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J Cardiovasc Med (Hagerstown). 2017 Dec;18(12):925-935. doi: 10.2459/JCM.0000000000000573.

Mediterranean diet impact on cardiovascular diseases: a narrative review.

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aSurgical, Medical and Dental Department of Morphological Sciences Related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, ModenabDepartment of Cardiology, ASL Brindisi, BrindisicDepartment of Experimental, Diagnostic and Specialty Medicine, University of Bologna, BolognadDepartment of Cardiovascular, Respiratory, Nephrological, Anesthesiological and Geriatric Sciences, Sapienza University of Rome, RomeeDepartment of Clinical and Surgical Specialities, Radiological Sciences and Public Health, University of Brescia, BresciafEndocrinology and Metabolism, Department of Clinical and Experimental Medicine, University of Parma, ParmagDepartment of Medical Sciences 'M. Aresu', University of Cagliari, CagliarihDepartment of Cardiology 'S. Maugeri' Foundation, IRCCS, Institute of Cassano Murge, BariiDepartment of Cardiology, Centro Cardiologico Monzino, IRCCS, MilanojSection of Urology, Department of Medical and Oral Sciences and Biotechnologies, G. D'Annunzio University of Chieti-Pescara, ChietikDepartment for Promotion of Health (PROSAMI), University of PalermolDepartment of Cardiology, University Hospital 'Paolo Giaccone', PalermomDepartment of Cardiac Rehabilitation, IRCCS Fondazione Salvatore Maugeri, Scientific Institute of Tradate, Tradate, VaresenCardiovascular Diseases Section, Department of Emergency and Organ Transplantation (DETO), University 'A. Moro' of Bari, BarioSchool of Medicine, University of Milano-Bicocca, MilanpCardiology Department, University of Pisa, PisaqDepartment of Cardiology, University of Sassari, Sassari, Italy.


: Cardiovascular disease (CVD) accounts for more than 17 million deaths per year worldwide. It has been estimated that the influence of lifestyle on CVD mortality amounts to 13.7% for smoking, 13.2% for poor diet, and 12% for inactive lifestyle. These results deeply impact both the healthy status of individuals and their skills in working. The impact of CVD on productivity loss accounts for the 24% in total costs for CVD management.Mediterranean diet (MedD) can positively impact on natural history of CVD. It is characterized by a relatively high consumption of inexpensive and genuine food such as cereals, vegetables, legumes, nuts, fish, fresh fruits, and olive oil as the principal source of fat, low meat consumption and low-to-moderate consumption of milk, dairy products, and wine.Its effects on cardiovascular health are related to the significant improvements in arterial stiffness. Peripheral artery disease, coronary artery disease, and chronic heart failure are all positively influenced by the MedD. Furthermore, MedD lowers the risk of sudden cardiac death due to arrhythmias.The present narrative review aims to analyze the effects of MedD on CVD.

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