Longitudinal Study on the Impact of Diet on Blood Health: a 5-Year Prospective Cohort Analysis
Keywords:
nutritional epidemiology, hematological parameters, dietary patterns, chronic inflammation, cardiovascular preventionAbstract
Background: The role of dietary patterns in maintaining optimal blood health remains incompletely understood, particularly regarding long-term effects on hematological, metabolic, and inflammatory parameters.
Objective: To evaluate the 5-year impact of Mediterranean, Western, and vegetarian dietary patterns on complete blood count, lipid profile, and inflammatory biomarkers in healthy adults.
Methods: We conducted a prospective cohort study with 500 participants (18-65 years) stratified by baseline dietary patterns. Annual assessments included standardized blood tests and validated food frequency questionnaires. Statistical analyses employed linear mixed-effects models with adjustment for potential confounders.
Results: The Mediterranean diet group demonstrated significant reductions in LDL compared to Western diet consumers. Vegetarian participants showed lower hemoglobin levels (-0.8 g/dL, 95% CI -1.2 to -0.4, p=0.002) but markedly reduced CRP concentrations (-1.8 mg/L, 95% CI -2.3 to -1.3, p<0.001).
Conclusion: Sustained adherence to Mediterranean dietary patterns confers significant hematological and metabolic benefits, while vegetarian diets require micronutrient monitoring to prevent subclinical anemia despite their anti-inflammatory advantages.
References
Willett WC, Ludwig DS. Milk and health. N Engl J Med. 2020;382(7):644-654.
Estruch R, Ros E, Salas-Salvadó J, et al. Primary prevention of cardiovascular disease with a Mediterranean diet supplemented with extra-virgin olive oil or nuts. N Engl J Med. 2018;378(25):e34.
Cholesterol Treatment Trialists' Collaboration. Efficacy and safety of statin therapy in older people: a meta-analysis of individual participant data. Lancet. 2019;393(10170):407-415.
Hernáez Á, Castañer O, Elosua R, et al. Mediterranean diet improves high-density lipoprotein function in high-cardiovascular-risk individuals. Circulation. 2017;135(7):633-643.
Casas R, Sacanella E, Urpí-Sardà M, et al. The effects of the Mediterranean diet on biomarkers of vascular wall inflammation and plaque vulnerability in subjects with high risk for cardiovascular disease. A randomized trial. PLoS One. 2014;9(6):e100084.
Kahleova H, Levin S, Barnard N. Cardio-metabolic benefits of plant-based diets. Nutrients. 2017;9(8):848.
Menzel J, Jabakhanji A, Biemann R, et al. Systematic review and meta-analysis of the associations of vegan and vegetarian diets with inflammatory biomarkers. Sci Rep. 2020;10(1):21736.
Haider LM, Schwingshackl L, Hoffmann G, et al. The effect of vegetarian diets on iron status in adults: a systematic review and meta-analysis. Crit Rev Food Sci Nutr. 2018;58(8):1359-1374.
Sebastiani G, Herranz Barbero A, Borrás-Novell C, et al. The effects of a vegetarian and vegan diet during pregnancy on the health of mothers and offspring. Nutrients. 2019;11(3):557.
Wang F, Zheng J, Yang B, et al. Effects of vegetarian diets on blood lipids: a systematic review and meta-analysis of randomized controlled trials. J Am Heart Assoc. 2015;4(10):e002408.
Juul F, Vaidean G, Parekh N. Ultra-processed foods and cardiovascular diseases: potential mechanisms of action. Adv Nutr. 2021;12(5):1673-1680.
Ference BA, Ginsberg HN, Graham I, et al. Low-density lipoproteins cause atherosclerotic cardiovascular disease. 1. Evidence from genetic, epidemiologic, and clinical studies. Eur Heart J. 2017;38(32):2459-2472.
Ridker PM, Everett BM, Thuren T, et al. Antiinflammatory therapy with canakinumab for atherosclerotic disease. N Engl J Med. 2017;377(12):1119-1131.
Popkin BM, Adair LS, Ng SW. Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev. 2012;70(1):3-21.
Ordovas JM, Ferguson LR, Tai ES, Mathers JC. Personalised nutrition and health. BMJ. 2018; 361:bmj.k2173.
Martínez-González MA, Gea A, Ruiz-Canela M. The Mediterranean diet and cardiovascular health. Circ Res. 2019;124(5):779-798.
Craig WJ. Health effects of vegan diets. Am J Clin Nutr. 2009;89(5):1627S-1633S.
Monteiro CA, Cannon G, Levy RB, et al. Ultra-processed foods: what they are and how to identify them. Public Health Nutr. 2019;22(5):936-941.
Zinöcker MK, Lindseth IA. The Western diet-microbiome-host interaction and its role in metabolic disease. Nutrients. 2018;10(3):365.
Mozaffarian D, Angell SY, Lang T, Rivera JA. Role of government policy in nutrition: barriers to and opportunities for healthier eating. BMJ. 2018;361:k2426.
Roth GA, Mensah GA, Johnson CO, et al. Global burden of cardiovascular diseases and risk factors, 1990-2019. J Am Coll Cardiol. 2020;76(25):2982-3021.
Jacobs DR, Tapsell LC. Food synergy: the key to balancing the nutrition research effort. Public Health Rev. 2013;35(1):1-23.
Livingstone KM, Celis-Morales C, Navas-Carretero S, et al. Characteristics of participants who benefit most from personalized nutrition: findings from the pan-European Food4Me randomized controlled trial. Am J Clin Nutr. 2022; 115(1):165-176.
Yahfoufi N, Alsadi N, Jambi M, et al. The immunomodulatory and anti-inflammatory role of polyphenols. Nutrients. 2018; 10(11):1618.
Armah SM, Boy E, Chen D, et al. Regular consumption of a high-phytate diet reduces the inhibitory effect of phytate on nonheme-iron absorption in women with suboptimal iron stores. J Nutr. 2015; 145(8):1735-1739.
Te Morenga L, Montez JM. Health effects of saturated and trans-fatty acid intake in children and adolescents: systematic review and meta-analysis. PLoS One. 2017; 12(11):e0186672.
Satija A, Bhupathiraju SN, Spiegelman D, et al. Healthful and unhealthful plant-based diets and the risk of coronary heart disease in U.S. adults. J Am Coll Cardiol. 2017; 70(4):411-422.
Furman D, Campisi J, Verdin E, et al. Chronic inflammation in the etiology of disease across the life span. Nat Med. 2019; 25(12):1822-1832.
Afshin A, Sur PJ, Fay KA, et al. Health effects of dietary risks in 195 countries, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2019; 393(10184):1958-1972.
Mozaffarian D. Dietary and policy priorities for cardiovascular disease, diabetes, and obesity. Circulation. 2016;133(2):187-225.