From Nutrients to Eating Patterns:A Paradigm Shift in the Nutritional Approach to Cardiovascular Diseases
DOI:
https://doi.org/10.17533/udea.penh.v22n1a08Keywords:
Cardiovascular Diseases, Nutrients, Foods, Ultra-Processed, Diet, Food PatternsAbstract
Background: At present, controversies exist around nutrition recommendations for cardiovascular diseases. Objective: We proposed to analyze over time the historical transition and paradigm shifts in the study of diet and cardiovascular disease in order to advance the field of nutritional epidemiology, considering dietary patterns and lifestyles. Reflection: Historically, studies that investigate the association between diet and cardiovascular risk have centered on calories or nutrients as isolated factors. However, this has been problematic in addressing the multidimensional phenomenon of chronic diseases. In the last few years, the analysis of dietary patterns has been proposed along with the degree of food processing, which includes the global combination of foods and the synergistic effects of certain nutrients. Conclusion: Nutritional epidemiology has evidenced that the focus on calories and nutrients is not sufficient for the analysis of chronic diseases. It’s also been shown that cardiovascular diseases – both multicausal and complex – are influenced by: synergistic effects of food and nutrients; the quality of foods consumed; the degree of industrial processing; food environments; and dietary patterns in general.
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References
OMS. Enfermedades cardiovasculares. 2017. [Internet]. [Citado julio de 2019]. Disponible en:https://www.who.int/es/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
Mozaffarian D. Dietary and policy priorities for cardiovascular disease, diabetes, and obesity: A comprehensive review. Cir-culation. 2016;133:187-225. https://doi.org/10.1161/CIRCULATIONAHA.115.018585
Monteiro CA, Cannon G, Levy RB, Moubarac JC, Louzada ML, Rauber F, et al. Ultra-processed foods: What they are and how to identify them. Public Health Nutr. 2019;22:936-41. https://doi.org/10.1017/S1368980018003762
Korakas E, Dimitriadis G, Raptis A, Lambadiari V. Dietary composition and cardiovascular risk: A mediator or a bystander? Nutrients. 2018;10:1912. https://doi.org/10.3390/nu10121912
Davis C, Saltos E. Dietary recommendations and how they have changed over time. America’s Eating Habits: Changes and Consequences. Washington, DC: US Department of Agriculture, Economic Research Service; 1999. Agriculture Information Bulletin N.o 750.
Konstantinov IE, Jankovic GM, Alexander I. Ignatowski: A pioneer in the study of atherosclerosis. Tex Heart Inst J. 2013;40:246-49. Disponible en: https://pubmed.ncbi.nlm.nih.gov/23914012/
Dawber TR, Meadors GF, Moore FE Jr. Epidemiological approaches to heart disease: the Framingham Study. Am J Public Health Nations Health. 1951;41(3):279-81. https://doi.org/10.2105/ajph.41.3.279
Keys A, Menotti A, Karvonen MJ, Aravanis C, Blackburn H, Buzina R, et al. The diet and 15-year death rate in the seven countries study. Am J Epidemiol. 1986;124:90315. https://doi.org/10.1093/oxfordjournals.aje.a114480
Dietary Guidelines Advisory Committee. Scientific Report of the 2015 Dietary Guidelines Advisory Committee. 2015. [Inter-net]. [Citado agosto de 2019]. Disponible en: http://www.health.gov/dietaryguidelines/2015-scientific-report/
Teicholz N. The scientific report guiding the US dietary guidelines: Is it scientific? BMJ. 2015;351:h4962. https://doi.org/10.1136/bmj.h4962
Fardet A. characterization of the degree of food processing in relation with its health potential and effects. Adv Food Nutr Res. 2018;85:79-129. https://doi.org/10.1016/bs.afnr.2018.02.002
