Higher adherence to the Mediterranean diet is inversely associated with having hypertension: is low salt intake a mediating factor?

International Journal of Food Sciences and Nutrition

Volumn 69, Issue 2, 2018, Pages 235-244

  La Verde, Melania ^a   Mulè, Serena ^a   Zappalà, Gaetano ^a   Privitera, Gaetano ^b   Maugeri, Giuseppe ^b   Pecora, Francesco ^b   Marranzano, Marina ^a  

^a UNIVERSITY OF CATANIA   (Italy)

^b Provincial Health Authority of Catania   (Italy)

Author keywords

blood pressure; cohort; CVD; Hypertension; MEAL study; Mediterranean diet

Indexed keywords

ADOLESCENT; ADULT; AGED; COHORT ANALYSIS; COMPARATIVE STUDY; CROSS-SECTIONAL STUDY; DRUG THERAPY; ETHNOLOGY; FEEDING BEHAVIOR; FEMALE; FOOD PREFERENCE; HUMAN; HYPERTENSION; MALE; MEDITERRANEAN DIET; MIDDLE AGED; PATIENT COMPLIANCE; POTASSIUM INTAKE; RISK FACTOR; SELF REPORT; SICILY; SODIUM RESTRICTION; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; COHORT STUDIES; CROSS-SECTIONAL STUDIES; DIET, MEDITERRANEAN; DIET, SODIUM-RESTRICTED; FEEDING BEHAVIOR; FEMALE; FOOD PREFERENCES; HUMANS; HYPERTENSION; MALE; MIDDLE AGED; PATIENT COMPLIANCE; POTASSIUM, DIETARY; RISK FACTORS; SELF REPORT; SICILY; YOUNG ADULT;

EID: 85023750487     PISSN: 09637486     EISSN: 14653478     Source Type: Journal    
DOI: 10.1080/09637486.2017.1350941     Document Type: Article

References (77)

