The Mediterranean diet (MD) is usually consumed among the populations bordering the Mediterranean Sea, representing a model of healthy eating, favorable health status, and better quality of life. Several studies demonstrated the beneficial and preventive role of the MD in the occurrence of many diseases. Therefore, some of them support the favorable effects of the MD on plasma lipid profile: reduction of total and plasma low-density lipoprotein (LDL) cholesterol levels, plasma triglyceride levels, apolipoprotein B, and very-LDL concentrations, and an increase in plasma high-density lipoprotein (HDL) cholesterol levels. This effect is associated with increased plasma antioxidant capacity, improved endothelial function, reduced insulin resistance, and reduced incidence of metabolic syndrome. The beneficial impact of fish consumption on the risk of cardiovascular diseases (CVDs) is the result of the synergistic effects of nutrients in fish. Fish is considered an excellent source of protein with low saturated fat, nutritious trace elements, long-chain ω-3 polyunsaturated fatty acids (LCn3PUFAs), and vitamins D and B. Fish consumption may be inversely associated with ischemic stroke but not with hemorrhagic stroke. Total stroke risk reduction (RR) was statistically significant for fish intake once per week, while the risk of stroke was lowered by 31% in individuals who ate fish five times or more per week. Greater adherence to the MD is associated with a significant reduction in overall mortality, mortality from CVDs and stroke, incidence of or mortality from cancer, and incidence of Parkinson's disease and Alzheimer's disease (AD) and mild cognitive impairment.
Diener HC. Stroke Research Highlights, Medscape Neurology; 2017.
Feigin VL, Roth GA, Naghavi M, et al. Global burden of stroke and risk factors in 188 countries, during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet Neurol 2016;15(9):913–924. DOI: 10.1016/S1474-4422(16)30073-4
O'Donnell MJ, Chin SL, Rangarajan S, et al. Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries (INTERSTROKE): a case-control study. Lancet 2016;388(10046):761–775. DOI: 10.1016/S0140-6736(16)30506-2
Feigin V. Primary stroke prevention needs overhaul. Int J Stroke 2017;12(1):5–6. DOI: 10.1177/1747493016669850
Mosic I. Beyond Wants, Stress-relief Mind Training. N2SED Ltd, Rijeka, 2017.
Booth J, Connelly L, Lawrence M, et al. Evidence of perceived psychosocial stress as a risk factor for stroke in adults: a meta-analysis. BMC Neurol 2015;15:233. DOI: 10.1186/s12883-015-0456-4
Ramon Y Cajal. Textura de Sistema Nerviosa, Madrid: Moya; 1904.
Merzenich MM, Van Vleet TM, et al. Brain plasticity-based therapeutics. Front Hum Neurosci 2014;8:385. DOI: 10.3389/fnhum.2014.00385
Phua CS, Jayaram L, Wijeratne T. Relationship between sleep duration and risk factors for stroke. Front Neurol 2017;8:392. DOI: 10.3389/fneur.2017.00392
Benveniste H, Liu X, Koundal S, et al. The glymphatic system and waste clearance with brain aging: a review. Gerontology 2019;65(2):106–119. DOI: 10.1159/000490349
Valtorta NK, Kanaan M, Gilbody S, et al. Loneliness and social isolation as risk factors for coronary heart disease and stroke: systematic review and meta-analysis of longitudinal observational studies. Heart 2016;102(13):1009–1016. DOI: 10.1136/heartjnl-2015-308790
Malcolm M, Frost H, Cowie J. Loneliness and social isolation causal association with health-related lifestyle risk in older adults: a systematic review and meta-analysis protocol. Syst Rev 2019;8(1):48. DOI: 10.1186/s13643-019-0968-x
Chiuve SE, Rexrode KM, Spiegelman D, et al. Primary prevention of stroke by healthy lifestyle. Circulation 2008;118(9):947–954. DOI: 10.1161/CIRCULATIONAHA.108.781062
Steffen LM, Kroenke CH, Yu X, et al. Associations of plant food, dairy product, and meat intakes with 15-y incidence of elevated blood pressure in young black and white adults: the Coronary Artery Risk Development in Young Adults (CARDIA) Study. Am J Clin Nutr 2005;82(6):1169–1164. DOI: 10.1093/ajcn/82.6.1169
He FJ, Nowson CA, MacGregor GA. Fruit and vegetable consumption and stroke: meta-analysis of cohort studies. Lancet 2006;367(9507):320–326. DOI: 10.1016/S0140-6736(06)68069-0
Demarin V, Lisak M, Morović S. Mediterranean diet in healthy lifestyle and prevention of stroke. Acta Clin Croat 2011;50(1):67–77.
