How to Eat a Mediterranean Diet for Heart Health
For years, the Mediterranean "diet" has been touted by many nutrition experts as a way to reduce the risk for cardiovascular disease, certain cancers and more, but the advice had been loosely based on the results of "observational studies." People living in countries that border the Mediterranean Sea, including Greece, Italy, Spain and Turkey, tend to have a lower risk of those diseases. These folks consume a bounty of fresh and wholesome fruits, vegetables, whole grains, fish, beans, olive oil, nuts and seeds.
However, the evidence favoring a Mediterranean-style eating plan just got much stronger. A major clinical study published this week in The New England Journal of Medicine found that about 30% of heart attacks, strokes and deaths from heart disease can be prevented with a Mediterranean-style eating plan. Test subjects for this experimental study were selected if they had risk factors for cardiovascular disease such as type 2 diabetes, smoker, hypertension, elevated LDL cholesterol, low HDL cholesterol, overweight or obesity, or a family history of premature heart disease. The scientists randomly assigned the 7,447 male and female subjects (ages 55-80) into one of three groups:
The results of this study now position the Mediterranean diet as a powerful eating plan when it comes to the prevention of heart disease. If you want to compare your daily diet to the Mediterranean plan used in the study, here’s the checklist:

Trans-Continental Cuisine
You don't have to cook exclusively Mediterranean dishes at home to integrate this healthy eating plan into your life. You can easily incorporate these eating strategies into many of your favorite meal plans no matter where you live and which cuisines you prefer.

If you're dining out, follow these guides to choose healthier Mediterranean fare:
Dining Out: Italian Cuisine
Dining Out: Greek & Middle Eastern Cuisines
What is your favorite Mediterranean dish? How do you incorporate this lifestyle into your own meals?
However, the evidence favoring a Mediterranean-style eating plan just got much stronger. A major clinical study published this week in The New England Journal of Medicine found that about 30% of heart attacks, strokes and deaths from heart disease can be prevented with a Mediterranean-style eating plan. Test subjects for this experimental study were selected if they had risk factors for cardiovascular disease such as type 2 diabetes, smoker, hypertension, elevated LDL cholesterol, low HDL cholesterol, overweight or obesity, or a family history of premature heart disease. The scientists randomly assigned the 7,447 male and female subjects (ages 55-80) into one of three groups:
- Mediterranean diet plan plus 4 tablespoons olive oil daily
- Mediterranean diet plan plus a 1 ounce mixed nuts (walnuts, almonds and hazelnuts), or
- A low-fat diet plan
The results of this study now position the Mediterranean diet as a powerful eating plan when it comes to the prevention of heart disease. If you want to compare your daily diet to the Mediterranean plan used in the study, here’s the checklist:

Trans-Continental Cuisine
You don't have to cook exclusively Mediterranean dishes at home to integrate this healthy eating plan into your life. You can easily incorporate these eating strategies into many of your favorite meal plans no matter where you live and which cuisines you prefer.
- Top a salad with a small handful of walnuts or slivered almonds.
- Switch from beef to a fish in your tacos, and use a corn tortilla packed with romaine lettuce, diced tomatoes and onions, and topped with mango salsa.
- Mix lentils with your favorite rice dish and top with a vegetable-tomato sauce.
- Stir-fry chicken with snow pea pods, bell pepper strips, onions, broccoli and cauliflower in olive oil. Serve over brown rice and top with walnuts and a dash of soy sauce.
- Mix up your own homemade Italian dressing using olive oil and your favorite flavored vinegar.