1. Aaron KJ, Sanders PW., 2013. Role of dietary salt and potassium intake in cardiovascular health and disease: a review of the evidence. Mayo Clin Proc. 88:987–995.
2. Alexandratos N., 2006. The Mediterranean diet in a world context. Public Health Nutr. 9:111–117.
3. Baradaran A, Nasri H, Rafieian-Kopaei M., 2014. Oxidative stress and hypertension: possibility of hypertension therapy with antioxidants. J Res Med Sci. 19:358–367.
4. Bonaccio M, Di Castelnuovo A, Bonanni A, Costanzo S, De Lucia F, Persichillo M, Zito F, Donati MB, de Gaetano G, Iacoviello L. 2014. Decline of the Mediterranean diet at a time of economic crisis. Results from the Moli-sani study. Nutr Metab Cardiovasc Dis. 24:853–860.
5. Buscemi S, Marventano S, Castellano S, Nolfo F, Rametta S, Giorgianni G, Matalone M, Marranzano M, Mistretta A., 2016. Role of anthropometric factors, self-perception, and diet on weight misperception among young adolescents: a cross-sectional study. Eat Weight Disord. [Epub ahead of print]. doi: 10.1007/s40519-016-0306-4
6. Buscemi S, Rosafio G, Vasto S, Massenti FM, Grosso G, Galvano F, Rini N, Barile AM, Maniaci V, Loretta Cosentino L, et al. 2015. Validation of a food frequency questionnaire for use in Italian adults living in Sicily. Int J Food Sci Nutr. 66:426–438.
7. Cappuccio FP, Ji C, Donfrancesco C, Palmieri L, Ippolito R, Vanuzzo D, Giampaoli S, Strazzullo P., 2015. Geographic and socioeconomic variation of sodium and potassium intake in Italy: results from the MINISAL-GIRCSI programme. BMJ Open. 5:e007467.
8. Carnauba RA, Chaves DF, Baptistella AB, Paschoal V, Naves A, Buehler AM., 2016. Association between high consumption of phytochemical-rich foods and anthropometric measures: a systematic review. Int J Food Sci Nutr. 68:1–9.
9. Cassidy A, O’Reilly EJ, Kay C, Sampson L, Franz M, Forman JP, Curhan G, Rimm EB., 2011. Habitual intake of flavonoid subclasses and incident hypertension in adults. Am J Clin Nutr. 93:338–347.
10. Chatzianagnostou K, Del Turco S, Pingitore A, Sabatino L, Vassalle C., 2015. The Mediterranean lifestyle as a non-pharmacological and natural antioxidant for healthy aging. Antioxidants (Basel). 4:719–736.
11. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, Jr, Jones DW, Materson BJ, Oparil S, Wright JT, et al. 2003. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. JAMA. 289:2560–2572.
12. Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, et al. 2003. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 35:1381–1395.
13. Database Name 2009. Available from: http://nut.entecra.it/646/tabelle_di_composizione_degli_alimenti.html.
14. Di Nunzio M, Valli V, Bordoni A., 2016. PUFA and oxidative stress. Differential modulation of the cell response by DHA. Int J Food Sci Nutr. 67:1–10.
15. Feskens EJ, Sluik D, van Woudenbergh GJ., 2013. Meat consumption, diabetes, and its complications. Curr Diab Rep. 13:298–306.
16. Godos J, Marventano S, Mistretta A, Galvano F, Grosso G., 2017a. Dietary sources of polyphenols in the Mediterranean healthy eating, aging and lifestyle (MEAL) study cohort. Int J Food Sci Nutr. 68:1–7.
17. Godos J, Rapisarda G, Marventano S, Galvano F, Mistretta A, Grosso G., 2017b. Association between polyphenol intake and adherence to the Mediterranean diet in Sicily, southern Italy. NFS J. 8:1–7.
18. Godos J, Zappala G, Bernardini S, Giambini I, Bes-Rastrollo M, Martinez-Gonzalez M., 2017c. Adherence to the Mediterranean diet is inversely associated with metabolic syndrome occurrence: a meta-analysis of observational studies. Int J Food Sci Nutr. 68:138–148.
19. Grosso G, Bei R, Mistretta A, Marventano S, Calabrese G, Masuelli L, Giganti MG, Modesti A, Galvano F, Diego Gazzolo D. 2013. Effects of vitamin C on health: a review of evidence. Front Biosci (Landmark Ed). 18:1017–1029.
20. Grosso G, Biondi A, Galvano F, Mistretta A, Marventano S, Buscemi S, Drago F, Basile F., 2014a. Factors associated with colorectal cancer in the context of the Mediterranean diet: a case-control study. Nutr Cancer. 66:558–565.
21. Grosso G, Marventano S, D’urso M, Mistretta A, Galvano F., 2016a. The Mediterranean healthy eating, ageing, and lifestyle (MEAL) study: rationale and study design. Int J Food Sci Nutr. 68:1–10.
