The Adoption of Mediterranean Diet Attenuates the Development of Acute Coronary Syndromes in People with the Metabolic Syndrome

OBJECTIVES: In this work we investigated the effect of the consumption of the Mediterranean diet on coronary risk, in subjects with the metabolic syndrome. METHODS: During 2000–2002, we randomly selected, from all Greek regions, 848 hospitalised patients (695 males, 58 ± 10 & 153 females, 65 ± 9 years old) with a first event of acute coronary syndrome and 1078 frequency matched, by sex, age, region controls, without any suspicious for cardiovascular disease. Nutritional habits were evaluated through a validated questionnaire, while the metabolic syndrome was defined according to the NCEP ATP III criteria. Mediterranean diet was defined according to the guidelines of the Division of Nutrition/Epidemiology, of Athens Medical School. RESULTS: Of the 1926 participants, 307 (36.2%) of the patients and 198 (18.4%) of the controls (P < 0.001) met the ATP III criteria. This was related with 2fold adjusted coronary risk (odds ratio = 2.35, 95% 1.87 – 2.84) in subjects with the metabolic syndrome as compared with the rest of them. No differences were observed concerning the prevalence of the metabolic syndrome and sex of subjects, after adjustment for group of study (P > 0.1). Eighty (26%) of the patients and 70 (35%) of the controls (P < 0.01) with the metabolic syndrome were "closer" to the Mediterranean diet. Multivariate analysis revealed that the adoption of this diet is associated with a 35% (odds ratio = 0.65, 95% 0.44 – 0.95) reduction of the coronary risk in subjects with the metabolic syndrome, after adjusting for age, sex, educational and financial level and the conventional cardiovascular risk factors. CONCLUSION: Consequently, the adoption of Mediterranean diet seems to attenuate the coronary risk in subjects with the metabolic syndrome

Domestication potential of Marula (Sclerocarya birrea subsp. caffra) in South Africa and Namibia: 2. Phenotypic variation in nut and kernel traits

As part of a wider study characterizing tree-to-tree variation in fruit traits as a pre-requisite for cultivar development, fruits were collected from each of 63 marula (Sclerocarya birrea) trees in Bushbuckridge, South Africa\ud and from 55 trees from the North Central Region of Namibia. The nuts were removed from the fruit flesh, and the kernels extracted, counted and weighed individually to determine the patterns of dry matter partitioning among the nut components (shell and kernel) of different trees. Mean nut, shell and kernel mass were not significantly different between the two countries. Between sites in South Africa there were highly significant differences in mean nut mass, shell mass, kernel mass and kernel number. In Namibia, there were highly significant differences between geographic areas in mean shell mass, kernel mass and kernel number, but not in nut mass. These differences had considerable impacts on shell:kernel ratios (8.0-15.4). In South Africa, mean kernel mass was significantly greater in fruits from farmers’ fields (0.42 g) than from communal land (0.30 g) or natural woodland (0.32 g). Within all sites, in both South Africa and Namibia, there was highly significant and continuous variation between individual trees in nut mass (South Africa=2.3-7.1 g; Namibia=2.7-6.4 g) and kernel mass (South Africa=0.09-0.55 g; Namibia=0.01-0.92 g). The small and valuable kernels constitute a small part of the nut (Namibia=6.1-11.1%; South Africa=7.6-10.7%). There can be 4 kernels per nut, but even within the fruits of the same tree, kernel number can vary between 0-4, suggesting variation in pollination success, in addition to genetic variation. The nuts and kernels of the Namibian trees were compared with the fruits from one superior tree ('Namibian Wonder': nuts=10.9 g; kernels=1.1 g). Oil content (%) and oil yield (g/fruit) also differed significantly between trees (44.7-72.3% and 8.0-53.0 g/fruit). The percentage frequency distribution of kernel mass was skewed from trees in farmers’ fields in South Africa and in some sites in Namibia, suggesting a level of anthropogenic selection. It is concluded that there is great potential for the development of cultivars for kernel traits, but there is also a need to determine how to increase the proportion of nuts with four kernels, perhaps through improved pollination success