John Ray's shorter notes
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22 July, 2024
What, Exactly, Is so Great About the Mediterranean Diet?
The journal article referred to below is "Primary prevention of cardiovascular disease in women with a Mediterranean diet: systematic review and meta-analysis"
At: https://heart.bmj.com/content/109/16/1208
Meta analyses are very susceptible to finding what you want to find and the hazard ratios reported were very low, indicating very marginal effects. And it appears that the authors did not even begin to look at confounders such as ethnicity and social class.
So this study is a very poor recommendation for a Mediterranean diet indeed. The diet is essentially a fad and nothing more
Healthful eating is important at any age to lower the risk of obesity and keep the heart and everything else inside the body functioning well. This becomes especially crucial later in life, because good nutrition helps reduce the risk of chronic conditions like hypertension, high cholesterol and cardiovascular disease.
Being smart about what you eat also can affect your mood no matter your age—ultra-processed foods that include hydrogenated oils and high-fructose corn syrup, for instance, can increase the risk of depression—and some studies even suggest that healthy eating patterns can help delay or prevent developing dementia as we get older.
One way to improve your health while also eating some really wonderful foods, says Natalie Bruner, a registered dietitian and nutritionist with St. Clair Health, is to follow the Mediterranean style of eating.
Often referred to as the Mediterranean diet, it’s not so much a “diet” in the traditional sense, which is often defined by a bunch of hard-and-fast rules such as calorie counting and macro-tracking what you put in your mouth each day. Eating Mediterranean style is more of a lifestyle.
Patterned around the foods eaten by people who live in countries bordering the Mediterranean Sea—think Italy, Greece, Spain and Northern Africa—it puts a daily emphasis on plant-based dishes and heart-healthy, unsaturated fats such as olive oil instead the refined or hydrogenated oils that are so common in fast food meals and snack foods.
Half a Tablespoon of Olive Oil Daily May Protect Brain Health
The diet also emphasizes whole, minimally processed foods such as beans, seeds and legumes, antioxidant-rich fresh fruits and vegetables, and moderate portions of lean protein like chicken and seafood, with only the occasional serving of red meat.
Fish that is high in omega-3 fatty acids, such as salmon, is especially key since it can help reduce inflammation and pain caused by arthritis, which is common in seniors, as well as improve cholesterol levels.
“It’s not a diet that’s restrictive,” says Bruner. “You’re eating everything that’s good for you, which is great.”
Dietitians and nutritionists generally don’t like to characterize food as “good” or “bad” because that can lead to restrictive behaviors, she says. Yet multiple studies have shown that those who follow the Mediterranean diet have better cognitive function and brain health in old age, she says.
Because of its anti-inflammatory and antioxidant properties and its effectiveness at preventing obesity, there also are a lot of heart health benefits, along with the prevention and progression of diseases such as Type 2 diabetes, which is associated with lifestyle and diet.
For instance, according to a 2023 study in the medical journal Heart, women who follow a Mediterranean diet more closely than others had a 24 percent lower risk of cardiovascular disease. They also had a 23 percent lower risk of mortality.
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