22. Grosso G, Marventano S, Giorgianni G, Raciti T, Galvano F, Mistretta A., 2014b. Mediterranean diet adherence rates in Sicily, southern Italy. Public Health Nutr. 17:2001–2009.
23. Grosso G, Marventano S, Yang J, Micek A, Pajak A, Scalfi L, Galvano F, Kales SN., 2015. A comprehensive meta-analysis on evidence of Mediterranean diet and cardiovascular disease: are individual components equal? Crit Rev Food Sci Nutr. 57:3218–3232.
24. Grosso G, Micek A, Godos J, Pajak A, Sciacca S, Galvano F, Giovannucci EL., 2017a. Dietary flavonoid and lignan intake and mortality in prospective cohort studies: systematic review and dose-response meta-analysis. Am J Epidemiol. 185:1304–1316.
25. Grosso G, Mistretta A, Frigiola A, Gruttadauria S, Biondi A, Basile F, Vitaglione P, D'Orazio N, Galvano F, et al. 2014c. Mediterranean diet and cardiovascular risk factors: a systematic review. Crit Rev Food Sci Nutr. 54:593–610.
26. Grosso G, Mistretta A, Marventano S, Purrello A, Vitaglione P, Calabrese G, Drago F, Galvano F., 2014d. Beneficial effects of the Mediterranean diet on metabolic syndrome. Curr Pharm Des. 20:5039–5044.
27. Grosso G, Stepaniak U, Micek A, Kozela M, Stefler D, Bobak M, Pajak A., 2017b. Dietary polyphenol intake and risk of hypertension in the Polish arm of the HAPIEE study. Eur J Nutr. [Epub ahead of print]. doi: 10.1007/s00394-017-1438-7
28. Grosso G, Stepaniak U, Micek A, Stefler D, Bobak M, Pajak A., 2016b. Dietary polyphenols are inversely associated with metabolic syndrome in Polish adults of the HAPIEE study. Eur J Nutr. 56:1409–1420.
29. Harris SS., 2000. Dietary guidelines for Americans recommendations for the year 2000. Food Aust. 52:212–214.
30. Hohmann CD, Cramer H, Michalsen A, Kessler C, Steckhan N, Choi K, Dobos G., 2015. Effects of high phenolic olive oil on cardiovascular risk factors: a systematic review and meta-analysis. Phytomedicine. 22:631–640.
31. Hooper L, Kroon PA, Rimm EB, Cohn JS, Harvey I, Le Cornu KA, Ryder JJ, Hall WL, Cassidy A. 2008. Flavonoids, flavonoid-rich foods, and cardiovascular risk: a meta-analysis of randomized controlled trials. Am J Clin Nutr. 88:38–50.
32. Hypertension EETFftMoA. 2013. 2013 Practice guidelines for the management of arterial hypertension of the European Society of Hypertension (ESH) and the European Society of Cardiology (ESC): ESH/ESC Task Force for the Management of Arterial Hypertension. J Hypertens. 31:1925–1938.
33. Kastorini CM, Milionis HJ, Esposito K, Giugliano D, Goudevenos JA, Panagiotakos DB., 2011. The effect of Mediterranean diet on metabolic syndrome and its components: a meta-analysis of 50 studies and 534,906 individuals. J Am Coll Cardiol. 57:1299–1313.
34. Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J., 2005. Global burden of hypertension: analysis of worldwide data. Lancet. 365:217–223.
35. Krauss RM, Eckel RH, Howard B, Appel LJ, Daniels SR, Deckelbaum RJ, Erdman JW, Jr, Kris-Etherton P, Goldberg IJ, Kotchen TA, et al. 2000. AHA Dietary Guidelines: revision 2000: a statement for healthcare professionals from the nutrition committee of the American Heart Association. Circulation. 102:2284–2299.
36. Kuwabara A, Nakade M, Tamai H, Tsuboyama-Kasaoka N, Tanaka K., 2014. The association between vitamin E intake and hypertension: results from the re-analysis of the national health and nutrition survey. J Nutr Sci Vitaminol. 60:239–245.
37. Lajous M, Rossignol E, Fagherazzi G, Perquier F, Scalbert A, Clavel-Chapelon F, Boutron-Ruault MC., 2016. Flavonoid intake and incident hypertension in women. Am J Clin Nutr. 103:1091–1098.
38. Li B, Zhang G, Tan M, Zhao L, Jin L, Tang X, Jiang G, Zhong K., 2016. Consumption of whole grains in relation to mortality from all causes, cardiovascular disease, and diabetes: dose-response meta-analysis of prospective cohort studies. Medicine (Baltimore). 95:e4229.
39. Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, Amann M, Anderson HR, Andrews KG, Aryee M, et al. 2012. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 380:2224–2260.
