Mediterranean Diet and Cardiodiabesity: A Systematic Review through Evidence-Based Answers to Key Clinical Questions
The Mediterranean Diet (MedDiet) has been promoted as a means of preventing and treating cardiodiabesity. The aim of this study was to answer a number of key clinical questions (CQs) about the role of the MedDiet in cardiodiabesity in order to provide a framework for the development of clinical prac...
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doaj-9759cdf6a97b437aaa9f93949718b9ff2020-11-25T00:36:59ZengMDPI AGNutrients2072-66432019-03-0111365510.3390/nu11030655nu11030655Mediterranean Diet and Cardiodiabesity: A Systematic Review through Evidence-Based Answers to Key Clinical QuestionsMarcella Franquesa0Georgina Pujol-Busquets1Elena García-Fernández2Laura Rico3Laia Shamirian-Pulido4Alicia Aguilar-Martínez5Francesc Xavier Medina6Lluís Serra-Majem7Anna Bach-Faig8Faculty of Health Sciences, Universitat Oberta de Catalunya (Open University of Catalonia, UOC), 08018 Barcelona, SpainFaculty of Health Sciences, Universitat Oberta de Catalunya (Open University of Catalonia, UOC), 08018 Barcelona, SpainFaculty of Health Sciences, Universitat Oberta de Catalunya (Open University of Catalonia, UOC), 08018 Barcelona, SpainFaculty of Health Sciences, Universitat Oberta de Catalunya (Open University of Catalonia, UOC), 08018 Barcelona, SpainFaculty of Health Sciences, Universitat Oberta de Catalunya (Open University of Catalonia, UOC), 08018 Barcelona, SpainFoodLab Research Group (2017SGR 83), Faculty of Health Sciences, Universitat Oberta de Catalunya (Open University of Catalonia, UOC), 08018 Barcelona, SpainFoodLab Research Group (2017SGR 83), Faculty of Health Sciences, Universitat Oberta de Catalunya (Open University of Catalonia, UOC), 08018 Barcelona, SpainCIBER de Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, 28029 Madrid, SpainFoodLab Research Group (2017SGR 83), Faculty of Health Sciences, Universitat Oberta de Catalunya (Open University of Catalonia, UOC), 08018 Barcelona, SpainThe Mediterranean Diet (MedDiet) has been promoted as a means of preventing and treating cardiodiabesity. The aim of this study was to answer a number of key clinical questions (CQs) about the role of the MedDiet in cardiodiabesity in order to provide a framework for the development of clinical practice guidelines. A systematic review was conducted to answer five CQs formulated using the Patient, Intervention, Comparison, and Outcome (PICO) criteria. Twenty articles published between September 2013 and July 2016 were included, adding to the 37 articles from the previous review. There is a high level of evidence showing that MedDiet adherence plays a role in the primary and secondary prevention of cardiovascular disease (CVD) and improves health in overweight and obese patients. There is moderate-to-high evidence that the MedDiet prevents increases in weight and waist circumference in non-obese individuals, and improves metabolic syndrome (MetS) and reduces its incidence. Finally, there is moderate evidence that the MedDiet plays primary and secondary roles in the prevention of type 2 diabetes mellitus (T2DM). The MedDiet is effective in preventing obesity and MetS in healthy and at-risk individuals, in reducing mortality risk in overweight or obese individuals, in decreasing the incidence of T2DM and CVD in healthy individuals, and in reducing symptom severity in individuals with T2DM or CVD.http://www.mdpi.com/2072-6643/11/3/655Mediterranean Dietdiabetes mellituscardiovascular diseasemetabolic syndromeobesitycardiodiabesityreviewPICO |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Marcella Franquesa Georgina Pujol-Busquets Elena García-Fernández Laura Rico Laia Shamirian-Pulido Alicia Aguilar-Martínez Francesc Xavier Medina Lluís Serra-Majem Anna Bach-Faig |
spellingShingle |
Marcella Franquesa Georgina Pujol-Busquets Elena García-Fernández Laura Rico Laia Shamirian-Pulido Alicia Aguilar-Martínez Francesc Xavier Medina Lluís Serra-Majem Anna Bach-Faig Mediterranean Diet and Cardiodiabesity: A Systematic Review through Evidence-Based Answers to Key Clinical Questions Nutrients Mediterranean Diet diabetes mellitus cardiovascular disease metabolic syndrome obesity cardiodiabesity review PICO |
author_facet |
Marcella Franquesa Georgina Pujol-Busquets Elena García-Fernández Laura Rico Laia Shamirian-Pulido Alicia Aguilar-Martínez Francesc Xavier Medina Lluís Serra-Majem Anna Bach-Faig |
author_sort |
Marcella Franquesa |
title |
Mediterranean Diet and Cardiodiabesity: A Systematic Review through Evidence-Based Answers to Key Clinical Questions |
title_short |
Mediterranean Diet and Cardiodiabesity: A Systematic Review through Evidence-Based Answers to Key Clinical Questions |
title_full |
Mediterranean Diet and Cardiodiabesity: A Systematic Review through Evidence-Based Answers to Key Clinical Questions |
title_fullStr |
Mediterranean Diet and Cardiodiabesity: A Systematic Review through Evidence-Based Answers to Key Clinical Questions |
title_full_unstemmed |
Mediterranean Diet and Cardiodiabesity: A Systematic Review through Evidence-Based Answers to Key Clinical Questions |
title_sort |
mediterranean diet and cardiodiabesity: a systematic review through evidence-based answers to key clinical questions |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2019-03-01 |
description |
The Mediterranean Diet (MedDiet) has been promoted as a means of preventing and treating cardiodiabesity. The aim of this study was to answer a number of key clinical questions (CQs) about the role of the MedDiet in cardiodiabesity in order to provide a framework for the development of clinical practice guidelines. A systematic review was conducted to answer five CQs formulated using the Patient, Intervention, Comparison, and Outcome (PICO) criteria. Twenty articles published between September 2013 and July 2016 were included, adding to the 37 articles from the previous review. There is a high level of evidence showing that MedDiet adherence plays a role in the primary and secondary prevention of cardiovascular disease (CVD) and improves health in overweight and obese patients. There is moderate-to-high evidence that the MedDiet prevents increases in weight and waist circumference in non-obese individuals, and improves metabolic syndrome (MetS) and reduces its incidence. Finally, there is moderate evidence that the MedDiet plays primary and secondary roles in the prevention of type 2 diabetes mellitus (T2DM). The MedDiet is effective in preventing obesity and MetS in healthy and at-risk individuals, in reducing mortality risk in overweight or obese individuals, in decreasing the incidence of T2DM and CVD in healthy individuals, and in reducing symptom severity in individuals with T2DM or CVD. |
topic |
Mediterranean Diet diabetes mellitus cardiovascular disease metabolic syndrome obesity cardiodiabesity review PICO |
url |
http://www.mdpi.com/2072-6643/11/3/655 |
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