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      We are What We Eat: Impact of Food from Short Supply Chain on Metabolic Syndrome

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          Abstract

          Food supply in the Mediterranean area has been recently modified by big retail distribution; for instance, industrial retail has favored shipments of groceries from regions that are intensive producers of mass food, generating a long supply chain (LSC) of food that opposes short supply chains (SSCs) that promote local food markets. However, the actual functional role of food retail and distribution in the determination of the risk of developing metabolic syndrome (MetS) has not been studied hitherto. The main aim of this study was to test the effects of food chain length on the prevalence of MetS in a population accustomed to the Mediterranean diet. We conducted an observational study in Southern Italy on individuals adhering to the Mediterranean diet. We examined a total of 407 subjects (41% females) with an average age of 56 ± 14.5 years (as standard deviation) and found that being on the Mediterranean diet with a SSC significantly reduces the prevalence of MetS compared with the LSC (SSC: 19.65%, LSC: 31.46%; p: 0.007). Our data indicate for the first time that the length of food supply chain plays a key role in determining the risk of MetS in a population adhering to the Mediterranean diet.

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          Metabolic syndrome across Europe: different clusters of risk factors.

          Metabolic syndrome (MetS) remains a controversial entity. Specific clusters of MetS components - rather than MetS per se - are associated with accelerated arterial ageing and with cardiovascular (CV) events. To investigate whether the distribution of clusters of MetS components differed cross-culturally, we studied 34,821 subjects from 12 cohorts from 10 European countries and one cohort from the USA in the MARE (Metabolic syndrome and Arteries REsearch) Consortium.
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            Obesity prevalence and the local food environment.

            Disparities in access to healthy foods have been identified particularly in the United States. Fewer studies have measured the effects these disparities have on diet-related health outcomes. This study measured the association between the presence of food establishments and obesity among 1295 adults living in the southern region of the United States. The prevalence of obesity was lower in areas that had supermarkets and higher in area with small grocery stores or fast food restaurants. Our findings are consistent with other studies showing that types of food stores and restaurants influence food choices and, subsequently, diet-related health outcomes.
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              Effect of a Lifestyle Intervention Program With Energy-Restricted Mediterranean Diet and Exercise on Weight Loss and Cardiovascular Risk Factors: One-Year Results of the PREDIMED-Plus Trial

              The long-term impact of intentional weight loss on cardiovascular events remains unknown. We describe 12-month changes in body weight and cardiovascular risk factors in PREvención con DIeta MEDiterránea (PREDIMED)-Plus, a trial designed to evaluate the long-term effectiveness of an intensive weight loss lifestyle intervention on primary cardiovascular prevention.
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                Author and article information

                Journal
                J Clin Med
                J Clin Med
                jcm
                Journal of Clinical Medicine
                MDPI
                2077-0383
                23 November 2019
                December 2019
                : 8
                : 12
                : 2061
                Affiliations
                [1 ]Dept. of Medicine, Division of Cardiology, and Dept. of Molecular Pharmacology, Montefiore University Hospital, Fleischer Institute for Diabetes and Metabolism (FIDAM), Albert Einstein College of Medicine (AECOM), New York, NY 10461, USA
                [2 ]Dept. of Advanced Biomedical Science, Federico II University, 80131 Naples, Italy; carmine.morisco@ 123456unina.it
                [3 ]International Translational Research and Medical Education Consortium (ITME), 80131 Naples, Italy
                [4 ]Dept. of Medicine, Surgery and Dentistry, University of Salerno, 8408 Baronissi, Italy; pascalevaleria@ 123456gmail.com (V.P.); rosafinelli1@ 123456gmail.com (R.F.); valeriavisco1991@ 123456libero.it (V.V.); tintorangocico@ 123456live.it (R.G.); mciccarelli@ 123456unisa.it (M.C.)
                [5 ]“San Giovanni di Dio e Ruggi d’Aragona” University Hospital, 84131 Salerno, Italy; angelo.massari@ 123456sangiovannieruggi.it (A.M.); enrico.coscioni@ 123456regione.campania.it (E.C.)
                [6 ]Health’s Innovation, Campania Regional Government, 80132 Naples, Italy; illario@ 123456unina.it
                [7 ]Dept. of Public Health, Federico II University, 80131 Naples, Italy
                Author notes
                Author information
                https://orcid.org/0000-0001-7231-375X
                https://orcid.org/0000-0003-2379-1960
                https://orcid.org/0000-0002-8997-835X
                Article
                jcm-08-02061
                10.3390/jcm8122061
                6947359
                31771147
                dd58073a-4630-47d3-8b27-8a9892b1e0a7
                © 2019 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 21 October 2019
                : 19 November 2019
                Categories
                Article

                mediterranean diet,supply chain of food,metabolic syndrome,food retail,cardiovascular risk

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