Inovação na prevenção de doenças cardiovasculares a partir da alimentação saudável / Innovation in the prevention of cardiovascular diseases from healthy eating
DOI:
https://doi.org/10.34117/bjdv6n10-463Keywords:
doenças cardiovasculares, alimentação, inovação, medicina preventiva.Abstract
Doenças cardiovasculares são a principal causa de morte no mundo. Este trabalho trata de revisão da literatura, que selecionou a produção científica sobre os benefícios da alimentação para a prevenção dessas doenças. Foram encontrados 15 tipos de alimentos: vegetais de folhas verdes, frutas vermelhas e uvas, grãos integrais, abacates, peixes gordos, nozes e amêndoas, feijão, chocolate amargo, tomates, sementes, alho e azeite. Também se discutiu tipos de dieta eficazes e a redução do consumo de sal.
References
Allison, G. L.; Lowe, G. M.; Rahman, K. Aged garlic extract and its constituents inhibit platelet aggregation through multiple mechanisms. J. Nutr., v. 136, n. 3 Suppl., p. 782S-788S, 2006. https://doi.org/10.1093/jn/136.3.782S.
Anderson, J. W. Whole grains and coronary heart disease: the whole kernel of truth. The American Journal of Clinical Nutrition, v. 80, n. 6, p. 1459-1460, 2004. https://doi.org/10.1093/ajcn/80.6.1459
Araújo, Q. S. F.; Carvalho, G. B.; Rodrigues, A. C.; Santos, D. F. C.; Santana, L. I. O.; Santos, A. D.; Fagundes, A. A.; Pires, L. V. Educação alimentar e nutricional na redução do risco cardiovascular em indivíduos com diabetes tipo 2. Braz. J. of Develop., v. 6, n. 7, p. 53197-53207, 2020. https://doi.org/10.34117/bjdv6n7-822
Ashraf, R.; Khan, R. A.; Ashraf, I.; Qureshi, A. A. Effects of Allium sativum (garlic) on systolic and diastolic blood pressure in patients with essential hypertension. Pak. J. Pharm. Sci., v. 26, n. 5, p. 859-863, 2013. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/24035939.
Aune, D.; Keum, N.; Giovannucci, E.; Fadnes, L. T.; Boffetta, P.; Greenwood, D. C.; Tonstad, S.; Vatten, L. J.; Riboli, E.; Norat, T. Whole grain consumption and risk of cardiovascular disease, cancer, and all cause and cause specific mortality: systematic review and dose-response meta-analysis of prospective studies. BMJ, v. 353, i2716, 2016. https://doi.org/10.1136/bmj.i2716.
Aune, D.; Keum, N.; Giovannucci, E.; Fadnes, L. T.; Boffetta, P.; Greenwood, D. C.; Tonstad, S.; Vatten, L. J.; Riboli, E.; Norat, T. Nut consumption and risk of cardiovascular disease, total cancer, all-cause and cause-specific mortality: a systematic review and dose-response meta-analysis of prospective studies. BMC Med., v. 14, n. 1, p. 207, 2016. https://doi.org/10.1186/s12916-016-0730-3.
Banel, D. K.; Hu, F. B. Effects of walnut consumption on blood lipids and other cardiovascular risk factors: a meta-analysis and systematic review. Am. J. Clin. Nutr., v. 90, n. 1, p. 56-63, 2009. https://doi.org/10.3945/ajcn.2009.27457.
Basu, A.; Fu, D. X.; Wilkinson, M.; Simmons, B.; Wu, M.; Betts, N. M.; Du, M.; Lyons, T. J. Strawberries decrease atherosclerotic markers in subjects with metabolic syndrome. Nutr. Res., v. 30, n. 7, p. 462-469, 2010. https://doi.org/10.1016/j.nutres.2010.06.016.
Basu, A.; Rhone, M.; Lyons, T. J. Berries: emerging impact on cardiovascular health. Nutrition Reviews, v. 68, n. 3, p. 168-177, 2010. https://doi.org/10.1111/j.1753-4887.2010.00273.x
Bayan, L.; Koulivand, P. H.; Gorji, A. Garlic: a review of potential therapeutic effects. Avicenna J. Phytomed., v. 4, n. 1, p. 1-14, 2014. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4103721/.
