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Controversial Dietary Patterns: A High Yield Primer for Clinicians

Published:February 05, 2022DOI:https://doi.org/10.1016/j.amjmed.2022.01.028

      Abstract

      In cardiology clinic visits, the discussion of optimal dietary patterns for prevention and management of cardiovascular disease is usually very limited. Herein, we explore the benefits and risks of various dietary patterns, including intermittent fasting, low carbohydrate, Paleolithic, whole food plant-based diet, and Mediterranean dietary patterns within the context of cardiovascular disease to empower clinicians with the evidence and information they need to maximally benefit their patients.

      Keywords

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      References

        • Tinsley GM
        • La Bounty PM
        Effects of intermittent fasting on body composition and clinical health markers in humans.
        Nutr Rev. 2015; 73: 661-674
        • Patterson RE
        • Laughlin GA
        • LaCroix AZ
        • et al.
        Intermittent fasting and human metabolic health.
        J Acad Nutr Diet. 2015; 115: 1203-1212
        • Mattson MP
        • Longo VD
        • Harvie M
        Impact of intermittent fasting on health and disease processes.
        Ageing Res Rev. 2017; 39: 46-58
        • de Cabo R
        • Mattson MP
        Effects of intermittent fasting on health, aging, and disease.
        N Engl J Med. 2019; 381: 2541-2551
        • Rynders CA
        • Thomas EA
        • Zaman A
        • Pan Z
        • Catenacci VA
        • Melanson EL
        Effectiveness of intermittent fasting and time-restricted feeding compared to continuous energy restriction for weight loss.
        Nutrients. 2019; 11: 2442
        • Lowe DA
        • Wu N
        • Rohdin-Bibby L
        • et al.
        Effects of time-restricted eating on weight loss and other metabolic parameters in women and men with overweight and obesity: the TREAT randomized clinical trial.
        JAMA Intern Med. 2020; 180: 1491-1499
        • Horne BD
        • Grajower MM
        • Anderson JL
        Limited evidence for the health effects and safety of intermittent fasting among patients with type 2 diabetes.
        JAMA. 2020; 324: 341-342
        • Sutton EF
        • Beyl R
        • Early KS
        • Cefalu WT
        • Ravussin E
        • Peterson CM
        Early time-restricted feeding improves insulin sensitivity, blood pressure, and oxidative stress even without weight loss in men with prediabetes.
        Cell Metab. 2018; 27: 1212-1221.e3
        • Kirkpatrick CF
        • Bolick JP
        • Kris-Etherton PM
        • et al.
        Review of current evidence and clinical recommendations on the effects of low-carbohydrate and very-low-carbohydrate (including ketogenic) diets for the management of body weight and other cardiometabolic risk factors: A scientific statement from the National Lipid Association Nutrition and Lifestyle Task Force.
        J Clin Lipidol. 2019; 13: 689-711.e1
        • Mazidi M
        • Katsiki N
        • Mikhailidis DP
        • Sattar N
        • Banach M
        Lower carbohydrate diets and all-cause and cause-specific mortality: a population-based cohort study and pooling of prospective studies.
        Eur Heart J. 2019; 40: 2870-2879
        • Li S
        • Flint A
        • Pai JK
        • et al.
        Low carbohydrate diet from plant or animal sources and mortality among myocardial infarction survivors.
        J Am Heart Assoc. 2014; 3 (-e001169)e001169
        • Seidelmann SB
        • Claggett B
        • Cheng S
        • et al.
        Dietary carbohydrate intake and mortality: a prospective cohort study and meta-analysis.
        Lancet Public Health. 2018; 3: e419-e428
      1. Aspry KE, Kris-Etherton PM, Kirkpatrick C. Very low carbohydrate and ketogenic diets and cardiometabolic risk. American College of Cardiology, October 7, 2020. Available at: https://www.acc.org/latest-in-cardiology/articles/2020/10/07/13/54/very-low-carbohydrate-and-ketogenic-diets-and-cardiometabolic-risk. Accessed February 12, 2022.

