{"id":"de2d080bcdfe","type":"article","url":"https://hartvaat.nl/2026/06/24/meer-kip-dan-rundvlees-of-vis-bij-avondmaaltijd-gekoppeld-aan-grotere-bloeddrukd/","title":"Meer kip dan rundvlees of vis bij avondmaaltijd gekoppeld aan grotere bloeddrukdaling — MED-HDP","title_en":"Observational Assessments of Chicken, Beef, and Seafood Proportions with a Mediterranean-Style Healthy Dietary Pattern and Cardiovascular Risk Factor Changes: Post Hoc Analysis of a Controlled Feeding Trial.","category":"preventie","category_label":"Preventie","professions":["cardioloog","huisarts","internist"],"tags":[],"journal":"Nutrients","doi":"10.3390/nu18132062","source_url":"https://doi.org/10.3390/nu18132062","authors":["Eric M Davis","Robert E Bergia","Austin S Hartman","Rikard Landberg","Gabriele Riccardi","Wayne W Campbell"],"significance":4,"published":"2026-08-08","source_date":"2026-06-24","image":"","kennis":["https://hartvaat.nl/kennis/lipiden/dyslipidemie-overzicht/","https://hartvaat.nl/kennis/preventie/leefstijladvisering-cardiologie/"],"congress":"","summary_en":"A post hoc analysis of a 12-week controlled feeding trial (n=52) in adults with metabolic syndrome found that a Mediterranean-style dietary pattern improved blood pressure and lipid profiles. Within the diet, higher consumption of chicken at dinner was modestly associated with greater reductions in systolic and diastolic blood pressure compared to beef or seafood, with no significant differences observed for lipid parameters. These results reinforce the cardiovascular benefits of a Mediterranean diet, though the specific association with chicken requires independent validation before influencing clinical dietary advice.","created":"2026-08-01T01:24:19Z","updated":"2026-08-10T10:36:31Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Een post-hoc analyse van een gecontroleerde voedingstrial (n=52) bij volwassenen met metabool syndroom toont aan dat een Mediterraan dieetpatroon over 12 weken de bloeddruk en lipiden verlaagde. Binnen dit patroon werd vaker kip eten aan het diner geassocieerd met een grotere daling van de systolische en diastolische bloeddruk vergeleken met rundvlees of vis, zonder significante verschillen voor de lipidenprofielen. De bevindingen onderstrepen het preventieve nut van een Mediterraan dieet, maar de modeste associatie voor kip vraagt om onafhankelijke bevestiging voordat dit in de klinische praktijk wordt omgezet.","abstract_original":"Background: We previously reported that consuming a Mediterranean-style healthy dietary pattern (MED-HDP) with lower vs. higher glycemic index foods differentially changed indices of postprandial glucose control and daily glycemic variability but did not influence improvements in cardiovascular health indices. Methods: Fifty-two adults (31 females, 21 males; aged 49 ± 11 y, BMI 31 ± 3.1 kg/m2, mean ± SD) with two or more features of metabolic syndrome participated for 12 weeks in the randomized, controlled trial with all foods provided. At dinner only, participants could select from protocol-approved foods, including unprocessed chicken breast, unprocessed lean beef, and unprocessed salmon and shrimp (seafood). Objective: Herein, we retrospectively assessed whether the frequency of consuming different sources of meat (i.e., the exposures) was associated with MED-HDP-induced changes in cardiovascular health indices (i.e., the outcomes). Results: Among all participants, consuming the MED-HDP foods (88% adherence) reduced fasting systolic (SBP) and diastolic (DBP) blood pressures and serum total cholesterol (TC), triglycerides (TGs), and HDL. More frequent consumption of chicken at dinner, in place of beef and seafood, was associated with greater reductions in SBP (p = 0.034 and p = 0.047 for replacing beef and seafood, respectively) and DBP (p = 0.021 and p = 0.043, respectively). Frequency of chicken, beef, and seafood intakes at dinner did not associate with the reductions in serum TC, TG, HDL, or LDL. Conclusions: These results support that adoption of a MED-HDP improved multiple cardiovascular risk factors among middle-aged and older adults at elevated cardiovascular risk. The observed modest associations between more frequent consumption of unprocessed chicken at dinner and greater blood pressure reductions, which do not mean that eating more chicken at dinner causes lower blood pressure, warrant independent replication."}