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. 2025 Jun 15;17(12):2005.
doi: 10.3390/nu17122005.

Mediterranean Diet, Obesity-Related Metabolic Cardiovascular Disorders, and Environmental Sustainability: A Systematic Review

Sergio Rodríguez Núñez  1 , María Rubín-García  1   2 , Vicente Martín-Sánchez  1   2 , Laura Álvarez-Álvarez  1   2 , Antonio José Molina  1   2
Affiliations

Mediterranean Diet, Obesity-Related Metabolic Cardiovascular Disorders, and Environmental Sustainability: A Systematic Review

Sergio Rodríguez Núñez et al. Nutrients. .

Abstract

Introduction: This article aims to provide an updated overview of the scientific knowledge regarding the interplay between the Mediterranean diet (MedD), sustainability, and cardiovascular and metabolic health.

Methodology: A systematic review was conducted following the PRISMA guidelines, succeeded by a narrative synthesis of data extracted from original research articles in English and Spanish. These articles, indexed in the Scopus and PubMed databases from inception to 31 December 2024, addressed the relationship between MedD, sustainability, and cardiovascular and metabolic health. The methodological quality of the included studies was assessed for bias using the JBI critical appraisal tools. This review was registered in PROSPERO (ID CRD42024476408).

Results: The search identified 11 relevant articles. A primary focus on obesity was evident (nine articles), followed by chronic inflammation and metabolic syndrome (two articles each), and cardiovascular health (one article). Regarding sustainability, climate change was the most frequently addressed concern (eight articles).

Discussion: A clear trend emerged, indicating a direct association between environmental sustainability, positive health outcomes, and adherence to the MedD. These findings underscore the benefits of the MedD, demonstrating its potential not only to reduce the environmental impact but also to improve health markers such as BMI, metabolic syndrome risk, and chronic inflammation levels.

Keywords: Mediterranean diet; cardiovascular health; environmental sustainability; obeso-metabolic syndrome.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Flow chart of the identification, filtering, and selection of the article-inclusion process as part of the PRISMA 2020 guide.
See this image and copyright information in PMC

References

    1. Ceccarelli G., Branda F., Giovanetti M., Ciccozzi M., Scarpa F. The Urgent Need for Arbovirus Surveillance and Control Following a Catastrophic Event: The Case of the DANA Flood Event in Valencia. New Microbes New Infect. 2024;62:101547. doi: 10.1016/j.nmni.2024.101547. - DOI - PMC - PubMed
    1. Owino V., Kumwenda C., Ekesa B., Parker M.E., Ewoldt L., Roos N., Lee W.T., Tome D. The Impact of Climate Change on Food Systems, Diet Quality, Nutrition, and Health Outcomes: A Narrative Review. Front. Clim. 2022;4:941842. doi: 10.3389/fclim.2022.941842. - DOI
    1. United Nations Informe de los Objetivos de Desarrollo Sostenible. 2023. [(accessed on 18 January 2024)]. Available online: https://unstats.un.org/sdgs/report/2023/The-Sustainable-Development-Goal....
    1. Crippa M., Solazzo E., Guizzardi D., Monforti-Ferrario F., Tubiello F.N., Leip A. Food Systems Are Responsible for a Third of Global Anthropogenic GHG Emissions. Nat. Food. 2021;2:198–209. doi: 10.1038/s43016-021-00225-9. - DOI - PubMed
    1. Fritsch J., Garces L., Quintero M.A., Pignac-Kobinger J., Santander A.M., Fernández I., Ban Y.J., Kwon D., Phillips M.C., Knight K., et al. Low-Fat, High-Fiber Diet Reduces Markers of Inflammation and Dysbiosis and Improves Quality of Life in Patients with Ulcerative Colitis. Clin. Gastroenterol. Hepatol. 2021;19:1189–1199.e30. doi: 10.1016/j.cgh.2020.05.026. - DOI - PubMed

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