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地中海饮食与冠心病:肥胖是其中的关联因素吗?——系统综述。

Mediterranean diet and coronary heart disease: is obesity a link? - A systematic review.

机构信息

Department of Nutrition Science - Dietetics, Harokopio University, Athens, Greece.

出版信息

Nutr Metab Cardiovasc Dis. 2010 Sep;20(7):536-51. doi: 10.1016/j.numecd.2010.04.006.

DOI:10.1016/j.numecd.2010.04.006
PMID:20708148
Abstract

AIMS

Adherence to a healthy dietary pattern, such as the Mediterranean diet, exerts a beneficial role regarding the development of coronary heart disease. In addition, several studies support the protective role of the Mediterranean diet as far as obesity is concerned. This review, examining results from prospective cohort and cross-sectional studies, as well as clinical trials, aims to clarify whether the beneficial effect of the Mediterranean dietary pattern on coronary heart disease is due to the impact of this diet on weight loss and obesity status or an independent effect.

DATA SYNTHESIS

35 original-research studies that were published in English until 2009, selected through a computer-assisted literature search are discussed, from which 3 were prospective, 11 were cross-sectional studies, and 21 were clinical trials.

CONCLUSION

Although not all studies show a protective effect of the Mediterranean diet on body weight and obesity, the evidence suggests a possible beneficial role of this dietary pattern. Thus the Mediterranean diet protects against the development of coronary heart disease not only because of its beneficial role regarding cardiovascular risk factors, but also due to a possible effect on body weight and obesity.

摘要

目的

遵循健康的饮食模式,如地中海饮食,对冠心病的发展有有益的作用。此外,有几项研究表明,地中海饮食对肥胖有保护作用。本综述通过对前瞻性队列研究和横断面研究以及临床试验的结果进行检查,旨在阐明地中海饮食模式对冠心病的有益作用是否归因于该饮食对体重减轻和肥胖状况的影响,还是一种独立的影响。

数据综合

讨论了截至 2009 年在英语中发表的 35 项原始研究,通过计算机辅助文献检索选择了这些研究,其中 3 项是前瞻性研究,11 项是横断面研究,21 项是临床试验。

结论

尽管并非所有研究都表明地中海饮食对体重和肥胖有保护作用,但有证据表明这种饮食模式可能具有有益的作用。因此,地中海饮食不仅可以通过对心血管危险因素的有益作用来预防冠心病的发生,而且可能对体重和肥胖有一定的影响。

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