
Ph.D Dietary Research
Dietary Interventions for Cardiovascular Ageing
Biological ageing is inevitable
A restricted lifespan, ageing and then death are basic characteristics of life. In nature, ...this is the basic problem of evolution.
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The unbalance between the paradox of life (oxygen, nutritional metabolities, biochemisstry process) and biological defenses (DNA repair...). Ageing is the shrinkage of the homeodynamic space.
Cardiovascular health ageing improvement
The prevalence of healthy ageing is relatively low. Wide variation exists in the ageing among people is characterised by the degree to which body functions decline. Among the physiological and metabolic changes occurring with ageing, the ageing of heart function is the key determinant of health and disability.
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People become dissimilar from their contemporaries of the same chronological age as they become older due to lifestyle factors (75% contribution) mainly including dietary factors, and genetic factors (25% contribution).
Mediterranean diet & cardiovascular health
The Mediterranean diet has been widely recognized as a model of “healthy eating”. The traditional Mediterranean diet consists of a wide range of minimally processed whole grains and legumes, fresh vegetables, fresh fruits, cold pressed extra virgin olive oil, nuts, and seeds as the principal source of fat, moderate consumption of fish, low amounts of dairy products, very low frequency of intake of red and processed meat, and wine consumed in low to moderate amount.
the Prevención con Dieta Mediterránea (PREDIMED) study
The PREDIMED (Prevención con Dieta Mediterránea) study is designed to assess the long-term effects of the Mediterranean diet (MeDiet) without any energy restriction on incident cardiovascular disease (CVD) as a multicenter, randomized, primary prevention trial in individuals at high risk.
Key aspects for the dietary research
Human Trial

Venepuncture & urine sample collect
BD Vacutainer® Safety-Lok™ blood collection set inserted into the antecubital vein in right arm; blood was drawn into separate 6 mL BD Vacutainer® Heparin Tube tubes (Becton Dickinson).
Blood pressure
Resting blood pressure
24-hour ambulatory blood pressure
Anthropometric & assessment of endothelial function by FMD, PWV
Body composition assessment
Handgrip strength
BMI
Basal MET.RATE kcal
Dry lean weight kg (normal range: _____ - _____ kg)
etc...
Dietary assessment & nutritional analysis
‘‘Microdiet’’ software (Microdiet System, Version 6.4, Salford University, UK).
3-day food record & phone,messemgers, photos records
Outcome measures & data collected
Blood lipid
Established biomarkers: ELISA
Novel biomarkers: ELISA
Resting BP
ABP
Anthropometric measurements
Body composition assessment
Handgrip strength
Dietary assessment and nutritional analysis
etc...
Sample size
G*Power (http://www.gpower.hhu.de/en.html) version 3.1.3 (Program written, concept and design by Franz, Universitat Kiel, Germany; freely available windows application software).
Calculations considered a prior power of 0.8, a 0.05 significance level and a 0.5 correlation coefficient between groups. Sample size calculations were performed for the primary endpoint; this is, change in SBP response.
etc...
Randomization and Allocation
Computer-generated random integer generator in blocks of 4, with a 1:1 ratio
etc...
Statistical analysis
Guidelines: CONSORT
Method: GLM etc...

Statistical analysis
IPAQ
Microdiet
SPSS
Comperhensive meta-analysis
Etc...
Outcomes
Data collection & summarize
Compare with research study
Results
Example - ELISA
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Example - microdiet
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Example - NOA
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