Primary Care Physician
Dr Orrange received her BA in Biology at the University of California San Diego and a Masters Degree in Health Sciences at the Johns Hopkins University School of Public Health She received her MD from the USC Keck School of…
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What is the Mediterranean Diet and will it really save my Heart and Mind while I Lose Weight?
Posted in Alcoholism by Dr. Sharon Orrange on Mar 28, 2009

It seems every month there is a new study with the "Mediterranean" Diet making headlines. There is good evidence that this diet helps prevent heart disease, cognitive decline from Alzheimer's Dementia and results in weight loss. So what is this Mediterranean Diet that so successfully wards off all evil?


Why did we start to study this diet? The incidence of heart disease in Mediterranean countries is lower than in the United States. Death rates are lower, too.


What is the evidence? There are many published studies indicating this diet is protective for heart disease. The Lyon Diet Heart Study is an influential study about the Mediterranean diet that got our attention and the attention of the American Heart Association. This was a randomized trial whose goal was to test the effectiveness of a Mediterranean diet on the rate of coronary events in people who've had a first heart attack. The results suggest that a Mediterranean-style diet may help reduce recurrent events in patients with heart disease. This study was stopped early because patients following the Mediterranean diet had a 50-70 percent lower risk of recurrent heart disease. Several other studies have similar results.


Will it save my mind? The Mediterranean diet may affect not only risk for Alzheimer Disease but may also result in lower mortality in those with dementia. A recent study published in the Archives of Neurology found that adhering to the Mediterranean diet was associated with potentially beneficial effects for mild cognitive impairment as well as preventing the onset of Alzheimer's disease. Those with mild cognitive impairment who adhered to the Mediterranean diet had 48 percent less risk of transitioning to Alzheimer's than those who did not.


Is there ONE "Mediterranean" diet: Not really since at least 16 countries border the Mediterranean Sea.  It may be more appropriate to call it Mediterranean Cuisine. There are, however, common characteristics in the Mediterranean dietary pattern and here they are:



  • High consumption of fruits, vegetables, bread and other cereals, potatoes, beans, nuts and seeds

  • Olive oil is an important monounsaturated fat source

  • Preferably eating fish, poultry are lean meat as opposed to red meat.

  • Eggs are consumed zero to four times a week

  • Mediterranean cuisine contains a relatively high percentage of calories from fat (yummy).

  • Eating plenty of local, seasonal, and fresh fruits and vegetables daily

  • Consuming fish regularly

  • Consuming rice, pasta, bulgur and other grains regularly and in combination with proteins.

  • Eating legumes a few times a week (chick peas, lentils, navy beans, kidney beans)

  • Eating some bread with meals

  • Consuming olive oil in raw form: drizzled on bread, white cheese, in salads, and sauces among others

  • Integrating nuts in the cooking recipes.

  • Drinking water with meals as opposed to sodas

  • Wine is consumed in low to moderate amounts


Does the Mediterranean diet contain less fat than ours? The average Mediterranean diet contains much less saturated fat than the average American diet. How is this? More than half the fat calories in a Mediterranean diet come from monounsaturated fats (mainly from olive oil). Monounsaturated fat doesn't raise blood cholesterol levels the way saturated fat does.


Show me the pantry:  For Mediterranean cuisine you needs LOTs of olives (at all meals), olive oils, chick peas, dried beans-black, cannellini, navy, pinto and white beans, lentils, red saffron, wine and tomatoes, oranges, figs, rice, kasha, millet, rolled oats, instant polenta, quinoa, rice-white, basmati, and brown (quick-cooking and wild). More obvious things include fresh vegetables (spinach, Swiss chard), chicken and lamb.


What you DON'T do with a Mediterranean diet:



  • Use butter or margarine for frying

  • Eat large amounts of red meat regularly

  • Eat meat by itself

  • Eat processed foods, fast food or any kind of junk food

  • Snacking at all times

  • Drinking sodas, colas or other processed soft drinks


There are many online resources for Mediterranean recipes but I'd love to hear your suggestions.


Dr O.



Displaying comments 11-1 of 11
11
I love the Mediterranean Diet. It is so easy. It feels so healthy. I lose weight without giving up any food group, just saturated fats. It is so nice to eat a salad with olive oil and not the fat free garbage. Two website I use have a Mediterranean influence recipes. The Harvard Scool Of Public Health http://www.hsph.harvard.edu/nutrit...

The Healthy Kitchen (Dr Weil) http://www.drweil.com/drw/ecs/comm...
By CinnamintStick  May 26, 2009
10
Diets and diet aids do not help anyone. The only way to successfully lose weight and get the body that you want is by using the right information. This information can be found in the book Lose Weight Using Four Easy Steps which can be ordered through the website www.bbotw.com Everyone who has gotten a copy of this book is now healthier.
By Todd29  May 19, 2009
9
I think this is a really healthy way to go. I just recently read some science article that mentioned how some particular soda/cola drink ingredient interferes with some kind of protein and contributes to some kind of brain atrophy! And it wasn't even aspartame (facilitates formaldehyde buildup in the brain!) or splenda (similar to toxins in other ways) or high-fructose corn syrup (bad for pre-diabetics and everyone else due to unusual characteristics related to it's chemical manufacture).

