Mediterranean diet, physical activity and their combined effect on all-cause mortality: The Seguimiento Universidad de Navarra (SUN) cohort

Álvarez‐Álvarez, Ismael; Zazpe, Itzíar; Rojas, Javier; Bes–Rastrollo, Maira; Ruiz‐Canela, Miguel; Fernández-Montero, Alejandro; Hidalgo-Santamaría, María; Martínez‐González, Miguel A.

doi:10.1016/j.ypmed.2017.09.021

Cited by 131 publications

(64 citation statements)

References 40 publications

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“…The combination of healthy eating and right amount of physical activity was observed to have multiplicative effects on mortality risk reduction. 156 The worse a subject eat the less active he is, and that was confirmed for both children and adults. 157,158 Moreover, youths who sleep little may be more prone to fast food consumption and vegetable or fruit avoidance, 140 with late sleep timing being associated with increased consumption of energy drinks, sugar-sweetened beverages, and breakfast skipping.…”

Section: Past Evidencesmentioning

confidence: 80%

<p>Healthy Eating, Physical Activity, and Sleep Hygiene (HEPAS) as the Winning Triad for Sustaining Physical and Mental Health in Patients at Risk for or with Neuropsychiatric Disorders: Considerations for Clinical Practice</p>

Briguglio¹,

Vitale²,

Galentino³

et al. 2020

NDT

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Neuropsychiatric disorders stem from gene-environment interaction and their development can be, at least in some cases, prevented by the adoption of healthy and protective lifestyles. Once full blown, neuropsychiatric disorders are prevalent conditions that patients live with a great burden of disability. Indeed, the determinants that increase the affliction of neuropsychiatric disorders are various, with unhealthy lifestyles providing a significant contribution in the interplay between genetic, epigenetic, and environmental factors that ultimately represent the pathophysiological basis of these impairing conditions. On one hand, the adoption of Healthy Eating education, Physical Activity programs, and Sleep hygiene promotion (HEPAS) has the potential to become one of the most suitable interventions to reduce the risk to develop neuropsychiatric disorders, while, on the other hand, its integration with pharmacological and psychological therapies seems to be essential in the overall management of neuropsychiatric disorders in order to reduce the disability and improve the quality of life of affected patients. We present an overview of the current evidence in relation to HEPAS components in the prevention and management of neuropsychiatric disorders and provide suggestions for clinical practice.

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Section: Past Evidencesmentioning

confidence: 80%

<p>Healthy Eating, Physical Activity, and Sleep Hygiene (HEPAS) as the Winning Triad for Sustaining Physical and Mental Health in Patients at Risk for or with Neuropsychiatric Disorders: Considerations for Clinical Practice</p>

Briguglio¹,

Vitale²,

Galentino³

et al. 2020

NDT

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“…The studies analysed by Sofi et al (4) were also included in the current meta-analysis, except for the study by Martínez-González et al (8) , as the most recent publication by Alvarez-Alvarez et al (29) used the same cohort and was more informative. Therefore, thirty articles were finally included in the meta-analyses of the MedDiet with all-cause mortality: fourteen published before (7,16,28,(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40) and sixteen published after June 2013 (up to 31 December 2017) (9,10,23,25,26,29,(41)(42)(43)(44)(45)(46)(47)(48)(49)(50) . Detailed characteristics of these studies are shown in Table 1.…”

Section: Sixteen Articles Remainedmentioning

confidence: 99%

Mediterranean diet and its components in relation to all-cause mortality: meta-analysis

