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地中海饮食对心血管疾病的影响:叙事性综述。

Mediterranean diet impact on cardiovascular diseases: a narrative review.

机构信息

aSurgical, Medical and Dental Department of Morphological Sciences Related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, ModenabDepartment of Cardiology, ASL Brindisi, BrindisicDepartment of Experimental, Diagnostic and Specialty Medicine, University of Bologna, BolognadDepartment of Cardiovascular, Respiratory, Nephrological, Anesthesiological and Geriatric Sciences, Sapienza University of Rome, RomeeDepartment of Clinical and Surgical Specialities, Radiological Sciences and Public Health, University of Brescia, BresciafEndocrinology and Metabolism, Department of Clinical and Experimental Medicine, University of Parma, ParmagDepartment of Medical Sciences 'M. Aresu', University of Cagliari, CagliarihDepartment of Cardiology 'S. Maugeri' Foundation, IRCCS, Institute of Cassano Murge, BariiDepartment of Cardiology, Centro Cardiologico Monzino, IRCCS, MilanojSection of Urology, Department of Medical and Oral Sciences and Biotechnologies, G. D'Annunzio University of Chieti-Pescara, ChietikDepartment for Promotion of Health (PROSAMI), University of PalermolDepartment of Cardiology, University Hospital 'Paolo Giaccone', PalermomDepartment of Cardiac Rehabilitation, IRCCS Fondazione Salvatore Maugeri, Scientific Institute of Tradate, Tradate, VaresenCardiovascular Diseases Section, Department of Emergency and Organ Transplantation (DETO), University 'A. Moro' of Bari, BarioSchool of Medicine, University of Milano-Bicocca, MilanpCardiology Department, University of Pisa, PisaqDepartment of Cardiology, University of Sassari, Sassari, Italy.

出版信息

J Cardiovasc Med (Hagerstown). 2017 Dec;18(12):925-935. doi: 10.2459/JCM.0000000000000573.

Abstract

: Cardiovascular disease (CVD) accounts for more than 17 million deaths per year worldwide. It has been estimated that the influence of lifestyle on CVD mortality amounts to 13.7% for smoking, 13.2% for poor diet, and 12% for inactive lifestyle. These results deeply impact both the healthy status of individuals and their skills in working. The impact of CVD on productivity loss accounts for the 24% in total costs for CVD management.Mediterranean diet (MedD) can positively impact on natural history of CVD. It is characterized by a relatively high consumption of inexpensive and genuine food such as cereals, vegetables, legumes, nuts, fish, fresh fruits, and olive oil as the principal source of fat, low meat consumption and low-to-moderate consumption of milk, dairy products, and wine.Its effects on cardiovascular health are related to the significant improvements in arterial stiffness. Peripheral artery disease, coronary artery disease, and chronic heart failure are all positively influenced by the MedD. Furthermore, MedD lowers the risk of sudden cardiac death due to arrhythmias.The present narrative review aims to analyze the effects of MedD on CVD.

摘要

心血管疾病(CVD)每年在全球造成超过 1700 万人死亡。据估计,生活方式对 CVD 死亡率的影响中,吸烟占 13.7%,饮食不良占 13.2%,生活方式不活跃占 12%。这些结果深刻影响着个体的健康状况和工作能力。CVD 对生产力损失的影响占 CVD 管理总成本的 24%。地中海饮食(MedD)可以对 CVD 的自然病程产生积极影响。它的特点是相对较高地消费廉价且天然的食物,如谷物、蔬菜、豆类、坚果、鱼类、新鲜水果和橄榄油作为主要的脂肪来源,肉类消费低,牛奶、奶制品和葡萄酒的摄入量低至中等。它对心血管健康的影响与动脉僵硬的显著改善有关。外周动脉疾病、冠状动脉疾病和慢性心力衰竭都受到 MedD 的积极影响。此外,MedD 降低了心律失常导致的心脏性猝死的风险。本综述旨在分析 MedD 对 CVD 的影响。

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