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Cited by 527

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Scientific Evidence of Interventions Using the Mediterranean Diet: A Systematic Review

Serra-Majem, Lluís, Roman, Blanca, Estruch, Ramón·2006·Nutrition Reviews
DOI 10.1111/j.1753-4887.2006.tb00232.x
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Abstract

The Mediterranean Diet has been associated with greater longevity and quality of life in epidemiological studies, the majority being observational. The application of evidence-based medicine to the area of public health nutrition involves the necessity of developing clinical trials and systematic reviews to develop sound recommendations. The purpose of this study was to analyze and review the experimental studies on Mediterranean diet and disease prevention. A systematic review was made and a total of 43 articles corresponding to 35 different experimental studies were selected. Results were analyzed for the effects of the Mediterranean diet on lipoproteins, endothelial resistance, diabetes and antioxidative capacity, cardiovascular diseases, arthritis, cancer, body composition, and psychological function. The Mediterranean diet showed favorable effects on lipoprotein levels, endothelium vasodilatation, insulin resistance, metabolic syndrome, antioxidant capacity, myocardial and cardiovascular mortality, and cancer incidence in obese patients and in those with previous myocardial infarction. Results disclose the mechanisms of the Mediterranean diet in disease prevention, particularly in cardiovascular disease secondary prevention, but also emphasize the need to undertake experimental research and systematic reviews in the areas of primary prevention of cardiovascular disease, hypertension, diabetes, obesity, infectious diseases, age-related cognitive impairment, and cancer, among others. Interventions should use food scores or patterns to ascertain adherence to the Mediterranean diet. Further experimental research is needed to corroborate the benefits of the Mediterranean diet and the underlying mechanisms, and in this sense the methodology of the ongoing PREDIMED study is explained.

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Metadata

Authors
Serra-Majem, L., Roman, B., & Estruch, R.
Venue
Nutrition Reviews
Publisher
Oxford University Press (OUP)
Published
2006-02
Volume
64
Issue
2 Pt 2
Pages
S27-S47
ISSN
  • 0029-6643 (ISSN-L)
  • 1753-4887
DOI
10.1111/j.1753-4887.2006.tb00232.x
OpenAlex
W2098665066
Cited by
527
References
6
FWCI
4.97
Type
journal article
Language
en
Open access
closed

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Serra-Majem, L., Roman, B., & Estruch, R. (2006). Scientific Evidence of Interventions Using the Mediterranean Diet: A Systematic Review. Nutrition Reviews. https://doi.org/10.1111/j.1753-4887.2006.tb00232.x

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