Mediterranean diet and reduction in the risk of a first acute myocardial infarction: An operational healthy dietary score

16 Sep 2002Miguel A. Martínez-GonzálezElena Fernández-JarneManuel Serrano-MartínezAmelia MartiJ. Alfredo MartinezJosé M. Martín-Moreno

Our data support the hypothesis that a Mediterranean diet (that emphasizes olive oil, fiber, fruits, vegetables, fish and alcohol and reduces meat/meat products) can be an effective measure for reducing the risk of myocardial infarction.

Cross-section study
12 effects
342 subjects

Reported Outcomes

CausesOutcomeCertainty

Olive oil Nutrition risk & protective factor
Olive oil
Nutrition

Heart Attack (Myocardial infarction - ACS) Cardiovascular outcome
Decreased risk of Heart Attack (Myocard...
Cardiovascular system

Moderate evidence
-40.0%

Fruits Nutrition risk & protective factor
Fruits
Nutrition

Heart Attack (Myocardial infarction - ACS) Cardiovascular outcome
Decreased risk of Heart Attack (Myocard...
Cardiovascular system

Moderate evidence
-67.0%

Vegetables Nutrition risk & protective factor
Vegetables
Nutrition

Heart Attack (Myocardial infarction - ACS) Cardiovascular outcome
Decreased risk of Heart Attack (Myocard...
Cardiovascular system

Moderate evidence
-29.0%

Fish & SeaFood rich in Omega-3 Nutrition risk & protective factor

Heart Attack (Myocardial infarction - ACS) Cardiovascular outcome
Decreased risk of Heart Attack (Myocard...
Cardiovascular system

Moderate evidence
-63.0%

Whole grains Nutrition risk & protective factor
Whole grains
Nutrition

Heart Attack (Myocardial infarction - ACS) Cardiovascular outcome
Decreased risk of Heart Attack (Myocard...
Cardiovascular system

Moderate evidence
-67.0%

Alcohol Beverage risk & protective factor
Alcohol
Beverage

Heart Attack (Myocardial infarction - ACS) Cardiovascular outcome
Decreased risk of Heart Attack (Myocard...
Cardiovascular system

Moderate evidence
-58.0%

Red Wine Beverage risk & protective factor
Red Wine
Beverage

Heart Attack (Myocardial infarction - ACS) Cardiovascular outcome
Decreased risk of Heart Attack (Myocard...
Cardiovascular system

Moderate evidence
-58.0%

Red Meat Nutrition risk & protective factor
Red Meat
Nutrition

Heart Attack (Myocardial infarction - ACS) Cardiovascular outcome
Strong increased risk of Heart Attack (Myocard...
Cardiovascular system

Moderate evidence
116.0%

Meat & Foods rich in Branched-Chain Amino Acids (BCAAs) Nutrition risk & protective factor

Heart Attack (Myocardial infarction - ACS) Cardiovascular outcome
Strong increased risk of Heart Attack (Myocard...
Cardiovascular system

Moderate evidence
116.0%

Processed Meat Nutrition risk & protective factor

Heart Attack (Myocardial infarction - ACS) Cardiovascular outcome
Strong increased risk of Heart Attack (Myocard...
Cardiovascular system

Moderate evidence
116.0%

Refined grains Nutrition risk & protective factor

Heart Attack (Myocardial infarction - ACS) Cardiovascular outcome
Minor increase risk of Heart Attack (Myocard...
Cardiovascular system

Low evidence
11.0%

Mediterranean diet Nutrition risk & protective factor

Heart Attack (Myocardial infarction - ACS) Cardiovascular outcome
Decreased risk of Heart Attack (Myocard...
Cardiovascular system

Low evidence
-79.0%