Bazzano, L. A. Effects of soluble dietary fiber on low-density lipoprotein cholesterol and coronary heart disease risk. Curr. Atheroscler. Rep., v. 10, n. 6, p. 473-477, 2008. https://doi.org/10.1007/s11883-008-0074-3.
Bazzano, L. A.; He, J.; Ogden, L. G.; Loria, C. M.; Whelton, P. K. Dietary fiber intake and reduced risk of coronary heart disease in US men and women: the National Health and Nutrition Examination Survey I Epidemiologic Follow-up Study. Arch. Intern. Med., v. 163, n. 16, p. 1897-1904, 2003. https://doi.org/10.1001/archinte.163.16.1897.
Beattie, J.; Crozier, A.; Duthie, G. G. Potential Health Benefits of Berries. Current Nutrition & Food Science, v. 1, n. 1, p. 71-86, 2005. https://doi.org/10.2174/1573401052953294
Bendinelli, B.; Masala, G.; Saieva, C.; Salvini, S.; Calonico, C.; Sacerdote, C.; Agnoli, C.; Grioni, S.; Frasca, G.; Mattiello, A.; Chiodini, P.; Tumino, R.; Vineis, P.; Palli, D.; Panico, S. Fruit, vegetables, and olive oil and risk of coronary heart disease in Italian women: the EPICOR Study. Am. J. Clin. Nutr., v. 93, n. 2, p. 275-283, 2011. https://doi.org/10.3945/ajcn.110.000521.
Berryman, C. E.; Fleming, J. A.; Kris-Etherton, P. M. Inclusion of almonds in a cholesterol-lowering diet improves plasma HDL subspecies and cholesterol efflux to serum in normal-weight individuals with elevated LDL cholesterol. J Nutr., v. 147, n. 8, p. 1517-1523, 2017. https://doi.org/10.3945/jn.116.245126.
Berryman, C. E.; West, S. G.; Fleming, J. A.; Bordi, P. L.; Kris-Etherton, P. M. Effects of daily almond consumption on cardiometabolic risk and abdominal adiposity in healthy adults with elevated LDL-cholesterol: a randomized controlled trial. J. Am. Heart Assoc., v. 4, n. 1, e000993, 2015. https://doi.org/10.1161/JAHA.114.000993
Bhupathiraju, S. N.; Wedick, N. M.; Pan, A.; Manson, J. E.; Rexrode, K. M.; Willett, W. C.; Rimm, E. B.; Hu, F. B. Quantity and variety in fruit and vegetable intake and risk of coronary heart disease. The American Journal of Clinical Nutrition, v. 98, n. 6, p. 1514-1523, 2013. https://doi.org/10.3945/ajcn.113.066381
Cheng, H. M.; Koutsidis, G.; Lodge, J. K.; Ashor, A. W.; Siervo, M.; Lara J. Lycopene and tomato and risk of cardiovascular diseases: A systematic review and meta-analysis of epidemiological evidence. Crit. Ver. Food Sci. Nutr., v. 59, n. 1, p. 141-158, 2019. https://doi.org/10.1080/10408398.2017.
Dreher, M. L.; Davenport, A. J. Hass avocado composition and potential health effects. Critical Reviews in Food Science and Nutrition, v. 53, n. 7, 2013. 738-750. https://doi.org/10.1080/10408398.2011.556759.
Duarte, P. F.; Chaves, M. A.; Borges, C. D.; Mendonça, C. R. B. Avocado: characteristics, health benefits and uses. Cienc. Rural, v. 46, n. 4, p. 747-754, 2016 . https://doi.org/10.1590/0103-8478cr20141516.
Eslick, G. D.; Howe, P. R.; Smith, C.; Priest, R.; Bensoussan, A. Benefits of fish oil supplementation in hyperlipidemia: a systematic review and meta-analysis. Int. J. Cardiol., v. 136, n. 1, p. 4-16, 2009. https://doi.org/10.1016/j.ijcard.2008.03.092.
