Effect of vegetarian diets on the presentation of metabolic syndrome or its components: a systematic review and meta-analysis
dc.contributor.author | Picasso, Maria C. | * |
dc.contributor.author | Lo-Tayraco, Jessica A. | * |
dc.contributor.author | Ramos-Villanueva, Juselly M. | * |
dc.contributor.author | Pasupuleti, Vinay | * |
dc.contributor.author | Hernandez, Adrian V. | * |
dc.date.accessioned | 2018-11-29T16:37:21Z | |
dc.date.available | 2018-11-29T16:37:21Z | |
dc.date.issued | 2018 | |
dc.identifier.issn | 02615614 | |
dc.identifier.doi | 10.1016/j.clnu.2018.05.021 | |
dc.identifier.uri | http://hdl.handle.net/10757/624688 | |
dc.description | El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado. | en_US |
dc.description.abstract | Background & aims: Several studies have examined the effect of vegetarian diets (VD) on metabolic syndrome (MetS) or its components, but findings have been inconsistent. The aim of this study was to perform a systematic review and meta-analysis of randomized controlled trials (RCTs) and observational studies to assess the association between VD and MetS or its components (systolic blood pressure [SBP], diastolic blood pressure [DBP], fasting glucose triglycerides, waist circumference [WC], HDL-cholesterol (HDL-C)) in adults. Methods: The Cochrane Library, EMBASE, PubMed, Web of Science, and Scopus were searched. RCTs, cohort studies and cross-sectional studies evaluating the effects of VD on MetS or its components in adults, with omnivore diet as control group, were included. Random effects meta-analyses stratified by study design were employed to calculate pooled estimates. Results: A total of 71 studies (n = 103 008) met the inclusion criteria (6 RCTs, 2 cohorts, 63 cross-sectional). VD were not associated with MetS in comparison to omnivorous diet (OR 0.96, 95% CI 0.50–1.85, p = 0.9) according to meta-analysis of five cross-sectional studies. Likewise, meta-analysis of RCTs and cohort studies indicated that consumption of VD were not associated with MetS components. Meta-analysis of cross-sectional studies demonstrated that VD were significantly associated with lower levels of SBP (mean difference [MD] −4.18 mmHg, 95%CI −5.57 to −2.80, p < 0.00001), DBP (MD −3.03 mmHg, 95% CI −4.93 to −1.13, p = 0.002), fasting glucose (MD −0.26 mmol/L, 95% CI −0.35to −0.17, p < 0.00001), WC (MD −1.63 cm, 95% CI −3.13 to −0.13, p = 0.03), and HDL-C (MD −0.05 mmol/L, 95% CI −0.07 to −0.03, p < 0.0001) in comparison to omnivorous diet. Heterogeneity of effects among cross-sectional studies was high. About, one-half of the included studies had high risk of bias. Conclusions: VD in comparison with omnivorous diet is not associated with a lower risk of MetS based on results of meta-analysis of cross-sectional studies. The association between VD and lower levels of SBP, DBP, HDL-C, and fasting glucose is uncertain due to high heterogeneity across the cross-sectional studies. Larger and controlled studies are needed to evaluate the association between VD and MetS and its components. | en_US |
dc.format | application/pdf | en_US |
dc.language.iso | spa | en_US |
dc.publisher | Churchill Livingstone | en_US |
dc.relation.url | https://linkinghub.elsevier.com/retrieve/pii/S0261561418302073 | en_US |
dc.rights | info:eu-repo/semantics/restrictedAccess | en_US |
dc.source | Universidad Peruana de Ciencias Aplicadas (UPC) | es_PE |
dc.source | Repositorio Académico - UPC | es_PE |
dc.subject | Blood lipids | en_US |
dc.subject | Blood pressure | en_US |
dc.subject | Glucose | en_US |
dc.subject | Metabolic syndrome | en_US |
dc.subject | Vegetarian diets | en_US |
dc.subject | Waist circumference | en_US |
dc.title | Effect of vegetarian diets on the presentation of metabolic syndrome or its components: a systematic review and meta-analysis | en_US |
dc.type | info:eu-repo/semantics/article | en_US |
dc.identifier.journal | Clinical Nutrition | en_US |
dc.description.peerreview | Revisión por pares | es_PE |
dc.contributor.email | [email protected] | es_PE |
dc.contributor.email | [email protected] | es_PE |
dc.contributor.email | [email protected] | es_PE |
dc.contributor.email | [email protected] | es_PE |
dc.contributor.email | [email protected] | es_PE |
dc.source.journaltitle | Clinical Nutrition | |
refterms.dateFOA | 2018-11-29T16:37:21Z | |
dc.identifier.isni | 0000 0001 2196 144X |