Five hundred sixty-four participants at high cardiovascular risk were randomly selected from the PREDIMED (Prevenci贸n con DIeta MEDiterr谩nea) Study, a large 3-arm randomized clinical trial. Blood NEAC levels were measured at baseline and after 1-year of dietary intervention with 1) a Mediterranean diet supplemented with virgin olive oil (MED聽+聽VOO); 2) a Mediterranean diet supplemented with nuts (MED聽+聽nuts), or 3) a control low-fat diet. Plasma NEAC was analyzed using FRAP (ferric reducing antioxidant potential) and TRAP (total radical-trapping antioxidant parameter) assays. Plasma FRAP levels increased after 1-year of intervention with MED聽+聽VOO [72.0聽渭mol/L (95% CI, 34.2-109.9)] and MED聽+聽nuts [48.9聽渭mol/L (24.3-73.5)], but not after the control low-fat diet [13.9聽渭mol/L (鈭?1.9 to 39.8)]. Participants in the lowest quartile of plasma FRAP at baseline significantly increased their levels after any intervention, while those in the highest quartile decreased. Similar results occurred with TRAP levels.
This study shows that a 1-year of MED diet intervention increases plasma TAC level in subjects at high risk for cardiovascular disease. Moreover, the effectiveness of dietary supplementation with antioxidants may be related to baseline levels of plasma NEAC.