Mediterranean diet and reduction in the risk of a first acute myocardial infarction: an operational healthy dietary score

Martínez‐González, Miguel A.; Fernández-Jarne, Elena; Serrano-Martínez, Manuel; Martí, Amelia; Martínéz, J. Alfredo; Martín-Moreno, José M.

doi:10.1007/s00394-002-0370-6

Cited by 222 publications

(141 citation statements)

References 26 publications

Supporting

Mentioning

129

Contrasting

Unclassified

Order By: Relevance

“…Nevertheless, the SFA:MUFA:PUFA ratio was similar for both gender (1.6:2.3:1.0 for men; 1.7:2.5:1.0 for women). Martinez-Gonzalez et al (2002) considered a ratio of 1:2:1 as healthy (Capita and Alonso-Calleja, 2003). Our results suggest that a decrease in saturated fat should be recommended in the Catalan population.…”

Section: Discussionmentioning

confidence: 63%

“…A clear example of a healthy dietary pattern is the 'traditional' Mediterranean diet, which has been shown to be protective against mortality for several causes and the development of coronary heart disease, stroke, hypertension and other chronic diseases (Martinez-Gonzalez et al, 2002;Psaltopoulou et al, 2004;Sanchez-Villegas et al, 2005;Trichopoulou et al, 2005). The nutritional objectives for the Spanish population are therefore based in the development of dietary guidelines within a Mediterranean context (Serra-Majem and Aranceta, 2001).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Compliance with the European and national nutritional objectives in a Mediterranean population

et al. 2007

View full text Add to dashboard Cite

Objective: To analyze compliance with the current European and Spanish nutritional objectives in a representative sample from Catalonia, a Spanish Mediterranean region; and to examine relationships between diet and plasma fatty acid composition. Design: Cross-sectional nutritional survey. Setting: Population based random sample derived from the Catalan Nutrition Survey. Subjects: A total of 516 healthy adult men (n ¼ 203) and women (n ¼ 313). Methods: Dietary habits were assessed by means of a quantitative food frequency questionnaire. A physical exam included height, weight, waist and hip circumferences, and a fasting blood draw. Results: Gender differences were observed in nutrient and energy intakes. Women showed a better compliance with the nutritional recommendations for monounsaturated fatty acid (MUFA) and polyunsaturated fatty acid (PUFA) than did men. Men showed a better compliance for saturated fatty acid (SFA) and carbohydrate than did women. However, the SFA:MUFA:PUFA ratio was similar in both gender (1.6:2.3:1.0 for men; 1.7:2.5:1.0 for women). The highest compliance was observed for nutritional goals of sodium, calcium and fruit and vegetable intakes for both genders. In addition, the present study showed that levels of certain fatty acids in plasma are clearly associated with dietary intake of foods rich in these components. The highest correlations were found for n-3 long chain polyunsaturated fatty acids with blue fish intake in both men and women (r men ¼ 0.36 and r women ¼ 0.42; Po0.001). Conclusions: The diet followed in Catalonia seems to ensure compliance with most of the intermediate nutritional objectives for the Spanish population. However, a reduction in the SFA intake and an increase in the carbohydrate intake could be recommended in order to reduce the current prevalence of overweight and obesity in this Mediterranean region.

show abstract

Section: Discussionmentioning

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Compliance with the European and national nutritional objectives in a Mediterranean population

et al. 2007

View full text Add to dashboard Cite

show abstract

“…Our results are in line with the Seven Countries Study (Menotti et al, 1999), which showed an independent positive correlation of meat (g/day) vs CHD death rates (r ¼ 0.64) and predicted a 24% reduction in CHD death rate by reducing meat average consumption by 50 g. A positive association between acute myocardial infarction (AMI) and high meat consumption was also observed in a case-control study, which investigated the impact of a Mediterranean dietary pattern on CHD (Martinez-Gonzalez et al, 2002), as well as in a women case-control study in which the risk of AMI was directly associated with frequency of consumption of meat, with those at the highest third of consumption having 50% higher likelihood of AMI than those at the lowest third (Gramenzi et al, 1990). Meat consumption was also positively associated with fatal ischaemic heart disease in both men and women in a sample of Seventh-day Adventists and this association was apparently not due to confounding by egg and dairy product consumption, obesity, marital status or cigarette smoking.…”

