Mediterranean Eating Pattern

Boucher, Jackie L.

doi:10.2337/ds16-0074

Cited by 58 publications

(34 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As stated in the American Diabetes Association (ADA) guidelines [32], there is not a one-size-fits-all nutritional approach for individuals affected by T2D, and meal planning, delivered by registered dieticians, should be individualized, taking into account current eating patterns, preferences, and specific glycometabolic goals. With this in mind, the MedDiet [33,34], and other plant-based [35,36] nutritional approaches, all associated with positive outcomes in clinical research conditions, can be endorsed as suitable treatment measures to achieve glycemic control, so that the need for pharmacological medications would be minimized. In particular, important health benefits have been demonstrated for the Mediterranean eating pattern, which can considerably improve fasting glucose, glycated hemoglobin (HbA1c) and insulin levels in obese diabetic patients, when compared to low-fat diets [17].…”

mentioning

confidence: 99%

Mediterranean Diet Nutrients to Turn the Tide against Insulin Resistance and Related Diseases

et al. 2020

View full text Add to dashboard Cite

Insulin resistance (IR), defined as an attenuated biological response to circulating insulin, is a fundamental defect in obesity and type 2 diabetes (T2D), and is also linked to a wide spectrum of pathological conditions, such as non-alcoholic fatty liver disease (NAFLD), cognitive impairment, endothelial dysfunction, chronic kidney disease (CKD), polycystic ovary syndrome (PCOS), and some endocrine tumors, including breast cancer. In obesity, the unbalanced production of pro- and anti-inflammatory adipocytokines can lead to the development of IR and its related metabolic complications, which are potentially reversible through weight-loss programs. The Mediterranean diet (MedDiet), characterized by high consumption of extra-virgin olive oil (EVOO), nuts, red wine, vegetables and other polyphenol-rich elements, has proved to be associated with greater improvement of IR in obese individuals, when compared to other nutritional interventions. Also, recent studies in either experimental animal models or in humans, have shown encouraging results for insulin-sensitizing nutritional supplements derived from MedDiet food sources in the modulation of pathognomonic traits of certain IR-related conditions, including polyunsaturated fatty acids from olive oil and seeds, anthocyanins from purple vegetables and fruits, resveratrol from grapes, and the EVOO-derived, oleacein. Although the pharmacological properties and clinical uses of these functional nutrients are still under investigation, the molecular mechanism(s) underlying the metabolic benefits appear to be compound-specific and, in some cases, point to a role in gene expression through an involvement of the nuclear high-mobility group A1 (HMGA1) protein.

show abstract

mentioning

confidence: 99%

Mediterranean Diet Nutrients to Turn the Tide against Insulin Resistance and Related Diseases

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Two systematic reviews found limited evidence that the Mediterranean diet is effective for glycaemic control, but more robust support for CVD risk reduction. Also cited was a commentary favouring the Mediterranean diet that was based on a non‐systematic selection of articles …”

Section: Resultsmentioning

confidence: 99%

“…The ADA documents cite six studies, [25][26][27][28][29][30][31] including three RCTs of longer duration, [25][26][27][28] to support claims that a Mediterranean diet can improve glycaemic control and CVD risk factors and is therefore a healthy eating pattern for people with T2D (Table S7). Two RCTs found that the Mediterranean diet was superior to comparison diets 25,28 : one found that a low-carbohydrate Mediterranean diet resulted in a significantly greater HbA1c reduction compared to the control diet, 28 and the other found at 4-year follow-up that the Mediterranean diet resulted in significant HbA1c reduction, sustained improvements in triglyceride and HDL cholesterol levels, and less medication initiation in people with newly diagnosed T2D.…”

Section: Cited Evidencementioning

confidence: 99%

See 1 more Smart Citation

Improving the scientific rigour of nutritional recommendations for adults with type 2 diabetes: A comprehensive review of the American Diabetes Association guideline‐recommended eating patterns

