Med Diet
● High in
○ Fruit
○ Vegetables
○ Whole grains
○ Legumes
○ Nuts and seeds
● Health benefits
○ Reduce CVD
○ Blood sugar control
■ Preventing type 2 diabetes
○ Lower inflammation
○ Protection against Alzheimer
○ Weight managements
● Whole minimally processed food
○ High fibers, healthy fats
■ Anti-inflammatory
■ Healthy digestive system
PREDIMED study 2013
● Randomized trial of 7500 high risk individuals in Spain
● Provide 3 diets
1. Mediterranean + extra virgin olive oil
2. Mediterranean + nuts
3. Low- fat control diet
● Mediterranean diet group had reduced risk of cardiovascular disease by 30%
Current evidence does not support the use of nutritional supply
● Mineral supplements are advertised to reduce risk of( multivitamins , Omega-3
Vitamine D, Vitamin C)
○ Cardiovascular disease
○ Cancer
○ Mortality
● Cocharne meta-analysis shows supplements such as antioxidants does not
prevent chronic disease
● Diet insead, shows benefit repetitively
ANN INTERN MED
● Lack of benefit
○ Multivitamins and mineral supplements does not reduce risk of CVD
● Potential Harm
○ Some are taken in High dose
○ May be detrimental ○ Beta-carotene and vitamine E associated could increase risk of mortality
Role of vitamine D in Cardiometabolic disease
● Pancreatic B cells
○ Affects insuline secretion
● Muscle adipose tissue
○ insulin sensitivity
● Cardio myoctes/vascular endothelium
○ inflammation and blood pressure
Low Vitamin D increased insuline resistance with Chronic inflammation
Randomized Controlled Trials (RCTs)
● Researched on 25,871 adults
● intervention of Vitamin D3
● Other group given with placebo
● No significant major cardiovascular event
○ No stoke, myocardial infraction
○ No cancer deaths