Dietary Therapy in Prevention of Cardiovascular Disease (CVD)-Tradition or Modernity? A Review of the Latest Approaches to Nutrition in CVD

Elżbieta Szczepańska, Agnieszka Białek-Dratwa, Barbara Janota, Oskar Kowalski, Elżbieta Szczepańska, Agnieszka Białek-Dratwa, Barbara Janota, Oskar Kowalski

Abstract

The development of cardiovascular diseases is undoubtedly influenced by improper dietary behavior. The most common mistakes include irregularity of meal consumption, high dietary atherogenicity: snacking on sweets between meals, low supply of dietary fiber, unsaturated fatty acids, legume seeds, and high supply of meat and meat products. Among many food components, some are characterized by a specific cardioprotective effect, which means that their supply of food may prevent the occurrence of cardiovascular disease or improve the health of the sick. Coenzyme Q10 (CoQ10) is one of the ingredients showing cardioprotective effects on the heart and blood vessels. Antioxidant and lipid profile-enhancing effects are also attributed to sitosterol which is one of the plant-derived sterols. A very important argument indicating the necessity of a varied diet rich in a variety of plant products is the beneficial effect of polyphenols, which are most abundant in multicolored vegetables and fruits. Numerous studies show their effectiveness in lowering blood pressure, improving lipid profile, and regeneration of vascular endothelium. The collected publications from the field of lifestyle medicine can be a source of knowledge for dieticians, physicians, and people associated with physical culture and human mental health to prevent the development of cardiovascular diseases and reduce the risk of death from this cause.

Keywords: CVD; cardioprotective food; cardiovascular disease; diet; diet therapy; prevention.

Conflict of interest statement

The authors declare no conflict of interest.

References

    1. Dyrcz D., Przywara-Chowaniec B. Ocena predyspozycji młodych dorosłych do wystąpienia chorób układu krążenia. Forum Medycyny Rodzinnej. 2019;13:36–44.
    1. Francula-Zaninovic S., Nola I.A. Management of Measurable Variable Cardiovascular Disease’ Risk Factors. Curr. Cardiol. Rev. 2018;14:153–163. doi: 10.2174/1573403X14666180222102312.
    1. Brown J.C., Gerhardt T.E., Kwon E. StatPearls [Internet] StatPearls Publishing; Treasure Island, FL, USA: 2022. Risk Factors For Coronary Artery Disease.
    1. Johansson A., Drake I., Engström G., Acosta S. Modifiable and Non-Modifiable Risk Factors for Atherothrombotic Ischemic Stroke among Subjects in the Malmö Diet and Cancer Study. Nutrients. 2021;13:1952. doi: 10.3390/nu13061952.
    1. Data from the Polish Central Statistical Office. Mortality in the first half of 2021 31.01.2022. Deaths by cause—Preliminary data. Umieralność w I półroczu 2021 roku 31.01.2022 r. Zgony według przyczyn—Dane wstępne. GUS. [(accessed on 1 May 2022)]; Available online: .
    1. Banach M., Burchardt P., Chlebus K., Dobrowolski P., Dudek D., Dyrbuś K., Gąsior M., Jankowski P., Jóźwiak J., Kłosiewicz-Latoszek L., et al. Wytyczne PTL/KLRWP/PTK/PTDL/PTD/PTNT diagnostyki i leczenia zaburzeń lipidowych w Polsce 2021. Nadciśnienie Tętnicze w Prakt. Rok. 2021;7:113–222.
    1. Wong N.D., Toth P.P., Amsterdam E.A., American Society for Preventive Cardiology Most important advances in preventive cardiology during this past decade: Viewpoint from the American Society for Preventive Cardiology. Trends Cardiovasc. Med. 2019;31:49–56. doi: 10.1016/j.tcm.2019.11.013.
    1. Van Dyke M., Greer S., Odom E., Schieb L., Vaughan A., Kramer M., Casper M. Heart Disease Death Rates Among Blacks and Whites Aged ≥35 Years—United States, 1968–2015. MMWR. Surveill. Summ. 2018;67:1–11. doi: 10.15585/mmwr.ss6705a1.
