Mediterranean diet does prolong lifeBMJ 2005; 330 doi: https://doi.org/10.1136/bmj.330.7498.0-a (Published 28 April 2005) Cite this as: BMJ 2005;330:0-a
All rapid responses
Certainly, such a study comprises a very large number of
participants: 74 607 men and women, aged 60 or more, without
coronary heart disease, stroke, or cancer at enrolment and with complete
information about dietary intake and potentially confounding variables
were enrolled in this Multicentre, Prospective Cohort Study, according to
EBM (1). However, as a general practitioner for 48 years, I have to care for
an individual, “single patient”, who could be really a unique “rationalis
natura individuata substantia”, as states Anicius M. S. Boetius (2).
Accordingly, also clinical experience in a Mediterranean country
(Liguria) allows me to state that the Mediterranean diet, in general, was
associated with increased survival among older people. We must, however,
consider accurately, in the “single” patient the entire
biophysical semeiotic constitutions (dislipidaemic, diabetic,
hypertensive, gouthy, osteoporotic, and particularly oncological, namely
Oncological Terrain) (3)that Single Patient Based Medicine is based on (4).
As a matter of fact, independently of more or less constructive criticism, but sometimes absurd criticism resulting from uncritical acceptance and blinkered doctors' attitudes, teaching this theory has surely benefit by its practical
application. In my opinion, however, to reach further and remarkable
advantages in clinical decision, therapy, in programming clinical
researches, and to avoid useless procedures, due to the ignorance of both
biophysical-semeiotics constitutions and syndromes, it is unavoidable to
utilize usefully “also” SPBM, nowadays a useful reality thanks to
1)Trichopoulou A., et al.Modified Mediterranean diet and survival:
EPIC-elderly prospective cohort study. BMJ 2005;330:991 (30 April),
doi:10.1136/bmj.38415.644155.8F (published 8 April 2005)
2) Boezio AMS. Consolazione della Filosofia. A cura di Luca
Obertello. Rusconi Libri. Milano 1996.
3) Stagnaro S., Stagnaro-Neri M., Le Costituzioni Semeiotico-
Biofisiche.Strumento clinico fondamentale per la prevenzione primaria e la
definizione della Single Patient Based Medicine. Ediz. Travel Factory,
Roma, 2004. http://www.travelfactory.it/semeiotica_biofisica.htm
4) Stagnaro S., Stagnaro-Neri M., Single Patient Based Medicine.La
Medicina Basata sul Singolo Paziente: Nuove Indicazioni della Melatonina.
Travel Factory SRL., Roma, 2005.
Competing interests: No competing interests