Hallberg

Dockter²,

Kushner³

et al. 2019

Diabetes Obesity Metabolism

View full text Add to dashboard Cite

Aims The global rate of type 2 diabetes (T2D) continues to rise. Guidelines that influence the worldwide treatment of this disease are central to changing this trajectory. We sought in this review to evaluate the appropriateness of sources cited in the American Diabetes Association's (ADA) guidelines on eating patterns for T2D management, identify additional relevant sources, and evaluate the evidence. Materials and Methods We reviewed the evidence behind the ADA's recommendations on eating patterns in the 2018 and 2019 ADA Standards of Care and the 2014 ADA Nutrition Therapy Recommendations for Adults with Diabetes. Additionally, we conducted a comprehensive search to identify any additional studies not included in the cited evidence. To determine appropriateness of inclusion in the guidelines, the following criteria were applied: 1) it was a clinical trial or systematic review/meta‐analysis of clinical trials; 2) it involved persons with T2D; 3) one of the study arms followed one of the eating patterns currently recommended; 4) its reported outcomes included glycaemic control; 5) outcomes were reported separately for persons with T2D. Results We found a wide variation in the evidence for each eating pattern. Issues that have hampered the guideline process include: lack of a rigorous literature review, resulting in the omission of pertinent studies; an overreliance on prospective cohort studies; inconsistent standards for evidence; inclusion of studies not on persons with T2D; and bias. Conclusions The ADA Guidelines recommended eating patterns fall short of rigorous standards of scientific review according to state‐of‐the‐art systematic review and guideline creation practices.

show abstract

“…Cited evidence. The ADA documents cite six studies, [25][26][27][28][29][30][31] including three RCTs of longer duration, [25][26][27][28] to support claims that a Mediterranean diet can improve glycemic control and CVD risk factors and is therefore a healthy eating pattern for people with T2D ( Table 1). Two RCTs found that the Mediterranean diet was superior to comparison diets: 25,28 one found that a low-carbohydrate Mediterranean diet resulted in a significantly greater HbA1c reduction compared to the control diet, 28 and the other found at four-year follow-up that the Mediterranean diet resulted in significant HbA1c reduction, sustained improvements in triglycerides and HDL-C, and less medication initiation in persons with newly diagnosed T2D.…”

Section: Mediterranean Dietmentioning

confidence: 99%

Improving the Scientific Rigor of Nutritional Recommendations for Adults with Diabetes: A Comprehensive Review of the American Diabetes Association Guidelines Recommended Eating Patterns

Hallberg¹,

Dockter²,

Kushner³

et al. 2019

Preprint

View full text Add to dashboard Cite

Over half of adult Americans now have diabetes or prediabetes and worse, this epidemic is now world-wide and shows no signs of slowing, with rates of both diabetes and diabetes-related health complications still rising. When advising patients with diabetes on food choices, many providers rely on nutrition guidelines provided by the American Diabetes Association (ADA), and these guidelines influence other recommendations across the globe. Given the alarming trends in diabetes, it is paramount to review the treatment guidelines to ensure they are based on rigorous and accepted scientific methods. Our review included the evidence cited by the ADA in support of its claims and recommendations for eating patterns to combat diabetes (see Description of Eating Patterns, Supplemental Appendix), as presented in the most current edition of the annual ADA’s Standards of Medical Care in Diabetes (2018 Standards). Our review also includes sources cited in the latest edition of the ADA’s Nutrition Therapy Recommendations for Adults with Diabetes (2014 Recommendations),  which also informed the 2018 Standards.  In October 2018 low carbohydrate was named as a recommended eating pattern by the ADA and European Association for the Study of Diabetes (EASD)5but only citations from the 2014 and early 2018 ADA documents were reviewed.

show abstract

Mediterranean Eating Pattern

Cited by 58 publications

References 22 publications

Mediterranean Diet Nutrients to Turn the Tide against Insulin Resistance and Related Diseases

Mediterranean Diet Nutrients to Turn the Tide against Insulin Resistance and Related Diseases

Improving the scientific rigour of nutritional recommendations for adults with type 2 diabetes: A comprehensive review of the American Diabetes Association guideline‐recommended eating patterns

Improving the Scientific Rigor of Nutritional Recommendations for Adults with Diabetes: A Comprehensive Review of the American Diabetes Association Guidelines Recommended Eating Patterns

Contact Info

Product

Resources

About