Статья
Средиземноморская диета: история, основные компоненты, доказательства пользы и возможность применения в российской реальности
В концепции факторов риска сердечно-сосудистых заболеваний нерациональное, нездоровое питание занимает одно из главных мест. Оно способствует развитию в организме человека различных, так называемых, «алиментарно-зависимых» факторов риска и состояний: избыточной массы тела/ожирения, гипергликемии, повышенного артериального давления и гиперхолестеринемии. Это, в свою очередь, ведет к высокой сердечно-сосудистой заболеваемости и смертности. Предлагались различные способы рационализации и оздоровления питания, но первенство в профилактике сердечно-сосудистых заболеваний в течение последних десятилетий устойчиво принадлежит средиземноморской диете. История возникновения, основные ее компоненты, а также исследования, в которых была доказана польза средиземноморской диеты, стали предметом данного обзора литературы. Кроме того, выносятся для обсуждения вопросы адаптации средиземноморской диеты к российской действительности.
1. Altomare R., Cacciabaudo F., Damiano G., et al. The Mediterranean Diet: A History of Health. Iranian J Publ Health. 2013;42:449-57.
2. Sahyoun N.R., Sankavaram K. Chapter 4. Historical origins of the Mediterranean Diet, Regional Dietary Profiles, and the Development of the Dietary Guidelines. In: Romagnolo D.F., Selmin O.I., Eds. Mediterranean Diet, Nutrition and Health. Switzerland: Springer International Publishing: 2016. P. 45-46. DOI:10.1007/978-3-319-27969-5_4.
3. Essid M.Y. History of Mediterranean food. In: Mediterra 2012. The Mediterranean diet for sustainable regional development, 1st ed. Paris: Presses de Sciences Po; 2012. p. 51-69.
4. Grigg D. Food consumption in the Mediterranean region. Tijdschrift Voor Economische en Sociale Geografie.1999;90(4):391-409. DOI:10.1111/1467-9663.00081.
5. Keys A.E. Seven countries: a multivariate analysis of death and coronary heart disease. Harvard: University Press; 1980.
6. Willett W.C., Sacks F., Trichopoulou A., et al. Mediterranean diet pyramid: a cultural model for healthy eating. Am J Clin Nutr. 1995;61(6 Suppl):1402S-6. DOI:10.1093/ajcn/61.6.1402S.
7. Bach-Faig A., Berry E.M., Lairon D., et al. Mediterranean diet pyramid today. Science and cultural updates. Public Health Nutrition. 2011;14(12A):2274-84. DOI:10.1017/S1368980011002515.
8. Sofi F., Abbate R., Gensini G.F., Casini A. Accruing evidence on benefits of adherence to the Mediterranean diet on health: an updated systematic review and meta-analysis. Am J Clin Nutr. 2010;92:1189-96. DOI:10.3945/ajcn.2010.29673.
9. Serra-Majem L., Roman B., Estruch R. Scientific evidence of interventions using the Mediterranean diet: a systematic review. Nutr Rev. 2006;64:S27-S47. DOI:10.1111/j.1753-4887.2006.tb00232.x.
10. de Lorgeril M., Salen P., Martin J.L., et al. Mediterranean diet, traditional risk factors, and the rate of cardiovascular complications after myocardial infarction: final report of the Lyon Diet Heart Study. Circulation. 1999;99:779-85. DOI:10.1161/01.CIR.99.6.779.
11. Mente A., de Koning L., Shannon H.S., Anand S.S. A systematic review of the evidence supporting a causal link between dietary factors and coronary heart disease. Arch Intern Med. 2009;169:659-69. DOI:10.1001/archinternmed.2009.38.
12. Esposito K., Marfella R., Ciotola M., et al. Effect of a Mediterranean-style diet on endothelial dysfunction and markers of vascular inflammation in the metabolic syndrome: a randomized trial. JAMA. 2004;292:1440-6. DOI:10.1001/jama.292.12.1440.