    1. Polish Society of Hypertension Guidelines for the management of hypertension. Arter. Hypertens. 2015;19:53–83. doi: 10.5603/AH.2015.0010.
    1. Miazgowski T., Kopec J., Widecka K., Miazgowski B., Kaczmarkiewicz A. Epidemiology of hypertensive heart disease in Poland: Findings from the Global Burden of Disease Study 2016. Arch. Med. Sci. 2021;17:874–880. doi: 10.5114/aoms.2019.85222.
    1. Epure A.M., Rios-Leyvraz M., Anker D., Di Bernardo S., Da Costa B.R., Chiolero A., Sekarski N. Risk factors during first 1000 days of life for carotid intima-media thickness in infants, children, and adolescents: A systematic review with meta-analyses. PLoS Med. 2020;17:e1003414. doi: 10.1371/journal.pmed.1003414.
    1. Petersen K.S., Kris-Etherton P.M. Diet Quality Assessment and the Relationship between Diet Quality and Cardiovascular Disease Risk. Nutrients. 2021;13:4305. doi: 10.3390/nu13124305.
    1. Virani S.S., Alonso A., Aparicio H.J., Benjamin E.J., Bittencourt M.S., Callaway C.W., Carson A.P., Chamberlain A.M., Cheng S., Delling F.N., et al. Heart Disease and Stroke Statistics—2021 Update: A Report From the American Heart Association. Circulation. 2021;143:e254–e743. doi: 10.1161/CIR.0000000000000950.
    1. Mikulska A., Grzelak T., Pelczyńska M., Czyżewska K. Ocena nawyków żywieniowych pacjentów z chorobami układu sercowo-naczyniowego. Forum Zaburzeń Metab. 2019;10:134–151.
    1. Bogacka A., Heberlej A., Jeleńska M., Kucharska E. Aterogenność diety a profil lipidowy u pacjentów poradni kardiologicznej w Szczecinie. Probl. Hig. Epidmiol. 2018;99:155–161.
    1. Węgorowski P., Michalik J., Zarzeczny R., Domżał–Drzewicka R., Nowicki G. Zachowania zdrowotne pacjentów z chorobą niedokrwienną serca Health behavior of patients with ischemic heart disease. J. Educ. Health Sport. 2017;7:660–670.
    1. Pallazola V.A., Davis D.M., Whelton S.P., Cardoso R., Latina J.M., Michos E.D., Sarkar S., Blumenthal R.S., Arnett D.K., Stone N.J., et al. A Clinician’s Guide to Healthy Eating for Cardiovascular Disease Prevention. Mayo Clin. Proc. Innov. Qual. Outcomes. 2019;3:251–267. doi: 10.1016/j.mayocpiqo.2019.05.001.
    1. European Society of Cardiology Wytyczne ESC 2021 Dotyczące Prewencji Chorób Układu Sercowo-Naczyniowego w Praktyce Klinicznej. [(accessed on 15 April 2022)]. Available online: .
    1. Gutierrez-Mariscal F., de la Cruz-Ares S., Torres-Peña J., Alcalá-Diaz J., Yubero-Serrano E., López-Miranda J. Coenzyme Q10 and Cardiovascular Diseases. Antioxidants. 2021;10:906. doi: 10.3390/antiox10060906.
    1. Martelli A., Testai L., Colletti A., Cicero A.F.G. Coenzyme Q10: Clinical Applications in Cardiovascular Diseases. Antioxidants. 2020;9:341. doi: 10.3390/antiox9040341.
    1. Margină D., Ungurianu A., Purdel C., Nițulescu G.M., Tsoukalas D., Sarandi E., Thanasoula M., Burykina T.I., Tekos F., Buha A., et al. Analysis of the intricate effects of polyunsaturated fatty acids and polyphenols on inflammatory pathways in health and disease. Food Chem. Toxicol. 2020;143:111558. doi: 10.1016/j.fct.2020.111558.
