Adherence
The Mediterranean diet does not significantly reduce the incidence of metabolic syndrome itself, nor does it reduce the need for pharmacological treatment for metabolic components compared to control diets.
While the Mediterranean diet improves individual health markers like blood pressure and cholesterol, current evidence does not show it prevents the diagnosis of Metabolic Syndrome itself or reduces the need for medications as effectively as it improves biomarkers. This suggests that while the diet is highly beneficial for health, it may not replace all medical interventions for everyone.
We found no evidence that the MD leads to lower incidence of the MetSyn... There was no evidence for an effect on other comorbidity endpoints or use of other medications.
Why this rating
Based on pooled analysis of multiple trials, though only one study reported on MetSyn incidence.
Source
The Effect of the Mediterranean Diet on Metabolic Health: A Systematic Review and Meta-Analysis of Controlled Trials in Adults
Angeliki Papadaki et al. · Nutrients · 2020
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