a Department of Internal Medicine , Hospital Clinic, Biomedical Research Institute "August Pi i Sunyer" (IDIBAPS), University of Barcelona , Barcelona , Spain.
b The Spanish Biomedical Research Centre in Physiopathology of Obesity and Nutrition (CIBEROBN) . Institute of Health Carlos III , Madrid , Spain.
Crit Rev Food Sci Nutr. 2018 Jan 22;58(2):262-296. doi: 10.1080/10408398.2016.1158690. Epub 2017 Jul 5.
Diet and lifestyle play a significant role in the development chronic diseases; however the full complexity of this relationship is not yet understood. Dietary pattern investigation, which reflects the complexity of dietary intake, has emerged as an alternative and complementary approach for examining the association between diet and chronic diseases. Literature on this association has largely focused on individual nutrients, with conflicting outcomes, but individuals consume a combination of foods from many groups that form dietary patterns. Our objective was to systematically review the current findings on the effects of dietary patterns on chronic diseases. In this review, we describe and discuss the relationships between dietary patterns, such as the Mediterranean, the Dietary Approach to Stop Hypertension, Prudent, Seventh-day Adventists, and Western, with risk of obesity, type-2 diabetes mellitus, cardiovascular diseases, asthma, and neurodegenearive diseases. Evidence is increasing from both observational and clinical studies that plant-based dietary patterns, which are rich in fruits, vegetables, and whole grains, are valuable in preventing various chronic diseases, whereas a diet high in red and processed meat, refined grains and added sugar seems to increase said risk. Dietary pattern analysis might be especially valuable to the development and evaluation of food-based dietary guidelines.
饮食和生活方式在慢性病的发展中起着重要作用;然而,这种关系的全部复杂性尚不清楚。饮食模式调查反映了饮食摄入的复杂性,它已成为一种替代和补充方法,用于研究饮食与慢性病之间的关联。关于这种关联的文献主要集中在单个营养素上,结果相互矛盾,但人们从许多食物组中摄入组合食物,形成饮食模式。我们的目的是系统地综述饮食模式对慢性病影响的现有研究结果。在本次综述中,我们描述并讨论了几种饮食模式之间的关系,例如地中海饮食、止高血压的饮食方法、谨慎饮食、基督复临安息日会饮食和西方饮食,与肥胖、2 型糖尿病、心血管疾病、哮喘和神经退行性疾病的风险之间的关系。越来越多的观察性和临床研究证据表明,富含水果、蔬菜和全谷物的植物性饮食模式对于预防各种慢性疾病非常有价值,而富含红肉类和加工肉类、精制谷物和添加糖的饮食模式似乎会增加这种风险。饮食模式分析对于制定和评估基于食物的饮食指南可能特别有价值。