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Original
Article:http://www.mayoclinic.com/health/mediterranean-diet/CL00011

Mediterranean diet for heart health

If you're looking for a heart-healthy eating plan, the
Mediterranean diet might be right for you. The
Mediterranean diet incorporates the basics of healthy
eating, plus a splash of flavorful olive oil and
perhaps a glass of good red wine, among other
components characterizing the traditional cooking
style of countries bordering the Mediterranean Sea.

Most healthy diets include fruits and vegetables, fish
and whole grains, and limit unhealthy fats. While
these fundamental parts of a healthy diet remain tried
and true, subtle variations or differences in
proportions of certain foods may make a difference in
your risk of heart disease.
Benefits of the Mediterranean diet

The Mediterranean eating style significantly reduces
the risk of further heart disease in individuals who
had already had a heart attack. Remarkably, this
benefit was not related to any significant difference
in cholesterol levels — rather other components of the
diet seem to work in concert to protect the body.

Key components of the Mediterranean diet include:

    * Eating a generous amount of fruits and
vegetables
    * Consuming healthy fats such as olive oil and
canola oil
    * Eating small portions of nuts
    * Drinking red wine, in moderation, for some
    * Consuming very little red meat
    * Eating fish on a regular basis

Fruits, vegetables and grains

The traditional diet among some Mediterranean
countries includes fruits, vegetables, pasta and rice.
For example, residents of Greece eat very little red
meat and average nine servings a day of
antioxidant-rich fruits and vegetables. This eating
pattern has been associated with a lower level of
low-density lipoprotein (LDL) oxidation — a change in
LDL cholesterol (the "bad" cholesterol) that makes it
more likely to build up deposits in your arteries.

Grains in the Mediterranean region typically contain
very few unhealthy trans fats, and bread is an
important part of the diet there. However, throughout
the Mediterranean region, bread is eaten without
butter or margarines, which contain saturated fat or
trans fats.
Healthy fats

The Mediterranean diet doesn't view all fat as bad.
The focus of the diet isn't to limit total fat
consumption, but to make wise choices about the types
of fat you eat.

The Mediterranean diet is similar to the American
Heart Association's Step I diet, but it contains less
cholesterol and has more fats that contain the
beneficial linolenic acid (a type of omega-3 fatty
acid). These fat sources include olive oil, canola oil
and nuts, particularly walnuts. Fish — another source
of omega-3 fatty acids — is eaten on a regular basis
in the Mediterranean diet. Studies have shown that
omega-3 fatty acids lower triglycerides and may
provide an anti-inflammatory effect helping to
stabilize the blood vessel lining. The Mediterranean
diet discourages saturated fats and hydrogenated oils
(trans-fatty acids), both of which contribute to heart
disease.
Choosing oils and fats

Olive oil. All types of olive oil provide
monounsaturated fat, but "extra-virgin" or "virgin"
oil are the least processed forms, and so contain the
highest levels of the protective plant compounds that
provide antioxidant effects.

Nuts. Nuts are high in fat — up to 80 percent of their
calories — but tree nuts, including walnuts, pecans,
almonds and hazel nuts, are low in saturated fat.
Walnuts also contain omega-3 fatty acids. Nuts are
high in calories, so they should not be eaten in large
amounts — generally no more than a handful a day. For
the best nutrition, avoid honey-roasted or heavily
salted nuts.
Wine

The health effects of alcohol have been debated for
many years, and some doctors are reluctant to
encourage alcohol consumption because of the health
consequences of excessive drinking. However, light
intake of alcohol is associated with a reduced risk of
heart disease.

Red wine has an aspirin-like effect, reducing the
blood's ability to clot, and also contains
antioxidants. The Mediterranean diet typically
includes some red wine, but this should be consumed
only in moderation. This means no more than one
5-ounce glass of wine daily for women (or men over age
65), and no more than two 5-ounce glasses of wine
daily for men under age 65. Any more than this
increases the risk of health problems, including
increased risk of certain types of cancer.

If you are unable to limit your alcohol intake to the
amounts defined above, you have a personal or family
history of alcohol abuse, or you have liver disease,
refrain from drinking wine or any other alcohol. Keep
in mind that red wine may also trigger migraines in
some people.
Putting it all together

You can successfully incorporate the Mediterranean
diet into your life by being an informed consumer and
a smart shopper. Choose plenty of fresh fruits and
vegetables, limit intake of red meat, eat fish — not
fried or laden with butter or heavy sauces — at least
once a week, don't be afraid of healthy fats such as
olive oil, nuts and canola oil (but use these in
moderation because of their high calorie content), and
reduce or eliminate saturated fat and trans fats (also
known as hydrogenated or partially hydrogenated oils)
from your diet. Read food labels to see what you're
really buying. Here are some specific steps you can
take:

    * Eat natural peanut butter, rather than the kind
with hydrogenated fat added.
    * Use butter sparingly, and don't think that "low
fat" or "cholesterol-free" on the label means a
product is necessarily good for you. Many of these
items are made with trans fats.
    * Eat a variety of whole fruits and vegetables
every day. Ultimately, strive for seven to 10 servings
a day. Keep baby carrots, apples and bananas on hand
for quick, satisfying snacks. Fruit salads are a
wonderful way to eat a variety of healthy — and tasty
— fruit.
    * Use canola or olive oil in cooking. Try olive
oil for salad dressing and as a healthy replacement
for butter or margarine. After cooking pasta, add a
touch of olive oil, some garlic and green onions for
flavoring. Dip bread in flavored olive oil or lightly
spread it on whole-grain bread for a tasty alternative
to butter.
    * Substitute fish and poultry for red meat. Avoid
sausage, bacon and other high-fat meats.
    * Limit higher fat dairy products such as whole or
2% milk, cheese and ice cream. Switch to skim milk,
fat-free yogurt and low-fat cheese.
    * Eat fish once or twice a week. Water-packed
tuna, salmon, trout, mackerel and herring are healthy
choices. Grilled fish tastes good and requires little
cleanup. Avoid fried fish, unless it's sauteed in a
small amount of olive oil.
    * Keep walnuts, almonds, pecans and Brazil nuts on
hand for a quick snack.
    * If it's OK with your doctor, go ahead and have a
glass of red wine at dinner with your pasta or fish.
If you don't drink alcohol, you don't need to start.

Once you experience the delicious and healthy choices
the Mediterranean diet has to offer, it just might
become your favorite diet.

Editor's note: There are many healthy-eating plans,
including those from the American Heart Association,
the Mayo Clinic Healthy Weight Pyramid, the USDA's
Mypyramid.gov and the National Heart, Lung, and Blood
Institute's DASH diet. The important thing to note is
that all of these healthy-eating plans share some of
the same core components. Depending on your overall
health, and your particular goals, whether it's
reducing your risk of heart disease, losing weight,
lowering cholesterol, reducing blood pressure, or
something else, one particular plan may have an
advantage over another.

Consult with a registered dietitian if you want more
specific dietary guidance.

By Mayo Clinic Staff
Jun 21, 2006
© 1998-2007 Mayo Foundation for Medical Education and
Research (MFMER). All rights reserved. A single copy
of these materials may be reprinted for noncommercial
personal use only. "Mayo," "Mayo Clinic,"
"MayoClinic.com," "EmbodyHealth," "Reliable tools for
healthier lives," "Enhance your life," and the
triple-shield Mayo Clinic logo are trademarks of Mayo
Foundation for Medical Education and Research.

CL00011
Mayo Clinic


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