    1. Innes J.K., Calder P.C. Marine Omega-3 (N-3) Fatty Acids for Cardiovascular Health: An Update for 2020. Int. J. Mol. Sci. 2020;21:1362. doi: 10.3390/ijms21041362.
    1. Mojska J., mKłosiewicz-Latoszek L., Jasińska-Melon E., Gielecińska I., Kwasy omega-3. Jarosz M., Rychlik E., Stoś K., Charzewskiej J. Normy Żywienia dla Populacji Polski i ich Zastosowanie. Narodowy Instytut Zdrowia Publicznego-Państwowy Zakład Higieny; Warsaw, Poland: 2020.
    1. Rudzińska M., Grudniewska A., Chojnacka A., Gładkowski W., Maciejewska G., Olejnik A., Kowalska K. Distigmasterol-Modified Acylglycerols as New Structured Lipids—Synthesis, Identification and Cytotoxicity. Molecules. 2021;26:6837. doi: 10.3390/molecules26226837.
    1. Babu S., Jayaraman S. An update on β-sitosterol: A potential herbal nutraceutical for diabetic management. Biomed. Pharmacother. 2020;131:110702. doi: 10.1016/j.biopha.2020.110702.
    1. Violi F., Nocella C., Loffredo L., Carnevale R., Pignatelli P. Interventional study with vitamin E in cardiovascular disease and meta-analysis. Free Radic. Biol. Med. 2021;178:26–41. doi: 10.1016/j.freeradbiomed.2021.11.027.
    1. Cao S., Weaver C.M. Bioactives in the Food Supply: Effects on CVD Health. Curr. Atheroscler. Rep. 2022:1–7. doi: 10.1007/s11883-022-01040-8.
    1. Yamagata K. Endothelial protective effects of dietary phytochemicals: Focus on polyphenols and carotenoids. Stud. Nat. Prod. Chem. 2018;55:323–350. doi: 10.1016/b978-0-444-64068-0.00010-3.
    1. Kim Y., Je Y., Giovannucci E. Coffee consumption and all-cause and cause-specific mortality: A meta-analysis by potential modifiers. Eur. J. Epidemiol. 2019;34:731–752. doi: 10.1007/s10654-019-00524-3.
    1. Keller A., Wallace T.C. Tea intake and cardiovascular disease: An umbrella review. Ann. Med. 2021;53:929–944. doi: 10.1080/07853890.2021.1933164.
    1. US Food and Drug Administration: Qualified Health Claims: Letter of Enforcement Discretion—Nuts and Coronary Heart Disease. [(accessed on 28 February 2022)];2003 Available online: .
    1. Cybulska B., Kłosiewicz-Latoszek L. Cholesterol. In: Jarosz M., Rychlik E., Stoś K., Charzewska J., editors. Normy Żywienia dla Populacji Polski i ich Zastosowanie. Narodowy Instytut Zdrowia Publicznego-Państwowy Zakład Higieny; Warsaw, Poland: 2020. pp. 122–133.
    1. Ludovici V., Barthelmes J., Nägele M.P., Enseleit F., Ferri C., Flammer A.J., Ruschitzka F., Sudano I. Cocoa, Blood Pressure, and Vascular Function. Front. Nutr. 2017;4:36. doi: 10.3389/fnut.2017.00036.
    1. Najjar R., Turner C., Wong B., Feresin R. Berry-Derived Polyphenols in Cardiovascular Pathologies: Mechanisms of Disease and the Role of Diet and Sex. Nutrients. 2021;13:387. doi: 10.3390/nu13020387.
    1. Sperkowska B., Murawska J., Przybylska A., Gackowski M., Kruszewski S., Durmowicz M., Rutkowska D. Cardiovascular Effects of Chocolate and Wine—Narrative Review. Nutrients. 2021;13:4269. doi: 10.3390/nu13124269.
