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Does adherence to the Mediterranean dietary pattern reduce asthma symptoms in children? A systematic review of observational studies.
Public Health Nutr 2017; 20(15):2722-2734PH

Abstract

OBJECTIVE

The purpose of the present systematic review was to synthesize evidence from the literature to assess efficacy of the Mediterranean dietary pattern in childhood asthma. Design/Setting A systematic search of six databases, three clinical trial registries and hand-search of peer-reviewed articles was conducted up to 29 October 2016. Inclusion criteria included exposure to a Mediterranean dietary pattern, measurement of asthma symptoms and study population of children aged <18 years. Quality assessment was conducted. Due to significant heterogeneity, meta-analysis was not feasible.

RESULTS

Of the 436 articles identified, after removal of duplicates and based on inclusion criteria, fifteen observational studies conducted in Mediterranean and non-Mediterranean countries were relevant. No randomized controlled trials were retrieved. Twelve studies reported an inverse association between adherence to a Mediterranean dietary pattern and asthma in children, two studies showed no association and one study showed an increase in asthma symptoms. In fourteen out of fifteen studies, quality assessment checks revealed good reliability and validity among study methodologies.

CONCLUSIONS

The current systematic review revealed a consistent inverse relationship (protective) between a Mediterranean dietary pattern and asthma in children. Future well-designed randomized controlled trials are needed to provide solid evidence. Nevertheless, the existing level of evidence adds to the public health message relating to the beneficial effects of a Mediterranean-type diet in children suffering with asthma.

Authors+Show Affiliations

1School of Allied Health,Department of Rehabilitation,Nutrition and Sport,La Trobe University,Melbourne,VIC 3086,Australia.1School of Allied Health,Department of Rehabilitation,Nutrition and Sport,La Trobe University,Melbourne,VIC 3086,Australia.2School of Psychology and Public Health,Department of Public Health,La Trobe University,Melbourne,Australia.2School of Psychology and Public Health,Department of Public Health,La Trobe University,Melbourne,Australia.

Pub Type(s)

Journal Article
Review
Systematic Review

Language

eng

PubMed ID

28803594

Citation

Papamichael, Maria M., et al. "Does Adherence to the Mediterranean Dietary Pattern Reduce Asthma Symptoms in Children? a Systematic Review of Observational Studies." Public Health Nutrition, vol. 20, no. 15, 2017, pp. 2722-2734.
Papamichael MM, Itsiopoulos C, Susanto NH, et al. Does adherence to the Mediterranean dietary pattern reduce asthma symptoms in children? A systematic review of observational studies. Public Health Nutr. 2017;20(15):2722-2734.
Papamichael, M. M., Itsiopoulos, C., Susanto, N. H., & Erbas, B. (2017). Does adherence to the Mediterranean dietary pattern reduce asthma symptoms in children? A systematic review of observational studies. Public Health Nutrition, 20(15), pp. 2722-2734. doi:10.1017/S1368980017001823.
Papamichael MM, et al. Does Adherence to the Mediterranean Dietary Pattern Reduce Asthma Symptoms in Children? a Systematic Review of Observational Studies. Public Health Nutr. 2017;20(15):2722-2734. PubMed PMID: 28803594.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Does adherence to the Mediterranean dietary pattern reduce asthma symptoms in children? A systematic review of observational studies. AU - Papamichael,Maria M, AU - Itsiopoulos,Catherine, AU - Susanto,Nugroho H, AU - Erbas,Bircan, Y1 - 2017/08/14/ PY - 2017/8/15/pubmed PY - 2018/6/14/medline PY - 2017/8/15/entrez KW - Asthma KW - Child KW - Mediterranean diet KW - Mediterranean dietary pattern KW - Nutrition SP - 2722 EP - 2734 JF - Public health nutrition JO - Public Health Nutr VL - 20 IS - 15 N2 - OBJECTIVE: The purpose of the present systematic review was to synthesize evidence from the literature to assess efficacy of the Mediterranean dietary pattern in childhood asthma. Design/Setting A systematic search of six databases, three clinical trial registries and hand-search of peer-reviewed articles was conducted up to 29 October 2016. Inclusion criteria included exposure to a Mediterranean dietary pattern, measurement of asthma symptoms and study population of children aged <18 years. Quality assessment was conducted. Due to significant heterogeneity, meta-analysis was not feasible. RESULTS: Of the 436 articles identified, after removal of duplicates and based on inclusion criteria, fifteen observational studies conducted in Mediterranean and non-Mediterranean countries were relevant. No randomized controlled trials were retrieved. Twelve studies reported an inverse association between adherence to a Mediterranean dietary pattern and asthma in children, two studies showed no association and one study showed an increase in asthma symptoms. In fourteen out of fifteen studies, quality assessment checks revealed good reliability and validity among study methodologies. CONCLUSIONS: The current systematic review revealed a consistent inverse relationship (protective) between a Mediterranean dietary pattern and asthma in children. Future well-designed randomized controlled trials are needed to provide solid evidence. Nevertheless, the existing level of evidence adds to the public health message relating to the beneficial effects of a Mediterranean-type diet in children suffering with asthma. SN - 1475-2727 UR - https://www.unboundmedicine.com/medline/citation/28803594/Does_adherence_to_the_Mediterranean_dietary_pattern_reduce_asthma_symptoms_in_children_A_systematic_review_of_observational_studies_ L2 - https://www.cambridge.org/core/product/identifier/S1368980017001823/type/journal_article DB - PRIME DP - Unbound Medicine ER -