13. Vincent-Baudry S., Defoort C., Gerber M., et al. The Medi-RIVAGE study: reduction of cardiovascular disease risk factors after a 3-mo intervention with a Mediterranean-type diet or a low-fat diet. Am J Clin Nutr. 2005;82:964-71. DOI:10.1093/ajcn/82.5.964.
14. Estruch R., Martínez-González M.A., Corella D., et al. Effects of a Mediterranean-style diet on cardiovascular risk factors: a randomized trial. Ann Intern Med. 2006;145:1-11. DOI:10.7326/0003-4819-145-1-200607040-00004.
15. Estruch R., Ros E., Salas-Salvadó J., et al. Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med. 2013;368:1279-90. DOI:10.1056/NEJMoa1200303.
16. Salas-Salvado J., Fernández-Ballart J., Ros E., et al. Effect of a Mediterranean Diet Supplemented With Nuts on Metabolic Syndrome Status. Arch Intern Med. 2008;168(22):2449-58. DOI:10.1001/archinte.168.22.2449.
17. Salas-Salvadó J., Bulló M., Babio N., et al. Reduction in the incidence of type 2 diabetes with the Mediterranean diet: results of the PREDIMED-Reus nutrition intervention randomized trial. Diabetes Care. 2011;34(1):14-9. DOI:10.2337/dc10-1288.
18. Estruch R., Ros E., Salas-Salvadó J., et al. Primary Prevention of Cardiovascular Disease with a Mediterranean Diet Supplemented with Extra-Virgin Olive Oil or Nuts. N Engl J Med. 2018;378(25):1-14. DOI:10.1056/NEJMoa1800389.
19. Sofi F., Macchi C., Abbate R., et al. Mediterranean diet and health status: an updated meta-analysis and a proposal for a literature-based adherence score. Public Health Nutr. 2014;17:2769-82. DOI:10.1017/S1368980013003169.
20. Hernández-Ruiz A., García-Villanova B., Guerra Hernández E.J., et al. Description of indexes based on the adherence to the Mediterranean dietary pattern: a review. Nutr Hosp. 2015;32:1872-84. DOI:10.3945/cdn.116.000075.
21. Trichopoulou A., Costacou T., Bamia C., Trichopoulos D. Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med. 2003;348:2599-608. DOI:10.1056/NEJMoa025039.
22. Turner J.R. Cardiodiabesity and Related Updates. Therapeutic Innovation & Regulatory Science. 2018;52(1):4-6. DOI:10.1177/2168479017747867.
23. García-Fernández E., Rico-Cabanas L., Rosgaard N., et l. Mediterranean diet and cardiodiabesity: a review. Nutrients. 2014;6(9):3474-500. DOI:10.3390/nu6093474.
24. Bloomfield H.E., Koeller E., Greer N., et al. Effects on Health Outcomes of a Mediterranean Diet with No Restriction on Fat Intake: A Systematic Review and Meta-analysis. Ann Intern Med. 2016;165(7):491-500. DOI:10.7326/M16-0361.
25. Carlos S., De La Fuente-Arrillaga C., Bes-Rastrollo M., et al. Mediterranean Diet and Health Outcomes in the SUN Cohort. Nutrients. 2018;31;10(4):pii:E439. DOI:10.3390/nu10040439.
26. Radd-Vagenas S., Duffy S.L., Naismith S.L., et al. Effect of the Mediterranean diet on cognition and brain morphology and function: a systematic review of randomized controlled trials. Am J Clin Nutr. 2018;107(3):389-404. DOI:10.1093/ajcn/nqx070.
27. Martinez-Lapiscina E.H., Clavero P., Toledo E., et al. Mediterranean diet improves cognition: the PREDIMED-NAVARRA randomised trial. J Neurol Neurosurg Psychiatry. 2013;84:1318-25. DOI:10.1136/jnnp-2012-304792.
28. Karstens A.J., Tussing-Humphreys L., Zhan L., et al. Associations of the Mediterranean diet with cognitive and neuroimaging phenotypes of dementia in healthy older adults. Am J Clin Nutr .2019;108:1-8. DOI:10.1093/ajcn/nqy275.