        • Kuipers RS
        • Luxwolda MF
        • Dijck-Brouwer DAJ
        • et al.
        Estimated macronutrient and fatty acid intakes from an East African Paleolithic diet.
        Br J Nutr. 2010; 104: 1666-1687
        • Frączek B
        • Pięta A
        • Burda A
        • Mazur-Kurach P
        • Tyrała F
        • et al.
        Paleolithic Diet—Effect on the Health Status and Performance of Athletes?.
        Nutrients. 2021; 13: 1019
        • Ghaedi E
        • Mohammadi M
        • Mohammadi H
        • et al.
        Effects of a Paleolithic diet on cardiovascular disease risk factors: a systematic review and meta-analysis of randomized controlled trials.
        Adv Nutr. 2019; 10: 634-646
        • Pastore RL
        • Brooks JT
        • Carbone JW
        Paleolithic nutrition improves plasma lipid concentrations of hypercholesterolemic adults to a greater extent than traditional heart-healthy dietary recommendations.
        Nutr Res. 2015; 35: 474-479
        • Sohouli MH
        • Fatahi S
        • Lari A
        • et al.
        The effect of paleolithic diet on glucose metabolism and lipid profile among patients with metabolic disorders: a systematic review and meta-analysis of randomized controlled trials [online ahead of print].
        Crit Rev Food Sci Nutr. 2021; (Jan 25]): 1-12https://doi.org/10.1080/10408398.2021.1876625
        • Chen X
        • Dickinson SL
        • Allison DB
        Errors in meta-analysis should be corrected: comment on "Effects of a Paleolithic Diet on Cardiovascular Disease Risk Factors: A Systematic Review and Meta-Analysis of Randomized Controlled Trials".
        Adv Nutr. 2020; 11: 1047-1048
        • Whalen KA
        • McCullough ML
        • Flanders WD
        • Hartman TJ
        • Judd S
        • Bostick RM
        Paleolithic and Mediterranean diet pattern scores are inversely associated with biomarkers of inflammation and oxidative balance in adults.
        J Nutr. 2016; 146: 1217-1226
        • de la O V
        • Zazpe I
        • Goni L
        • et al.
        A score appraising Paleolithic diet and the risk of cardiovascular disease in a Mediterranean prospective cohort [online ahead of print].
        Eur J Nutr. 2021; (Oct 21])https://doi.org/10.1007/s00394-021-02696-9
        • Freeman AM
        • Morris PB
        • Barnard N
        • et al.
        Trending cardiovascular nutrition controversies.
        J Am Coll Cardiol. 2017; 69: 1172-1187
        • Barnard ND
        • Cohen J
        • Jenkins DJA
        • et al.
        A low-fat vegan diet and a conventional diabetes diet in the treatment of type 2 diabetes: a randomized, controlled, 74-wk clinical trial.
        Am J Clin Nutr. 2009; 89: 1588S-1596S
        • Turner-McGrievy GM
        • Davidson CR
        • Wingard EE
        • Wilcox S
        • Frongillo EA
        Comparative effectiveness of plant-based diets for weight loss: a randomized controlled trial of five different diets.
        Nutrition. 2015; 31: 350-358
        • Yokoyama Y
        • Levin SM
        • Barnard ND
        Association between plant-based diets and plasma lipids: a systematic review and meta-analysis.
        Nutr Rev. 2017; 75: 683-698
        • Shah B
        • Newman JD
        • Woolf K
        • et al.
        Anti-inflammatory effects of a vegan diet versus the American Heart Association-recommended diet in coronary artery disease trial.
        J Am Heart Assoc. 2018; 7e011367
        • Wang Z
        • Bergeron N
        • Levison BS
        • et al.
        Impact of chronic dietary red meat, white meat, or non-meat protein on trimethylamine N-oxide metabolism and renal excretion in healthy men and women.
        Eur Heart J. 2018; 40: 583-594