Section: Discussionmentioning

confidence: 93%

Relationship between meat intake and the development of acute coronary syndromes: the CARDIO2000 case–control study

et al. 2007

View full text Add to dashboard Cite

Objective: The aim of the present study was to evaluate the association between meat consumption and the prevalence of a first, non-fatal event of an acute coronary syndrome (ACS), in a Greek sample. Design: Randomized, case-control study. Setting: Tertiary care. Subjects: A total of 848 out of 956 patients who had been randomly selected from hospitals with first event of an ACS and 1078 population-based controls, age and sex matched. Interventions: Detailed information regarding their medical records, alcohol intake, physical activity and smoking habits was recorded. Nutritional habits were evaluated with a semiquantitative food-frequency questionnaire. Multiple logistic regression analysis estimated the odds ratio of having ACS by level of meat intake, after taking into account several confounders. Results: Patients consumed higher quantities of meat compared with controls (6.572.9 vs 4.972.1 portions per month, Po0.001). Food-specific analysis showed that red meat consumption was strongly associated with 52% increased odds of ACS (95% confidence interval (CI) 1.47-1.58). On the contrary, white meat consumption seems to be associated with only 18% likelihood of having cardiac events (95% CI 1.11-1.26). Participants who consumed 48 portions red meat and 412 portions white meat per month had 4.9 times and 3.7 higher odds of having ACS, respectively (Po0.001), compared with low meat intake (o4 portions and o8 portions per month, respectively). Conclusions: Increased red meat consumption showed a strong positive association with cardiac disease risk, whereas white meat consumption showed less prominent results, after controlling for several potential confounding factors.

show abstract

“…11 The MDP was defined according to an 'a priori' defined overall score previously used in the scientific literature. 4,[12][13][14][15][16] This score was calculated according to the tertile distribution for the consumption of several components of the Mediterranean diet. Eight of them were positively weighted (cereals, vegetables, fruits, legumes, fish, nuts, olive oil and moderate red wine consumption) and two others were negatively weighted (meat/meat products and whole-fat dairy products).…”

Section: Methodsmentioning

confidence: 99%

“…2 On the other hand, Mediterranean diets have been shown to be protective against mortality for all causes or the development of coronary heart disease, stroke, hypertension or cancer. [3][4][5][6] A triangle ('pyramid') has become the standard pictorial way to represent food-based dietary guidelines. The base of the pyramid shows foods which should be consumed most frequently and the top includes those to be consumed rarely.…”

Section: Introductionmentioning

confidence: 99%

Adherence to a Mediterranean dietary pattern and weight gain in a follow-up study: the SUN cohort

et al. 2005

View full text Add to dashboard Cite

Introduction: The promotion of Mediterranean Diets has generated some doubts, because of the concern that its high fat content might lead to the development of obesity. Methods: Longitudinal analysis of 6319 participants in the SUN cohort study. We used a validated semiquantitative food frequency questionnaire (136 items). Baseline adherence to a Mediterranean dietary pattern (MDP) was assessed using a score (score_1) including vegetables, fruits, cereals, nuts, pulses, fish, olive oil and moderate consumption of red wine (positively weighted), whereas meat and dairy products were negatively weighted. We assessed the association between the overall baseline adherence to the MDP (score_1) and subsequent weight change after 28 months of follow-up. We also built another score (score_2) to assess changes in diet during follow-up and appraised the association between the joint exposure to both scores and weight change during follow-up. Results: Participants in the first quartile of score_1 (lowest baseline adherence to MDP) showed a higher weight gain ( þ 0.73 kg) than those in the top quartile ( þ 0.45 kg). The results indicated an inverse dose-response relationship (P for trend ¼ 0.016). A similar inverse association was apparent when we used change in adherence to the MDP (score_2). However, both inverse associations did not remain statistically significant after adjusting for relevant confounders. Consumption of dairy products was inversely associated with weight gain. Conclusions: Although participants increased their average weight during the follow-up period, weight increments were smaller among those with a higher adherence to an 'a priori' defined MDP. Results did not remain statistically significant after multivariate adjustment.

show abstract

Mediterranean diet and reduction in the risk of a first acute myocardial infarction: an operational healthy dietary score

Cited by 222 publications

References 26 publications

Compliance with the European and national nutritional objectives in a Mediterranean population

Compliance with the European and national nutritional objectives in a Mediterranean population

Relationship between meat intake and the development of acute coronary syndromes: the CARDIO2000 case–control study

Adherence to a Mediterranean dietary pattern and weight gain in a follow-up study: the SUN cohort

Contact Info

Product

Resources

About