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dc.contributor.authorPicasso, Maria C.*
dc.contributor.authorLo-Tayraco, Jessica A.*
dc.contributor.authorRamos-Villanueva, Juselly M.*
dc.contributor.authorPasupuleti, Vinay*
dc.contributor.authorHernandez, Adrian V.*
dc.date.accessioned2018-11-29T16:37:21Z
dc.date.available2018-11-29T16:37:21Z
dc.date.issued2018
dc.identifier.issn02615614
dc.identifier.doi10.1016/j.clnu.2018.05.021
dc.identifier.urihttp://hdl.handle.net/10757/624688
dc.descriptionEl 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.abstractBackground & 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.formatapplication/pdfen_US
dc.language.isospaen_US
dc.publisherChurchill Livingstoneen_US
dc.relation.urlhttps://linkinghub.elsevier.com/retrieve/pii/S0261561418302073en_US
dc.rightsinfo:eu-repo/semantics/restrictedAccessen_US
dc.sourceUniversidad Peruana de Ciencias Aplicadas (UPC)es_PE
dc.sourceRepositorio Académico - UPCes_PE
dc.subjectBlood lipidsen_US
dc.subjectBlood pressureen_US
dc.subjectGlucoseen_US
dc.subjectMetabolic syndromeen_US
dc.subjectVegetarian dietsen_US
dc.subjectWaist circumferenceen_US
dc.titleEffect of vegetarian diets on the presentation of metabolic syndrome or its components: a systematic review and meta-analysisen_US
dc.typeinfo:eu-repo/semantics/articleen_US
dc.identifier.journalClinical Nutritionen_US
dc.description.peerreviewRevisión por pareses_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.journaltitleClinical Nutrition
refterms.dateFOA2018-11-29T16:37:21Z
dc.identifier.isni0000 0001 2196 144X


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