The Mediterranean diet and menopausal health: An EMAS position statement

Cano, Antonio; Marshall, Skye; Zolfaroli, Irene; Bitzer, Johannes; Ceaușu, Iuliana; Chedraui, Peter; Durmuşoğlu, Fatih; Erkkola, Risto; Goulis, Dimitrios G.; Hirschberg, Angelica Lindén; Kiesel, L.; Lopès, P.; Pines, Amos; Trotsenburg, Mick van; Lambrinoudaki, Ιrene; Rees, Margaret

doi:10.1016/j.maturitas.2020.07.001

Cited by 41 publications

(22 citation statements)

References 101 publications

(106 reference statements)

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“…The MD is a regional dietary pattern with numerous health benefits for the general and disease-specific population [ 57 , 58 , 59 , 60 ]. Adherence to the diet had been suggested as a prototype dietary pattern favorable for the management of CF [ 61 ].…”

Section: Discussionmentioning

confidence: 99%

Adherence to Dietary Recommendations, Nutrient Intake Adequacy and Diet Quality among Pediatric Cystic Fibrosis Patients: Results from the GreeCF Study

et al. 2020

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Nutrition is an important component of cystic fibrosis (CF) therapy, with a high-fat diet being the cornerstone of treatment. However, adherence to the dietary recommendations for CF appears suboptimal and burdensome for most children and adolescents with CF, leading to malnutrition, inadequate growth, compromised lung function and increased risk for respiratory infections. A cross-sectional approach was deployed to examine the degree of adherence to the nutrition recommendations and diet quality among children with CF. A total of 76 children were recruited from Aghia Sophia’s Children Hospital, in Athens, Greece. In their majority, participants attained their ideal body weight, met the recommendations for energy and fat intake, exceeding the goal for saturated fatty acids consumption. Carbohydrate and fiber intake were suboptimal and most participants exhibited low or mediocre adherence to the Mediterranean diet prototype. It appears that despite the optimal adherence to the energy and fat recommendations, there is still room for improvement concerning diet quality and fiber intake.

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Section: Discussionmentioning

confidence: 99%

Adherence to Dietary Recommendations, Nutrient Intake Adequacy and Diet Quality among Pediatric Cystic Fibrosis Patients: Results from the GreeCF Study

et al. 2020

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“…They are the main microbial end products of the fermentation of indigestible carbohydrates and some SCFAs, mainly acetic and propionic acids 244,245 . The levels of SCFAs tend to be high in people on Mediterranean diets, which are rich in fiber and protein 246‐248 and are known to be beneficial for bone health 249‐251 . The biological activities of acetate, propionate, and butyrate, which are primarily produced by Bacteroidetes, Lachnospiraceae, and many Negativicutes, have been extensively studied.…”

Section: Gm‐derived Metabolites and Bone Metabolismmentioning

confidence: 99%

Gut microbiota and bone metabolism

Chen

Liu

et al. 2021

The FASEB Journal

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Osteoporosis is the most common metabolic skeletal disease. It is characterized by the deterioration of the skeletal microarchitecture and bone loss, leading to ostealgia, and even bone fractures. Accumulating evidence has indicated that there is an inextricable relationship between the gut microbiota (GM) and bone homeostasis involving host–microbiota crosstalk. Any perturbation of the GM can play an initiating and reinforcing role in disrupting the bone remodeling balance during the development of osteoporosis. Although the GM is known to influence bone metabolism, the mechanisms associated with these effects remain unclear. Herein, we review the current knowledge of how the GM affects bone metabolism in health and disease, summarize the correlation between pathogen‐associated molecular patterns of GM structural components and bone metabolism, and discuss the potential mechanisms underlying how GM metabolites regulate bone turnover. Deciphering the complicated relationship between the GM and bone health will provide new insights into the prevention and treatment of osteoporosis.

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“…Evidence from observational studies and randomized trials consistently shows a small but significant decrease in LDL cholesterol as well as systolic and diastolic blood pressure in association with the MD. This diet has also been linked to reduced risk of CVD (including coronary disease) and CVD death among different female cohorts, although more evidence is required for these outcomes in postmenopausal women [ 93 ].…”

Section: Dietary Intake and Clinical Endpoints In Menopausal Womenmentioning

confidence: 99%

Nutrition in Menopausal Women: A Narrative Review

et al. 2021

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Among the various aspects of health promotion and lifestyle adaptation to the postmenopausal period, nutritional habits are essential because they concern all women, can be modified, and impact both longevity and quality of life. In this narrative review, we discuss the current evidence on the association between dietary patterns and clinical endpoints in postmenopausal women, such as body composition, bone mass, and risk markers for cardiovascular disease. Current evidence suggests that low-fat, plant-based diets are associated with beneficial effects on body composition, but further studies are needed to confirm these results in postmenopausal women. The Mediterranean diet pattern along with other healthy habits may help the primary prevention of bone, metabolic, and cardiovascular diseases in the postmenopausal period. It consists on the use of healthy foods that have anti-inflammatory and antioxidant properties, and is associated with a small but significant decrease in blood pressure, reduction of fat mass, and improvement in cholesterol levels. These effects remain to be evaluated over a longer period of time, with the assessment of hard outcomes such as bone fractures, diabetes, and coronary ischemia.

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The Mediterranean diet and menopausal health: An EMAS position statement

Cited by 41 publications

References 101 publications

Adherence to Dietary Recommendations, Nutrient Intake Adequacy and Diet Quality among Pediatric Cystic Fibrosis Patients: Results from the GreeCF Study

Adherence to Dietary Recommendations, Nutrient Intake Adequacy and Diet Quality among Pediatric Cystic Fibrosis Patients: Results from the GreeCF Study

Gut microbiota and bone metabolism

Nutrition in Menopausal Women: A Narrative Review

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