Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro 5, Rome 00185, Italy.
Nutrients. 2013 Nov 18;5(11):4566-86. doi: 10.3390/nu5114566.
The growing impact of chronic degenerative pathologies (such as cardiovascular disease, type 2 diabetes and Alzheimer's disease) requires and pushes towards the development of new preventive strategies to reduce the incidence and prevalence of these diseases. Lifestyle changes, especially related to the Mediterranean diet, have the potential to modify disease outcomes and ultimately costs related to their management. The objective of the study was to perform a systematic review of the scientific literature, to gauge the economic performance and the cost-effectiveness of the adherence to the Mediterranean diet as a prevention strategy against degenerative pathologies. We investigated the monetary costs of adopting Mediterranean dietary patterns by determining cost differences between low and high adherence. Research was conducted using the PubMed and Scopus databases. Eight articles met the pre-determined inclusion criteria and were reviewed. Quality assessment and data extraction was performed. The adherence to the Mediterranean diet has been extensively reported to be associated with a favorable health outcome and a better quality of life. The implementation of a Mediterranean dietary pattern may lead to the prevention of degenerative pathologies and to an improvement in life expectancy, a net gain in health and a reduction in total lifetime costs.
慢性退行性病变（如心血管疾病、2 型糖尿病和阿尔茨海默病）的影响日益增加，这需要并推动开发新的预防策略，以降低这些疾病的发病率和患病率。生活方式的改变，特别是与地中海饮食相关的改变，有可能改变疾病的结果，并最终降低与疾病管理相关的成本。本研究的目的是对科学文献进行系统综述，评估地中海饮食作为退行性病变预防策略的经济表现和成本效益。我们通过确定低和高依从性之间的成本差异来研究采用地中海饮食模式的货币成本。研究使用 PubMed 和 Scopus 数据库进行。有八项文章符合预先确定的纳入标准并进行了审查。进行了质量评估和数据提取。广泛报道表明，地中海饮食与良好的健康结果和更高的生活质量相关。实施地中海饮食模式可能预防退行性病变，提高预期寿命，获得净健康收益，并降低总终生成本。
