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Title: Does the Mediterranean diet counteract the adverse effects of abdominal adiposity?
Author: Eguaras, Sonia
Toledo Atucha, Estefanía
Buil Cosiales, Pilar
Salas Salvadó, Jordi
Corella Piquer, Dolores
Gutierrez Bedmar, M.
Santos Lozano, José Manuel
Arós, Fernando
Fiol, M.
Fitó Colomer, Montserrat
Ros Rahola, Emilio
Serra Majem, Lluís
Pintó Sala, Xavier
Martínez, J. Alfredo, 1957-
Sorlí, José V.
Muñoz, M. A.
Basora, J.
Estruch Riba, Ramon
Martínez-González, Miguel Ángel, 1957-
Viñolas Bargallo, Ernest
PREDIMED Investigators
Keywords: Dieta
Cuina mediterrània
Malalties cardiovasculars
Mediterranean cooking
Cardiovascular diseases
Issue Date: 11-Mar-2015
Publisher: Elsevier B. V.
Abstract: Background and aim: We tested the hypothesis that an intervention with a Mediterranean diet (MeDiet) could mitigate the well-known harmful effects of abdominal obesity on cardiovascular health. Methods and results: We assessed the relationship between baseline waist-to-height ratio (WHtR) and major cardiovascular events during a median follow-up of 4.8 years in the Prevention with Mediterranean Diet (PREDIMED) randomized primary prevention trial, which tested a MeDiet against a control diet (advice on a low-fat diet). We also examined whether the MeDiet intervention was able to counteract the detrimental cardiovascular effects of an increased WHtR. The trial included 7447 participants (55-80 years old, 57% women) at high cardiovascular risk but free of cardiovascular disease (CVD) at enrollment. An increased risk of CVD events (myocardial infarction, stroke, or cardiovascular death) was apparent for the highest versus the lowest quartile of WHtR (multivariable-adjusted hazard ratio: 1.98) (95% confidence interval: 1.10-3.57; linear trend: p = 0.019) only in the control-diet group, but not in the two groups allocated to intervention with MeDiet ( p for interaction = 0.034). This apparent interaction suggesting that the intervention counterbalanced the detrimental cardiovascular effects of adiposity was also significant for body mass index (BMI) (p = 0.01) and waist circumference ( p = 0.043). Conclusions: The MeDiet may counteract the harmful effects of increased adiposity on the risk of CVD.
Note: Versió postprint del document publicat a:
It is part of: Nutrition Metabolism and Cardiovascular Diseases, 2015, vol. 25, num. 6, p. 569-574
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ISSN: 0939-4753
Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
Articles publicats en revistes (Medicina)

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