European Journal of Nutrition

, Volume 58, Issue 8, pp 3383–3386 | Cite as

Metabolic syndrome and dietary patterns: a systematic review and meta-analysis of observational studies—reply

  • Míriam Rodríguez-MonforteEmail author
  • Gemma Flores-Mateo
  • Francisco Barrio
  • Bernardo Costa
  • Emília Sánchez
Letter to the editor

We thank Fabiani and colleagues for the attention given to our article “Metabolic syndrome and dietary patterns: a systematic review and meta-analysis of observational studies” [1]. We have conducted an accurate review of the manuscript and there are issues argued by Fabiani and colleagues on which we would like to comment.

The authors mention that there are oversights in the inclusion of risk values associated with the prudent and the western dietary patterns in some papers due to being calculated considering a different pattern as reference (OR = 1). Specifically, the dietary patterns included in the articles from Sun 2014; Berg 2008; Kimokoti 2012; Song 2012; Leite 2009 and Duffey 2012 [ 2, 3, 4, 5, 6, 7]. To assess the robustness of combined effect estimates, we performed a sensitivity analysis. The results show no evident changes in the risk after excluding the articles from Sun 2014; Berg 2008; Song 2012 and Leite 2009 [ 2, 3, 5, 6] either in the prudent/healthy dietary pattern...


  1. 1.
    Rodríguez-Monforte M, Sánchez E, Barrio F, Costa B, Flores-Mateo G (2017) Metabolic syndrome and dietary patterns: a systematic review and meta-analysis of observational studies. Eur J Nutr 56(3):925–947CrossRefGoogle Scholar
  2. 2.
    Sun J, Buys NJ, Hills AP (2014) Dietary pattern and its association with the prevalence of obesity, hypertension and other cardiovascular risk factors among Chinese older adults. Int J Environ Res Public Health 11(4):3956–3971CrossRefGoogle Scholar
  3. 3.
    Berg CM, Lappas G, Strandhagen E, Wolk A, Torén K, Rosengren A, Aires N, Thelle DS, Lissner L (2008) Food patterns and cardiovascular disease risk factors: the Swedish INTERGENE research program. Am J Clin Nutr 88(2):289–297CrossRefGoogle Scholar
  4. 4.
    Kimokoti RW, Gona P, Zhu L, Newby PK, Millen BE, Brown LS, D’Agostino RB, Fung TT (2012) Dietary patterns of women are associated with incident abdominal obesity but not metabolic syndrome. J Nutr 142(9):1720–1727CrossRefGoogle Scholar
  5. 5.
    Song Y, Joung H (2012) A traditional Korean dietary pattern and metabolic syndrome abnormalities. Nutr Metab Cardiovasc Dis 22(5):456–562CrossRefGoogle Scholar
  6. 6.
    Leite ML, Nicolosi A (2009) Dietary patterns and metabolic syndrome factors in a non-diabetic Italian population. Public Health Nutr 12(9):1494–1503CrossRefGoogle Scholar
  7. 7.
    Duffey KJ, Steffen LM, Van Horn L, Jacobs DR Jr, Popkin BM (2012) Dietary patterns matter: diet beverages and cardiometabolic risks in the longitudinal coronary artery risk development in young adults (CARDIA) study. Am J Clin Nutr 95(4):909–915CrossRefGoogle Scholar
  8. 8.
    Bell LK, Edwards S, Grieger JA (2015) The Relationship between dietary patterns and metabolic health in a representative sample of adult australians. Nutrients 7(8):6491–6505CrossRefGoogle Scholar
  9. 9.
    Arisawa K, Uemura H, Yamaguchi M, Nakamoto M, Hiyoshi M, Sawachika F, Katsuura-Kamano S (2014) Associations of dietary patterns with metabolic syndrome and insulin resistance: a cross-sectional study in a Japanese population. J Med Invest 61(3–4):333–344CrossRefGoogle Scholar
  10. 10.
    Hong S, Song Y, Lee KH, Lee HS, Lee M, Jee SH, Joung H (2012) A fruit and dairy dietary pattern is associated with a reduced risk of metabolic syndrome. Metabolism 61(6):883–890CrossRefGoogle Scholar
  11. 11.
    Suliga E, Kozieł D, Cieśla E, Głuszek S (2015) Association between dietary patterns and metabolic syndrome in individuals with normal weight: a cross-sectional study. Nutr J 14:55CrossRefGoogle Scholar
  12. 12.
    Choi JH, Woo HD, Lee JH, Kim J (2015) Dietary patterns and risk for metabolic syndrome in Korean women: a cross-sectional study. Medicine (Baltimore) 94(34):e1424CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Míriam Rodríguez-Monforte
    • 1
    Email author
  • Gemma Flores-Mateo
    • 2
  • Francisco Barrio
    • 2
  • Bernardo Costa
    • 2
  • Emília Sánchez
    • 1
  1. 1.Blanquerna School of Health Science, Facultat de Ciències de la Salut BlanquernaUniversitat Ramon LlullBarcelonaSpain
  2. 2.Catalan Diabetes Prevention Research GroupIDIAP Jordi GolReusSpain

Personalised recommendations