Mediterranean Diet, Plant-Based Diet, Low-Fat Diet and Human Health

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutrition and Public Health".

Deadline for manuscript submissions: 25 May 2024 | Viewed by 13609

Special Issue Editors


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Guest Editor
Research Unit of Food Science and Human Nutrition, Department of Science and Technology for Sustainable Development and One Health, Università Campus Bio-Medico di Roma, Rome, Italy
Interests: nutrition; obesity; metabolism; person-centred counselling; motivational interviewing

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Co-Guest Editor
Research Unit of Food Science and Human Nutrition, Department of Science and Technology for Sustainable Development and One Health, Università Campus Bio-Medico di Roma, Rome, Italy
Interests: nutrition; obesity; metabolism; motivational interviewing

Special Issue Information

Dear Colleagues,

The Mediterranean diet is considered one of the healthiest dietary patterns worldwide to such an extent that in 2010, UNESCO recognized it as an “intangible cultural heritage of humanity”. Studies have shown that its ingredients based on plant foods, such as fruits, vegetables, unrefined cereals, legumes, olive oil, seeds, and small amounts of fish, cheese and poultry are beneficial in lowering the risk of cardiovascular disease and in preventing many other chronic pathological and non-communicable conditions such as obesity, type 2 diabetes mellitus, hypertension, metabolic syndrome, and certain types of cancer. 

Plant-based diets have recently become very popular too, both for ethical and health reasons. These types of diets can include the consumption of high glycaemic index foods (e.g. rice, potatoes, bread, pasta), which increase glycemia and induce a vicious cycle leading to overeating.

The “planetary health diet” has been supported by the EAT-Lancet Commission as sustainable and able to feed the planet and reduce malnutrition. In this nutritional pattern, the main food should comprise fruits, vegetables, nuts, and legumes, with a reduced weekly amount of animal products (e.g., no more than 98 g of red meat, 203 g of poultry and 196 g of fish per person per week).

These diets all tend to decrease the intake of red and processed meats and animal fats.  However, how low in fat should a healthy diet be? Are all fats equally bad for cardiovascular health and all other chronic conditions?

For this Special Issue, we welcome the submission of studies that evaluate the outcomes of diets in children and adults of all ages, as well as literature reviews.

Prof. Dr. Yeganeh Manon Khazrai
Dr. Claudia Di Rosa
Guest Editors

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Keywords

  • Mediterranean diet
  • nutrition education
  • plant-based diets
  • low fat diet
  • planetary diet

Published Papers (4 papers)

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Research

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13 pages, 506 KiB  
Article
A Plant-Based Cholesterol-Lowering Diet Score Correlates with Serum LDL-Cholesterol Levels
by Jerry Polesel, Matteo Di Maso, Giovanna Esposito, Sara Vitale, Elvira Palumbo, Giuseppe Porciello, Ilaria Calabrese, Anita Minopoli, Bruna Grilli, Ernesta Cavalcanti, Diego Serraino, Egidio Celentano, David J. A. Jenkins and Livia S. A. Augustin
Nutrients 2024, 16(4), 495; https://0-doi-org.brum.beds.ac.uk/10.3390/nu16040495 - 08 Feb 2024
Viewed by 1468
Abstract
Background: A cholesterol-lowering diet score was previously developed for epidemiological studies; its association with serum lipid profile was not confirmed yet. Methods: The score was developed as an adaptation of the dietary portfolio for cholesterol reduction, assigning one point for adherence to seven [...] Read more.
Background: A cholesterol-lowering diet score was previously developed for epidemiological studies; its association with serum lipid profile was not confirmed yet. Methods: The score was developed as an adaptation of the dietary portfolio for cholesterol reduction, assigning one point for adherence to seven dietary indicators and ranging from 0 (null adherence) to 7 (highest adherence). The score was calculated for breast cancer patients enrolled in the DEDiCa study using a 7-day food record; serum lipid profile, including total and low-density lipoprotein cholesterol (LDL-C), was evaluated in serum at baseline. Results: Patients with the highest adherence to the cholesterol-lowering diet (i.e., score ≥ 4) reported lower LDL-C level than women with score 0–1 (median: 107 mg/dL and 122 mg/dL, respectively; p < 0.01). The proportion of women with LDL-C above the recommended limit of 116 mg/dL was 60.0% with score 0–1 and 42.6% with score ≥4. Although the score directly correlates with consumption of foods from vegetal sources, it was mildly associated with the healthful plant-based diet index (r-Spearman = 0.51) and the Mediterranean Diet Adherence Screener (r-Spearman = 0.30) Conclusions: These results provide experimental evidence that the cholesterol-lowering diet score is capable of detecting a specific plant-based dietary pattern that affects circulating cholesterol levels. Full article
(This article belongs to the Special Issue Mediterranean Diet, Plant-Based Diet, Low-Fat Diet and Human Health)
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Review

