Top

BMC Cardiovascular Disorders

Published in:

Open Access 01-12-2017 | Research article

Nutrition in primary and secondary prevention of cardiovascular risk in the continental and Mediterranean regions of Croatia

Authors: Jozica Sikic, Mira Stipcevic, Hrvoje Vrazic, Jasna Cerkez Habek, Eduard Margetic, Dario Gulin

Published in: BMC Cardiovascular Disorders | Issue 1/2017

Abstract

Background

The aim of this observational study was to evaluate the effect of Mediterranean and continental nutrition on cardiovascular risk in patients with acute and chronic coronary heart disease in Croatia.

Methods

The study included 1284 patients who were hospitalized in a 28-month period due to acute or chronic ischaemic heart disease in hospitals across Croatia. An individual questionnaire was prepared which enabled recording of various cardiovascular risk factors.

Results

Patients with chronic coronary artery disease have a better index of healthy diet than patients with acute coronary disease. Women have a better index of diet than men in both Croatian regions. When the prevalence of risk factors (impaired glucose tolerance, diabetes mellitus types I and II, hypercholesterolaemia, hypertriglyceridaemia and hypertension) in patients with Mediterranean and continental nutrition is compared, a trend is seen for patients who have risk factors to consume healthier food.

Conclusion

The Mediterranean diet is associated with reduced risk of developing cardiovascular disease. This effect is more evident in patients with known cardiovascular disease.

Available only for authorised users

Keys A, et al. Coronary heart disease in seven countries. Circulation. 1970;41(Suppl I):1–211.

Menotti A, Keys A, Kromhout D, Nissinen A, Blackburn H, Fidanza F, et al. Twenty-five-year mortality from coronary heart disease and its prediction in five cohorts of middle-aged men in Finland, the Netherlands, and Italy. Prev Med. 1990;19:270–8.CrossRefPubMed

Tunstall-Pedoe H, Kuulasmaa K, Mähönen M, Tolonen H, Ruokokoski E, Amouyel P. Contribution of trends in survival and coronary-event rates to changes in coronary heart disease mortality: 10-year results from 37 WHO MONICA project populations. Monitoring trends and determinants in cardiovascular disease. Lancet. 1999;353:1547–57.CrossRefPubMed

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.CrossRefPubMed

Knoops KT, de Groot LC, Kromhout D, Perrin AE, Moreiras-Varela O, Menotti A, et al. Mediterranean diet, lifestyle factors, and 10-year mortality in elderly European men and women: the HALE project. JAMA. 2004;292:1433–9.CrossRefPubMed

Knoops KT, de Groot LC, Fidanza F, Alberti-Fidanza A, Kromhout D, van Staveren WA. Comparison of three different dietary scores in relation to 10-year mortality in elderly European subjects: the HALE project. Eur J Clin Nutr. 2006;

Iestra JA, Kromhout D, van der Schow YT, Grobbee DE, Boshuizen HC, van Staveren WA. Effect size estimates of lifestyle and dietary changes on all-cause mortality in coronary artery disease patients: a systematic review. Circulation. 2005;112:924–34.CrossRefPubMed

Park D, Desai P, Aiyyengar J, Balladur A. Geographic differences in the characteristics of coronary artery disease in India. Int J Cardiol. 1998;67:187–9.CrossRefPubMed

Begom R, Singh RB. Prevalence of coronary artery disease and its risk factors in the urban population of South and North India. Acta Cardiol. 1995;50(3):227–40.PubMed

10.

Reiner Z, Mihatov S, Milicic D, Bergovec M, Planinc D. Treatment and secondary prevention of ischemic coronary events in Croatia. Eur J Cardiovasc Prev Rehabil. 2006;13:646–54.CrossRefPubMed

11.

Keys A. Olive oil and coronary heart disease. Lancet 1987; 25:1(8539):983–984.

12.

Perona JS, Cañizares J, Montero E, Sánchez-Domínguez JM, Catalá A, Ruiz-Gutiérrez V. Virgin olive oil reduces blood pressure in hypertensive elderly subjects. Clin Nutr. 2004;23:1113–21.CrossRefPubMed

13.

Zambón D, Sabaté J, Muñoz S, Campero B, Casals E, Merlos M, et al. Substituting walnuts for monounsaturated fat improves the serum lipid profile of hypercholesterolemic men and women. A randomized crossover trial. Ann Intern Med. 2000;132:538–46. 10744590 CrossRefPubMed

14.

Fuentes F, López-Miranda J, Sánchez E, Sánchez F, Paez J, Paz-Rojas E, et al. Mediterranean and low-fat diets improve endothelial function in hypercholesterolemic men. Ann Intern Med. 2001;134:1115–9.CrossRefPubMed

15.

Bemelmans WJ, Broer J, Feskens EJ, Smit AJ, Muskiet FA, Lefrandt JD, et al. Effect of an increased intake of alpha-linolenic acid and group nutritional education on cardiovascular risk factors: the Mediterranean Alpha-linolenic Enriched Groningen Dietary Intervention (MARGARIN) study. Am J Clin Nutr. 2002;75:221–7.PubMed

16.

Chrysohoou C, Panagiotakos DB, Pitsavos C, Das UN, Stefanadis C. Adherence to the Mediterranean diet attenuates inflammation and coagulation process in healthy adults: The ATTICA Study. J Am Coll Cardiol. 2004;44:152–8. 15234425 CrossRefPubMed

17.

Esposito K, Marfella R, Ciotola M, Di Palo C, Giugliano F, Giugliano G, 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. 15383514 CrossRefPubMed

18.