Siri-Tarino PW, Sun Q, Hu FB, Krauss RM. Saturated fat, carbohydrate, and cardiovascular disease. Am J Clin Nutr. 2010;91:502-9. https://doi.org/10.3945/ajcn.2008.26285
Skeaff CM, Miller J. Dietary fat and coronary heart disease: summary of evidence from prospective cohort and randomised controlled trials. Ann Nutr Metab. 2009;55:173-201. https://doi.org/10.1159/000229002
Hooper L, Summerbell CD, Thompson R, Sills D, Roberts FG, Moore HJ, et al. Reduced or modified dietary fat for preventing cardiovascular disease. Cochrane Database Syst Rev.2011;6;(7):CD002137. https://doi.org/10.1002/14651858.CD002137.pub3
Dehghan M, Mente A, Zhang X, Swaminathan S, Li W, Mohan V, et al. Associations of fats and carbohydrate intake with cardiovascular disease and mortality in 18 countries from five continents (PURE): A prospective cohort study. Lancet. 2017;390:2050-62. https://doi.org/10.1016/S0140-6736(17)32252-3
Monteiro CA, Cannon G, Moubarac JC, Levy RB, Louzada ML, Jaime PC. The UN Decade of Nutrition, the NOVA food classi¬fication and the trouble with ultra-processing. Public Health Nutr. 2018;21:5-17. https://doi.org/10.1017/S1368980017000234
Marchiori GN, González AL, Perovic NR, Defagó MD. Una mirada global sobre la influencia de los patrones alimentarios en las enfermedades cardiovasculares. Perspect Nutr Humana. 2017;19:79-92. https://doi.org/10.17533/udea.penh.v19n1a07
Defagó MD, Elorriaga N, Irazola VE, Rubinstein AL. Influence of food patterns on endothelial biomarkers: a systematic review. J Clin Hypertens. 2014;16:907-13. https://doi.org/10.1111/jch.12431
United States Department of Agriculture. A series of systematic reviews on the relationship between dietary patterns and health outcomes. 2014. [Internet]. [Citado agosto de 2019]. Disponible en: https://www.cnpp.usda.gov/nutrition-evidence-library-dietary-patterns-systematic-review-project
Reedy J, Subar AF, George SM, Krebs-Smith SM. Extending methods in dietary patterns research. Nutrients. 2018;10:571. https://doi.org/10.3390/nu10050571
Waijers PM, Feskens EJ, Ocké MC. A critical review of predefined diet quality scores. Br J Nutr.2007;97:219-31. https://doi.org/10.1017/S0007114507250421
Gleason PM, Boushey CJ, Harris JE, Zoellner J. Publishing nutrition research: A review of multivariate techniques-part 3: Data reduction methods. J Acad Nutr Diet.2015;115:1072-82. https://doi.org/10.1016/j.jand.2015.03.011
Schröder H, Fitó M, Estruch R, Martínez-González MA, Corella D, Salas-Salvadó J, et al. A short screener is valid for asses¬sing Mediterranean diet adherence among older Spanish men and women. J Nutr. 2011;141:1140-5. https://doi.org/10.3945/jn.110.135566
Fung TT, Chiuve SE, McCullough ML, Rexrode KM, Logroscino G, Hu FB. Adherence to a DASH-style diet and risk of coronary heart disease and stroke in women. Arch Intern Med. 2008;168:713-20. https://doi.org/10.1001/archinte.168.7.713
Sanjeevi N, Lipsky LM, Nansel TR. Cardiovascular biomarkers in association with dietary intake in a longitudinal study of youth with type 1 diabetes. Nutrients. 2018;10:1552. https://doi.org/10.3390/nu10101552
Sotos-Prieto M, Moreno-Franco B, Ordovás JM, León M, Casasnovas JA, Peñalvo JL. Design and development of an instru¬ment to measure overall lifestyle habits for epidemiological research: The Mediterranean Lifestyle (MEDLIFE) index. Public Health Nutr. 2015;18:959-67. https://doi.org/10.1017/S1368980014001360
Menotti A, Kromhout D, Blackburn H, Fidanza F, Buzina R, Nissinen A. Food consumption patterns and 25-year mortality from coronary heart disease: Cross-cultural correlations in the Seven Countries Study. The Seven Countries Study Research Group. Eur J Epidemiol. 1999;15:507-15. https://doi.org/10.1023/A:1007529206050
Keys A, Keys M. How to eat well and stay well the mediterranean way. New York: Doubleday, 1975.
