RT Journal Article T1 Mediterranean Diet and White Blood Cell Count-A Randomized Controlled Trial. A1 Hernáez, Álvaro A1 Lassale, Camille A1 Castro-Barquero, Sara A1 Babio, Nancy A1 Ros, Emilio A1 Castañer, Olga A1 Tresserra-Rimbau, Anna A1 Pintó, Xavier A1 Martínez-González, Miguel Ángel A1 Corella, Dolores A1 Salas-Salvadó, Jordi A1 Alonso-Gómez, Ángel M A1 Lapetra, José A1 Fiol, Miquel A1 Gómez-Gracia, Enrique A1 Serra-Majem, Lluis A1 Sacanella, Emilio A1 García-Arellano, Ana A1 Sorlí, José V A1 Díaz-López, Andrés A1 Cofán, Montserrat A1 Estruch, Ramón K1 Mediterranean diet K1 leukocytosis K1 leukopenia K1 prevention K1 randomized controlled trial K1 white blood cell count AB We aimed to assess the effects of the antioxidant-rich Mediterranean diet (MedDiet) on white blood cell count. Our study population included participants in the PREvención con DIeta MEDiterránea study (average age 67 years old, 58% women, high cardiovascular risk). We assessed whether a MedDiet intervention enriched in extra-virgin olive oil or nuts, versus a low-fat control diet, modified the incidence of leukocytosis (>11 × 109 leukocytes/L), mild leukopenia (<4.5 × 109 leukocytes/L), or severe leukopenia (<3.5 × 109 leukocytes/L) in individuals without the condition at baseline (n = 3190, n = 2925, and n = 3190, respectively). We also examined whether MedDiet modified the association between leukocyte count alterations and all-cause mortality. Both MedDiet interventions were associated with a lower risk of developing leukopenia (incidence rates: 5.06% in control diet, 3.29% in MedDiet groups combined; hazard ratio [95% confidence interval]: 0.54 [0.36-0.80]) and severe leukopenia (incidence rates: 1.26% in control diet, 0.46% in MedDiet groups combined; hazard ratio: 0.25 [0.10-0.60]). High cumulative adherence to a MedDiet was linked to lower risk of leukocytosis (incidence rates: 2.08% in quartile 1, 0.65% in quartile 4; HRQ4-Q1: 0.29 [0.085-0.99]) and attenuated the association between leukopenia and all-cause mortality (P-interaction = 0.032). In brief, MedDiet decreased the incidence of white blood cell count-related alterations in high cardiovascular risk individuals. PB Mdpi SN 2304-8158 YR 2021 FD 2021-06-02 LK http://hdl.handle.net/10668/18074 UL http://hdl.handle.net/10668/18074 LA en NO Hernáez Á, Lassale C, Castro-Barquero S, Babio N,Ros E, Castañer O, et al. Mediterranean Diet and White Blood Cell Count-A Randomized Controlled Trial. Foods. 2021;10(6):1268. Published 2021 Jun 2. NO This research was supported the Instituto de Salud Carlos III (grant numbers OBN17PI02, CD17/00122 to A.H., CB06/03/0019, CB06/03/0028, PIE14/00045_INFLAMES), Agència de Gestió d’Ajuts Universitaris i de Recerca (grant numbers 2017 SGR 222, 2017-BP-00021 to C.L.), and the Spanish Ministry of Science, Innovation, and Universities (grant number FPU17/00785 to S.C.-B.). The funders had no role in the study design, data collection and analysis, the decision to publish, or the preparation of the manuscript. DS RISalud RD Aug 13, 2025