Comparison of seven popular structured dietary programmes and risk of mortality and major cardiovascular events in patients at increased cardiovascular risk: systematic review and network meta-analysis

Registro completo de metadados
MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversity of Manitoba-
Autor(es): dc.contributorMcMaster University-
Autor(es): dc.contributorQueen's University-
Autor(es): dc.contributorLanzhou University-
Autor(es): dc.contributorOntario Hospital Association-
Autor(es): dc.contributorUniversity of Toronto-
Autor(es): dc.contributorUniversidad de Antioquia-
Autor(es): dc.contributorUniversity of Calgary-
Autor(es): dc.contributorUniversity of British Columbia-
Autor(es): dc.contributorBiomedical Research Institute Sant Pau (IIB Sant Pau)-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorTexas A&m University-
Autor(es): dc.contributorNational University of Natural Medicine-
Autor(es): dc.contributorChildCan-
Autor(es): dc.contributorSchool of Public Health-
Autor(es): dc.creatorKaram, Giorgio-
Autor(es): dc.creatorAgarwal, Arnav-
Autor(es): dc.creatorSadeghirad, Behnam-
Autor(es): dc.creatorJalink, Matthew-
Autor(es): dc.creatorHitchcock, Christine L-
Autor(es): dc.creatorGe, Long-
Autor(es): dc.creatorKiflen, Ruhi-
Autor(es): dc.creatorAhmed, Waleed-
Autor(es): dc.creatorZea, Adriana M-
Autor(es): dc.creatorMilenkovic, Jovana-
Autor(es): dc.creatorChedrawe, Matthew Aj-
Autor(es): dc.creatorRabassa, Montserrat-
Autor(es): dc.creatorEl Dib, Regina-
Autor(es): dc.creatorGoldenberg, Joshua Z-
Autor(es): dc.creatorGuyatt, Gordon H-
Autor(es): dc.creatorBoyce, Erin-
Autor(es): dc.creatorJohnston, Bradley C-
Data de aceite: dc.date.accessioned2025-08-21T19:16:55Z-
Data de disponibilização: dc.date.available2025-08-21T19:16:55Z-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2022-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1136/bmj-2022-072003-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/247071-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/247071-
Descrição: dc.descriptionObjective: To determine the relative efficacy of structured named diet and health behaviour programmes (dietary programmes) for prevention of mortality and major cardiovascular events in patients at increased risk of cardiovascular disease. Design: Systematic review and network meta-analysis of randomised controlled trials. Data sources: AMED (Allied and Complementary Medicine Database), CENTRAL (Cochrane Central Register of Controlled Trials), Embase, Medline, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and ClinicalTrials.gov were searched up to September 2021. Study selection: Randomised trials of patients at increased risk of cardiovascular disease that compared dietary programmes with minimal intervention (eg, healthy diet brochure) or alternative programmes with at least nine months of follow-up and reporting on mortality or major cardiovascular events (such as stroke or non-fatal myocardial infarction). In addition to dietary intervention, dietary programmes could also include exercise, behavioural support, and other secondary interventions such as drug treatment. Outcomes and measures: All cause mortality, cardiovascular mortality, and individual cardiovascular events (stroke, non-fatal myocardial infarction, and unplanned cardiovascular interventions). Review methods: Pairs of reviewers independently extracted data and assessed risk of bias. A random effects network meta-analysis was performed using a frequentist approach and grading of recommendations assessment, development and evaluation (GRADE) methods to determine the certainty of evidence for each outcome. Results: 40 eligible trials were identified with 35 548 participants across seven named dietary programmes (low fat, 18 studies; Mediterranean, 12; very low fat, 6; modified fat, 4; combined low fat and low sodium, 3; Ornish, 3; Pritikin, 1). At last reported follow-up, based on moderate certainty evidence, Mediterranean dietary programmes proved superior to minimal intervention for the prevention of all cause mortality (odds ratio 0.72, 95% confidence interval 0.56 to 0.92; patients at intermediate risk: risk difference 17 fewer per 1000 followed over five years), cardiovascular mortality (0.55, 0.39 to 0.78; 13 fewer per 1000), stroke (0.65, 0.46 to 0.93; 7 fewer per 1000), and non-fatal myocardial infarction (0.48, 0.36 to 0.65; 17 fewer per 1000). Based on moderate certainty evidence, low fat programmes proved superior to minimal intervention for prevention of all cause mortality (0.84, 0.74 to 0.95; 9 fewer per 1000) and non-fatal myocardial infarction (0.77, 0.61 to 0.96; 7 fewer per 1000). The absolute effects for both dietary programmes were more pronounced for patients at high risk. There were no convincing differences between Mediterranean and low fat programmes for mortality or non-fatal myocardial infarction. The five remaining dietary programmes generally had little or no benefit compared with minimal intervention typically based on low to moderate certainty evidence. Conclusions: Moderate certainty evidence shows that programmes promoting Mediterranean and low fat diets, with or without physical activity or other interventions, reduce all cause mortality and non-fatal myocardial infarction in patients with increased cardiovascular risk. Mediterranean programmes are also likely to reduce stroke risk. Generally, other named dietary programmes were not superior to minimal intervention. Systematic review registration: PROSPERO CRD42016047939-
Descrição: dc.descriptionMax Rady College of Medicine University of Manitoba-
Descrição: dc.descriptionDivision of General Internal Medicine Department of Medicine McMaster University-
Descrição: dc.descriptionDepartment of Health Research Methods Evidence and Impact McMaster University-
Descrição: dc.descriptionDepartment of Anesthesia McMaster University-
Descrição: dc.descriptionDepartment of Public Health Sciences Queen's University-
Descrição: dc.descriptionEvidence Based Social Science Research Centre School of Public Health Lanzhou University-
Descrição: dc.descriptionDepartment of Social Medicine and Health Management School of Public Health Lanzhou University-
Descrição: dc.descriptionOntario Hospital Association-
Descrição: dc.descriptionDepartment of Medicine University of Toronto-
Descrição: dc.descriptionSchool of Nutrition and Dietetics Universidad de Antioquia-
Descrição: dc.descriptionDepartment of Pediatrics Cumming School of Medicine University of Calgary-
Descrição: dc.descriptionFaculty of Medicine University of British Columbia-
Descrição: dc.descriptionIberoamerican Cochrane Centre Biomedical Research Institute Sant Pau (IIB Sant Pau)-
Descrição: dc.descriptionInstitute of Science and Technology University Estadual Paulista-
Descrição: dc.descriptionDepartment of Nutrition College of Agriculture and Life Sciences Texas A&m University-
Descrição: dc.descriptionHelfgott Research Institute National University of Natural Medicine-
Descrição: dc.descriptionDepartment of Medicine McMaster University-
Descrição: dc.descriptionChildCan-
Descrição: dc.descriptionDepartment of Epidemiology and Biostatistics School of Public Health-
Descrição: dc.descriptionInstitute of Science and Technology University Estadual Paulista-
Idioma: dc.languageen-
Relação: dc.relationBMJ-
???dc.source???: dc.sourceScopus-
Título: dc.titleComparison of seven popular structured dietary programmes and risk of mortality and major cardiovascular events in patients at increased cardiovascular risk: systematic review and network meta-analysis-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

Não existem arquivos associados a este item.