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Adherence to Mediterranean diet reduces the risk of metabolic syndrome: a 6-year prospective study.
Nutr Metab Cardiovasc Dis. 2013 Jul; 23(7):677-83.NM

Abstract

BACKGROUND AND AIMS

Benefits of Mediterranean diet on MetS risk have been suggested, but overall prospective evidence in the general population is limited. For the first time, the prospective association of adherence to Mediterranean diet with the 6-y risk of MetS and its components was evaluated in a large cohort in Europe.

METHODS AND RESULTS

Subjects included were participants from the Supplémentation en Vitamines et Minéraux AntioXydants (SU.VI.MAX) study. Adherence to Mediterranean diet was assessed using traditional Mediterranean diet score (MDS), an updated Mediterranean score (MED) and Mediterranean style-dietary pattern score (MSDPS) calculated from at least three 24-h records. In 3232 subjects, the association between Mediterranean diet scores and 6-y risk of MetS was evaluated. The association between Mediterranean scores and MetS components was also estimated. A lower risk of MetS was observed with increasing MED score (P-trend = 0.001) and MDS (P-trend = 0.03) in multivariate models. The adjusted odds ratios (95% Confidence Interval) for MetS risk were 0.47 (0.32-0.69) and 0.50 (0.32-0.77) in subjects in the highest versus lowest tertile of MED score and MDS, respectively. The MED score was inversely associated with waist circumference, systolic blood pressure and triglycerides, and directly associated with HDL-cholesterol. The MDS was negatively associated with waist circumference and triglycerides, and MSDPS was positively associated with HDL-cholesterol.

CONCLUSIONS

All Mediterranean diet scores were associated in a potentially beneficial direction with components of MetS or MetS incidence. Our findings support that individuals should be encouraged to follow a Mediterranean dietary pattern for reduction of MetS risk.

Authors+Show Affiliations

UREN (Nutritional Epidemiology Research Unit), UMR U557 Inserm, U1125 INRA, CNAM, Paris 13, SMBH, 74 rue Marcel Cachin, F-93017 Bobigny, France. e.kesse@uren.smbh.univ-paris13.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

22633793

Citation

Kesse-Guyot, E, et al. "Adherence to Mediterranean Diet Reduces the Risk of Metabolic Syndrome: a 6-year Prospective Study." Nutrition, Metabolism, and Cardiovascular Diseases : NMCD, vol. 23, no. 7, 2013, pp. 677-83.
Kesse-Guyot E, Ahluwalia N, Lassale C, et al. Adherence to Mediterranean diet reduces the risk of metabolic syndrome: a 6-year prospective study. Nutr Metab Cardiovasc Dis. 2013;23(7):677-83.
Kesse-Guyot, E., Ahluwalia, N., Lassale, C., Hercberg, S., Fezeu, L., & Lairon, D. (2013). Adherence to Mediterranean diet reduces the risk of metabolic syndrome: a 6-year prospective study. Nutrition, Metabolism, and Cardiovascular Diseases : NMCD, 23(7), 677-83. https://doi.org/10.1016/j.numecd.2012.02.005
Kesse-Guyot E, et al. Adherence to Mediterranean Diet Reduces the Risk of Metabolic Syndrome: a 6-year Prospective Study. Nutr Metab Cardiovasc Dis. 2013;23(7):677-83. PubMed PMID: 22633793.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adherence to Mediterranean diet reduces the risk of metabolic syndrome: a 6-year prospective study. AU - Kesse-Guyot,E, AU - Ahluwalia,N, AU - Lassale,C, AU - Hercberg,S, AU - Fezeu,L, AU - Lairon,D, Y1 - 2012/05/25/ PY - 2011/10/13/received PY - 2012/02/14/revised PY - 2012/02/14/accepted PY - 2012/5/29/entrez PY - 2012/5/29/pubmed PY - 2014/1/18/medline SP - 677 EP - 83 JF - Nutrition, metabolism, and cardiovascular diseases : NMCD JO - Nutr Metab Cardiovasc Dis VL - 23 IS - 7 N2 - BACKGROUND AND AIMS: Benefits of Mediterranean diet on MetS risk have been suggested, but overall prospective evidence in the general population is limited. For the first time, the prospective association of adherence to Mediterranean diet with the 6-y risk of MetS and its components was evaluated in a large cohort in Europe. METHODS AND RESULTS: Subjects included were participants from the Supplémentation en Vitamines et Minéraux AntioXydants (SU.VI.MAX) study. Adherence to Mediterranean diet was assessed using traditional Mediterranean diet score (MDS), an updated Mediterranean score (MED) and Mediterranean style-dietary pattern score (MSDPS) calculated from at least three 24-h records. In 3232 subjects, the association between Mediterranean diet scores and 6-y risk of MetS was evaluated. The association between Mediterranean scores and MetS components was also estimated. A lower risk of MetS was observed with increasing MED score (P-trend = 0.001) and MDS (P-trend = 0.03) in multivariate models. The adjusted odds ratios (95% Confidence Interval) for MetS risk were 0.47 (0.32-0.69) and 0.50 (0.32-0.77) in subjects in the highest versus lowest tertile of MED score and MDS, respectively. The MED score was inversely associated with waist circumference, systolic blood pressure and triglycerides, and directly associated with HDL-cholesterol. The MDS was negatively associated with waist circumference and triglycerides, and MSDPS was positively associated with HDL-cholesterol. CONCLUSIONS: All Mediterranean diet scores were associated in a potentially beneficial direction with components of MetS or MetS incidence. Our findings support that individuals should be encouraged to follow a Mediterranean dietary pattern for reduction of MetS risk. SN - 1590-3729 UR - https://www.unboundmedicine.com/medline/citation/22633793/Adherence_to_Mediterranean_diet_reduces_the_risk_of_metabolic_syndrome:_a_6_year_prospective_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0939-4753(12)00054-3 DB - PRIME DP - Unbound Medicine ER -