Fulgoni, V. L. III, Dreher, M.; Davenport, A. J. Avocado consumption is associated with better diet quality and nutrient intake, and lower metabolic syndrome risk in US adults: results from the National Health and Nutrition Examination Survey (NHANES) 2001-2008. Nutr. J., v. 12, n. 1, 2013. https://doi.org/10.1186/1475-2891-12-1.
Guasch-Ferré, M.; Hu, F. B.; Martínez-González, M. A.; Fitó, M.; Bulló, M.; Estruch, R.; Ros, E.; Corella, D.; Recondo, J.; Gómez-Gracia, E.; Fiol, M.; Lapetra, J.; Serra-Majem, L.; Muñoz, M. A.; Pintó, X.; Lamuela-Raventós, R. M.; Basora, J.; Buil-Cosiales, P.; Sorlí, J. V.; Ruiz-Gutiérrez, V.; Martínez, J. A.; Salas-Salvadó, J. Olive oil intake and risk of cardiovascular disease and mortality in the PREDIMED Study. BMC Med., v. 12, n. 78, p. 1-11, 2014. https://doi.org/10.1186/1741-7015-12-78.
Ha, V.; Sievenpiper, J. L.; Souza, R. J.; Jayalath, V. H.; Mirrahimi, A.; Agarwal, A.; Chiavaroli, L.; Mejia, S. B.; Sacks, F. M.; Di Buono, M.; Bernstein, A. M.; Leiter, L. A.; Kris-Etherton, P. M.; Vuksan, V.; Bazinet, R. P.; Josse, R. G.; Beyene, J.; Kendall, C. W.; Jenkins, D. J. Effect of dietary pulse intake on established therapeutic lipid targets for cardiovascular risk reduction: a systematic review and meta-analysis of randomized controlled trials. CMAJ, v. 186, n. 8, p. E252-E262, 2014. https://doi.org/10.1503/cmaj.131727.
Han, K. H.; Fukushima, M.; Shimizu, K.; Kojima, M.; Ohba, K.; Tanaka, A.; Shimada, K.; Sekikawa, M.; Nakano, M. Resistant starches of beans reduce the serum cholesterol concentration in rats. J. Nutr. Sci. Vitaminol. (Tokyo), v. 49, n. 4, p. 281-286, 2003. https://doi.org/10.3177/jnsv.49.281.
Houston, M. C. The importance of potassium in managing hypertension. Curr. Hypertens. Rep., v. 13, n. 4, p. 309-317, 2011. https://doi.org/10.1007/s11906-011-0197-8.
Huang, H.; Chen, G.; Liao, D.; Zhu, Y.; Xue, X. Effects of berries consumption on cardiovascular risk factors: A meta-analysis with trial sequential analysis of randomized controlled trials. Sci. Rep., v. 6, n. 23625, 2016. https://doi.org/10.1038/srep23625.
Hunter, P. The inflammation theory of disease. The growing realization that chronic inflammation is crucial in many diseases opens new avenues for treatment. EMBO Rep., v. 13, n. 11, p. 968-970, 2012. https://doi.org/10.1038/embor.2012.142.
Jacobs Jr., D. R.; Gallaher, D. D. Whole grain intake and cardiovascular disease: a review. Current Atherosclerosis Reports, v. 6, p. 415-423, 2004.
Jalali-Khanabadi, B. A.; Mozaffari-Khosravi, H.; Parsaeyan, N. Effects of almond dietary supplementation on coronary heart disease lipid risk factors and serum lipid oxidation parameters in men with mild hyperlipidemia. J. Altern. Complement. Med., v. 16, n. 12, p. 1279-1283, 2010. https://doi.org/10.1089/acm.2009.0693.
Jamshed, H.; Sultan, F. A.; Iqbal, R.; Gilani, A. H. Dietary almonds increase serum HDL cholesterol in coronary artery disease patients in a randomized controlled trial. J. Nutr., v. 145, n. 10, p. 2287-2292, 2015. https://doi.org/10.3945/jn.114.207944.
Jensen, M. K.; Koh-Banerjee, P.; HU, F. B.; Franz, M.; Sampson, L.; Grønbæk, M.; Rimm, E. B. Intakes of whole grains, bran, and germ and the risk of coronary heart disease in men. The American Journal of Clinical Nutrition, v. 80, n. 6, p. 1492-1499, 2004. https://doi.org/10.1093/ajcn/80.6.1492
Joris, P. J.; Mensink, R. P. Role of cis-monounsaturated fatty acids in the prevention of coronary heart disease. Curr. Atheroscler. Rep., v. 18, n. 7, p. 38, 2016. https://doi.org/10.1007/s11883-016-0597-y.
