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DOI: 10.1055/s-0035-1552773
Prinzipien der mediterranen Ernährung: Definition, Hintergrund, Eigenschaften und klinische Bedeutung
Mediterranean Dietary Pattern: Definition, Background, Principles and Clinical PracticePublikationsverlauf
Publikationsdatum:
17. Dezember 2015 (online)
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Zusammenfassung
Während des letzten Jahrhunderts wurde in wissenschaftlichen Studien vermehrt die mediterrane Ernährung hinsichtlich ihres günstigen Gesundheitseffekts auf verschiedene chronische Krankheiten wie koronare Herzkrankheit und Krebs untersucht. Wiederholt konnten große epidemiologische Studien zeigen, dass ein guter Gesundheitszustand mit einer großen Adhärenz zur mediterranen Ernährung korreliert. Mediterrane Kost hat einen wichtigen Anteil am gesunden Lebensstil und dient der Prävention. Es verdichten sich die Hinweise, dass diese positiven Effekte nicht nur auf einzelnen Aspekten der Diät beruhen, sondern durch das Zusammenspiel der einzelnen Komponenten hervorgerufen werden. Obwohl die Bezeichnung wie auch die Interpretation der mediterranen Küche unter den einzelnen Ländern, Regionen und Kulturen variieren, gibt es viele gemeinsame Merkmale, die für die mediterrane Ernährung charakteristisch sind. Diese gemeinsamen Merkmale definieren die mediterrane Ernährung und dienen auch als Grundlage für wissenschaftliche Untersuchungen. Sofern Empfehlungen zur mediterranen Ernährung ausgesprochen werden, sollte betont werden, dass der größte gesundheitliche Nutzen nur bei einem gesunden aktiven Lebensstil, der die Hauptmerkmale der mediterranen Ernährung beinhaltet, erreicht wird.
Abstract
Healthcare research over the last century has begun to give a greater amount of attention to the Mediterranean dietary pattern and its potential to bring about positive health effects for a variety of chronic diseases, including Coronary Heart Disease and Cancer. Repeatedly large epidemiological studies have shown better overall health outcomes correlate with an increased adherence to this healthy dietary pattern. A Mediterranean dietary pattern is also given importance in the area of preventive lifestyle choices. Increasing evidence conclusively demonstrates that these effects are not derived from certain aspects of the diet, but instead from only the sum of these components. Although the terminology and also the interpretation of the Mediterranean dietary pattern may vary between countries and cultures many common key components can be identified within these various interpretations. These components thus serve to characterize both the dietary pattern itself and to provide a viable scientific basis for it’s positive effects. Thus, when recommending a Mediterranean dietary pattern within the healthcare setting, it is important to realize that the greatest health benefits are derived only when the adaptation of a healthy lifestyle preserves those key elements.
