by Hongxuan Fan, Yongle Wang, Zhaoyu Ren, Xuchang Liu, Jianqi Zhao, Yalin Yuan, Xiaoning Fei, Xiaosu Song, Fengqin Wang and Bin Liang
Abstract:
A Mediterranean-style diet (MED) can promote people lengthen the span of life and avoid atherosclerotic cardiovascular disease (ASCVD) in primary prevention. Metabolic syndrome (MetS) can significantly reduce life expectancy and increase the risk of ASCVD. However, few studies have focused on the role of the Mediterranean diet in patients with MetS. Participants in the National Health and Nutrition Examination Survey (NHANES) with MetS (N = 8301) from 2007 to 2018 were examined. A 9-point evaluation scorewas used to measure the degree of adherence to the MED diet. In order to compare the various levels of adherence to the MED diet and the effects of the specific MED diet components on all-cause and cardiovascular mortality, Cox regression models were utilized. Among the 8301 participants with MetS, about 13.0% (1080 of 8301) died after a median follow-up of 6.3 years. In this study, participants with MetS with adherence to high-quality and moderate-quality Mediterranean diet were significantly associated with lower all-cause mortality as well as cardiovascular mortality during the follow-up period. Futhermore, in joint analysis of the Mediterranean diet and sedentary behavior or depression, we found that high-quality or moderate-quality Mediterranean diet could attenuate, even reverse the adverse effects of sedentary behavior and depression on all-cause and cardiovascular mortality in participants with MetS. Among the components of the MED diet, greater intakes of vegetables, legumes, nuts and high MUFA/SFA ratio were significantly associated with lower all-cause mortality and greater vegetables intake was significantly associated with lower cardiovascular mortality, while more red/processed meat intake was significantly associated with higher cardiovascular mortality in participants with MetS.
Reference:
Mediterranean diet lowers all-cause and cardiovascular mortality for patients with metabolic syndrome. (Hongxuan Fan, Yongle Wang, Zhaoyu Ren, Xuchang Liu, Jianqi Zhao, Yalin Yuan, Xiaoning Fei, Xiaosu Song, Fengqin Wang and Bin Liang), In Diabetol Metab Syndr, volume 15, 2023.
Bibtex Entry:
@article{Fan:2023aa,
abstract = {A Mediterranean-style diet (MED) can promote people lengthen the span of life and avoid atherosclerotic cardiovascular disease (ASCVD) in primary prevention. Metabolic syndrome (MetS) can significantly reduce life expectancy and increase the risk of ASCVD. However, few studies have focused on the role of the Mediterranean diet in patients with MetS. Participants in the National Health and Nutrition Examination Survey (NHANES) with MetS (N = 8301) from 2007 to 2018 were examined. A 9-point evaluation scorewas used to measure the degree of adherence to the MED diet. In order to compare the various levels of adherence to the MED diet and the effects of the specific MED diet components on all-cause and cardiovascular mortality, Cox regression models were utilized. Among the 8301 participants with MetS, about 13.0% (1080 of 8301) died after a median follow-up of 6.3 years. In this study, participants with MetS with adherence to high-quality and moderate-quality Mediterranean diet were significantly associated with lower all-cause mortality as well as cardiovascular mortality during the follow-up period. Futhermore, in joint analysis of the Mediterranean diet and sedentary behavior or depression, we found that high-quality or moderate-quality Mediterranean diet could attenuate, even reverse the adverse effects of sedentary behavior and depression on all-cause and cardiovascular mortality in participants with MetS. Among the components of the MED diet, greater intakes of vegetables, legumes, nuts and high MUFA/SFA ratio were significantly associated with lower all-cause mortality and greater vegetables intake was significantly associated with lower cardiovascular mortality, while more red/processed meat intake was significantly associated with higher cardiovascular mortality in participants with MetS.},
address = {Department of Cardiology, The Second Hospital of Shanxi Medical University, 382 Wuyi Road, Taiyuan, 030001, Shanxi, China.; Department of Neurology, The First Hospital of Shanxi Medical University, 85 Jiefang South Road, Taiyuan, 030001, Shanxi, China.; Department of Cardiology, The Second Hospital of Shanxi Medical University, 382 Wuyi Road, Taiyuan, 030001, Shanxi, China.; Department of Urology, The First Hospital of Shanxi Medical University, 85 Jiefang South Road, Taiyuan, 030001, Shanxi, China.; Department of Cardiology, The Second Hospital of Shanxi Medical University, 382 Wuyi Road, Taiyuan, 030001, Shanxi, China.; Department of Cardiology, The Second Hospital of Shanxi Medical University, 382 Wuyi Road, Taiyuan, 030001, Shanxi, China.; Shanxi Medical University, No. 56, Xinjian South Road, Taiyuan, 030001, Shanxi, China.; Department of Cardiology, The Second Hospital of Shanxi Medical University, 382 Wuyi Road, Taiyuan, 030001, Shanxi, China.; Department of Cardiology, Yangquan First People's Hospital, No. 167, South Street, Yangquan City, 030001, Shanxi, China.; Department of Cardiology, The Second Hospital of Shanxi Medical University, 382 Wuyi Road, Taiyuan, 030001, Shanxi, China. tyliangbin@163.com.},
author = {Fan, Hongxuan and Wang, Yongle and Ren, Zhaoyu and Liu, Xuchang and Zhao, Jianqi and Yuan, Yalin and Fei, Xiaoning and Song, Xiaosu and Wang, Fengqin and Liang, Bin},
cois = {The authors declare no competing interests. The authors declare no competing interests.},
copyright = {{\copyright}2023. The Author(s).},
crdt = {2023/05/23 23:59},
date = {2023 May 23},
date-added = {2023-06-28 21:31:06 +0100},
date-modified = {2023-06-28 21:31:44 +0100},
dep = {20230523},
doi = {10.1186/s13098-023-01052-7},
edat = {2023/05/24 01:06},
gr = {grant number 2022Y386/Shanxi Graduate Education Innovation Project/; 20220043/Fund Program for the Scientific Activities of Selected Returned Overseas Professionals in Shanxi Province/; 82270494/National Natural Science Foundation of China/},
issn = {1758-5996 (Print); 1758-5996 (Electronic); 1758-5996 (Linking)},
jid = {101488958},
journal = {Diabetol Metab Syndr},
jt = {Diabetology \& metabolic syndrome},
keywords = {Nuts, Mediterranean Diet},
language = {eng},
lid = {10.1186/s13098-023-01052-7 {$[$}doi{$]$}; 107},
lr = {20230525},
mhda = {2023/05/24 01:07},
month = {May},
number = {1},
own = {NLM},
pages = {107},
phst = {2023/02/14 00:00 {$[$}received{$]$}; 2023/04/02 00:00 {$[$}accepted{$]$}; 2023/05/24 01:07 {$[$}medline{$]$}; 2023/05/24 01:06 {$[$}pubmed{$]$}; 2023/05/23 23:59 {$[$}entrez{$]$}},
pii = {10.1186/s13098-023-01052-7; 1052},
pl = {England},
pmc = {PMC10204248},
pmid = {37221569},
pst = {epublish},
pt = {Journal Article},
status = {PubMed-not-MEDLINE},
title = {Mediterranean diet lowers all-cause and cardiovascular mortality for patients with metabolic syndrome.},
volume = {15},
year = {2023},
bdsk-url-1 = {https://doi.org/10.1186/s13098-023-01052-7}}