    1. Pérez-Martínez P., Mikhailidis D.P., Athyros V.G., Bullo M., Couture P., Covas M.I., de Koning L., Delgado-Lista J., Díaz-López A., Drevon C.A., et al. Lifestyle recommendations for the prevention and management of metabolic syndrome: An international panel recommendation. Nutr. Rev. 2017;75:307–326. doi: 10.1093/nutrit/nux014.
    1. Paglia L. The sweet danger of added sugars. Eur. J. Paediatr. Dent. 2019;20:89. doi: 10.23804/EJPD.2019.20.02.01.
    1. Wojtasik A., Pietraś E., Kunachowicz H. Błonnik pokarmowy. In: Jarosz M., Rychlik E., Stoś K., Charzewska J., editors. Normy Żywienia Dla Populacji Polski i Ich Zastosowanie. Narodowy Instytut Zdrowia Publicznego-Państwowy Zakład Higieny; Warsaw, Poland: 2020. pp. 148–170.
    1. Evans C.E.L. Dietary fibre and cardiovascular health: A review of current evidence and policy. Proc. Nutr. Soc. 2020;79:61–67. doi: 10.1017/S0029665119000673.
    1. Soliman G.A. Dietary Fiber, Atherosclerosis, and Cardiovascular Disease. Nutrients. 2019;11:1155. doi: 10.3390/nu11051155.
    1. Zhang S., Tian J., Lei M., Zhong C., Zhang Y. Association between dietary fiber intake and atherosclerotic cardiovascular disease risk in adults: A cross-sectional study of 14,947 population based on the National Health and Nutrition Examination Surveys. BMC Public Health. 2022;22:1076. doi: 10.1186/s12889-022-13419-y.
    1. Barber T.M., Kabisch S., Pfeiffer A.F.H., Weickert M.O. The Health Benefits of Dietary Fibre. Nutrients. 2020;12:3209. doi: 10.3390/nu12103209.
    1. Zhou W., Cheng Y., Zhu P., Nasser M.I., Zhang X., Zhao M. Implication of Gut Microbiota in Cardiovascular Diseases. Oxidative Med. Cell. Longev. 2020;2020:5394096. doi: 10.1155/2020/5394096.
    1. Zhu Y., Bo Y., Liu Y. Dietary total fat, fatty acids intake, and risk of cardiovascular disease: A dose-response meta-analysis of cohort studies. Lipids Health Dis. 2019;18:91. doi: 10.1186/s12944-019-1035-2.
    1. Yao X., Xu X., Wang S., Xia D. Associations of Dietary Fat Intake With Mortality From All Causes, Cardiovascular Disease, and Cancer: A Prospective Study. Front. Nutr. 2021;8:701430. doi: 10.3389/fnut.2021.701430.
    1. Grabovac I., Hochfellner L., Rieger M., Jewell J., Snell A., Weber A., Stüger H.-P., E Schindler K., Mikkelsen B., E Dorner T. Impact of Austria’s 2009 trans fatty acids regulation on all-cause, cardiovascular and coronary heart disease mortality. Eur. J. Public Health. 2018;28:4–9. doi: 10.1093/eurpub/cky147.
    1. Morenga L.T., Montez J.M. Health effects of saturated and trans-fatty acid intake in children and adolescents: Systematic review and meta-analysis. PLoS ONE. 2017;12:e0186672. doi: 10.1371/journal.pone.0186672.
    1. Liu X., Morris M.C., Dhana K., Ventrelle J., Johnson K., Bishop L., Hollings C.S., Boulin A., Laranjo N., Stubbs B.J., et al. Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) study: Rationale, design and baseline characteristics of a randomized control trial of the MIND diet on cognitive decline. Contemp. Clin. Trials. 2021;102:106270. doi: 10.1016/j.cct.2021.106270.
    1. Migliaccio S., Brasacchio C., Pivari F., Salzano C., Barrea L., Muscogiuri G., Savastano S., Colao A. What is the best diet for cardiovascular wellness? A comparison of different nutritional models. Int. J. Obes. Suppl. 2020;10:50–61. doi: 10.1038/s41367-020-0018-0.