Falafel, tabouleh, baba ghanouj, pesto, salada, and gyros for everyone!


Thanks for the tips VeryBlue, too.
By MudPuddLe  May 17, 2009
8
when i was a kid i ate lots of chocolate and sweets id even go so far to say i was addicted ! in the UK
i moved to France when i was 18 and swapped my sweets habit to eating lots of fruit and yogurt..soda water n once in a while sorbet
my skin felt a lot better, i had more energy didn't feel sluggish ever [could also have been the sun! ]
i went back to the UK to my dentist i had noticed rings around my teeth the dentist said they had repaired themselves he could see that id changed my diet !

some suggestions from me ;; lentil soup ,courgette soup ,tomato and basil soup,soup is so easy to make, just need a blender or staff mixer. Greek salad, tzadziki , salad with homemade french dressing,
avocado,, lots of fruit, fruit salad, olives, tapas, nuts ,dried fruit, ...etc....heres actual recipes... enjoy !

http://www.mediterranean-food-reci...
By veryblue  May 09, 2009
7
This is a good resource and helps with all the confusion. Does this type diet work against diabetics (type2) as I notice you eat white rice and basmati (both favorites of mine but I am type2 and been told to avoid everything white!). Also listed are potatoes and am assuming that would be white potatoes (love those too but been told by my doc to avoid them).
Just wondering about all this as I have looked at this diet many times.
By gabbygal  Apr 18, 2009
6
NOT JUST THIS DIET.. BUT I NEVER EAT OUT,,OR EVEN WHEN I DO COOK MEATS I BOIL THEM THEN ADD VERY LTTLE SEASONING..AND DONT USE BUTTER HARDLY EVER..I DO SNACK BUT MOST OF ITS 400 CALS OF MY DAY..I JUST DONT EAT ALOT OF JUNK FOOD..I LOST 60 POUNDS IN14 MONTHES..BROUGHT MY CLETOROL DOWN FROM 228 TO 175..EAT ALOT OF OATMEAL.. AND OTHER FIBERS.. IM ON MEDS THAT MAKE IT NOT GOOD TO GO TO THE POTTY..AND ALOT OF A DIET YOU NEED TO GET RID OF THE FATS IN YOU..IM 266 POUNDS WAS 315 14 MONTHES AGO..ALOT OF PEOPLE CANT AFFORD TO BUY SPECIAL THINGS FOR A DIET.BUT THIS DIET SOUNDS ABOUT WHAT I DIO ANWAYS....EXCEPT I CANT EXERCISE DUE TO CRONIC KNEES AND LOWER BACK.SO I HAD TO DROP THE DAILY CALS TO 1800 ADAY FROM 2500 ADAY TO JUST MAINTAIN WHAT I LOST..GAINED 7 BACK.. NOT TO BAD THANKS FOR THE STORY JAMES
By jimgreg  Apr 05, 2009
5
im married to a jordanian...and ever sinxce ive been introduce to middleeaster food/meditarranian......I fell in love with it...so light...fullfilling...delicious...and so healthy. They really do eat healthier...and live longer too because of the healthier choices they make in their diets. They don't eat pork for one thing.....they use olive oil instead of butter/margarine. They eat light breads like pita......and also lots of beans/chick peas...hummus.......and garlic. Very herbal and even seeds...which are super benficial to the health.
By amira87  Mar 29, 2009
4
A lovely article, Dr Orrange! I was married to a Greek gent for many years and learnt via my mother-in-law a totally different way of appreciating good, wholesome food. On visits to Greece I would notice that no one there went to a super market and loaded up the cart with one months worth of groceries, meat, fish and certainly not veggies and frozen veggies? No way, no how!
Every single morning my mother-in-law would pop out to buy the many assorted veggies she would be cooking and eating *that* day - she would pick out the fish at the fish monger they would be eating on *that* day and as you said, olive oil and bread is the staple accompaniment to any meal.
Whenever I went to Greece I would lose at least ten pounds, was *never* hungry on the mediterranean diet, my irritable bowel symptoms would become considerably better and I would return home feeling so much healthier.
Hats off to you and the medical world for bringing about Mediterranean diet awareness versus the junk food roller coaster (death) ride so many countries are caught up in.
By Leolady56  Mar 29, 2009
3
Fascinating! How do you make your own olive oil?
By Element5  Mar 28, 2009
2
nice said about diet.i'm alos maintain my fig to do diet.
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By silsbn  Mar 28, 2009
1
I am an american living in italy. I think the biggest difference in our diets is the lack of processed foods. We shop every other day. You have to buy something maximum one day before you eat it. No one buys spaghetti sauce, you make just enough when you need it. It's super easy and 10,000 times tastier. My father in law would never eat a fruit without seeds because he'd say, "that's not natural, and whatever they did to take the seeds out of it isn't good for you". Infact we grow most of our own fruit and veggies, we have chickens who provide us with eggs and meat with out any growth hormones. And yes, we do eat alot of beans. I think the highest quality olive oil (which we also make) is the key that americans are missing.
By katifitz  Mar 28, 2009
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