40. Liu Y, Ma W, Zhang P, He S, Huang D., 2015. Effect of resveratrol on blood pressure: a meta-analysis of randomized controlled trials. Clin Nutr. 34:27–34.
41. Lopez-Miranda J, Perez-Jimenez F, Ros E, De Caterina R, Badimon L, Covas MI, Escrich E, Ordovás JM, Soriguer F, Abiá R, et al. 2010. Olive oil and health: summary of the II international conference on olive oil and health consensus report, Jaén and Córdoba (Spain) 2008. Nutr Metab Cardiovasc Dis. 20:284–294.
42. Lordan S, Ross RP, Stanton C., 2011. Marine bioactives as functional food ingredients: potential to reduce the incidence of chronic diseases. Marine Drugs. 9:1056–1100.
43. Machlin LJ, Bendich A., 1987. Free radical tissue damage: protective role of antioxidant nutrients. FASEB J. 1:441–445.
44. Marventano S, Godos J, Platania A, Galvano F, Mistretta A, Grosso G., 2017a. Mediterranean diet adherence in the Mediterranean healthy eating, aging and lifestyle (MEAL) study cohort. Int J Food Sci Nutr. [Epub ahead of print]. doi: 10.1080/09637486.2017.1332170
45. Marventano S, Izquierdo Pulido M, Sanchez-Gonzalez C, Godos J, Speciani A, Galvano F, Grosso G., 2017b. Legume consumption and CVD risk: a systematic review and meta-analysis. Public Health Nutr. 20:245–254.
46. Marventano S, Kolacz P, Castellano S, Galvano F, Buscemi S, Mistretta A, Grosso G., 2015. A review of recent evidence in human studies of n-3 and n-6 PUFA intake on cardiovascular disease, cancer, and depressive disorders: does the ratio really matter? Int J Food Sci Nutr. 66:611–622.
47. Marventano S, Mistretta A, Platania A, Galvano F, Grosso G., 2016. Reliability and relative validity of a food frequency questionnaire for Italian adults living in Sicily, Southern Italy. Int J Food Sci Nutr. 67:857–864.
48. Matough FA, Budin SB, Hamid ZA, Alwahaibi N, Mohamed J., 2012. The role of oxidative stress and antioxidants in diabetic complications. Sultan Qaboos Univ Med J. 12:5–18.
49. Mattes RD, Donnelly D., 1991. Relative contributions of dietary sodium sources. J Am Coll Nutr. 10:383–393.
50. Medina-Remon A, Casas R, Tressserra-Rimbau A, Ros E, Martinez-Gonzalez MA, Fito M, Corella D, Salas-Salvadó J, Lamuela-Raventos RM, Estruch R, et al. 2017. Polyphenol intake from a Mediterranean diet decreases inflammatory biomarkers related to atherosclerosis: a substudy of the PREDIMED trial. Br J Clin Pharmacol. 83:114–128.
51. Medina-Remon A, Zamora-Ros R, Rotches-Ribalta M, Andres-Lacueva C, Martinez-Gonzalez MA, Covas MI, Corella D, Salas-Salvadó J, Gómez-Gracia E, Ruiz-Gutiérrez V, et al. 2011. Total polyphenol excretion and blood pressure in subjects at high cardiovascular risk. Nutr Metab Cardiovasc Dis. 21:323–331.
52. Merino J, Guasch-Ferré M, Martínez-González MA, Corella D, Estruch R, Fitó M, Ros E, Arós F, Bulló M, Gómez-Gracia E, et al. 2015. Is complying with the recommendations of sodium intake beneficial for health in individuals at high cardiovascular risk? Findings from the PREDIMED study. Am J Clin Nutr. 101:440–448.
53. Miranda AM, Steluti J, Fisberg RM, Marchioni DM., 2016. Association between polyphenol intake and hypertension in adults and older adults: a population-based study in Brazil. PLoS One. 11:e0165791.
54. Mistretta A, Marventano S, Antoci M, Cagnetti A, Giogianni G, Nolfo F, Rametta S, Pecora G, Marranzano M. 2017. Mediterranean diet adherence and body composition among Southern Italian adolescents. Obes Res Clin Pract. 11:215–226.
55. Mistretta A, Marventano S, Platania A, Godos J, Galvano F, Grosso G., 2017. (ahead of print). Metabolic profile of the Mediterranean healthy eating, lifestyle and aging (MEAL) study cohort. Med J Nutr Metab. 68:577–586.
56. Moosavian SP, Haghighatdoost F, Surkan PJ, Azadbakht L., 2016. Salt and obesity: a systematic review and meta-analysis of observational studies. Int J Food Sci Nutr. 68:1–16.
57. Ndanuko RN, Tapsell LC, Charlton KE, Neale EP, Batterham MJ., 2016. Dietary patterns and blood pressure in adults: a systematic review and meta-analysis of randomized controlled trials. Adv Nutr. 7:76–89.
58. Ness AR, Chee D, Elliott P., 1997. Vitamin C and blood pressure-an overview. J Hum Hypertens. 11:343–350.
