L Iacoviello1, M Bonaccio2, G Cairella3, M V Catani4, S Costanzo2, L D'Elia5, R Giacco6, D Rendina5, P Sabino5, I Savini4, P Strazzullo7. 1. Department of Epidemiology and Prevention, IRCCS Istituto Neurologico Mediterraneo Neuromed, 86077, Pozzilli, IS, Italy; Department of Medicine and Surgery, Research Center in Epidemiology and Preventive Medicine (EPIMED), University of Insubria, 21100, Varese, Italy. Electronic address: licia.iacoviello@neuromed.it. 2. Department of Epidemiology and Prevention, IRCCS Istituto Neurologico Mediterraneo Neuromed, 86077, Pozzilli, IS, Italy. 3. Servizio Igiene Alimenti e Nutrizione, ASL Rome B, Italy. 4. Department of Experimental Medicine & Surgery, University of Rome 'Tor Vergata', 00133, Rome, Italy. 5. Department of Clinical Medicine and Surgery, Federico II University of Naples Medical School, 80131, Naples, Italy. 6. Institute of Food Science, National Research Council, 83100, Avellino, Italy. 7. Department of Clinical Medicine and Surgery, Federico II University of Naples Medical School, 80131, Naples, Italy. Electronic address: strazzul@unina.it.
Abstract
BACKGROUND AND AIMS: To systematically review the latest evidence on established and emerging nutrition-related risk factors for incidence of and mortality from total, ischemic and haemorrhagic strokes. The present review was conducted in the framework of the work carried out through 2015 and 2016 for the preparation of the Italian Guidelines for the Prevention and Treatment of Stroke, 8th Edition, by ISO-SPREAD (Italian Stroke Organization and the Stroke Prevention and Educational Awareness Diffusion). METHODS AND RESULTS: Systematic review of articles focused on primary prevention of stroke published between January 2013 to May 2016 through an extensive search of the literature using MEDLINE/PUBMED, EMBASE and the Cochrane Library. Articles were ranked according to the SIGN methodology while the GRADE system was used to establish the strength of recommendations. As a result of our literature search, we examined 87 meta-analyses overall (mainly of prospective studies), a few isolated more recent prospective studies not included in the meta-analyses, and a smaller number of available randomized controlled trials and case-control studies. Based on the analysis of the above articles, 36 Syntheses of the available evidence and 36 Recommendations were eventually prepared. The present document was developed by organizing the available evidence into three individual areas (nutrients, food groups and dietary patterns) to provide a systematic and user-friendly overview of the available evidence on the relationship between nutrition and primary prevention of stroke. Yet analysis of foods and food patterns allowed translating the information about nutrients in a tool more amenable to use in daily life also in the light of the argument that people eat foods rather than nutrients. CONCLUSIONS: The present literature review and dietary recommendations provide healthcare professionals and all interested readers with a useful overview for the reduction of the risk of total, ischemic and haemorrhagic stroke through dietary modifications.
BACKGROUND AND AIMS: To systematically review the latest evidence on established and emerging nutrition-related risk factors for incidence of and mortality from total, ischemic and haemorrhagic strokes. The present review was conducted in the framework of the work carried out through 2015 and 2016 for the preparation of the Italian Guidelines for the Prevention and Treatment of Stroke, 8th Edition, by ISO-SPREAD (Italian Stroke Organization and the Stroke Prevention and Educational Awareness Diffusion). METHODS AND RESULTS: Systematic review of articles focused on primary prevention of stroke published between January 2013 to May 2016 through an extensive search of the literature using MEDLINE/PUBMED, EMBASE and the Cochrane Library. Articles were ranked according to the SIGN methodology while the GRADE system was used to establish the strength of recommendations. As a result of our literature search, we examined 87 meta-analyses overall (mainly of prospective studies), a few isolated more recent prospective studies not included in the meta-analyses, and a smaller number of available randomized controlled trials and case-control studies. Based on the analysis of the above articles, 36 Syntheses of the available evidence and 36 Recommendations were eventually prepared. The present document was developed by organizing the available evidence into three individual areas (nutrients, food groups and dietary patterns) to provide a systematic and user-friendly overview of the available evidence on the relationship between nutrition and primary prevention of stroke. Yet analysis of foods and food patterns allowed translating the information about nutrients in a tool more amenable to use in daily life also in the light of the argument that people eat foods rather than nutrients. CONCLUSIONS: The present literature review and dietary recommendations provide healthcare professionals and all interested readers with a useful overview for the reduction of the risk of total, ischemic and haemorrhagic stroke through dietary modifications.
Authors: Emma Altobelli; Paolo Matteo Angeletti; Leonardo Rapacchietta; Reimondo Petrocelli Journal: Int J Environ Res Public Health Date: 2019-09-25 Impact factor: 3.390
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Authors: Tammy Y N Tong; Paul N Appleby; Timothy J Key; Christina C Dahm; Kim Overvad; Anja Olsen; Anne Tjønneland; Verena Katzke; Tilman Kühn; Heiner Boeing; Anna Karakatsani; Eleni Peppa; Antonia Trichopoulou; Elisabete Weiderpass; Giovanna Masala; Sara Grioni; Salvatore Panico; Rosario Tumino; Jolanda M A Boer; W M Monique Verschuren; J Ramón Quirós; Antonio Agudo; Miguel Rodríguez-Barranco; Liher Imaz; María-Dolores Chirlaque; Conchi Moreno-Iribas; Gunnar Engström; Emily Sonestedt; Marcus Lind; Julia Otten; Kay-Tee Khaw; Dagfinn Aune; Elio Riboli; Nicholas J Wareham; Fumiaki Imamura; Nita G Forouhi; Emanuele di Angelantonio; Angela M Wood; Adam S Butterworth; Aurora Perez-Cornago Journal: Eur Heart J Date: 2020-07-21 Impact factor: 35.855