Articles producció científica> Ciències Mèdiques Bàsiques

Primary prevention of cardiovascular disease with a Mediterranean diet

  • Identification data

    Identifier: imarina:572059
    Handle: https://hdl.handle.net/20.500.11797/imarina572059
    Authors:
    Estruch, RamonRos, EmilioSalas-Salvado, JordiCovas, Maria-IsabelCorella, DoloresAros, FernandoGomez-Gracia, EnriqueRuiz-Gutierrez, ValentinaFiol, MiquelLapetra, JoseMaria Lamuela-Raventos, RosaSerra-Majem, LluisPinto, XavierBasora, JosepAngel Munoz, MiguelSorli, Jose VAlfredo Martinez, JoseAngel Martinez-Gonzalez, Miguel
    Abstract:
    Observational cohort studies and a secondary prevention trial have shown an inverse association between adherence to the Mediterranean diet and cardiovascular risk. We conducted a randomized trial of this diet pattern for the primary prevention of cardiovascular events.In a multicenter trial in Spain, we randomly assigned participants who were at high cardiovascular risk, but with no cardiovascular disease at enrollment, to one of three diets: a Mediterranean diet supplemented with extra-virgin olive oil, a Mediterranean diet supplemented with mixed nuts, or a control diet (advice to reduce dietary fat). Participants received quarterly individual and group educational sessions and, depending on group assignment, free provision of extra-virgin olive oil, mixed nuts, or small nonfood gifts. The primary end point was the rate of major cardiovascular events (myocardial infarction, stroke, or death from cardiovascular causes). On the basis of the results of an interim analysis, the trial was stopped after a median follow-up of 4.8 years.A total of 7447 persons were enrolled (age range, 55 to 80 years); 57% were women. The two Mediterranean-diet groups had good adherence to the intervention, according to self-reported intake and biomarker analyses. A primary end-point event occurred in 288 participants. The multivariable-adjusted hazard ratios were 0.70 (95% confidence interval [CI], 0.54 to 0.92) and 0.72 (95% CI, 0.54 to 0.96) for the group assigned to a Mediterranean diet with extra-virgin olive oil (96 events) and the group assigned to a Mediterranean diet with nuts (83 events), respectively, versus the control group (109 events). No diet-related adverse effects were reported.Among persons at high cardiovascular risk, a Mediterranean diet supplemented with extra-virgin ol

  • Others:

    Author, as appears in the article.: Estruch, Ramon; Ros, Emilio; Salas-Salvado, Jordi; Covas, Maria-Isabel; Corella, Dolores; Aros, Fernando; Gomez-Gracia, Enrique; Ruiz-Gutierrez, Valentina; Fiol, Miquel; Lapetra, Jose; Maria Lamuela-Raventos, Rosa; Serra-Majem, Lluis; Pinto, Xavier; Basora, Josep; Angel Munoz, Miguel; Sorli, Jose V; Alfredo Martinez, Jose; Angel Martinez-Gonzalez, Miguel
    Department: Ciències Mèdiques Bàsiques Bioquímica i Biotecnologia
    URV's Author/s: Babio Sánchez, Nancy Elvira / Basora Gallisa, Josep / Bulló Bonet, Mònica / Cabre Vila, Juan Jose / Fernández Ballart, Joan Domènech / Martín Lujan, Francisco Manuel / Salas Salvadó, Jorge
    Keywords: Risk factors Nutrition Multivariate analysis Mortality Middle aged Male Humans Female Dietary supplements Aged, 80 and over Aged
    Abstract: Observational cohort studies and a secondary prevention trial have shown an inverse association between adherence to the Mediterranean diet and cardiovascular risk. We conducted a randomized trial of this diet pattern for the primary prevention of cardiovascular events.In a multicenter trial in Spain, we randomly assigned participants who were at high cardiovascular risk, but with no cardiovascular disease at enrollment, to one of three diets: a Mediterranean diet supplemented with extra-virgin olive oil, a Mediterranean diet supplemented with mixed nuts, or a control diet (advice to reduce dietary fat). Participants received quarterly individual and group educational sessions and, depending on group assignment, free provision of extra-virgin olive oil, mixed nuts, or small nonfood gifts. The primary end point was the rate of major cardiovascular events (myocardial infarction, stroke, or death from cardiovascular causes). On the basis of the results of an interim analysis, the trial was stopped after a median follow-up of 4.8 years.A total of 7447 persons were enrolled (age range, 55 to 80 years); 57% were women. The two Mediterranean-diet groups had good adherence to the intervention, according to self-reported intake and biomarker analyses. A primary end-point event occurred in 288 participants. The multivariable-adjusted hazard ratios were 0.70 (95% confidence interval [CI], 0.54 to 0.92) and 0.72 (95% CI, 0.54 to 0.96) for the group assigned to a Mediterranean diet with extra-virgin olive oil (96 events) and the group assigned to a Mediterranean diet with nuts (83 events), respectively, versus the control group (109 events). No diet-related adverse effects were reported.Among persons at high cardiovascular risk, a Mediterranean diet supplemented with extra-virgin olive oil or nuts reduced the incidence of major cardiovascular events. (Funded by the Spanish government's Instituto de Salud Carlos III and others; Controlled-Trials.com number, ISRCTN35739639.).
    Thematic Areas: Saúde coletiva Psicología Odontología Medicine, general & internal Medicine (miscellaneous) Medicine (all) Medicina veterinaria Medicina iii Medicina ii Medicina i Interdisciplinar General o multidisciplinar General medicine Farmacia Ensino Engenharias iv Educação física Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Biotecnología
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 15334406
    Author's mail: juanjose.cabre@urv.cat josep.basora@urv.cat paco.martin@urv.cat monica.bullo@urv.cat josep.basora@urv.cat jordi.salas@urv.cat nancy.babio@urv.cat
    Author identifier: 0000-0003-1082-6861 0000-0003-0359-3588 0000-0002-0218-7046 0000-0003-2700-7459 0000-0003-3527-5277
    Record's date: 2024-10-12
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.nejm.org/doi/10.1056/NEJMoa1200303
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: New England Journal Of Medicine. 368 (14): 1279-1290
    APA: Estruch, Ramon; Ros, Emilio; Salas-Salvado, Jordi; Covas, Maria-Isabel; Corella, Dolores; Aros, Fernando; Gomez-Gracia, Enrique; Ruiz-Gutierrez, Valen (2013). Primary prevention of cardiovascular disease with a Mediterranean diet. New England Journal Of Medicine, 368(14), 1279-1290. DOI: 10.1056/NEJMoa1200303
    Article's DOI: 10.1056/NEJMoa1200303
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2013
    Publication Type: Journal Publications

  • Keywords:

    Medicine (Miscellaneous),Medicine, General & Internal
    Risk factors
    Nutrition
    Multivariate analysis
    Mortality
    Middle aged
    Male
    Humans
    Female
    Dietary supplements
    Aged, 80 and over
    Aged
    Saúde coletiva
    Psicología
    Odontología
    Medicine, general & internal
    Medicine (miscellaneous)
    Medicine (all)
    Medicina veterinaria
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    General o multidisciplinar
    General medicine
    Farmacia
    Ensino
    Engenharias iv
    Educação física
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Biotecnología

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