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

Response to Giugliano, Ceriello, and Esposito

  1. Miguel A. Martínez-González, MD, PHD1,
  2. Arancha Tortosa, PHARMD1,
  3. Francisco Javier Basterra-Gortari, MD12 and
  4. Maira Bes-Rastrollo, PHARMD, PHD1
  1. 1Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain
  2. 2Department of Endocrinology, Hospital of Navarra, Pamplona, Spain
  1. Corresponding author: Prof. Miguel A. Martínez-González, University of Navarra, Irunlarrea 1 Pamplona 31080, Spain. E-mail: mamartinez{at}unav.es

We appreciate the comments raised by Giugliano, Ceriello, and Esposito (1) on our study (2). When we wrote that participants in the highest score of the Mediterranean food pattern had lower levels of risk factors, we meant in terms of comparisons between extreme values (score = 0 vs. score = 9), not grouped categories (as shown in Table 1 of our study). Average levels of factors (all of them considerably below the cut-off point for the metabolic syndrome) across grouped …

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