Prevention & lipids

Mediterranean diet, neutrophil count, and carotid intima-media thickness in secondary prevention: the CORDIOPREV study

Eur Heart JPublished Secondary analysis of the CORDIOPREV randomised trial

Authors' conclusion

These findings suggest that neutrophils may represent a promising target for preventing atherosclerosis.

Study context

Population
Secondary prevention patients on long-term dietary intervention (Mediterranean or low-fat diet)
Comparison
Neutrophil count (tertiles) and neutrophil-related ratios vs IMT-CC; Mediterranean vs low-fat diet
Primary endpoint
Association of absolute neutrophil count and neutrophil-related ratios with IMT-CC
Follow-up
Baseline and after 5 and 7 years
Methodological detailslong-term secondary prevention, longitudinal analysis
  • Long-term secondary prevention
  • Longitudinal analysis

Primary result

As reported in the abstract

baseline

Elevated neutrophil count and IMT-CC >.9 mm

OR 1.17

95% CI 1.04–1.35

Elevated neutrophil-to-erythrocyte ratio and IMT-CC >.9 mm

OR 2.21

95% CI 1.24–4.12

Elevated neutrophil-to-HDL ratio and IMT-CC >.9 mm

OR 1.96

95% CI 1.09–3.55

Further findings

IMT-CC change per 1 unit neutrophils/μl (linear mixed-effect model) · 5 and 7 years

Mean increase in IMT-CC, fully adjusted
.004 (.002) mm, P = .031

Neutrophil count in patients with IMT-CC regression at 7 years, Mediterranean diet · 5 and 7 years vs baseline

Significant decrease in neutrophil count vs baseline
both P < .05

Original publication

Mediterranean diet, neutrophil count, and carotid intima-media thickness in secondary prevention: the CORDIOPREV study. Eur Heart J. Published 11 December 2024. doi:10.1093/eurheartj/ehae836

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