title: Adherence to the mediterranean diet is inversely associated with circulating interleukin-6 among middle-aged men: a twin study.
abstract: BACKGROUND
  The Mediterranean diet is protective against cardiovascular disease; a proposed mechanism is through a reduction in systemic inflammation. It is unknown to what extent the association between the Mediterranean diet and inflammation is due to genetic or other familial factors.
  
  
  RESULTS
  We administered the Willett food frequency questionnaire to 345 middle-aged male twins and assessed adherence to the Mediterranean diet using a published adherence score. Fasting plasma levels of interleukin-6, C-reactive protein, and known cardiovascular risk factors were measured. Mixed-effect regression analyses were used to examine the relationship between diet score and inflammatory biomarkers after accounting for known cardiovascular risk factors. Adherence to the Mediterranean diet was associated with reduced levels of interleukin-6 (P<0.001) but not C-reactive protein (P=0.10) after adjustment for total energy intake, other nutritional factors, known cardiovascular risk factors, and use of supplements and medications. When the overall association of adherence to the diet with interleukin-6 levels was partitioned into between- and within-pair effects, the between-pair effect was not significant (P=0.9) and the within-pair effect was highly significant (P<0.0001). A 1-unit within-pair absolute difference in the diet score was associated with a 9% (95% CI, 4.5 to 13.6) lower interleukin-6 level.
  
  
  CONCLUSIONS
  Shared environmental and genetic factors are unlikely to play a major role in the association between adherence to the Mediterranean diet and systemic inflammation. These results support the hypothesis that reduced inflammation is an important mechanism linking Mediterranean diet to reduced cardiovascular risk.
authors: Nutrition and Health Sciences Program, Emory University School of Medicine, Atlanta, Ga, USA.
authors: Jun
authors: J
authors: Dai
authors: Andrew H
authors: AH
authors: Miller
authors: J Douglas
authors: JD
authors: Bremner
authors: Jack
authors: J
authors: Goldberg
authors: Linda
authors: L
authors: Jones
authors: Lucy
authors: L
authors: Shallenberger
authors: Rocky
authors: R
authors: Buckham
authors: Nancy V
authors: NV
authors: Murrah
authors: Emir
authors: E
authors: Veledar
authors: Peter W
authors: PW
authors: Wilson
authors: Viola
authors: V
authors: Vaccarino
mesh_terms: D002097:C-Reactive Protein / Q000032:analysis; D002318:Cardiovascular Diseases / Q000517:prevention & control; D038441:Diet, Mediterranean; D006801:Humans; D007249:Inflammation / Q000517:prevention & control; D015850:Interleukin-6 / Q000097:blood*; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D011795:Surveys and Questionnaires
chemical_list: D015850:Interleukin-6; D002097:C-Reactive Protein