    1. D’Almeida K.S.M., Spillere S.R., Zuchinali P., Souza G.C. Mediterranean Diet and Other Dietary Patterns in Primary Prevention of Heart Failure and Changes in Cardiac Function Markers: A Systematic Review. Nutrients. 2018;10:58. doi: 10.3390/nu10010058.
    1. Tosti V., Bertozzi B., Fontana L. Health Benefits of the Mediterranean Diet: Metabolic and Molecular Mechanisms. J. Gerontol. Ser. A. 2018;73:318–326. doi: 10.1093/gerona/glx227.
    1. Rees K., Takeda A., Martin N., Ellis L., Wijesekara D., Vepa A., Das A., Hartley L., Stranges S. Mediterranean-style diet for the primary and secondary prevention of cardiovascular disease. Cochrane Database Syst. Rev. 2019;2019:CD009825. doi: 10.1002/14651858.CD009825.pub3.
    1. Salas-Salvadó J., Becerra-Tomás N., García-Gavilán J.F., Bulló M., Barrubés L. Mediterranean Diet and Cardiovascular Disease Prevention: What Do We Know? Prog. Cardiovasc. Dis. 2018;61:62–67. doi: 10.1016/j.pcad.2018.04.006.
    1. Zhu F., Du B., Xu B. Anti-inflammatory effects of phytochemicals from fruits, vegetables, and food legumes: A review. Crit. Rev. Food Sci. Nutr. 2018;58:1260–1270. doi: 10.1080/10408398.2016.1251390.
    1. De Filippis F., Pellegrini N., Vannini L., Jeffery I.B., La Storia A., Laghi L., Serrazanetti D.I., Di Cagno R., Ferrocino I., Lazzi C., et al. High-level adherence to a Mediterranean diet beneficially impacts the gut microbiota and associated metabolome. Gut Microbiota. 2016;65:1812–1821. doi: 10.1136/gutjnl-2015-309957.
    1. Martínez-González M.A., Gea A., Ruiz-Canela M. The Mediterranean Diet and Cardiovascular Health. Circ. Res. 2019;124:779–798. doi: 10.1161/CIRCRESAHA.118.313348.
    1. Filippou C.D., Tsioufis C.P., Thomopoulos C.G., Mihas C.C., Dimitriadis K.S., I Sotiropoulou L., A Chrysochoou C., I Nihoyannopoulos P., Tousoulis D.M. Dietary Approaches to Stop Hypertension (DASH) Diet and Blood Pressure Reduction in Adults with and without Hypertension: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Adv. Nutr. Int. Rev. J. 2020;11:1150–1160. doi: 10.1093/advances/nmaa041.
    1. Chiavaroli L., Viguiliouk E., Nishi S.K., Mejia S.B., Rahelić D., Kahleova H., Salas-Salvadó J., Kendall C.W.C., Sievenpiper J.L. DASH Dietary Pattern and Cardiometabolic Outcomes: An Umbrella Review of Systematic Reviews and Meta-Analyses. Nutrients. 2019;11:338. doi: 10.3390/nu11020338.
    1. Juraschek S.P., Kovell L.C., Appel L.J., Miller E.R., Sacks F.M., Christenson R.H., Rebuck M.H., Chang A.R., Mukamal K.J. Associations Between Dietary Patterns and Subclinical Cardiac Injury. Ann. Intern. Med. 2020;172:786–794. doi: 10.7326/M20-0336.
    1. Klauźniak A., Krzymińska-Siemaszko R., Wieczorkowska-Tobis K. Wpływ diety na zachowanie sprawności funkcji poznaw-czych przez osoby starsze—Możliwości zdrowotne wynikające ze stosowania diety MIND. Geriatria. 2018;12:110–116.