De Lorgeril M, Salen P, Martin JL, Monjaud I, Delaye J, Mamelle N. Mediterranean diet, traditional risk factors, and the rate of cardiovascular complications after myocardial infarction: Final report of the Lyon Diet Heart Study. Circulation. 1999;99:779-85. https://doi.org/10.1161/01.CIR.99.6.779
Estruch R, Ros E, Salas-Salvadó J, Covas MI, Corella D, Arós F, et al. Primary prevention of cardiovascular disease with a Medite¬rranean diet. N Engl J Med.2013;368:1279-90. https://doi.org/10.1056/NEJMoa1200303
Torres-Peña JD, Garcia-Rios A, Delgado-Casado N, Gomez-Luna P, Alcala-Diaz JF, Yubero-Serrano EM, et al. Mediterranean diet improves endothelial function in patients with diabetes and prediabetes: A report from the CORDIOPREV study. Atherosclero¬sis.2018;269:50-6. https://doi.org/10.1016/j.atherosclerosis.2017.12.012
Panagiotakos DB, Georgousopoulou EN, Pitsavos C, Chrysohoou C, Skoumas I, Pitaraki E, et al. Exploring the path of Mediterranean diet on 10-year incidence of cardiovascular disease: the ATTICA study (2002-2012). Nutr Metab Cardiovasc Dis.2015;25:327 35. https://doi.org/10.1016/j.numecd.2014.09.006
Appel LJ, Moore TJ, Obarzanek E, Vollmer WM, Svetkey LP, Sacks FM,et al. A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. N Engl J Med. 1997;336:1117-24. https://doi.org/10.1056/NEJM199704173361601
Phillips CM, Harrington JM, Perry IJ. Relationship between dietary quality, determined by DASH score, and cardiometabolic health biomarkers: A cross-sectional analysis in adults. Clin Nutr.2019;38:1620-8. https://doi.org/10.1016/j.clnu.2018.08.028
Fung TT, Willett WC, Stampfer MJ, Manson JE, Hu FB. Dietary patterns and the risk of coronary heart disease in women. Arch Intern Med. 2001;161:1857-62. https://doi.org/10.1001/archinte.161.15.1857
Hu FB, Rimm EB, Stampfer MJ, Ascherio A, Spiegelman D, Willett WC. Prospective study of major dietary patterns and risk of coronary heart disease in men. Am J Clin Nutr. 2000;72:912-21. https://doi.org/10.1093/ajcn/72.4.912
Morera LP, Marchiori GN, Medrano LA, Defagó MD. Stress, dietary patterns and cardiovascular disease: A mini-review. Front Neu¬rosci. 2019;13:1226. https://doi:10.3389/fnins.2019.01226
Tapsell LC, Neale EP, Satija A, Hu FB. Foods, nutrients, and dietary patterns: Interconnections and implications for dietary guideli¬nes. Adv Nutr. 2016;7:445-54. https://doi.org/10.3945/an.115.011718
Monteiro CA. Nutrition and health. The issue is not food, nor nutrients, so much as processing. Public Health Nutr. 2009;12:729-31. https://doi.org/10.1017/S1368980009005291
Organización panamericana de la salud y organización mundial de la salud (OPS/OMS). Alimentos y bebidas ultraprocesados en América Latina: tendencias, efecto sobre la obesidad e implicaciones para las políticas públicas. 2015. [Internet]. [Citado septiembre de 2019]. Disponible en: http://iris.paho.org/xmlui/bitstream/handle/123456789/7698/9789275318645_esp.pdf
Monteiro CA, Moubarac JC, Levy RB, Canella DS, Louzada M, Cannon G. Household availability of ultra-processed foods and obesity in nineteen European countries. Public Health Nutr. 2018;21:18-26. https://doi.org/10.1017/S1368980017001379
Swithers S. Artificial sweeteners produce the counterintuitive effect of inducing metabolic derangements. Trends Endocrinol Metab. 2013; 24:431-41. https://doi.org/10.1016/j.tem.2013.05.005
Simopoulos AP. The importance of the omega-6/omega-3 fatty acid ratio in cardiovascular disease and other chronic diseases. Exp Biol Med (Maywood). 2008;233:674-88. https://doi.org/10.3181/0711-MR-311
Siri-Tarino PW , Krauss RM . Diet, lipids, and cardiovascular disease. Curr Opin Lipidol. 2016;27:323-8. https://doi.org/10.1097/MOL.0000000000000310
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