Khan, K. B. Understanding innovation. Business Horizons, v. 61, n. 3, p. 453-460, 2018. https://doi.org/10.1016/j.bushor.2018.01.011
Kapil, V.; Khambata, R. S.; Robertson, A.; Caulfield, M. J.; Ahluwalia, A. Dietary nitrate provides sustained blood pressure lowering in hypertensive patients: a randomized, phase 2, double-blind, placebo-controlled study. Hypertension, v. 65, n. 2, p. 320-327, 2015. https://doi.org/10.1161/HYPERTENSIONAHA.114.04675.
Karppi, J.; Laukkanen, J. A.; Mäkikallio, T. H.; Kurl, S. Low serum lycopene and ?-carotene increase risk of acute myocardial infarction in men. Eur. J. Public Health, v. 22, n. 6, p. 835-840, 2012. https://doi.org/10.1093/eurpub/ckr174.
Kondo, K.; Hirano, R.; Matsumoto, A.; Igarashi, O.; Itakura, H. Inhibition of LDL oxidation by cocoa. Lancet, v. 348, n. 1514, 1996.
Kristensen, M.; Jensen, M. G.; Aarestrup, J.; Petersen, K. E.; Søndergaard, L.; Mikkelsen, M. S.; Astrup, A. Flaxseed dietary fibers lower cholesterol and increase fecal fat excretion, but magnitude of effect depend on food type. Nutr. Metab. (Lond.), v. 9, n. 8, 2012. https://doi.org/10.1186/1743-7075-9-8.
Lang, R.; Jebb, S. A. Who consumes whole grains, and how much? Proceedings of the Nutrition Society, v. 62, n. 1, p. 123-127, 2003. https://doi.org/10.1079/PNS2002219
Li, T. Y.; Brennan, A.M.; Wedick, N. M.; Mantzoros, C.; Rifai, N.; Hu, F. B. Regular consumption of nuts is associated with a lower risk of cardiovascular disease in women with type 2 diabetes. J. Nutr., v. 139, n. 7, p. 1333-1338, 2009. https://doi.org/10.3945/jn.108.103622.
Lucas, L.; Russell, A.; Keast, R. Molecular mechanisms of inflammation. Anti-inflammatory benefits of virgin olive oil and the phenolic compound oleocanthal. Curr. Pharm. Des., v. 17, n. 8, p. 754-768, 2011. https://doi.org/10.2174/138161211795428911.
Mazza, G. Anthocyanins and heart health. Annali dell'Istituto Superiore di Sanita, v. 43, n. 4, p. 369-374, 2007.
Mursu, J.; Virtanen, J. K.; Tuomainen, T.-P.; Nurmi, T.; Voutilainen, S. Intake of fruit, berries, and vegetables and risk of type 2 diabetes in Finnish men: the Kuopio Ischaemic Heart Disease Risk Factor Study. The American Journal of Clinical Nutrition, v. 99, n. 2, p. 328-333, 2014. https://doi.org/10.3945/ajcn.113.069641
Nile, S. H.; Park, S. W. Edible berries: Bioactive components and their effect on human health. Nutrition, v. 30, n. 2, p. 134-144, 2014. https://doi.org/10.1016/j.nut.2013.04.007
Nutrition Data (2018a). Avocados, raw, all commercial varieties. Disponível em: https://nutritiondata.self.com/facts/fruits-and-fruit-juices/1843/2.
Nutrition Data (2018b). Edamame, frozen, prepared. Disponível em: https://nutritiondata.self.com/facts/vegetables-and-vegetable-products/9873/2.
Panagiotakos, D. B.; Zeimbekis, A.; Boutziouka, V.; Economou, M.; Kourlaba, G.; Toutouzas, P.; Polychronopoulos, E. Long-term fish intake is associated with better lipid profile, arterial blood pressure, and blood glucose levels in elderly people from Mediterranean islands (MEDIS epidemiological study). Med. Sci. Monit., v. 13, n. 7, CR307-12, 2007. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/17599024.