    1. Dhana K., James B.D., Agarwal P., Aggarwal N.T., Cherian L.J., Leurgans S.E., Barnes L.L., Bennett D.A., Schneider J.A. MIND Diet, Common Brain Pathologies, and Cognition in Community-Dwelling Older Adults. J. Alzheimer’s Dis. 2021;83:683–692. doi: 10.3233/JAD-210107.
    1. Gauci S., Young L.M., Arnoldy L., Scholey A., White D.J., Lassemillante A.-C., Meyer D., Pipingas A. The Association Between Diet and Cardio-Metabolic Risk on Cognitive Performance: A Cross-Sectional Study of Middle-Aged Australian Adults. Front. Nutr. 2022;9:862475. doi: 10.3389/fnut.2022.862475.
    1. Walker M.E., O’Donnell A.A., Himali J.J., Rajendran I., van Lent D.M., Ataklte F., Jacques P.F., Beiser A.S., Seshadri S., Vasan R.S., et al. Associations of the Mediterranean-Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay diet with cardiac remodelling in the community: The Framingham Heart Study. Br. J. Nutr. 2021;126:1888–1896. doi: 10.1017/S0007114521000660.
    1. Casas R., Castro-Barquero S., Estruch R., Sacanella E. Nutrition and Cardiovascular Health. Int. J. Mol. Sci. 2018;19:3988. doi: 10.3390/ijms19123988.
    1. Cherian L., Wang Y., Fakuda K., Leurgans S., Aggarwal N., Morris M. Mediterranean-Dash Intervention for Neurodegenerative Delay (MIND) Diet Slows Cognitive Decline After Stroke. J. Prev. Alzheimer’s Dis. 2019;6:267–273. doi: 10.14283/jpad.2019.28.
    1. Golzarand M., Mirmiran P., Azizi F. Adherence to the MIND diet and the risk of cardiovascular disease in adults: A cohort study. Food Funct. 2022;13:1651–1658. doi: 10.1039/D1FO02069B.
    1. Trautwein E.A., McKay S. The Role of Specific Components of a Plant-Based Diet in Management of Dyslipidemia and the Impact on Cardiovascular Risk. Nutrients. 2020;12:2671. doi: 10.3390/nu12092671.
    1. Quek J., Lim G., Lim W.H., Ng C.H., So W.Z., Toh J., Pan X.H., Chin Y.H., Muthiah M.D., Chan S.P., et al. The Association of Plant-Based Diet With Cardiovascular Disease and Mortality: A Meta-Analysis and Systematic Review of Prospect Cohort Studies. Front. Cardiovasc. Med. 2021;8:756810. doi: 10.3389/fcvm.2021.756810.
    1. Chiu T.H., Chang H.-R., Wang L.-Y., Chang C.-C., Lin M.-N., Lin C.-L. Vegetarian diet and incidence of total, ischemic, and hemorrhagic stroke in 2 cohorts in Taiwan. Neurology. 2020;94:e1112–e1121. doi: 10.1212/WNL.0000000000009093.
    1. Kahleova H., Levin S., Barnard N.D. Vegetarian Dietary Patterns and Cardiovascular Disease. Prog. Cardiovasc. Dis. 2018;61:54–61. doi: 10.1016/j.pcad.2018.05.002.
    1. Satija A., Hu F.B. Plant-based diets and cardiovascular health. Trends Cardiovasc. Med. 2018;28:437–441. doi: 10.1016/j.tcm.2018.02.004.
    1. A Moreno L., Meyer R., Donovan S.M., Goulet O., Haines J., Kok F.J., Veer P.V. Perspective: Striking a Balance between Planetary and Human Health—Is There a Path Forward? Adv. Nutr. Int. Rev. J. 2021;13:355–375. doi: 10.1093/advances/nmab139.
    1. Lankinen M., Uusitupa M., Schwab U. Nordic Diet and Inflammation—A Review of Observational and Intervention Studies. Nutrients. 2019;11:1369. doi: 10.3390/nu11061369.
