Introduction: Excessive weight gain generates comorbidities, many of which are characterized as metabolic syndrome (MS), in which the individual, to be diagnosed, must present three or more metabolic or anthropometric changes such as increased waist circumference, systemic arterial hypertension, hyperglycemia, hypertriglyceridemia, and reduced serum HDL levels. It is important to highlight the association of MS with cardiovascular diseases, increasing global mortality by approximately 1.5 times and cardiovascular mortality by approximately 2.5 times. In this sense, of the different types of diets such as the low-carb diet, very low-carb diet, and intermittent fasting diet, the traditional Brazilian diet, the DASH, and the Mediterranean diet stand out, as they present as the main therapeutic proposal in the treatment of MS. Objective: It was to carry out a systematic review to present the main types of diets in the management of metabolic syndrome, evaluating their effectiveness as a nutritional benefit in controlling health and quality of life. Methods: The PRISMA Platform systematic review rules were followed. The search was carried out from April to June 2024 in the Web of Science, Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE and AMSTAR-2 instrument and the risk of bias was analyzed appropriately. according to the Cochrane instrument. Results and Conclusion: 111 articles were found, and 30 were evaluated in full and included in this article, 21 of which were included in the systematic review. Considering the Cochrane tool for risk of bias, the global assessment resulted in 12 studies with a high risk of bias and 21 studies that did not reach GRADE and AMSTAR-2. Most studies showed homogeneity in their results, with X2=79.8%>50%. It was concluded that the traditional Brazilian diet, DASH, and the Mediterranean diet have in common the characteristics of plant-based diet varieties that incorporate natural foods and reduce ultra-processed foods. These diets have shown good results for human health through the prevention and treatment of obesity in its different life cycles, and there is also evidence of a reduction in the risk of cardiovascular diseases and cancer in individuals with obesity. Furthermore, these diets promote a decrease in low-grade inflammation that affects individuals with obesity, having beneficial effects in reducing metabolic syndrome, even more so when added to physical activities. It has been shown that dietary factors can play a fundamental role both in the individual components and in the prevention and control of metabolic syndrome. Recent data associate the presence of metabolic syndrome with lower consumption of whole grains, fruits, and vegetables.
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