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Literatur
- 1 Bach-Faig A, Berry EM, Lairon D et al. Mediterranean diet pyramid today. Science and cultural updates. Public Health Nutr 2011; 14: 2274-2284
- 2 Estruch R, Ros E, Salas-Salvado J et al. Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med 2013; 368: 1279-1290
- 3 Verschuren WM, Jacobs DR, Bloemberg BP et al. Serum total cholesterol and long-term coronary heart disease mortality in different cultures. Twenty-five-year follow-up of the seven countries study. JAMA 1995; 274: 131-136
- 4 Menotti A, Puddu PE, Lanti M et al. Lifestyle habits and mortality from all and specific causes of death: 40-year follow-up in the Italian Rural Areas of the Seven Countries Study. J Nutr Health Aging 2014; 18: 314-321
- 5 Willett WC. The Mediterranean diet: science and practice. Public Health Nutr 2006; 9: 105-110
- 6 Reedy J, Krebs-Smith SM, Miller PE et al. Higher diet quality is associated with decreased risk of all-cause, cardiovascular disease, and cancer mortality among older adults. J Nutr 2014; 144: 881-889
- 7 Estruch R, Martinez-Gonzalez MA, Corella D et al. Effects of a Mediterranean-style diet on cardiovascular risk factors: a randomized trial. Ann Intern Med 2006; 145: 1-11
- 8 Fito M, Guxens M, Corella D et al. Effect of a traditional Mediterranean diet on lipoprotein oxidation: a randomized controlled trial. Arch Intern Med 2007; 167: 1195-1203
- 9 Fito M, Cladellas M, de la Torre R et al. Anti-inflammatory effect of virgin olive oil in stable coronary disease patients: a randomized, crossover, controlled trial. Eur J Clin Nutr 2008; 62: 570-574
- 10 Pierce JP, Natarajan L, Caan BJ et al. Influence of a diet very high in vegetables, fruit, and fiber and low in fat on prognosis following treatment for breast cancer: the Women's Healthy Eating and Living (WHEL) randomized trial. JAMA 2007; 298: 289-298
- 11 Salas-Salvado J, Bullo 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: 14-19
- 12 Esposito K, Maiorino MI, Petrizzo M et al. The effects of a Mediterranean diet on the need for diabetes drugs and remission of newly diagnosed type 2 diabetes: follow-up of a randomized trial. Diabetes Care 2014; 37: 1824-1830
- 13 Babio N, Toledo E, Estruch R et al. Mediterranean diets and metabolic syndrome status in the PREDIMED randomized trial. CMAJ 2014; 186: E649-E657
- 14 Bondia-Pons I, Martinez JA, de la Iglesia R et al. Effects of short- and long-term Mediterranean-based dietary treatment on plasma LC-QTOF/MS metabolic profiling of subjects with metabolic syndrome features: The Metabolic Syndrome Reduction in Navarra (RESMENA) randomized controlled trial. Mol Nutr Food Res 2015; 59: 711-728
- 15 Sorli-Aguilar M, Martin-Lujan F, Santigosa-Ayala A et al. Effects of mediterranean diet on lung function in smokers: a randomised, parallel and controlled protocol. BMC Public Health 2015; 15: 74
- 16 Trichopoulou A, Costacou T, Bamia C et al. Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med 2003; 348: 2599-2608
- 17 Trichopoulou A, Orfanos P, Norat T et al. Modified Mediterranean diet and survival: EPIC-elderly prospective cohort study. BMJ 2005; 330: 991
- 18 Santiago S, Zazpe I, Bes-Rastrollo M et al. Carbohydrate quality, weight change and incident obesity in a Mediterranean cohort: the SUN Project. Eur J Clin Nutr 2015; 69: 297-302
- 19 Schwab U, Lauritzen L, Tholstrup T et al. Effect of the amount and type of dietary fat on cardiometabolic risk factors and risk of developing type 2 diabetes, cardiovascular diseases, and cancer: a systematic review. Food Nutr Res 2014; 58 DOI: 10.3402/fnr.v58.25145.
- 20 Psaltopoulou T, Kosti RI, Haidopoulos D et al. Olive oil intake is inversely related to cancer prevalence: a systematic review and a meta-analysis of 13,800 patients and 23,340 controls in 19 observational studies. Lipids Health Dis 2011; 10: 127
- 21 Hauner H, Bechthold A, Boeing H et al. Evidence-based guideline of the German Nutrition Society: carbohydrate intake and prevention of nutrition-related diseases. Ann Nutr Metab 2012; 60 (Suppl. 01) 1-58
- 22 Boffetta P, Couto E, Wichmann J et al. Fruit and vegetable intake and overall cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC). J Natl Cancer Inst 2010; 102: 529-537
- 23 Wang X, Ouyang Y, Liu J et al. Fruit and vegetable consumption and mortality from all causes, cardiovascular disease, and cancer: systematic review and dose-response meta-analysis of prospective cohort studies. BMJ 2014; 349: g4490