PMID- 31759318 OWN - NLM STAT- MEDLINE DCOM- 20201231 LR - 20201231 IS - 1873-1244 (Electronic) IS - 0899-9007 (Linking) VI - 70 DP - 2020 Feb TI - Mediterranean diet adherence and congestive heart failure: Relationship with clinical severity and ischemic pathogenesis. PG - 110584 LID - S0899-9007(19)30168-6 [pii] LID - 10.1016/j.nut.2019.110584 [doi] AB - OBJECTIVES: To our knowledge, no study has addressed the relationship between adherence to a Mediterranean diet style and severity of heart failure. The aim of this retrospective study was to evaluate the relationship between adherence to the Mediterranean diet assessed using the calculation of Mediterranean diet score and congestive heart failure (CHF), its severity, and pathogenesis. METHODS: We analyzed charts and collected data of all consecutive patients with a diagnosis of CHF at admission to our Internal Medicine Ward from 2008 to 2014. RESULTS: We analyzed 209 patients with CHF and 200 controls. Patients with CHF showed a significantly lower mean MeDi score than controls. At receiver operating characteristic curve analysis, we found a good sensitivity and specificity of mean MeDi score to predict CHF. We also observed a significant positive correlation between MeDi score and ischemic pathogenesis of CHF, a positive relationship between New York Heart Association (NYHA) class and ischemic heart disease, and a significant negative relationship between NYHA class and MeDi score. CONCLUSION: The beneficial effects of adherence to the Mediterranean diet suggest a possible answer to the question of the biochemical bases of our data, which should be seen as the direct consequence of the anti-inflammatory, antioxidant, and anti-remodeling effects linked to the diet. CI - Copyright (c) 2019 Elsevier Inc. All rights reserved. FAU - Tuttolomondo, Antonino AU - Tuttolomondo A AD - Internal Medicine and Stroke Care Ward, Department of Promoting Health, Maternal-Infant. Excellence and Internal and Specialized Medicine (Promise) G. D'Alessandro, University of Palermo, Palermo, Italy. Electronic address: bruno.tuttolomondo@unipa.it. FAU - Di Raimondo, Domenico AU - Di Raimondo D AD - Internal Medicine and Stroke Care Ward, Department of Promoting Health, Maternal-Infant. Excellence and Internal and Specialized Medicine (Promise) G. D'Alessandro, University of Palermo, Palermo, Italy. FAU - Casuccio, Alessandra AU - Casuccio A AD - Department of Promoting Health, Maternal-Infant. Excellence and Internal and Specialized Medicine (Promise) G. D'Alessandro, University of Palermo, Palermo, Italy. FAU - Velardo, Mariachiara AU - Velardo M AD - Internal Medicine and Stroke Care Ward, Department of Promoting Health, Maternal-Infant. Excellence and Internal and Specialized Medicine (Promise) G. D'Alessandro, University of Palermo, Palermo, Italy. FAU - Salamone, Giovanni AU - Salamone G AD - Internal Medicine and Stroke Care Ward, Department of Promoting Health, Maternal-Infant. Excellence and Internal and Specialized Medicine (Promise) G. D'Alessandro, University of Palermo, Palermo, Italy. FAU - Cataldi, Marco AU - Cataldi M AD - Internal Medicine and Stroke Care Ward, Department of Promoting Health, Maternal-Infant. Excellence and Internal and Specialized Medicine (Promise) G. D'Alessandro, University of Palermo, Palermo, Italy. FAU - Corpora, Francesca AU - Corpora F AD - Internal Medicine and Stroke Care Ward, Department of Promoting Health, Maternal-Infant. Excellence and Internal and Specialized Medicine (Promise) G. D'Alessandro, University of Palermo, Palermo, Italy. FAU - Restivo, Vincenzo AU - Restivo V AD - Department of Promoting Health, Maternal-Infant. Excellence and Internal and Specialized Medicine (Promise) G. D'Alessandro, University of Palermo, Palermo, Italy. FAU - Pecoraro, Rosaria AU - Pecoraro R AD - IRCCS Centro Neurolesi Bonino Pulejo, Palermo, Italy. FAU - Della Corte, Vittoriano AU - Della Corte V AD - Molecular and Clinical Medicine, University of Palermo, Palermo, Italy. FAU - Maida, Carlo AU - Maida C AD - Internal Medicine and Stroke Care Ward, Department of Promoting Health, Maternal-Infant. Excellence and Internal and Specialized Medicine (Promise) G. D'Alessandro, University of Palermo, Palermo, Italy. FAU - Simonetta, Irene AU - Simonetta I AD - Internal Medicine and Stroke Care Ward, Department of Promoting Health, Maternal-Infant. Excellence and Internal and Specialized Medicine (Promise) G. D'Alessandro, University of Palermo, Palermo, Italy. FAU - Cirrincione, Anna AU - Cirrincione A AD - Internal Medicine and Stroke Care Ward, Department of Promoting Health, Maternal-Infant. Excellence and Internal and Specialized Medicine (Promise) G. D'Alessandro, University of Palermo, Palermo, Italy. FAU - Vassallo, Valerio AU - Vassallo V AD - Internal Medicine and Stroke Care Ward, Department of Promoting Health, Maternal-Infant. Excellence and Internal and Specialized Medicine (Promise) G. D'Alessandro, University of Palermo, Palermo, Italy. FAU - Pinto, Antonio AU - Pinto A AD - Internal Medicine and Stroke Care Ward, Department of Promoting Health, Maternal-Infant. Excellence and Internal and Specialized Medicine (Promise) G. D'Alessandro, University of Palermo, Palermo, Italy. LA - eng PT - Evaluation Study PT - Journal Article DEP - 20190913 PL - United States TA - Nutrition JT - Nutrition (Burbank, Los Angeles County, Calif.) JID - 8802712 SB - IM MH - Aged MH - Aged, 80 and over MH - Diet, Mediterranean/*statistics & numerical data MH - Female MH - Heart Failure/diet therapy/*pathology MH - Humans MH - Male MH - Middle Aged MH - Myocardial Ischemia/etiology/*pathology MH - Patient Compliance/*statistics & numerical data MH - Retrospective Studies MH - *Severity of Illness Index OTO - NOTNLM OT - Adherence OT - CAD OT - CHF OT - Mediterranean diet OT - NYHA EDAT- 2019/11/24 06:00 MHDA- 2021/01/01 06:00 CRDT- 2019/11/24 06:00 PHST- 2018/12/28 00:00 [received] PHST- 2019/06/24 00:00 [revised] PHST- 2019/08/27 00:00 [accepted] PHST- 2019/11/24 06:00 [pubmed] PHST- 2021/01/01 06:00 [medline] PHST- 2019/11/24 06:00 [entrez] AID - S0899-9007(19)30168-6 [pii] AID - 10.1016/j.nut.2019.110584 [doi] PST - ppublish SO - Nutrition. 2020 Feb;70:110584. doi: 10.1016/j.nut.2019.110584. Epub 2019 Sep 13.