Park, O. J.; Kang. N. E.; Chang, M. J.; Kim, W. K. Resistant starch supplementation influences blood lipid concentrations and glucose control in overweight subjects. J. Nutr. Sci. Vitaminol (Tokyo), v. 50, n. 2, p. 93-99, 2004. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/15242012.
Pietinen, P.; Rimm, E. B.; Korhonen, P.; Hartman, A. M.; Willett, W. C.; Albanes, D.; Virtamo, J. Intake of dietary fiber and risk of coronary heart disease in a cohort of Finnish men. The Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study. Circulation, v. 94, n. 11, p. 2720-2727, 1996. https://doi.org/10.1161/01.cir.94.11.2720.
Pollock, R. L. The effect of green leafy and cruciferous vegetable intake on the incidence of cardiovascular disease: A meta-analysis. JRSM Cardiovascular Disease, v. 5, 2048004016661435. https://doi.org/10.1177/2048004016661435.
Psaltopoulou, T.; Naska, A.; Orfanos, P.; Trichopoulos, D.; Mountokalakis, T.; Trichopoulou, A. Olive oil, the Mediterranean diet, and arterial blood pressure: the Greek European Prospective Investigation into Cancer and Nutrition (EPIC) study. Am. J. Clin. Nutr., v. 80, n. 4, p. 1012-1018, 2004. https://doi.org/10.1093/ajcn/80.4.1012.
Rahman, K.; Lowe, G. M.; Smith, S. Aged garlic extract inhibits human platelet aggregation by altering intracellular signaling and platelet shape change. J. Nutr., v. 146, n. 2, p. 410S-415S, 2016. https://doi.org/10.3945/jn.114.202408.
Ramel, A.; Martinez, J. A.; Kiely, M.; Bandarra, N. M.; Thorsdottir, I. Moderate consumption of fatty fish reduces diastolic blood pressure in overweight and obese European young adults during energy restriction. Nutrition, v. 26, n. 2, p. 168-174, 2010. https://doi.org/10.1016/j.nut.2009.04.002.
Rissanen, T. H.; Voutilainen, S.; Virtanen, J. K.; Venho, B.; Vanharanta, M.; Mursu, J.; Salonen, J. T. Low Intake of Fruits, Berries and Vegetables Is Associated with Excess Mortality in Men: the Kuopio Ischaemic Heart Disease Risk Factor (KIHD) Study. The Journal of Nutrition, v. 133, n. 1, p. 199-204, 2003. https://doi.org/10.1093/jn/133.1.199
Rodriguez-Leyva, D.; Weighell, W.; Edel, A. L.; Lavallee, R.; Dibrov, E.; Pinneker, R.; Maddaford, T. G.; Ramjiawan, B.; Aliani, M.; Guzman, R.; Pierce, G. N. Potent antihypertensive action of dietary flaxseed in hypertensive patients. Hypertension, v. 62, n. 6, p. 1081-1089, 2013. https://doi.org/10.1161/HYPERTENSIONAHA.113.02094.
Ros, E.; Tapsell, L. C.; Sabaté, J. Nuts and Berries for Heart Health. Current Atherosclerosis Reports, v. 12, p. 397–406, 2010. https://doi.org/10.1007/s11883-010-0132-5
[SBC] Sociedade Brasileira de Cardiologia. Cardiômetro: Mortes por doenças cardiovasculares. 2017. Disponível em: http://www.cardiometro.com.br/anteriores.asp.
Shidfar, F.; Keshavarz, A.; Hosseyni, S.; Ameri, A.; Yarahmadi, S. Effects of omega-3 fatty acid supplements on serum lipids, apolipoproteins and malondialdehyde in type 2 diabetes patients. East Mediterr. Health J., v. 14, n. 2, p. 305-313, 2008. https://www.ncbi.nlm.nih.gov/pubmed/18561722.