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22 pages, 698 KiB  
Review
Cardiovascular Disease and the Mediterranean Diet: Insights into Sex-Specific Responses
by Anushriya Pant, Derek P. Chew, Mamas A. Mamas and Sarah Zaman
Nutrients 2024, 16(4), 570; https://0-doi-org.brum.beds.ac.uk/10.3390/nu16040570 - 19 Feb 2024
Viewed by 1714
Abstract
Cardiovascular disease (CVD) is a leading cause of mortality and disease burden in women globally. A healthy diet is important for the prevention of CVD. Research has consistently favoured the Mediterranean diet as a cardio-protective diet. Several studies have evaluated associations between the [...] Read more.
Cardiovascular disease (CVD) is a leading cause of mortality and disease burden in women globally. A healthy diet is important for the prevention of CVD. Research has consistently favoured the Mediterranean diet as a cardio-protective diet. Several studies have evaluated associations between the Mediterranean diet and cardiovascular outcomes, including traditional risk factors like hypertension, type 2 diabetes mellitus, and obesity. In addition, consistent evidence suggests that the components of the Mediterranean diet have a synergistic effect on cardiovascular risk due to its anti-inflammatory profile and microbiome effects. While the benefits of the Mediterranean diet are well-established, health advice and dietary guidelines have been built on largely male-dominant studies. Few studies have investigated the beneficial associations of the Mediterranean diet in sex-specific populations, including those with non-traditional risk factors that are specific to women, for instance polycystic ovarian syndrome and high-risk pregnancies, or more prevalent in women, such as chronic inflammatory diseases. Therefore, this review aims to provide a comprehensive overview of the current evidence regarding the Mediterranean diet in women in relation to cardiovascular health outcomes. Full article
(This article belongs to the Special Issue Mediterranean Diet, Plant-Based Diet, Low-Fat Diet and Human Health)
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15 pages, 366 KiB  
Review
Exploring Benefits and Barriers of Plant-Based Diets: Health, Environmental Impact, Food Accessibility and Acceptability
by Giulia Viroli, Aliki Kalmpourtzidou and Hellas Cena
Nutrients 2023, 15(22), 4723; https://0-doi-org.brum.beds.ac.uk/10.3390/nu15224723 - 08 Nov 2023
Cited by 1 | Viewed by 5793
Abstract
Unhealthy dietary patterns are directly linked to the current Global Syndemic consisting of non-communicable diseases, undernutrition and climate change. The dietary shift towards healthier and more sustainable plant-based diets is essential. However, plant-based diets have wide intra differences; varying from vegan diets that [...] Read more.
Unhealthy dietary patterns are directly linked to the current Global Syndemic consisting of non-communicable diseases, undernutrition and climate change. The dietary shift towards healthier and more sustainable plant-based diets is essential. However, plant-based diets have wide intra differences; varying from vegan diets that totally exclude meat and animal products to traditional ones such as the Mediterranean diet and the new Nordic diet. It is acknowledged that plant-based diets may contribute simultaneously to improving population health as well as to decreasing the environmental impact of food systems. Evidence from cohort and randomized-controlled trials suggests that plant-based dietary patterns have beneficial effects on bodyweight control, cardiovascular health and diabetes prevention and treatment. On the other hand, micronutrient requirements may not be met, if some plant-based diets are not well-planned. Additionally, studies showed that lower consumption of meat and animal products results in lower environmental impacts. Consequently, plant-based diets could be a key factor to increase diet sustainability. This narrative review addresses the advantages of adherence to plant-based diets on human and planetary health considering strains and barriers to achieve this dietary transition, including cultural acceptability and affordability factors. Finally, potential intervention and policy recommendations are proposed, focusing on the update of current national food-based dietary guidelines. Full article
(This article belongs to the Special Issue Mediterranean Diet, Plant-Based Diet, Low-Fat Diet and Human Health)
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21 pages, 756 KiB  
Review
Effects of Animal and Vegetable Proteins on Gut Microbiota in Subjects with Overweight or Obesity
by Claudia Di Rosa, Ludovica Di Francesco, Chiara Spiezia and Yeganeh Manon Khazrai
Nutrients 2023, 15(12), 2675; https://0-doi-org.brum.beds.ac.uk/10.3390/nu15122675 - 08 Jun 2023
Cited by 3 | Viewed by 4143
Abstract
The gut microbiota plays a pivotal role in the balance between host health and obesity. The composition of the gut microbiota can be influenced by external factors, among which diet plays a key role. As the source of dietary protein is important to [...] Read more.
The gut microbiota plays a pivotal role in the balance between host health and obesity. The composition of the gut microbiota can be influenced by external factors, among which diet plays a key role. As the source of dietary protein is important to achieve weight loss and gut microbiota modulation, in the literature there is increasing evidence to suggest consuming more plant proteins than animal proteins. In this review, a literature search of clinical trials published until February 2023 was conducted to examine the effect of different macronutrients and dietary patterns on the gut microbiota in subjects with overweight and obesity. Several studies have shown that a higher intake of animal protein, as well as the Western diet, can lead to a decrease in beneficial gut bacteria and an increase in harmful ones typical of obesity. On the other hand, diets rich in plant proteins, such as the Mediterranean diet, lead to a significant increase in anti-inflammatory butyrate-producing bacteria, bacterial diversity and a reduction in pro-inflammatory bacteria. Therefore, since diets rich in fiber, plant protein, and an adequate amount of unsaturated fat may help to beneficially modulate the gut microbiota involved in weight loss, further studies are needed. Full article
(This article belongs to the Special Issue Mediterranean Diet, Plant-Based Diet, Low-Fat Diet and Human Health)
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