    1. Tertsunen H.-M., Hantunen S., Tuomainen T.-P., Salonen J.T., Virtanen J.K. A healthy Nordic diet score and risk of incident CHD among men: The Kuopio Ischaemic Heart Disease Risk Factor Study. Br. J. Nutr. 2021;127:599–606. doi: 10.1017/S0007114521001227.
    1. Berild A., Holven K.B., Ulven S.M. Anbefalt nordisk kosthold og risikomarkører for hjerte- og karsykdom. Tidsskr. Den Nor. Legeforening. 2017;137:721–726. doi: 10.4045/tidsskr.16.0243.
    1. Volek J.S., Phinney S.D., Krauss R.M., Johnson R.J., Saslow L.R., Gower B., Yancy W.S., Jr., King J.C., Hecht F.M., Teicholz N., et al. Alternative Dietary Patterns for Americans: Low-Carbohydrate Diets. Nutrients. 2021;13:3299. doi: 10.3390/nu13103299.
    1. Hallberg S.J., McKenzie A.L., Williams P.T., Bhanpuri N.H., Peters A.L., Campbell W.W., Hazbun T.L., Volk B.M., McCarter J.P., Phinney S.D., et al. Effectiveness and Safety of a Novel Care Model for the Management of Type 2 Diabetes at 1 Year: An Open-Label, Non-Randomized, Controlled Study. Diabetes Ther. 2018;9:583–612. doi: 10.1007/s13300-018-0373-9.
    1. Ebbeling C.B., Knapp A., Johnson A., Wong J.M.W., Greco K.F., Ma C., Mora S., Ludwig D.S. Effects of a low-carbohydrate diet on insulin-resistant dyslipoproteinemia—A randomized controlled feeding trial. Am. J. Clin. Nutr. 2021;115:154–162. doi: 10.1093/ajcn/nqab287.
    1. Zhang W., Guo X., Chen L., Chen T., Yu J., Wu C., Zheng J. Ketogenic Diets and Cardio-Metabolic Diseases. Front. Endocrinol. 2021;12:753039. doi: 10.3389/fendo.2021.753039.
    1. Cicero A.F.G., Veronesi M., Fogacci F. Dietary Intervention to Improve Blood Pressure Control: Beyond Salt Restriction. High Blood Press. Cardiovasc. Prev. 2021;28:547–553. doi: 10.1007/s40292-021-00474-6.
    1. Whelton P.K., Carey R.M., Aronow W.S., Casey D.E., Jr., Collins K.J., Dennison Himmelfarb C., DePalma S.M., Gidding S., Jamerson K.A., Jones D.W., et al. ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018;71:1269–1324. doi: 10.1161/hyp.0000000000000066.
    1. Williams B., Mancia G., Spiering W., Agabiti Rosei E., Azizi M., Burnier M., Clement D.L., Coca A., de Simone G., Dominiczak A., et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension. Eur. Heart J. 2018;39:3021–3104. doi: 10.1093/eurheartj/ehy339.
    1. Unger T., Borghi C., Charchar F., Khan N.A., Poulter N.R., Prabhakaran D., Ramirez A., Schlaich M., Stergiou G.S., Tomaszewski M., et al. 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension. 2020;75:1334–1357. doi: 10.1161/HYPERTENSIONAHA.120.15026.
    1. Strilchuk L., Cincione R.I., Fogacci F., Cicero A.F.G. Dietary interventions in blood pressure lowering: Current evidence in 2020. Kardiol Pol. 2020;78:659–666. doi: 10.33963/KP.15468.
    1. Kjellenberg K., Ekblom Ö., Stålman C., Helgadóttir B., Nyberg G. Associations between Physical Activity Patterns, Screen Time and Cardiovascular Fitness Levels in Swedish Adolescents. Children. 2021;8:998. doi: 10.3390/children8110998.
    1. Jeong S.-W., Kim S.-H., Kang S.-H., Kim H.-J., Yoon C.-H., Youn T.-J., Chae I.-H. Mortality reduction with physical activity in patients with and without cardiovascular disease. Eur. Heart J. 2019;40:3547–3555. doi: 10.1093/eurheartj/ehz564.
