title: The major European dietary patterns and metabolic syndrome.
abstract: Metabolic syndrome (MetS) is a cluster of risk factors that significantly increases the risk of cardiovascular disease. The lack of universally accepted diagnosis criteria makes it difficult to know the real prevalence of MetS in both adult and pediatric population. Lifestyle, especially nutritional habits and physical activity, have been suggested to be independent risk factors for the development of MetS. Recent studies highlight the need to prioritize overall dietary patterns, rather than isolated nutrients, to better appraise the associations between nutritional habits and MetS. In this review we summarize recently published intervention trials and systematic reviews that evaluated the association between overall dietary patterns and the risk of MetS. Westernized dietary patterns, characterized by a high consumption of meat or meat products, snacks, baked desserts and sugar-sweetened beverages, which provide high amounts of saturated fatty acids and simple carbohydrates as added sugars, have been associated with higher risk of MetS. In contrast, more traditional dietary patterns, including the Mediterranean dietary pattern (MDP), characterized by a high consumption of vegetables, fruits, whole cereals and fish are associated with a reduced risk of MetS. The main characteristics of the MDP include a high consumption of nuts and olive oil, resulting in a relatively fat-rich pattern that provides high amounts of mono- and polyunsaturated fatty acids, bioactive polyphenols and dietary fiber. Strong evidence is accumulating to support that a closer conformity with the MDP is inversely associated with the incidence of MetS, cardiovascular risk factors, diabetes and cardiovascular disease.
authors: School of Medicine, University of Navarra, Pamplona, Navarra, Spain, mamartinez@unav.es.
authors: Miguel Ángel
authors: MÁ
authors: Martínez-González
authors: Nerea
authors: N
authors: Martín-Calvo
mesh_terms: D004032:Diet; D038441:Diet, Mediterranean; D005060:Europe; D005231:Fatty Acids, Unsaturated / Q000378:metabolism; D006801:Humans; D024821:Metabolic Syndrome / Q000378:metabolism*
chemical_list: D005231:Fatty Acids, Unsaturated
references: J Am Coll Cardiol. 2011 Mar 15;57(11):1299-313
references: 21392646
references: N Engl J Med. 2011 Jun 23;364(25):2392-404
references: 21696306
references: Ann N Y Acad Sci. 2013 Apr;1281:123-40
references: 23356701
references: J Am Diet Assoc. 2009 Apr;109(4):668-79
references: 19328262
references: Int J Obes Relat Metab Disord. 2000 Jun;24(6):794-800
references: 10878689
references: Future Child. 2006 Spring;16(1):47-67
references: 16532658
references: J Am Diet Assoc. 2009 Feb;109(2):236-44
references: 19167950
references: Nat Rev Gastroenterol Hepatol. 2010 May;7(5):251-64
references: 20368739
references: Korean J Pediatr. 2012 Apr;55(4):128-35
references: 22574073
references: Pediatr Diabetes. 2007 Oct;8(5):299-306
references: 17850473
references: BMJ. 2005 Jun 11;330(7504):1357
references: 15908441
references: Obes Res. 2001 Nov;9 Suppl 4:239S-243S
references: 11707548
references: J Am Diet Assoc. 2005 Mar;105(3):428-40
references: 15746832
references: Pediatrics. 2005 Jun;115(6):1723-33
references: 15930237
references: Nutr Metab Cardiovasc Dis. 2006 May;16(4):294-301
references: 16679222
references: N Engl J Med. 2003 Jun 26;348(26):2599-608
references: 12826634
references: J Nutr. 2012 Feb;142(2):320-5
references: 22190031
references: Lipids. 2011 Mar;46(3):209-28
references: 21308420
references: J Clin Endocrinol Metab. 2011 Dec;96(12):E1999-2008
references: 21994964
references: Am J Clin Nutr. 2010 Nov;92(5):1189-96
references: 20810976
references: N Engl J Med. 2012 Oct 11;367(15):1397-406
references: 22998340
references: JAMA. 2004 Aug 25;292(8):927-34
references: 15328324
references: Circulation. 2009 Oct 20;120(16):1640-5
references: 19805654
references: Am J Med. 2011 Sep;124(9):841-51.e2
references: 21854893
references: Am J Clin Nutr. 2008 Jul;88(1):185-94
references: 18614740
references: N Engl J Med. 2013 Apr 4;368(14):1279-90
references: 23432189
references: Br J Nutr. 2013 Nov 14;110(9):1722-31
references: 23534417
references: N Engl J Med. 2012 Oct 11;367(15):1407-16
references: 22998339
references: Curr Opin Lipidol. 2002 Feb;13(1):3-9
references: 11790957
references: Ann Nutr Metab. 2012;61(1):47-56
references: 22832546
references: Am J Clin Nutr. 2013 Aug;98(2):444-53
references: 23783291
references: J Am Diet Assoc. 1995 Oct;95(10):1103-8
references: 7560680
references: Circulation. 2011 Jun 21;123(24):2870-91
references: 21690503
references: J Pediatr. 2004 Oct;145(4):445-51
references: 15480365
references: Prev Med. 2002 Sep;35(3):219-24
references: 12202063
references: Vasc Health Risk Manag. 2012;8:661-7
references: 23271912
references: Int J Food Sci Nutr. 2003 Jul;54(4):297-307
references: 12850891
references: Ann Nutr Metab. 2012;61(4):281-8
references: 23208157
references: Am J Clin Nutr. 2008 Sep;88(3):769-77
references: 18779295
references: Obes Rev. 2013 Aug;14(8):606-19
references: 23763695
references: Br J Nutr. 2012 Aug;108(4):682-91
references: 22894911
references: Pediatrics. 2008 Jul;122(1):198-208
references: 18596007
references: Metabolism. 2012 Nov;61(11):1572-81
references: 22633601