        • Gould KL
        • Ornish D
        • Scherwitz L
        • et al.
        Changes in myocardial perfusion abnormalities by positron emission tomography after long-term, intense risk factor modification.
        JAMA. 1995; 274: 894-901
        • Song M
        • Fung TT
        • Hu FB
        • et al.
        Association of animal and plant protein intake with all-cause and cause-specific mortality.
        JAMA Intern Med. 2016; 176: 1453-1463
        • Choi Y
        • Larson N
        • Steffen LM
        • et al.
        Plant-centered diet and risk of incident cardiovascular disease during young to middle adulthood.
        J Am Heart Assoc. 2021; 10e020718
        • Satija A
        • Bhupathiraju SN
        • Spiegelman D
        • et al.
        Healthful and unhealthful plant-based diets and the risk of coronary heart disease in U.S. adults.
        J Am Coll Cardiol. 2017; 70: 411-422
        • Martínez-González MA
        • Sánchez-Tainta A
        • Corella D
        • et al.
        A provegetarian food pattern and reduction in total mortality in the Prevención con Dieta Mediterránea (PREDIMED) study.
        Am J Clin Nutr. 2014; 100: 320s-328s
        • Bergeron N
        • Chiu S
        • Williams PT
        • King SM
        • Krauss RM
        Effects of red meat, white meat, and nonmeat protein sources on atherogenic lipoprotein measures in the context of low compared with high saturated fat intake: a randomized controlled trial.
        Am J Clin Nutr. 2019; 110: 24-33
        • Arnett DK
        • Blumenthal RS
        • Albert MA
        • et al.
        2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.
        Circulation. 2019; 140: e596-e646
        • Schepers J
        • Annemans L
        The potential health and economic effects of plant-based food patterns in Belgium and the United Kingdom.
        Nutrition. 2018; 48: 24-32
        • Melina V
        • Craig W
        • Levin S
        Position of the Academy of Nutrition and Dietetics: vegetarian diets.
        J Acad Nutr Diet. 2016; 116: 1970-1980
        • Lynch H
        • Johnston C
        • Wharton C
        Plant-based diets: considerations for environmental impact, protein quality, and exercise performance.
        Nutrients. 2018; 10: 1841
        • Serra-Majem L
        • Roman B
        • Estruch R
        Scientific evidence of interventions using the Mediterranean diet: a systematic review.
        Nutr Rev. 2006; 64: S27-S47
        • Hartog C BR
        • Fidanza F
        • Keys A
        • Roine E
        Dietary Studies and Epidemiology of Heart Diseases.
        Voeding, The Hague, The Netherlands1968
        • Appel LJ
        • Sacks FM
        • Carey VJ
        • et al.
        Effects of protein, monounsaturated fat, and carbohydrate intake on blood pressure and serum lipids: results of the OmniHeart randomized trial.
        JAMA. 2005; 294: 2455-2464
        • Salas-Salvadó J
        • Becerra-Tomás N
        • García-Gavilán JF
        • Bulló M
        • Barrubés L
        Mediterranean diet and cardiovascular disease prevention: what do we know?.
        Prog Cardiovasc Dis. 2018; 61: 62-67
        • Estruch R
        • Ros E
        • Salas-Salvadó J
        • et al.
        Primary prevention of cardiovascular disease with a Mediterranean diet supplemented with extra-virgin olive oil or nuts.
        N Engl J Med. 2018; 378: e34
        • de Lorgeril M
        • Salen P
        • Martin J-L
        • Monjaud I
        • Delaye J
        • N Mamelle
        Mediterranean diet, traditional risk factors, and the rate of cardiovascular complications after myocardial infarction.
        Circulation. 1999; 99: 779-785
        • Estruch R
        • Martínez-González MA
