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Close adherence to a Mediterranean diet improves endothelial function in subjects with abdominal obesity

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dc.contributor.author Rallidis, LS en
dc.contributor.author Lekakis, J en
dc.contributor.author Kolomvotsou, A en
dc.contributor.author Zampelas, A en
dc.contributor.author Vamvakou, G en
dc.contributor.author Efstathiou, S en
dc.contributor.author Dimitriadis, G en
dc.contributor.author Raptis, SA en
dc.contributor.author Kremastinos, DT en
dc.date.accessioned 2014-06-06T06:49:16Z
dc.date.available 2014-06-06T06:49:16Z
dc.date.issued 2009 en
dc.identifier.issn 00029165 en
dc.identifier.uri http://dx.doi.org/10.3945/ajcn.2008.27290 en
dc.identifier.uri http://62.217.125.90/xmlui/handle/123456789/4505
dc.subject.other alcohol en
dc.subject.other ascorbic acid en
dc.subject.other C reactive protein en
dc.subject.other monounsaturated fatty acid en
dc.subject.other edible oil en
dc.subject.other lipid en
dc.subject.other abdominal obesity en
dc.subject.other adult en
dc.subject.other article en
dc.subject.other caloric intake en
dc.subject.other cholesterol blood level en
dc.subject.other controlled study en
dc.subject.other diastolic blood pressure en
dc.subject.other dietary fiber en
dc.subject.other dietary intake en
dc.subject.other endothelium en
dc.subject.other fat intake en
dc.subject.other female en
dc.subject.other human en
dc.subject.other insulin resistance en
dc.subject.other major clinical study en
dc.subject.other male en
dc.subject.other Mediterranean diet en
dc.subject.other abdominal fat en
dc.subject.other blood en
dc.subject.other blood pressure en
dc.subject.other cardiovascular disease en
dc.subject.other clinical trial en
dc.subject.other controlled clinical trial en
dc.subject.other diet therapy en
dc.subject.other metabolic syndrome X en
dc.subject.other metabolism en
dc.subject.other middle aged en
dc.subject.other non insulin dependent diabetes mellitus en
dc.subject.other obesity en
dc.subject.other pathophysiology en
dc.subject.other patient compliance en
dc.subject.other physiology en
dc.subject.other randomized controlled trial en
dc.subject.other risk factor en
dc.subject.other vascular endothelium en
dc.subject.other Abdominal Fat en
dc.subject.other Blood Pressure en
dc.subject.other C-Reactive Protein en
dc.subject.other Cardiovascular Diseases en
dc.subject.other Diabetes Mellitus, Type 2 en
dc.subject.other Diet, Mediterranean en
dc.subject.other Dietary Fats, Unsaturated en
dc.subject.other Endothelium, Vascular en
dc.subject.other Female en
dc.subject.other Humans en
dc.subject.other Insulin Resistance en
dc.subject.other Lipids en
dc.subject.other Male en
dc.subject.other Metabolic Syndrome X en
dc.subject.other Middle Aged en
dc.subject.other Obesity en
dc.subject.other Patient Compliance en
dc.subject.other Risk Factors en
dc.title Close adherence to a Mediterranean diet improves endothelial function in subjects with abdominal obesity en
heal.type journalArticle en
heal.identifier.primary 10.3945/ajcn.2008.27290 en
heal.publicationDate 2009 en
heal.abstract Background: Abdominal obesity (AO) is associated with increased risk of cardiovascular disease and type 2 diabetes, whereas the Mediterranean diet exerts a cardioprotective effect. Objective: We examined whether a close adherence to a Mediterranean-style diet improves endothelial function in individuals with AO. Design: We recruited 90 subjects with AO without cardiovascular disease or type 2 diabetes. Participants were randomly assigned to the intervention or control group. Both groups were instructed to follow a Mediterranean-style diet for 2 mo. Subjects in the intervention group additionally had to follow a specific relevant daily and weekly food plan with close supervision by a dietitian and provision of basic foods. Flow-mediated dilatation (FMD), lipids, C-reactive protein (CRP), and insulin resistance with the homeostasis model assessment (HOMA-IR) were measured. Results: After 2 mo, subjects in the intervention group increased their intake of total fat due to higher consumption of monounsaturated fatty acids as well as intakes of dietary fiber, vitamin C, and alcohol compared with the control group (all P < 0.05). The intervention group also increased FMD (2.05%; 95% CI: 0.97, 3.13%), whereas no effect was found in the control group (-0.32%; 95% CI: -1.31, 0.67%). Changes in lipids and CRP concentrations did not differ between the 2 groups, whereas diastolic blood pressure decreased in the intervention group (-6.44 mm Hg; 95% CI: -8.57, -4.31 mm Hg) compared with the control group (-0.76 mm Hg; 95% CI: -2.83, 1.31 mm Hg). Finally, there was a trend for a reduction in HOMA-IR in the intervention group compared with the control group (P = 0.072). Conclusion: Close adherence to a Mediterranean-style diet achieved by close dietetic supervision improves endothelial function in subjects with AO. © 2009 American Society for Nutrition. en
heal.journalName American Journal of Clinical Nutrition en
dc.identifier.issue 2 en
dc.identifier.volume 90 en
dc.identifier.doi 10.3945/ajcn.2008.27290 en
dc.identifier.spage 263 en
dc.identifier.epage 268 en


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