The association of Mediterranean diet with lower risk of acute coronary syndromes in hypertensive subjects.

Abstract:

BACKGROUND:The elevation of blood pressure levels has been recognised as a determinant of the risk for several common cardiovascular diseases. In this work we examined the effect of Mediterranean type of diet on coronary risk in subjects with hypertension. METHODS:CARDIO2000 consisted of 848 randomly selected hospitalised patients (695 males, 58 +/- 10 years old; 153 females, 65 +/- 9 years old) for first event of coronary heart disease (CHD) and 1078 paired, by sex-age, hospitalised controls without CHD. The adoption of the Mediterranean diet was assessed through a validated questionnaire developed by the National School of Public Health. RESULTS:418 (49%) of the patients and 303 (28%) of the controls were hypertensive. Of them 21 (5%) patients and 36 (12%) controls were unaware of their condition, 94 (22%) and 34 (11%) were untreated, 148 (35%) and 111 (36%) were uncontrolled and 155 (38%) and 122 (41%) were controlled (P<0.01). One hundred and sixty-two (19%) of the patients and 265 (25%) of the controls (P<0.01) adopted the Mediterranean type of diet. Our results suggest that the adoption of Mediterranean diet reduces the risk of developing acute coronary syndromes by 17% (odds ratio=0.83, 95% CI 0.73--0.88, P<0.01) in controlled hypertensive subjects, by 8% (odds ratio=0.92, 95% CI 0.87-0.95, P<0.05) in unaware, by 7% (odds ratio=0.93, 95% CI 0.88-0.95, P<0.05) in acknowledged but uncontrolled and by 20% (odds ratio=0.80, 95% CI 0.71-0.89, P<0.01) in normotensive subjects. CONCLUSION:According to our findings the adoption of the Mediterranean diet is associated with the reduction of coronary risk in hypertensive subjects.

journal_name

Int J Cardiol

authors

Panagiotakos DB,Chrysohoou C,Pitsavos C,Tzioumis K,Papaioannou I,Stefanadis C,Toutouzas P

doi

10.1016/s0167-5273(01)00611-8

subject

Has Abstract

pub_date

2002-02-01 00:00:00

pages

141-7

issue

2

eissn

0167-5273

issn

1874-1754

pii

S0167527301006118

journal_volume

82

pub_type

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