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Mediterranean diet in healthy lifestyle and prevention of stroke.

Abstract

Several studies demonstrated the beneficial and preventive role of Mediterranean diet in the occurrence of cardiovascular diseases, chronic neurodegenerative diseases and neoplasms, obesity and diabetes. In randomized intervention trials, Mediterranean diet improved endothelial function and significantly reduced waist circumference, plasma glucose, serum insulin and homeostasis model assessment score in metabolic syndrome. Several studies support favorable effects of Mediterranean diet on plasma lipid profile: reduction of total and plasma LDL cholesterol levels, plasma triglyceride levels, and apo-B and VLDL concentrations, and an increase in plasma HDL cholesterol levels. This effect is associated with increased plasma antioxidant capacity, improved endothelial function, reduced insulin resistance, and reduced incidence of the metabolic syndrome. The beneficial impact of fish consumption on the risk of cardiovascular diseases is the result of synergistic effects of nutrients in fish. Fish is considered an excellent source of protein with low saturated fat, nutritious trace elements, long-chain omega-3 polyunsaturated fatty acids (LCn3PUFAs), and vitamins D and B. Fish consumption may be inversely associated with ischemic stroke but not with hemorrhagic stroke because of the potential antiplatelet aggregation property of LCn3PUFAs. Total stroke risk reduction was statistically significant for fish intake once per week, while the risk of stroke was lowered by 31% in individuals who ate fish 5 times or more per week. In the elderly, moderate consumption of tuna/other fish, but not fried fish, was associated with lower prevalence of subclinical infarcts and white matter abnormalities on MRI examination. Dietary intake of omega-3 fatty acids in a moderate-to-high range does not appear to be associated with reduced plaque, but is negatively associated with carotid artery intima-media thickness. Greater adherence to Mediterranean diet is associated with significant reduction in overall mortality, mortality from cardiovascular diseases and stroke, incidence of or mortality from cancer, and incidence of Parkinson's disease and Alzheimer's disease and mild cognitive impairment.

Authors+Show Affiliations

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University Department of Neurology, Reference Center for Neurovascular Disorders and Headache of the Ministry of Health and Social Welfare, Republic of Croatia, Sestre milosrdnice University Hospital Center, Zagreb, Croatia.

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Source

Acta clinica Croatica 50:1 2011 Mar pg 67-77

MeSH

Alzheimer Disease
Diet, Mediterranean
Health Behavior
Humans
Life Style
Obesity
Seafood
Stroke

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

22034786

Citation

Demarin, Vida, et al. "Mediterranean Diet in Healthy Lifestyle and Prevention of Stroke." Acta Clinica Croatica, vol. 50, no. 1, 2011, pp. 67-77.
Demarin V, Lisak M, Morović S. Mediterranean diet in healthy lifestyle and prevention of stroke. Acta Clin Croat. 2011;50(1):67-77.
Demarin, V., Lisak, M., & Morović, S. (2011). Mediterranean diet in healthy lifestyle and prevention of stroke. Acta Clinica Croatica, 50(1), pp. 67-77.
Demarin V, Lisak M, Morović S. Mediterranean Diet in Healthy Lifestyle and Prevention of Stroke. Acta Clin Croat. 2011;50(1):67-77. PubMed PMID: 22034786.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mediterranean diet in healthy lifestyle and prevention of stroke. AU - Demarin,Vida, AU - Lisak,Marijana, AU - Morović,Sandra, PY - 2011/11/1/entrez PY - 2011/11/1/pubmed PY - 2011/12/21/medline SP - 67 EP - 77 JF - Acta clinica Croatica JO - Acta Clin Croat VL - 50 IS - 1 N2 - Several studies demonstrated the beneficial and preventive role of Mediterranean diet in the occurrence of cardiovascular diseases, chronic neurodegenerative diseases and neoplasms, obesity and diabetes. In randomized intervention trials, Mediterranean diet improved endothelial function and significantly reduced waist circumference, plasma glucose, serum insulin and homeostasis model assessment score in metabolic syndrome. Several studies support favorable effects of Mediterranean diet on plasma lipid profile: reduction of total and plasma LDL cholesterol levels, plasma triglyceride levels, and apo-B and VLDL concentrations, and an increase in plasma HDL cholesterol levels. This effect is associated with increased plasma antioxidant capacity, improved endothelial function, reduced insulin resistance, and reduced incidence of the metabolic syndrome. The beneficial impact of fish consumption on the risk of cardiovascular diseases is the result of synergistic effects of nutrients in fish. Fish is considered an excellent source of protein with low saturated fat, nutritious trace elements, long-chain omega-3 polyunsaturated fatty acids (LCn3PUFAs), and vitamins D and B. Fish consumption may be inversely associated with ischemic stroke but not with hemorrhagic stroke because of the potential antiplatelet aggregation property of LCn3PUFAs. Total stroke risk reduction was statistically significant for fish intake once per week, while the risk of stroke was lowered by 31% in individuals who ate fish 5 times or more per week. In the elderly, moderate consumption of tuna/other fish, but not fried fish, was associated with lower prevalence of subclinical infarcts and white matter abnormalities on MRI examination. Dietary intake of omega-3 fatty acids in a moderate-to-high range does not appear to be associated with reduced plaque, but is negatively associated with carotid artery intima-media thickness. Greater adherence to Mediterranean diet is associated with significant reduction in overall mortality, mortality from cardiovascular diseases and stroke, incidence of or mortality from cancer, and incidence of Parkinson's disease and Alzheimer's disease and mild cognitive impairment. SN - 0353-9466 UR - https://www.unboundmedicine.com/medline/citation/22034786/Mediterranean_diet_in_healthy_lifestyle_and_prevention_of_stroke_ L2 - https://medlineplus.gov/stroke.html DB - PRIME DP - Unbound Medicine ER -