Mediterranean Diet and athletic performance in elite and competitive athletes: a systematic review and meta-analysis.

IF 3.3 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Simona Fiorini, Monica Guglielmetti, Lenycia de Cassya Lopes Neri, Luca Correale, Anna Tagliabue, Cinzia Ferraris
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引用次数: 0

Abstract

Aims: Mediterranean Diet (MedDiet) may represent the reference dietary pattern for athletes. Our aim was to study whether MedDiet could be associated with any changes in performance in adult athletes practicing different types of sport at various levels of competition.

Data synthesis: A systematic literature review (PROSPERO n. CRD42023459039) was performed based on the PRISMA method. The search was conducted in PubMed/Medline, Scopus, Web of Science, and the Cochrane Library in October 2024. Competitive/elite healthy adult athletes performing at least 6 h/week. The risk of bias was assessed using the RoB 2.0 Cochrane tool for randomised-controlled trials, Robins-I tool for non-randomised studies and the Newcastle Ottawa Scale for the observational studies. A meta-analysis was conducted. 9 studies were included in this review (192 participants, mainly males), 5 of them had a cross-sectional design. The sample size ranged from 10 to 43 athletes performing different sports. 5 studies reported an impact of MedDiet on athletic performance; of these, 4 studies reported a positive effect. MedDiet adherence was positively related to anaerobic/aerobic power, explosive strength, and indirectly associated with body fat percentage. Reported adherence to MedDiet varied from low to high. The meta-analysis showed no MedDiet effect on the performance outcomes [SMD 0.00 (CI -0.26; 0.25)].

Conclusions: The findings of this review suggest a general positive influence of the MedDiet on athletic performance, supporting its role as a beneficial dietary pattern for athletes. Quantitative analysis did not confirm these results, probably due to the few studies included, their heterogeneity and low-to-moderate quality.

地中海饮食与优秀运动员和竞技运动员的运动表现:系统回顾和荟萃分析。
目的:地中海饮食(MedDiet)可能代表运动员的参考饮食模式。我们的目的是研究MedDiet是否与成年运动员在不同级别的比赛中进行不同类型的运动时的表现变化有关。资料综合:采用PRISMA方法进行系统文献综述(PROSPERO n. CRD42023459039)。检索于2024年10月在PubMed/Medline、Scopus、Web of Science和Cochrane Library进行。竞技/精英健康成年运动员每周至少运动6小时。随机对照试验使用RoB 2.0 Cochrane工具评估偏倚风险,非随机研究使用Robins-I工具评估偏倚风险,观察性研究使用纽卡斯尔渥太华量表评估偏倚风险。进行meta分析。本综述纳入9项研究(192名参与者,主要为男性),其中5项研究采用横断面设计。样本大小从10到43名运动员进行不同的运动。5项研究报告了MedDiet对运动表现的影响;其中,有4项研究报告了积极的效果。MedDiet依从性与无氧/有氧能力、爆发力呈正相关,并与体脂率间接相关。MedDiet的报告依从性从低到高不等。meta分析显示MedDiet对成绩结果没有影响[SMD 0.00 (CI -0.26;0.25)]。结论:本综述的研究结果表明,MedDiet对运动员的运动表现有普遍的积极影响,支持其作为运动员有益的饮食模式的作用。定量分析没有证实这些结果,可能是由于纳入的研究较少,它们的异质性和低至中等质量。
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来源期刊
CiteScore
6.80
自引率
2.60%
发文量
332
审稿时长
57 days
期刊介绍: Nutrition, Metabolism & Cardiovascular Diseases is a forum designed to focus on the powerful interplay between nutritional and metabolic alterations, and cardiovascular disorders. It aims to be a highly qualified tool to help refine strategies against the nutrition-related epidemics of metabolic and cardiovascular diseases. By presenting original clinical and experimental findings, it introduces readers and authors into a rapidly developing area of clinical and preventive medicine, including also vascular biology. Of particular concern are the origins, the mechanisms and the means to prevent and control diabetes, atherosclerosis, hypertension, and other nutrition-related diseases.
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