29. Frisardi V., Panza F., Seripa D., et al. Nutraceutical properties of Mediterranean diet and cognitive decline: possible underlying mechanisms. J Alzheimers Dis. 2010;22(3):715-40. DOI:10.3233/JAD-2010-100942.
30. Levy J.A., Chelune G.J. Cognitive-behavioral profiles of neurodegenerative dementias: beyond Alzheimer’s disease. J Geriatr Psychiatry Neurol. 2007;20(4):227-38. DOI:10.1177/0891988707308806.
31. Hollands C., Bartolotti N., Lazarov O. Alzheimer’s disease and hippocampal adult neurogenesis; exploring shared mechanisms. Front Neurosci. 2016;10:178. DOI:10.3389/fnins.2016.00178.
32. Chutinet A., Rost N.S. White matter disease as a biomarker for long-term cerebrovascular disease and dementia. Curr Treat Opt Cardiovasc Med. 2014;16(3):292. DOI:10.1007/s11936-013-0292-z.
33. Nomikos T., Fragopoulou E., Antonopoulou S., Panagiotakos D.B. Mediterranean diet and platelet-activating factor; a systematic review. Clin Biochem. 2018;60:1-10. DOI:10.1016/j.clinbiochem.2018.08.004.
34. Tsoupras A., Lordan R., Zabetakis I. Inflammation, not Cholesterol, Is a Cause of Chronic Disease. Nutrients. 2018;10(5):pii:E604. DOI:10.3390/nu10050604.
35. Aromataris E., Fernandez R., Godfrey C.M., et al. Summarizing systematic reviews: methodological development, conduct and reporting of an umbrella review approach. Int J Evid Based Healthc. 2015;13:132-40. DOI:10.1097/XEB.0000000000000055.
36. Dinu M., Pagliai G., Casini A., Sofi F. Mediterranean diet and multiple health outcomes: an umbrella review of meta-analyses of observational studies and randomised trials. Eur J Clin Nutr. 2018;72(1):30-43. DOI:10.1038/ejcn.2017.58.
37. Galbete C., Schwingshackl L., Schwedhelm C., et al. Evaluating Mediterranean diet and risk of chronic disease in cohort studies: an umbrella review of meta-analyses. Eur J Epidemiol. 2018;33(10):909-31. DOI:10.1007/s10654-018-0427-3.
38. Schwingshackl L., Knuppel S., Schwedhelm C., et al. Perspective: NutriGrade: a scoring system to assess and judge the meta-evidence of randomized controlled trials and cohort studies in nutrition research. Adv Nutr. 2016;7(6):994-1004. DOI:org/10.3945/an.116.013052.
39. Martínez-González M.A., Hershey M.S., Zazpe I., Trichopoulou A. Transferability of the Mediterranean Diet to Non-Mediterranean Countries. What Is and What Is Not the Mediterranean Diet? Nutrients. 2017;9(11):e:1226. DOI:10.3390/nu9111226.
40. U.S. Department of Health & Human Services. National Heart, Lung and Blood Institute. The National Heart, Lung, and Blood Institute Workshop. Toward Testing the Effects of a Mediterranean Dietary Pattern on Cardiovascular and Other Diseases in the United States. 16-17 May 2016.. Available from: http://www.nhlbi.nih.gov/research/reports/ national-heart-lung-and-blood-instituteworkshop-toward-testing-effects-mediterranean-dietary.
41. Sotos-Prieto M., Cash S.B., Christophi C., et al. Rationale and design of feeding America’s bravest: Mediterranean diet-based intervention to change firefighters’ eating habits and improve cardiovascular risk profiles. Contemp Clin Trials. 2017;61:101-7. DOI:10.1016/j.cct.2017.07.010.
42. Bonaccio M.L., Castelnuovo A., Pounis G., et al. High adherence to the Mediterranean diet is associated with cardiovascular protection in higher but not in lower socioeconomic groups: prospective findings from the Moli-sani study. International Journal of Epidemiology. 2017;46:1478-87. DOI:10.1093/ije/dyx145.
43. Decision of the Intergovernmental Committee: 5.COM 6.41.. Available from: https://ich.unesco.org/en/decisions/5.COM/6.41.