59. Neuhauser H, Diederichs C, Boeing H, Felix SB, Jünger C, Lorbeer R, Meisinger C, Peters A, Völzke H, Weikert C, et al. 2016. Hypertension in Germany. Dtsch Arztebl Int. 113:809–815.
60. Nichols M, Townsend N, Scarborough P, Rayner M., 2014 Cardiovascular disease in Europe 2014: epidemiological update. Eur Heart J. 35:2950–2959.
61. Park YM, Steck SE, Fung TT, Zhang J, Hazlett LJ, Han K, Lee SH, Kwon HS, Merchant AT. 2016. Mediterranean diet, dietary approaches to stop hypertension (DASH) style diet, and metabolic health in U.S. adults. Clin Nutr. 5614:30217–30225.
62. Perez V, Chang ET., 2014. Sodium-to-potassium ratio and blood pressure, hypertension, and related factors. Adv Nutr. 5:712–741.
63. Plantinga Y, Ghiadoni L, Magagna A, Giannarelli C, Franzoni F, Taddei S, Salvetti A., 2007. Supplementation with vitamins C and E improves arterial stiffness and endothelial function in essential hypertensive patients. Am J Hypertens. 20:392–397.
64. Rasmussen BM, Vessby B, Uusitupa M, Berglund L, Pedersen E, Riccardi G, Rivellese AA, Tapsell L, Hermansen K, KANWU Study Group. 2006. Effects of dietary saturated, monounsaturated, and n-3 fatty acids on blood pressure in healthy subjects. Am J Clin Nutr. 83:221–226.
65. Razquin C, Sanchez-Tainta A, Salas-Salvadó J, Buil-Cosiales P, Corella D, Fito M, Ros E, Estruch R, Arós F, Gómez-Gracia E, et al. 2017. Dietary energy density and body weight changes after 3 years in the PREDIMED study. Int J Food Sci Nutr. [Epub ahead of print]. doi: 10.1080/09637486.2017.1295028
66. Rienks J, Barbaresko J, Nothlings U., 2017. Association of polyphenol biomarkers with cardiovascular disease and mortality risk: a systematic review and meta-analysis of observational studies. Nutrients. 9:415.
67. Sacks FM, Svetkey LP, Vollmer WM, Appel LJ, Bray GA, Harsha D, Obarzanek E, Conlin PR, Miller ER 3rd, Simons-Morton DG, et al. 2001. Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet. DASH-Sodium Collaborative Research Group. N Engl J Med. 344:3–10.
68. Shin JY, Kim JY, Kang HT, Han KH, Shim JY., 2015. Effect of fruits and vegetables on metabolic syndrome: a systematic review and meta-analysis of randomized controlled trials. Int J Food Sci Nutr. 66:416–425.
69. Sofi F, Abbate R, Gensini GF, Casini A., 2010. Accruing evidence on benefits of adherence to the Mediterranean diet on health: an updated systematic review and meta-analysis. Am J Clin Nutr. 92:1189–1196.
70. Sofi F, Dinu M, Pagliai G, Marcucci R, Casini A., 2017. (ahead of print). Validation of a literature-based adherence score to Mediterranean diet: the MEDI-LITE score. Int J Food Sci Nutr. 68:757–762.
71. Sohrab G, Hosseinpour-Niazi S, Hejazi J, Yuzbashian E, Mirmiran P, Azizi F., 2013. Dietary polyphenols and metabolic syndrome among Iranian adults. Int J Food Sci Nutr. 64:661–667.
72. Tejada S, Pinya S, Del Mar Bibiloni M, Tur JA, Pons A, Sureda A., 2016. Cardioprotective effects of the polyphenol hydroxytyrosol from olive oil. Curr Drug Targets. [Epub ahead of print]. doi: 10.2174/1389450117666161005150650
73. Toledo E, Hu FB, Estruch R, Buil-Cosiales P, Corella D, Salas-Salvado J, Covas MI, Arós F, Gómez-Gracia E, Fiol M, et al. 2013. Effect of the Mediterranean diet on blood pressure in the PREDIMED trial: results from a randomized controlled trial. BMC Med. 11:207.
74. Vasara E, Marakis G, Breda J, Skepastianos P, Hassapidou M, Kafatos A, Rodopaios N, Koulouri AA, Cappuccio FP. 2017. Sodium and potassium intake in healthy adults in Thessaloniki Greater Metropolitan Area-The Salt Intake in Northern Greece (SING) Study. Nutrients. 9:E417.
75. Wang L, Manson JE, Buring JE, Sesso HD., 2008. Meat intake and the risk of hypertension in middle-aged and older women. J Hypertens. 26:215–222.
76. Wu L, Sun D, He Y., 2016. Fruit and vegetables consumption and incident hypertension: dose-response meta-analysis of prospective cohort studies. J Hum Hypertens. 30:573–580.
77. Zhan J, Liu YJ, Cai LB, Xu FR, Xie T, He QQ., 2017. Fruit and vegetable consumption and risk of cardiovascular disease: a meta-analysis of prospective cohort studies. Crit Rev Food Sci Nutr. 57:1650–1663.