PMC:7335494 / 43496-47797 JSONTXT

{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/7335494","sourcedb":"PMC","sourceid":"7335494","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7335494","text":"A marked reduction of inflammatory molecules (C reactive protein – CRP, E-selectin, P-selectin, TNF-α, IL-1β, IL-6) and of mRNAs of pro-inflammatory genes was reported in overweight and obese individuals which adhered a classic or modified MD (Bekkouche et al., 2014; Marques-Rocha et al., 2016; Paoli et al., 2015; Rallidis et al., 2017; Tripp et al., 2019). Furthermore, in diabetics and patients with high cardiovascular risk, MD determined a significant reduction of serum levels of CRP, interleukins and adhesion molecules (Casas et al., 2014; Ceriello et al., 2014; Maiorino et al., 2016; Mayr et al., 2018). In a group of asthmatic children, MD supplemented with 150g cooked fish twice a week resulted in significantly improved pulmonary function and markedly increased docosahexaenoic acid (DHA) levels and improved omega-6 to omega-3 ratio (Papamichael et al., 2019). The recent clinical trials addressing the relationship between MD and inflammation are summarized in Table 4 .\nTable 4 Recent reports concerning Mediterranean diet and inflammation.\nDesign Population Intervention Effects Reference\nFeeding study 25 subjects One-meal intervention:➢ Tocopherol-enriched Mediterranean meal\n➢ Western high-fat meal ↓ expression of inflammation-related genes De Lorenzo et al. (2017)\nControlled feeding study 35 men and 27 women ➢ 4-week MD intervention MD induced the same type of response regarding hs-CRP both in males and females Bedard et al. (2015)\nRandomized Controlled Trial 1142 subjects 12-month diet intervention:➢ MD-like NU-AGE diet + vitamin D3 (10 μg/day)\n➢ Control group Slowed the decline of bone mineral density only in the femoral neck in subjects with osteoporosis Jennings et al. (2018)\nRandomized Controlled Trial 20 elderly subjects 4-week diet intervention:➢ MD + coenzyme Q10 (MD-Q10)\n➢ MD\nDiet rich in saturated fatty acids (SFAD) MD, MD-Q10: ↓ expression of p65, IKK-b, MMP-9, IL-1b (versus SFAD)MD-Q: marked decrease of P65 and IKK-b (versus the other diets) Yubero-Serrano et al. (2012)\nRandomized Controlled Trial 20 elderly people 4-week diet intervention:➢ MD + olive oil (MD-O)\n➢ diet rich in saturated fatty acids (SFAD) low-fat, high-carbohydrate diet enriched in n-3 PUFA (LFHC-PUFA) MD-O: ↓ expression of inflammation-related genes (versus SFAD: p65, MCP-1; versus LFHC-PUFA: p65, TNF-α) Camargo et al. (2012)\nRandomized Controlled Crossover Trial 20 elderly subjects isocaloric diets for successive periods of 4 weeks in a crossover design: MD, MD + CoQ, Western diet ↓ AGE, RAGE Lopez-Moreno et al. (2018)\nRandomized Controlled Trial 34 male overweight subjects 4-week diet intervention:➢ Ketogenic MD (KMD)\nKMD + omega-3 (KMD-O3) KMD: ↓ TNF-αKMD-O3: ↓ IL-1β, IL-6, TNF-α, ↑ adiponectin Paoli et al. (2015)\n\u2028\u2028\nControlled feeding study 50 overweight and obese subjects 13-week diet intervention: Caloric restriction, MD + dietary supplementation ↓ CRP (versus baseline) Tripp et al. (2019)\nClinical Trial 90 subjects with abdominal obesity 2-month diet intervention:➢ MD, using olive oil\nControl group MD: ↓ CRP, P-selectin, E-selectin (versus baseline) Rallidis et al. (2017)\nClinical Trial 40 subjects with metabolic syndrome 8-week diet hypocaloric MD intervention ↓ mRNA associated with the regulation of inflammatory genes Marques-Rocha et al. (2016)\nRandomized Controlled Trial 36 subjects with metabolic syndrome 3-month MD intervention ↓ CRP, insulin Bekkouche et al. (2014)\nRandomized Controlled Trial 24 T2DM patients 3-month diet intervention:➢ MD, using olive oil\nLow fat diet (LFD) MD: ↓ IL-6, ICAM-1, ↑ GLP-1 stimulated insulin secretion Ceriello et al. (2014)\nRandomized Controlled Trial 215 T2DM (newly diagnosed) 12-month diet intervention:➢ MD\nLow fat diet (LFD) MD: ↓ CRP (37%), ↑ adiponectin (43%) Maiorino et al. (2016)\nRandomized Controlled Trial 56 coronary heart disease patients 6-month diet intervention:➢ MD\nLow fat diet (LFD) ↓ dietary inflammatory index (including IL-1b, IL-4, IL-6, IL-10, TNF-α, CRP) Mayr et al. (2018)\nRandomized Controlled Trial 164 subjects with high cardiovascular risk 12-month diet intervention:➢ MD + 50 mL extra virgin olive oil (MD-O)\n➢ MD + 30 g nuts (MD-N)\nLow fat diet (LFD) MD-O: ↓ CRP (45%), IL-6 (35%), sICAM-1 (50%), P-selectin (27%)MD-N: ↓ CRP (45%), IL-6 (35%)(versus LFD) Casas et al. 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