Mediterranean Chicken with Orzo

Roasted Beets with Gorgonzola, Arugula, and Walnuts

Sautéed Mushrooms with Toasted Walnuts

Slow Cooker Northern Bean and Spinach Soup

Turkish Eggplant Stew

Vegetable Paella

Roasted Beets with Gorgonzola, Arugula, and Walnuts

Sautéed Mushrooms with Toasted Walnuts

Slow Cooker Northern Bean and Spinach Soup

Turkish Eggplant Stew

Vegetable Paella
If you're dining out, follow these guides to choose healthier Mediterranean fare:
Dining Out: Italian Cuisine
Dining Out: Greek & Middle Eastern Cuisines
What is your favorite Mediterranean dish? How do you incorporate this lifestyle into your own meals?
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Comments
Only complaint about it is that just about every study has since disproven that saturated fats from animals are bad for you. Remember to eat your yolks, and beef in unashamed amounts for a healthy diet as well. - 3/5/2013 4:09:09 PM
I agree with what you wrote. Thanks for sharing. It's nice to hear from someone across the water! - 3/5/2013 10:56:50 AM
Regarding the wine, one glass with your evening meal is common in the mediterranean and most of Europe, but isn't a requirement! And I think the thing to focus on, if you like wine, is that you should have only 1 glass! That is considered moderate, healthy consumption. But skip it if you have concerns.
I agree with the exercise comments - moving more in general is key! I lived in Australia for 7 months for a work assignment, and had no car. I was walking 5 - 7 miles each day and eating this type of diet, and I lost weight quickly and easily, and felt great. And then I came back to the US, and went back to my old ways and gained the weight back. Just another reason why I want to go back to this healthier mediterranean approach. - 3/5/2013 9:36:21 AM
I do agree that exercise should have been mentioned. When my son and his family lived in southern France for a year (his wife grew up in Nice), they walked to work, to school, to the grocery store. All of them walked 3-5 miles a day, including their children, who were 3 and 6 years old at the time. And yes, as someone said, it's hilly there.
My personal favorite dish in Mediterranean cuisine is probably Tuna Nicoise -- a beautiful salad that includes fresh vegetables, fresh fish, and of course an olive oil based salad dressing. Several people writing in this blog mentioned portion sizes, too, and I think this is important. The French in particular eat MUCH smaller portions than the average American. This is how they can eat foods that we would consider "fattening."
Let's not turn the Mediterranean diet into another fad, however. Healthy eating is healthy eating, period. Mediterranean is no better than a basic Japanese or Chinese cuisine. These "diets" also emphasize lots of vegetables, lots of fish. - 3/5/2013 7:53:18 AM
I am pleased to see what is normal food getting a boost again
we moved from the north of England to the south of France 10 years ago and some things stick out
fresh fish is every where and fresh vegetables even eating out the portions are a LOT smaller then in the UK and I think the US
I have weight problems and I am losing very slowly , it gets harder at 70 then at 50
but what we do eat is good simple food , on a British pension you have to be inventive and eat to the season
, I do freeze fruits from the garden or the shops when they are in season to add variety in the winter months
the treats are saved for holidays and take aways are unknown
my husband does not drink alcohol at all but that doesn't stop me having a glass of red wine with my meal at night as well as the water
when I see recipes which start with proper food then add all the cream and extra and to sauces for everything I wonder why ?
sorry i rarely write letters as i feel very foreign on this American site sometimes
Aliciamary
- 3/5/2013 3:18:17 AM
However I do not think they advocate a glass of wine daily. I am not comfortable with Spark advocating daily wine consumption, especially a Nutritionist. Pat in Maine. - 3/4/2013 12:33:27 PM
That would put people over their weekly units easily.
I do not think advocating daily alcohol consumption belongs on a health promoting website at all.
Daily alcohol is not a healthy habit. - 3/4/2013 10:14:52 AM
It could be harder to maintain both a Med. lifestyle AND (my current attempt) to 'eat locally' since the northern US's growing season doesn't feature lots of fruits/veg. year round. I can get peppers and oranges in the winter (two name only two non-local things I like a lot)--from Florida (or, more likely Mexico, or Israel)--but it's a bit tougher to do HERE what comes naturally in the Mediterranean.
That said, it's a lifestyle worth pursuing...with care (and maybe not red wine--and make no mistake: white wine, like milk chocolate, just doesn't cut it in terms of positive nutrients). - 3/2/2013 3:19:07 PM
I don't do diets, and don't plan on starting this one. - 3/2/2013 2:44:22 PM
I'm getting tired of seeing the Mediterranean way of eating recommended but no mention of the additional exercise you need to sustain a healthy weight while eating this way! - 3/2/2013 9:58:30 AM
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