Poli Andrea, Marangoni Franca, Visioli Francesco
Nutrition Foundation of Italy, Milano.
Dipartimento di Medicina Molecolare, Università degli Studi, Padova.
G Ital Cardiol (Rome). 2015 Sep;16(9):485-92. doi: 10.1714/1988.21522.
The importance of proper diet in primary and secondary cardiovascular prevention is now quite clear: several recent studies, e.g. on fat and saturated fat intake, on sodium, and on dietary cholesterol, are being discussed by the lay press and by professionals. This paper reviews the most solid published evidence on diet and cardiovascular risk, to provide clinicians (namely, cardiologists) with a useful tool to be discussed with patients. Where evidence was strong enough, we discussed the cardiovascular actions of specific nutrients and of dietary patterns. Particular attention was paid to dietary fat, carbohydrates (in terms of glycemic index), and functional, polyphenol-rich foods. Of note, we critically review the available evidence in light of the Italian dietary patterns, to draw practical conclusions applicable to this country.
近期的多项研究,例如关于脂肪和饱和脂肪摄入、钠以及膳食胆固醇的研究,正受到大众媒体和专业人士的讨论。本文回顾了关于饮食与心血管疾病风险的最可靠的已发表证据,为临床医生(即心脏病专家)提供一个与患者讨论的有用工具。在证据足够充分的情况下,我们讨论了特定营养素和饮食模式对心血管系统的作用。我们特别关注了膳食脂肪、碳水化合物(就血糖生成指数而言)以及富含功能性多酚的食物。值得注意的是,我们根据意大利的饮食模式严格审查了现有证据,以得出适用于该国的实际结论。