    1. Münzel T., Hahad O., Kuntic M., Keaney J.F., Jr., Deanfield J.E., Daiber A. Effects of tobacco cigarettes, e-cigarettes, and waterpipe smoking on endothelial function and clinical outcomes. Eur. Heart J. 2020;41:4057–4070. doi: 10.1093/eurheartj/ehaa460.
    1. Osborne M.T., Shin L.M., Mehta N.N., Pitman R.K., Fayad Z.A., Tawakol A. Disentangling the Links Between Psychosocial Stress and Cardiovascular Disease. Circ. Cardiovasc. Imaging. 2020;13:e010931. doi: 10.1161/CIRCIMAGING.120.010931.
    1. Bull F.C., Al-Ansari S.S., Biddle S., Borodulin K., Buman M.P., Cardon G., Carty C., Chaput J.-P., Chastin S., Chou R., et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br. J. Sports Med. 2020;54:1451–1462. doi: 10.1136/bjsports-2020-102955.
    1. Arija V., Villalobos F., Pedret R., Vinuesa A., Jovani D., Pascual G., Basora J. Physical activity, cardiovascular health, quality of life and blood pressure control in hypertensive subjects: Randomized clinical trial. Health Qual. Life Outcomes. 2018;16:184. doi: 10.1186/s12955-018-1008-6.
    1. Stamatakis E., Gale J., Bauman A., Ekelund U., Hamer M., Ding D. Sitting Time, Physical Activity, and Risk of Mortality in Adults. J. Am. Coll. Cardiol. 2019;73:2062–2072. doi: 10.1016/j.jacc.2019.02.031.
    1. Li G., Wang H., Wang K., Wang W., Dong F., Qian Y., Gong H., Hui C., Xu G., Li Y., et al. The association between smoking and blood pressure in men: A cross-sectional study. BMC Public Health. 2017;17:797. doi: 10.1186/s12889-017-4802-x.
    1. Kondo T., Nakano Y., Adachi S., Murohara T. Effects of Tobacco Smoking on Cardiovascular Disease. Circ. J. 2019;83:1980–1985. doi: 10.1253/circj.CJ-19-0323.
    1. Xi B., Veeranki S.P., Zhao M., Ma C., Yan Y., Mi J. Relationship of Alcohol Consumption to All-Cause, Cardiovascular, and Cancer-Related Mortality in U.S. Adults. J. Am. Coll. Cardiol. 2017;70:913–922. doi: 10.1016/j.jacc.2017.06.054.
    1. Zatońska K., Psikus P., Basiak-Rasała A., Stępnicka Z., Wołyniec M., Wojtyła A., Szuba A., Połtyn-Zaradna K. Patterns of Alcohol Consumption in the PURE Poland Cohort Study and Their Relationship with Health Problems. Int. J. Environ. Res. Public Health. 2021;18:4185. doi: 10.3390/ijerph18084185.
    1. Van Bussel B.C.T., Henry R.M.A., Schalkwijk C.G., Dekker J.M., Nijpels G., Feskens E.J.M., Stehouwer C.D.A. Alcohol and red wine consumption, but not fruit, vegetables, fish or dairy products, are associated with less endothelial dysfunction and less low-grade inflammation: The Hoorn Study. Eur. J. Nutr. 2017;57:1409–1419. doi: 10.1007/s00394-017-1420-4.
    1. Zhang X., Liu Y., Li S., Lichtenstein A.H., Chen S., Na M., Veldheer S., Xing A., Wang Y., Wu S., et al. Alcohol consumption and risk of cardiovascular disease, cancer and mortality: A prospective cohort study. Nutr. J. 2021;20:13. doi: 10.1186/s12937-021-00671-y.
    1. Woś-Szymanowska A., Bryl N., Szekiełda A., Posadzy-Małaczyńska A. Czynniki psychospołeczne w profilaktyce i leczeniu chorób układu krążenia. Forum Med. Rodz. 2018;12:64–69.

Source: PubMed

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