0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Commentary |

Eat a Healthy Diet and Drink Wisely to Postpone Dying If You Survived a Myocardial Infarction?  Yes, but Randomized Clinical Trials Are Needed

Ramón Estruch, MD, PhD1,2; Emilio Ros, MD, PhD2,3
[+] Author Affiliations
1Department of Internal Medicine, Hospital Clinic, Institut d’Investigacións Biomèdiques August Pi iSunyer (IDIBAPS), University of Barcelona, Barcelona, Spain
2CIBERobn Physiopathology of Obesity and Nutrition, Institute of Health Carlos III, Madrid, Spain
3Department of Endocrinology and Nutrition, Lipid Clinic, Hospital Clinic, IDIBAPS, Barcelona, Spain
JAMA Intern Med. 2013;173(19):1819-1820. doi:10.1001/jamainternmed.2013.7667.
Text Size: A A A
Published online

Extract

Coronary heart disease (CHD) is largely preventable through a healthful lifestyle, particularly a healthy diet. However, CHD is the leading cause of death and disability worldwide. Dietary guidelines to promote good health and reduce major chronic diseases, including CHD, are based on data about foods, nutrients, and dietary patterns predictive of chronic disease risk in epidemiologic studies.

What is the best dietary pattern to avoid CHD and increase longevity? A systematic review1 of the evidence supporting the causal link between dietary factors and CHD ranked the Mediterranean diet as the most likely dietary model to provide protection against CHD. In prospective cohort studies,2 increasing adherence to the Mediterranean diet has been consistently beneficial for prevention of major chronic diseases, including fatal and nonfatal CHD, as well as all-cause mortality. The results of a large intervention study about the effects of a Mediterranean diet in the primary prevention of cardiovascular disease in high-risk subjects, the PREDIMED (Prevención con Dieta Mediterránea) trial, have been published recently.3 In this study, high–unsaturated-fat Mediterranean diets supplemented with extra-virgin olive oil or nuts for almost 5 years reduced by 30% the incidence of an aggregate of fatal and nonfatal cardiovascular disease events (CHD and stroke) compared with a control diet consisting of advice to reduce all types of dietary fat. Among components of the primary outcome, incident stroke, but not CHD, was significantly reduced in the 2 Mediterranean diet arms.3

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

Users' Guides to the Medical Literature
Clinical Resolution

Users' Guides to the Medical Literature
Clinical Scenario

brightcove.createExperiences();