RC, Zhang Y, Qureshi MM, Knox S, Arnett DK, Province MA, et al. Lifestyle determinants of high-density lipoprotein cholesterol: The National Heart, Lung, and Blood Institute Family Heart Study. Am Heart J. 2004;147:529–535
  41. Rimm EB, Williams P, Fosher K, Criqui M, Stampfer MJ. Moderate alcohol intake and lower risk of coronary heart disease: meta-analysis of effects on lipids and haemostatic factors. BMJ. 1999;319:1523–1528
  42. Martínez-González MA, de la Fuente-Arrillaga C, Nunez-Cordoba JM, Basterra-Gortari FJ, Beunza JJ, Vazquez Z, et al. Adherence to Mediterranean diet and risk of developing diabetes: prospective cohort study. BMJ. 2008;336:1348–1351
  43. Wang L, Manson JE, Buring JE, Sesso HD. Meat intake and the risk of hypertension in middle-aged and older women. J Hypertens. 2008;26:215–222
  44. Bazzano LA, He J, Ogden LG, Loria C, Vupputuri S, Myers L, et al. Legume consumption and risk of coronary heart disease in US men and women: NHANES I epidemiologic follow-up study. Arch Intern Med. 2001;161:2573–2578
  45. Mellen PB, Walsh TF, Herrington DM. Whole grain intake and cardiovascular disease: a meta-analysis. Nutr Metab Cardiovasc Dis. 2008;18:283–290
  46. Frost G, Leeds AA, Dore CJ, Madeiros S, Brading S, Dornhorst A. Glycaemic index as a determinant of serum HDL-cholesterol concentration. Lancet. 1999;353:1045–1048

PII: S0939-4753(08)00222-6

doi: 10.1016/j.numecd.2008.10.007

Nutrition, Metabolism & Cardiovascular Diseases
Volume 19, Issue 8 , Pages 563-570 , October 2009

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