Barbero U, D'Ascenzo F, Nijhoff F, et al. Assessing risk in patients with stable coronary disease: When should we intensify care and follow-up? Results from a meta-analysis of observational studies of the COURAGE and FAME era. Scientifica (Cairo). 2016;2016:3769152.

19.

Neale EP, Batterham MJ, Tapsel LC. Consumption of a healthy dietary pattern results in significant reductions in C-reactive protein levels in adults: a meta-analysis. Nutr Res. 2016;36(5):391–401.CrossRefPubMed

20.

Fito M, Guxens M, Corella D, et al. Effect of a traditional Mediterranean diet on lipoprotein oxidation. Arch Intern Med. 2007;167:1195–203.CrossRefPubMed

21.

Fung TT, McCullough ML, Newby PK, et al. Diet-quality scores and plasma concentrations of markers of inflammation and endothelial dysfunction. Am J Clin Nutr. 2005;82:163–73.PubMed

22.

Dai J, Miller AH, Bremner JD, Goldberg J, et al. Adherence to the Mediterranean diet is inversely associated with circulating interleukin-6 among middle-aged men: a twin study. Circulation. 2008;117:169–75.CrossRefPubMed

23.

Serrano-Martinez M, Palacios M, Martinez-Losa E, et al. A Mediterranean dietary style influences TNF-alpha and VCAM-1 coronary blood levels in unstable angina patients. Eur J Nutr. 2005;44:348–54.CrossRefPubMed

24.

Pischon T, Girman CJ, Hotamisligil GS, et al. Plasma adiponectin levels and risk of myocardial infarction in men. JAMA. 2004;291:1730–7.CrossRefPubMed

25.

Psaltopoulou T, Naska A, Orfanos P, et al. Olive oil, the Mediterranean diet, and arterial blood pressure: the Greek European Prospective Investigation into Cancer and Nutrition (EPIC) study. Am J Clin Nutr. 2004;80:1012–8.PubMed

26.

Frank BH, Rimm EB, Stampfer MJ, et al. Prospective study of major dietary patterns and risk of coronary heart disease in men. Am J Clin Nutr. 2000;72:912–21.

27.

Feskanich D, Rimm EB, Giovannucci EL, et al. Reproducibility and validity of food intake measurements from a semiquantitative food frequency questionnaire. J Am Diet Assoc. 1993;93:790–6.CrossRefPubMed

28.

Robinson SM, Crozier SR, Borland SE, Hammond J, et al. Impact of educational attainment on the quality of young women's diets. Eur J Clin Nutr. 2004;58:1174–80.CrossRefPubMed

29.

Dynesen AW, Haraldsdottir J, Holm L, Astrup A. Sociodemographic differences in dietary habits described by food frequency questions – results from Denmark. Eur J Clin Nutr. 2003;57:1586–97.CrossRefPubMed

30.

Park SY, Murphy SP, Wilkens LR, et al. Dietary patterns using the Food Guide Pyramid groups are associated with sociodemographic and lifestyle factors: the multiethnic cohort study. J Nutr. 2005;135:843–9.PubMed

31.

He K, Song Y, Daviglus ML, et al. Accumulated evidence on fish consumption and coronary heart disease mortality: a meta-analysis of cohort studies. Circulation. 2004;109:2705–11.CrossRefPubMed

32.

Trichopoulou A, Naska A, Costacou T. Disparities in food habits across Europe. Proc Nutr Soc. 2002;61:553–8.CrossRefPubMed

33.

Roos G, Johansson L, Kasmel A, Klumbiené J, Prattala R. Disparities in vegetable and fruit consumption: European cases from the north to the south. Public Health Nutr. 2000;4:35–43.

34.

Giskes K, Turrell G, Patterson C, Newman B. Socio-economic differences in fruit and vegetable consumption among Australian adolescents and adults. Public Health Nutr. 2002;5:663–9.CrossRefPubMed

35.

Salmeron J, Manson JE, Stampfer MJ, et al. Dietary fiber, glycemic load, and risk of non-insulin-dependent diabetes mellitus in women. JAMA. 1997;277:472–7.CrossRefPubMed

36.

Salmeron J, Ascherio A, Rimm EB, et al. Dietary fiber, glycemic load, and risk of NIDDM in men. Diabetes Care. 1997;20:545–50.CrossRefPubMed

Title: Nutrition in primary and secondary prevention of cardiovascular risk in the continental and Mediterranean regions of Croatia
Authors: Jozica Sikic
Mira Stipcevic
Hrvoje Vrazic
Jasna Cerkez Habek
Eduard Margetic
Dario Gulin
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: BMC Cardiovascular Disorders / Issue 1/2017
Electronic ISSN: 1471-2261
DOI: https://doi.org/10.1186/s12872-017-0678-z

ACC 2024 Congress Coverage

Heart Failure Video

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Nutrition in primary and secondary prevention of cardiovascular risk in the continental and Mediterranean regions of Croatia

Abstract

Background

Methods

Results

Conclusion

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2017

Statin use reduces cardiovascular events and all-cause mortality amongst Chinese patients with type 2 diabetes mellitus: a 5-year cohort study

Lower diastolic wall strain is associated with coronary revascularization in patients with stable angina

Assessment of increasing intravenous adenosine dose in fractional flow reserve

Early detection of myocardial infarction following blunt chest trauma by computed tomography: a case report

The use of Macitentan in Fontan circulation: a case report

Surface ECG interatrial block-guided treatment for stroke prevention: rationale for an attractive hypothesis

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page