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Published on: October 12, 2017
The association between dietary patterns and the novel inflammatory markers platelet-activating factor and
Carolyn J English1, Hannah L Mayr2,3, Anna E Lohning1
1Faculty of Health Sciences and Medicine, Bond University, Robina, Queensland, Australia.
Context:
Atherosclerosis is a disease of chronic inflammation. Recent research has identified 2 novel inflammatory biomarkers: platelet-activating factor (PAF) and lipoprotein-associated phospholipase A2 (Lp-PLA2). Diet has been proposed as a mediator of inflammation, but to date, the focus for these novel biomarkers has been on individual foods and nutrients rather than overall dietary patterns.
Objective:
To systematically review the literature on the association between dietary patterns and PAF and Lp-PLA2.
Data Sources:
The PubMed, Embase, CINAHL, and Cochrane CENTRAL literature databases were searched.
Data Analysis:
Study quality was evaluated using the Quality Criteria Checklist. Sixteen studies (n = 4 observational and n = 12 interventional) were included and assessed for associations between dietary patterns and PAF and Lp-PLA2.
Conclusion:
Study quality varied from neutral (n = 10) to positive (n = 6). Mediterranean, heart healthy, and vegetarian dietary patterns were associated with improved levels of PAF and Lp-PLA2. Conversely, Western dietary patterns were less favorable. A range of well-established, healthier dietary patterns may lower inflammation and the risk of atherosclerosis. More well-designed studies are needed to confirm these findings and identify other dietary patterns that improve inflammation.
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