Sofi F, Abbate R, Gensini GF, et al. Adherence to mediterranean diet and health status: meta-analysis. BMJ 2008;337:a1344. DOI: 10.1136/bmj.a1344
Fung TT, Rexrode KM, Mantzoros CS, et al. Hu FB. Mediterranean diet and incidence of and mortality from coronary heart disease and stroke in women. Circulation 2009;119(8):1093–1100. DOI: 10.1161/CIRCULATIONAHA.108.816736
He K. Fish, long-chain omega-3 polyunsaturated fatty acids and prevention of cardiovascular disease—eat fish or take fish oil supplement? Prog Cardiovasc Dis 2009;52(2):95–114. DOI: 10.1016/j.pcad.2009.06.003
Virtanen JK, Siscovick DS, Longstreth WT Jr, et al. Fish consumption and risk of subclinical brain abnormalities on MRI in older adults. Neurology 2008;71(6):439–446. DOI: 10.1212/01.wnl.0000324414.12665.b0
Ebbesson SO, Roman MJ, Devereux RB, et al. Consumption of omega-3 fatty acids is not associated with a reduction in carotid atherosclerosis: the genetics of coronary artery disease in Alaska natives study. Atherosclerosis 2008;199(2):346–353. DOI: 10.1016/j.atherosclerosis.2007.10.020
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. DOI: 10.1056/NEJMoa1800389
Paterson KE, Myint PK, Jennings A, et al. Mediterranean diet reduces risk of incident stroke in a population with varying cardiovascular disease risk profiles. Stroke 2018;49(10):2415–2420. DOI: 10.1161/STROKEAHA.117.020258
Arab L, Liu W, Elashoff D. Green and black tea consumption and risk of stroke. A meta-analysis. Stroke 2009;40(5):1786–1792. DOI: 10.1161/STROKEAHA.108.538470
Shen L, Song LG, Ma H, et al. Tea consumption and risk of stroke: a dose-response meta-analysis of prospective studies. J Zhejiang Univ Sci B 2012;13(8):652–662. DOI: 10.1631/jzus.B1201001
Larsson SC, Virtamo J, Wolk A. Black tea consumption and risk of stroke in women and men. Ann Epidemiol 2013;23(3):157–160. DOI: 10.1016/j.annepidem.2012.12.006
Arab L, Khan F, Lam H. Tea consumption and cardiovascular disease risk. Am J Clin Nutr 2013;98(6 Suppl):1651S–1659S. DOI: 10.3945/ajcn.113.059345
Larsson SC. Coffee, tea, and cocoa and risk of stroke. Stroke 2014;45(1):309–314. DOI: 10.1161/STROKEAHA.113.003131
Zhang C, Qin YY, Wei X, et al. Tea consumption and risk of cardiovascular outcomes and total mortality: a systematic review and meta-analysis of prospective observational studies. Eur J Epidemiol 2015;30(2):103–113. DOI: 10.1007/s10654-014-9960-x
Kawada T. Green tea consumption and risk of cardiovascular disease or stroke. Int J Cardiol 2016;221:831. DOI: 10.1016/j.ijcard.2016.07.142
Ellingsen I, Ingebjørg Seljeflot I, Arnesen H, et al. Vitamin C consumption is associated with less progression in carotid intima media thickness in elderly men: a 3-year intervention study. Nutr Metab Cardiovasc Dis 2009;19(1):8–14. DOI: 10.1016/j.numecd.2008.01.006
Chen GC, Lu DB, Pang Z, et al. Vitamin C intake, circulating vitamin C and risk of stroke: a meta-analysis of prospective studies. J Am Heart Assoc 2013;2(6):e000329. DOI: 10.1161/JAHA.113.000329
Kwok CS, Boekholdt SM, Lentjes MA, et al. Habitual chocolate consumption and risk of cardiovascular disease among healthy men and women. Heart 2015;101(16):1279–1287. DOI: 10.1136/heartjnl-2014-307050
Ding EL, Hutfless SM, Ding X, et al. Chocolate and prevention of cardiovascular disease: a systematic review. Nutr Metab (Lond) 2006;3:2. DOI: 10.1186/1743-7075-3-2
Poli A, Marangoni F, Paoletti R, et al. Consensus document. Non-pharmacological control of plasma cholesterol levels. Nutr Metab Cardiovasc Diss 2008;18(2):S1–S16. DOI: 10.1016/j.numecd.2007.10.004
Larsson SC, Virtamo J, Wolk A. Chocolate consumption and risk of stroke in women. J Am Coll Cardiol 2011;58(17):1828–1829. DOI: 10.1016/j.jacc.2011.07.023
Larsson SC, Virtamo J, Wolk A. Chocolate consumption and risk of stroke: a prospective cohort of men and meta-analysis. Neurology 2012;79(12):1223–1229. DOI: 10.1212/WNL.0b013e31826aacfa
