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Mediterranean Diet Inversely Associated With the Incidence of Metabolic Syndrome: the SUN Prospective Cohort

Response to Tortosa et al.

  1. Dario Giugliano, MD, PHD1,
  2. Antonio Ceriello, MD2 and
  3. Katherine Esposito, MD, PHD1
  1. 1Department of Geriatrics and Metabolic Diseases (DG, KE), University of Naples SUN, Naples, Italy
  2. 2University of Warwick School of Medicine, Coventry, U.K.
  1. Corresponding author: Dr. Dario Giugliano, Second University of Naples, Via Emilia 1 Afragola 80021 NA, Naples, Italy. E-mail: dario.giugliano{at}unina2.it

We read with interest the article of Tortosa et al. (1) describing an inverse association between adherence to a Mediterranean dietary pattern and the cumulative incidence of metabolic syndrome in a cohort study involving 2,563 Spanish university graduates followed prospectively for 6 years. This study adds to the mounting epidemiological evidence indicating that adherence to a healthy lifestyle, including healthy dietary patterns, is associated with reduced incidence and prevalence …

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