The relation between compliance to the Mediterranean diet and the extensiveness of coronary artery disease [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2015; 43(4): 340-349 | DOI: 10.5543/tkda.2015.49321

The relation between compliance to the Mediterranean diet and the extensiveness of coronary artery disease

Çağdaş Akgüllü1, Fatih Sırıken2, Ufuk Eryılmaz1, Mehmet Akdeniz1, İmran Kurt Ömürlü3, Gülden Pekcan4, Hasan Güngör1, Tünay Kurtoğlu5
1Department of Cardiology, Adnan Menderes University Faculty of Medicine, Aydin, Turkey
2Department of Dietetics And Nutrition, Adnan Menderes Üniversity Faculty of Medicine, Aydin, Turkey
3Department of Biostatistics, Adnan Menderes University Faculty of Medicine, Aydın, Turkey
4Department of Dietetics and Nutrition, Hacettepe University, Faculty of Health Sciences, Ankara, Turkey
5Department of Cardiovascular Surgery, Adnan Menderes University Faculty of Medicine, Aydın, Turkey


OBJECTIVE
There are various studies showing the cardiovascular benefits of the Mediterranean diet (MD), but, to the best of our knowledge, this is the first study which aimed to investigate the relation between adherence to the MD and severity of coronary artery disease (CAD).

METHODS
The study was a single centre, cross-sectional prospective study which included 200 consecutive patients (131 men [65.5%] and 69 women [34.5%], mean age 57±9) who were diagnosed with CAD by coronary angiography between January 2012 and April 2013. A food frequency questionnaire was administered to the patients. Compliance to the MD was evaluated by the MD score (MDS), which collects prominent diet characteristics under 10 main titles. Each patient’s angiographic data was examined by a cardiologist, and Gensini scores (GS) were then calculated to evaluate the extensiveness of coronary atherosclerosis.

RESULTS
Forty-four percent of patients were in the third category of body mass index (BMI) (≥30 kg/m2) and 17.5% were in the first category (BMI <25 kg/m2). Education levels were markedly low, with 78% of the patients having fewer than six years in education. Most patients had low physical activity levels (55.5%). Frequency of metabolic syndrome was prominent (79%). The median (25–75 percentiles) of GS was found to be 21.25 (7–44.75) and the MD score was 4 (3–5). A negative correlation was found between compliance to the MD and GS (r=-0.380, p<0.001).

CONCLUSION
This study found that in patients with CAD, compliance with the traditional MD is related to decreased severity of coronary atherosclerosis.

Keywords: Atherosclerosis, coronary artery disease; coronary angiography; diet, Mediterranean; nutrition

How to cite this article
Çağdaş Akgüllü, Fatih Sırıken, Ufuk Eryılmaz, Mehmet Akdeniz, İmran Kurt Ömürlü, Gülden Pekcan, Hasan Güngör, Tünay Kurtoğlu. The relation between compliance to the Mediterranean diet and the extensiveness of coronary artery disease. Turk Kardiyol Dern Ars. 2015; 43(4): 340-349

Corresponding Author: Çağdaş Akgüllü, Türkiye
© Copyright 2019 Archives of the Turkish Society of Cardiology
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