et al. 2018

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The beneficial association of the Mediterranean diet (MedDiet) with longevity has been consistently demonstrated, but the associations of MedDiet components have not been accordingly evaluated. We performed an updated meta-analysis of prospective cohort studies published up to 31 December 2017, to quantify the association of adherence to MedDiet, expressed as an index/score (MDS) and of its components with all-cause mortality. We estimated summary relative risks (SRR) and 95 % CI using random effects models. On the basis of thirty studies (225 600 deaths), SRR for the study-specific highest/lowest and per 1sd MDS increment were 0·79 (95 % CI 0·77, 0·81, Ι2=42 %, P-heterogeneity 0·02) and 0·92 (95 % CI 0·90, 0·94, Ι2 56 %, P-heterogeneity <0·01), respectively. Inversely, statistically significant associations were evident in stratified analyses by country, MDS range and publication year, with some evidence for heterogeneity across countries overall (P-heterogeneity 0·011), as well as across European countries (P=0·018). Regarding MDS components, relatively stronger and statistically significant inverse associations were highlighted for moderate/none-excessive alcohol consumption (0·86, 95 % CI 0·77, 0·97) and for above/below-the-median consumptions of fruit (0·88, 95 % CI 0·83, 0·94) and vegetables (0·94, 95 % CI 0·89, 0·98), whereas a positive association was apparent for above/below-the-median intake of meat (1·07, 95 % CI 1·01, 1·13). Our meta-analyses confirm the inverse association of MedDiet with mortality and highlight the dietary components that influence mostly this association. Our results are important for better understanding the role of MedDiet in health and proposing dietary changes to effectively increase adherence to this healthy dietary pattern.

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“…In the U.S.A., out of 170.672 women and men aged 51 to 71 years at baseline in 1996/1997 and followed-up in 2009, adhering to high physical activity levels and Mediterranean diet, was associated with lower risk of mortality than groups only ad- hering to physical activity recommendations or only following the Mediterranean diet (Behrens et al, 2013). In a study in Spain, among 19.467 female and male university graduates aged 27 to 46 years of age at baseline in 1999 and followed-up in 2016, similar results were found (Alvarez-Alvarez et al, 2018a). More specifically, the combination of interventions showed a reduced risk for cardiovascular disease as compared to the physical activity or Mediterranean diet separately (Alvarez-Alvarez et al, 2018b).…”

Section: Concurrent Physical Activity and Mediterranean Diet As An Inmentioning

confidence: 59%

“…In a study in Spain, among 19.467 female and male university graduates aged 27 to 46 years of age at baseline in 1999 and followed-up in 2016, similar results were found (Alvarez-Alvarez et al, 2018a). More specifically, the combination of interventions showed a reduced risk for cardiovascular disease as compared to the physical activity or Mediterranean diet separately (Alvarez-Alvarez et al, 2018b).…”

Section: Concurrent Physical Activity and Mediterranean Diet As An Inmentioning

confidence: 78%

Health benefits induced by adherence to the Mediterranean lifestyle components diet and physical activity

Meulenberg¹

2019

Ann. Kin.

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The purpose of this overview is to present the evidence that adherence to Mediterranean lifestyle components is beneficial for functional and cognitive health. Although Mediterranean diet is the principal component of this lifestyle, other components, like physical activity and socializing, form complex interactions and together they complete into the Mediterranean lifestyle. Individual components and their interactions have not been studied thoroughly, however, there is an increasing attention for these matters through scientific literature in original research, reviews and meta-analysis. This paper considers the recent knowledge and trends related to defining the indicators concerning these lifestyle components, as well as summarizes the health benefits induced by adherence to them and explains why Mediterranean lifestyle components are important for health.

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Mediterranean diet, physical activity and their combined effect on all-cause mortality: The Seguimiento Universidad de Navarra (SUN) cohort

Cited by 131 publications

References 40 publications

<p>Healthy Eating, Physical Activity, and Sleep Hygiene (HEPAS) as the Winning Triad for Sustaining Physical and Mental Health in Patients at Risk for or with Neuropsychiatric Disorders: Considerations for Clinical Practice</p>

<p>Healthy Eating, Physical Activity, and Sleep Hygiene (HEPAS) as the Winning Triad for Sustaining Physical and Mental Health in Patients at Risk for or with Neuropsychiatric Disorders: Considerations for Clinical Practice</p>

Mediterranean diet and its components in relation to all-cause mortality: meta-analysis

Health benefits induced by adherence to the Mediterranean lifestyle components diet and physical activity

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