RT Journal Article T1 Mediterranean Diet and Atherothrombosis Biomarkers: A Randomized Controlled Trial. A1 Hernáez, Álvaro A1 Castañer, Olga A1 Tresserra-Rimbau, Anna A1 Pintó, Xavier A1 Fitó, Montserrat A1 Casas, Rosa A1 Martínez-González, Miguel Ángel A1 Corella, Dolores A1 Salas-Salvadó, Jordi A1 Lapetra, José A1 Gómez-Gracia, Enrique A1 Arós, Fernando A1 Fiol, Miquel A1 Serra-Majem, Lluis A1 Ros, Emilio A1 Estruch, Ramón K1 Mediterranean diet K1 atherothrombosis K1 biomarkers K1 cardiovascular risk K1 clinical trials AB To assess whether following a Mediterranean diet (MedDiet) improves atherothrombosis biomarkers in high cardiovascular risk individuals. In 358 random volunteers from the PREvención con DIeta MEDiterránea trial, the 1-year effects on atherothrombosis markers of an intervention with MedDiet, enriched with virgin olive oil (MedDiet-VOO; n = 120) or nuts (MedDiet-Nuts; n = 119) versus a low-fat control diet (n = 119), and whether large increments in MedDiet adherence (≥3 score points, versus compliance decreases) and intake changes in key food items are associated with 1-year differences in biomarkers. Differences are observed between 1-year changes in the MedDiet-VOO intervention and control diet on the activity of platelet activating factor acetylhydrolase in high-density lipoproteins (HDLs) (+7.5% [95% confidence interval: 0.17; 14.8]) and HDL-bound α1 -antitrypsin levels (-6.1% [-11.8; -0.29]), and between the MedDiet-Nuts intervention and the control arm on non-esterified fatty acid concentrations (-9.3% [-18.1; -0.53]). Large MedDiet adherence increments are associated with less fibrinogen (-9.5% [-18.3; -0.60]) and non-esterified fatty acid concentrations (-16.7% [-31.7; -1.74]). Increases in nut, fruit, vegetable, and fatty fish consumption, and decreases in processed meat intake are linked to enhancements in biomarkers. MedDiet improves atherothrombosis biomarkers in high cardiovascular risk individuals. YR 2020 FD 2020-09-30 LK http://hdl.handle.net/10668/16246 UL http://hdl.handle.net/10668/16246 LA en DS RISalud RD Apr 7, 2025