Story, E. N.; Kopec, R. E.; Schwartz, S. J.; Harris, G. K. An update on the health effects of tomato lycopene. Annual Rev. Food Sci. Technol., v. 1, p. 189-210, 2010. https://doi.org/10.1146/annurev.food.102308.124120.https://nutritiondata.self.com/facts/fruits-and-fruit-juices/1843/2
Stull, A. J.; Cash, K. C.; Champagne, C. M.; Gupta, A. K.; Boston, R.; Beyl, R. A.; Johnson, W. D.; Cefalu, W. T. Blueberries improve endothelial function, but not blood pressure, in adults with metabolic syndrome: a randomized, double-blind, placebo-controlled clinical trial. Nutrients, v. 7, n. 6, p. 4107-4123, 2015. https://doi.org/10.3390/nu7064107.
Tighe, P.; Duthie, G.; Vaughan, N.; Brittenden, J.; Simpson, W. G.; Duthie, S.; Mutch, W.; Wahle, K.; Horgan, G.; Thies, F. Effect of increased consumption of whole-grain foods on blood pressure and other cardiovascular risk markers in healthy middle-aged persons: a randomized controlled trial. Am. J. Clin. Nutr., v. 92, n. 4, p. 733-740, 2010. https://doi.org/10.3945/ajcn.2010.29417.
Truswell, A. Cereal grains and coronary heart disease. Eur. J. Clin. Nutr., v. 56, p. 1-14, 2002. https://doi.org/10.1038/sj.ejcn.1601283
Vermeer, C. Vitamin K: the effect on health beyond coagulation – an overview. Food Nutr. Res., v. 56, n. 5329, p. 1-6, 2012. https://doi.org/10.3402/fnr.v56i0.5329.
Wan, Y.; Vinson, J. A.; Etherton, T. D.; Proch, J.; Lazarus, S. A.; Kris-Etherton, P. Effects of cocoa powder and dark chocolate on LDL oxidative susceptibility and prostaglandin concentration in humans. AJCN, v. 74, p. 596-602, 2001.
Wang, L.; Bordi, P. L.; Fleming, J. A.; Hill, A. M.; Kris-Etherton P. M. Effect of a moderate fat diet with and without avocados on lipoprotein particle number, size and subclasses in overweight and obese adults: a randomized, controlled trial. J. Am. Heart Assoc., v. 4, n. 1, e001355, 2015. https://doi.org/10.1161/JAHA.114.001355.
Wang, Q.; Liang, X.; Wang, L.; Lu, X.; Huang, J.; Cao, J.; Li, H.; Gu, D. Effect of omega-3 fatty acids supplementation on endothelial function: a meta-analysis of randomized controlled trials. Atherosclerosis, v. 221, n. 2, p. 536-543, 2012. https://doi.org/10.1016/j.atherosclerosis.2012.01.006.
Waterhouse, A.; Shirley. R.; Donovan, J. Antioxidants in chocolate. Lancet, v. 348, n. 834, 1996.
Wells, B. J.; Mainous, A. G. III; Everett, C. J. Association between dietary arginine and C-reactive protein. Nutrition, v. 21, n. 2, p. 125-130, 2005. https://doi.org/10.1016/j.nut.2004.03.021.
Wightman, J. D.; Heuberger, R. A. Effect of grape and other berries on cardiovascular health. Journal of the Science of Food and Agriculture, v. 95, n. 8, p. 1584-1597, 2015. https://doi.org/10.1002/jsfa.6890
Winham, D. M.; Hutchins, A. M.; Johnston, C. S. Pinto bean consumption reduces biomarkers for heart disease risk. J. Am. Coll. Nutr., v. 26, n. 3, p. 243-249, 2007. https://doi.org/10.1080/07315724.2007.10719607.
Wong, J. M.; Souza, R.; Kendall, C. W.; Emam, A.; Jenkins, D. J. Colonic health: fermentation and short chain fatty acids. J. Clin. Gastroenterol., v. 40, n. 3, p. 235-243, 2006. https://doi.org/10.1097/00004836-200603000-00015.
Zafra?Stone, S.; Yasmin, T.; Bagchi, M.; Chatterjee, A.; Vinson, J. A.; Bagchi, D. Berry anthocyanins as novel antioxidants in human health and disease prevention. Molecular Nutrition & Food Research, v. 51, n. 6. P. 675-683, 2007. https://doi.org/10.1002/mnfr.200700002