        • Corella D
        • et al.
        Effect of a high-fat Mediterranean diet on bodyweight and waist circumference: a prespecified secondary outcomes analysis of the PREDIMED randomised controlled trial.
        Lancet Diabetes Endocrinol. 2019; 7: e6-e17
        • Barnard ND
        • Alwarith J
        • Rembert E
        • et al.
        A Mediterranean diet and low-fat vegan diet to improve body weight and cardiometabolic risk factors: a randomized, cross-over trial [online ahead of print].
        J Am Coll Nutr. 2021; (Feb 5]): 1-13https://doi.org/10.1080/07315724.2020.1869625
        • Soltani S
        • Jayedi A
        • Shab-Bidar S
        • Becerra-Tomás N
        • Salas-Salvadó J
        Adherence to the Mediterranean diet in relation to all-cause mortality: a systematic review and dose-response meta-analysis of prospective cohort studies.
        Adv Nutr. 2019; 10: 1029-1039
        • Tang C
        • Wang X
        • Qin LQ
        • Dong JY
        Mediterranean diet and mortality in people with cardiovascular disease: a meta-analysis of prospective cohort studies.
        Nutrients. 2021; 13: 2623
        • Sayón-Orea C
        • Razquin C
        • Bulló M
        • et al.
        Effect of a nutritional and behavioral intervention on energy-reduced Mediterranean diet adherence among patients with metabolic syndrome: interim analysis of the PREDIMED-Plus Randomized Clinical Trial.
        JAMA. 2019; 322: 1486-1499
        • Oncina-Cánovas A
        • Vioque J
        • González-Palacios S
        • et al.
        Pro-vegetarian food patterns and cardiometabolic risk in the PREDIMED-Plus study: a cross-sectional baseline analysis.
        Eur J Nutr. 2021; 61: 357-372
        • Appel LJ
        • Moore TJ
        • Obarzanek E
        • et al.
        A clinical trial of the effects of dietary patterns on blood pressure.
        N Engl J Med. 1997; 336: 1117-1124
        • Sacks FM
        • Svetkey LP
        • Vollmer WM
        • et al.
        Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet.
        N Engl J Med. 2001; 344: 3-10
        • Sacks FM
        • Carey VJ
        • Anderson CA
        • et al.
        Effects of high vs low glycemic index of dietary carbohydrate on cardiovascular disease risk factors and insulin sensitivity: the OmniCarb randomized clinical trial.
        JAMA. 2014; 312: 2531-2541
        • Appel LJ
        • Champagne CM
        • Harsha DW
        • et al.
        Effects of comprehensive lifestyle modification on blood pressure control: main results of the PREMIER clinical trial.
        JAMA. 2003; 289: 2083-2093
        • Chiavaroli L
        • Viguiliouk E
        • Nishi SK
        • et al.
        DASH dietary pattern and cardiometabolic outcomes: an umbrella review of systematic reviews and meta-analyses.
        Nutrients. 2019; 11: 338
        • Soltani S
        • Arablou T
        • Jayedi A
        • Salehi-Abargouei A
        Adherence to the dietary approaches to stop hypertension (DASH) diet in relation to all-cause and cause-specific mortality: a systematic review and dose-response meta-analysis of prospective cohort studies.
        Nutr J. 2020; 19: 37
        • Jones NRV
        • Forouhi NG
        • Khaw KT
        • Wareham NJ
        • Monsivais P
        Accordance to the Dietary Approaches to Stop Hypertension diet pattern and cardiovascular disease in a British, population-based cohort.
        Eur J Epidemiol. 2018; 33: 235-244
        • Rosato V
        • Temple NJ
        • La Vecchia C
        • Castellan G
        • Tavani A
        • Guercio V
        Mediterranean diet and cardiovascular disease: a systematic review and meta-analysis of observational studies.
        Eur J Nutr. 2019; 58: 173-191