Effects on Health Outcomes of a Mediterranean Diet With No Restriction on Fat Intake
Authors: Hanna E. Bloomfield, Nancy Greer, Robert Kane, Timothy J. Wilt
Journal: Annals of Internal Medicine (2017)

Letters7 March 2017Effects on Health Outcomes of a Mediterranean Diet With No Restriction on Fat IntakeHanna E. Bloomfield, MD, MPH, Nancy Greer, PhD, Robert Kane, MD, and Timothy J. Wilt, MD, MPHHanna E. Bloomfield, MD, MPHFrom Minneapolis VA Medical Center, Minneapolis, and University of Minnesota, Minneapolis, Minnesota., Nancy Greer, PhDFrom Minneapolis VA Medical Center, Minneapolis, and University of Minnesota, Minneapolis, Minnesota., Robert Kane, MDFrom Minneapolis VA Medical Center, Minneapolis, and University of Minnesota, Minneapolis, Minnesota., and Timothy J. Wilt, MD, MPHFrom Minneapolis VA Medical Center, Minneapolis, and University of Minnesota, Minneapolis, Minnesota.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L16-0617 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Drs. Papadaki and Martinez's and Dr. Martínez-González and colleagues' comments both express concern about our definition of a Mediterranean diet. Any effort to review this field must confront the lack of a clear definition of what constitutes a Mediterranean diet. Our definition was a modified version of the one used in a recent Cochrane review (1). It required a minimum of 2 of 7 dietary components and no restriction on total fat intake. A key purpose of an intervention definition in a systematic review is to ensure that all relevant studies are included; we are confident that our ...References1. Rees K, Hartley L, Flowers N, Clarke A, Hooper L, Thorogood M, et al. ‘Mediterranean' dietary pattern for the primary prevention of cardiovascular disease. Cochrane Database Syst Rev. 2013:CD009825. [PMID: 23939686] doi:10.1002/14651858.CD009825.pub2 CrossrefMedlineGoogle Scholar2. Fung TT, Chiuve SE, McCullough ML, Rexrode KM, Logroscino G, Hu FB. Adherence to a DASH-style diet and risk of coronary heart disease and stroke in women. Arch Intern Med. 2008;168:713-20. [PMID: 18413553] doi:10.1001/archinte.168.7.713 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Minneapolis VA Medical Center, Minneapolis, and University of Minnesota, Minneapolis, Minnesota.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-0361. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEffects on Health Outcomes of a Mediterranean Diet With No Restriction on Fat Intake Hanna E. Bloomfield , Eva Koeller , Nancy Greer , Roderick MacDonald , Robert Kane , and Timothy J. Wilt Effects on Health Outcomes of a Mediterranean Diet With No Restriction on Fat Intake Miguel A. Martínez-González , Ramón Estruch , Dolores Corella , Emilio Ros , Montse Fitó , Lukas Schwingshackl , and Jordi Salas-Salvadó Effects on Health Outcomes of a Mediterranean Diet With No Restriction on Fat Intake Angeliki Papadaki and J. Alfredo Martinez Metrics Cited byThe Effect of the Mediterranean Diet on Metabolic Health: A Systematic Review and Meta-Analysis of Controlled Trials in AdultsTotal and Subtypes of Dietary Fat Intake and Its Association with Components of the Metabolic Syndrome in a Mediterranean Population at High Cardiovascular Risk 7 March 2017Volume 166, Issue 5Page: 378-379KeywordsClinical trialsCognitive impairmentCohort studiesConflicts of interestDietDisclosureFatsObservational studiesRheumatoid arthritisSystematic reviews ePublished: 7 March 2017 Issue Published: 7 March 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...