Appartengono al gruppo dei polifenoliMigliaia di molecole
FLAVONOIDI
FLAVONOIDI
CAROTENOIDI E RISCHIO CV
STUDI EPIDEMIOLOGICIRapporti tra introiti alimentari e
CVD
Effetto protettivo
> 600 molecol
e
α-carotene, β-carotene, licopene, luteina, zeaxantina.....
TRIALS CLINICISupplementazione
mortalità in alcuni trials
Kristenson M et al. BMJ 1997 Rapola JM et al, Lancet 1997 Osganian SK et al Am J Clin Nutr 2003 Hak AE et al. Circulation 2003 Knekt P et al. Am J Clin Nutr 2004 Sesso HD et al. Am J Clin Nutr 2005 Tavani A et al. Free Radic Res 2006 Ito Y et al. J Epidemiol 2006
Vivekananthan DP et al. Lancet 2003 Bjelakovi G et al. JAMA 2007
ANTIOXIDANT SUPPLEMENTS Cochrane Database Systematic Review 2012
AUTHORS’ CONCLUSIONS
We found no evidence to support antioxidant supplements for primary or secondary prevention. Beta-carotene and vitamin E seem to increase mortality, and so may higher doses of vitamin A.
There is not currently sufficient conclusive evidence to justify making any public health recommendation in relation to antioxidants
ANTIOXIDANTS
ANTIOXIDANTS
ZUCCHERI AGGIUNTI: RACCOMANDAZIONI
BEVANDE DOLCI: RACCOMANDAZIONI
BEVANDE DOLCI E RISCHIO CARDIOMETABOLICO
Consumption of sugar-sweetened beverages has been associated to:
• non-alcoholic fatty liver disease
• hypertricerydemia
• increased visceral fat
• obesity
• metabolic syndrome
• cardiovascular disease
Richelsen B et al. Sugar-sweetened beverages and cardio-metabolic disease risk
Curr Opin Clin Nutr Matab Care 2013 (in press)
Nutrition 2010; 26: 1044-9
World Action on Salt & Health(WASH)
SALE: RACCOMANDAZIONI
Intermediate target < 5 g/die
SALTSALT
Long-term GOAL < 4 g/die
Greater adherence to a Mediterranean diet confers a significant protection for overall mortality, as well as cardiovascular disease mortality and incidence of cancer and degenerative diseases.
MODELLO ALIMENTARE MEDITERRANEO
BMJ 2008; 337:a1344
BMJ 2008; 337:a1344
Am J Clin Nutr 2010; 92: 1180-96
Kastorini CM, J Am Coll Cardiol 2011; 57: 1299-1313
35 studi534.906 soggetti
Efficace in prevenzione primaria
S. metabolica DIETA MEDITERRANEAS. metabolica DIETA MEDITERRANEA
Kastorini CM, J Am Coll Cardiol 2011; 57: 1299-1313
Migliora i parametri metabolici
S. metabolica DIETA MEDITERRANEAS. metabolica DIETA MEDITERRANEA
DIETE MEDITERRANEE: CARATTERISTICHE
ALIMENTAZIONE E PREVENZIONE CARDIOVASCOLARE
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