Yuan S, Li X, Jin Y, et al. Chocolate consumption and risk of coronary heart disease, stroke, and diabetes: a meta-analysis of prospective studies. Nutrients 2017;9(7):688. DOI: 10.3390/nu9070688
Sawada N, Iwasaki M, Yamaji T, et al. The Japan Public Health Center-based Prospective Study for the Next Generation (JPHC-NEXT): study design and participants. J Epidemiol 2020;30(1):46–54. DOI: 10.2188/jea.JE20180182
Dong JY, Iso H, Yamagishi K, et al. Chocolate consumption and risk of stroke among men and women: a large population-based, prospective cohort study. Atherosslerosis 2017;260:8–12. DOI: 10.1016/j.atherosclerosis.2017.03.004
Kivipelto M, Mangialasche F, Solomon A, et al. Pointing the FINGER at multimodal dementia prevention - Authors’ reply. Lancet 2015;386(10004):1627. DOI: 10.1016/S0140-6736(15)00531-0
Cotman CW, Berchtold NC. Exercise: a behavioral intervention to enhance brain health and plasticity. Trends Neurosci 2002;25(6):295–301. DOI: 10.1016/s0166-2236(02)02143-4
Intlekofer KA, Cotman CW. Exercise counteracts declining hippocampal function in aging and Alzheimer's disease. Neurobiol Dis 2013;57:47–55. DOI: 10.1016/j.nbd.2012.06.011
Friedland RP, Fritsch T, Smyth KA, et al. Patients with Alzheimer's disease have reduced activities in midlife compared with healthy control-group members. Proc Natl Acad Sci USA 2001;98(6):3440–3445. DOI: 10.1073/pnas.061002998
Cowansage KK, LeDoux JE, Monfils MH. Brain-derived neurotrophic factor: a dynamic gate keeper of neural plasticity. Curr Mol Pharmacol 2010;3(1):12–29. DOI: 10.2174/1874467211003010012
Neeper SA, Gómez-Pinilla F, Choi J, et al. Exercise and brain neurotrophins. Nature 1995;373(6510):109. DOI: 10.1038/373109a0
Hopkins ME, Bucci DJ. BDNF expression in perirhinal cortex is associated with exercise-induced improvement in object recognition memory. Neurobiol Learn Mem 2010;94(2):278–284. DOI: 10.1016/j.nlm.2010.06.006
Wise PM, Dubal DB, Wilson ME, et al. Estrogens: trophic and protective factors in the adult brain. Front Neuroendocrinol 2000;22(1):33–66. DOI: 10.1006/frne.2000.0207
Woolley CS, Gould E, McEwen BS. Exposure to excess glucocorticoids alters dendritic morphology of adult hippocampal pyramidal neurons. Brain Res 1990;531(1-2):225–231. DOI: 10.1016/0006-8993(90)90778-a
Byrne A, Byrne DG. The effect of exercise on depression, anxiety and other mood states: a review. J Psychosom Res 1993;37(6):565–574. DOI: 10.1016/0022-3999(93)90050-p
McDonnell MN, Hillier SL, Hooker SP, et al. Physical activity frequency and risk of incident stroke in a national US study of blacks and whites. Stroke 2013;44(9):2519–2524. DOI: 10.1161/STROKEAHA.113.001538
Gallanagh S, Quinn TJ, Alexander J, et al. Physical activity in the prevention and treatment of stroke. ISRN Neurol 2011;2011:953818. DOI: 10.5402/2011/953818
Howard VJ, McDonnell MN. Physical activity in primary stroke prevention: just do it! Stroke 2015;46(6):1735–1739. DOI: 10.1161/STROKEAHA.115.006317
Livingston G, Sommerlad A, Orgeta V, et al. Dementia prevention, intervention, and care. Lancet 2017;390(10113):2673–2734. DOI: 10.1016/S0140-6736(17)31363-6
Demarin V. Zdrav mozak danas – za sutra, Medicinska naklada, Zagreb, 2017.
Steiner TJ, Stovner LJ, Vos T. GBD 2015: migraine is the third cause of disability in under 50s. J Headache Pain 2016;17(1):104. DOI: 10.1186/s10194-016-0699-5
Puledda F, Messina R, Goadsby PJ. An update on migraine: current understanding and future directions. J Neurol 2017;264(9):2031–2039. DOI: 10.1007/s00415-017-8434-y
Lantz M, Sieurin J, Sjölander A, et al. Migraine and risk of stroke: a national population-based twin study. Brain 2017;140(10):2653–2662. DOI: 10.1093/brain/awx223
Demarin V, Battistin, L, Budinčević H. Mind, Brain and Education. Springer International Publishing; 2023.
Demarin V. Mind and Brain. Springer International Publishing; 2020.
Demarin V, Toljan S. Klinička psihoneuroendokrinologija. Hrvatska akdemija znanosti i umjetnosti. Zagreb, Croatia; 2020.