- Phoenix Heart Center

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Mediterranean Diet

Dr Hassan S Makki

Phoenix Heart Center

American scientist, Ancel Keys pointed out the correlation between cardiovascular disease and diet in the 1950’s.

The poor population of small towns, of southern Italy was, much healthier than the wealthy citizens of New York, even compared to their own relatives who emigrated in earlier decades to the United States.

Keys suggested that this was diet dependant, by focusing his attention on foods that made up the diet of these populations.

Thus, he led the famous “Seven Countries Study”

(conducted in Finland, Holland, Italy, United States,

Greece, Japan and Yugoslavia), in order to document the relationship between lifestyles, nutrition and cardiovascular disease between different populations.

Mediterranean diet thought to be the cause!

High in fruits, vegetables , wholegrain bread, rice and pasta, potatoes, beans, nuts, and seeds

Olive oil as an important fat source and dairy products, fish , and poultry (consumed lowmoderate amounts)

Eggs in moderate amounts, and low amounts of red meat in low amounts

Wine is consumed in low to moderate amounts.

Every main meal

1-2 portions fruits, 2+ portions vegetables

1-2 servings wholegrain bread/ rice/ pasta

Use olive oil as main cooking fat or as a dressing

Every day

2 servings dairy

1-2 servings nuts

Weekly

2 servings poultry, 2+ servings oily fish, 2+ servings legumes

Less than 2 servings red meat, 1 or less serving processed meat

0-4 servings Eggs

Less than 2 servings sweet foods

Optional: 1 glass wine/day(women), 2 glasses/day(men) most days

Eat more fruit & vegetables

Include oily fish (e.g. salmon, herring, sardines) 2-3 times/ week

Eat wholegrain bread and cereals instead of white/ low fibre

Use olive or rapeseed oils & spreads

Add more natural nuts into your diet (e.g. walnuts, almonds or hazelnuts)

 

Reduce red meat intake and eat poultry more often

 

Alcohol in moderation (optional)

Breakfast

Fruit or small glass of unsweetened fruit juice

Wholegrain breakfast cereal/ oatmeal

Wholemeal bread/ toast with olive oil spread

Lunch

Soup and wholemeal bread

Small portion of chicken/ fish/ egg/ cheese

Salad

Wholemeal bread

Fruit and yoghurt

Evening meal

Small portion meat/ chicken/ fish/ egg

Plenty of salad/ vegetables

Potatoes, rice, pasta, other grains

Fruit for dessert

Glass of wine (optional)

MENU

Wholegrain bagel with olive oil spread +fresh fruit

Lentil soup + wholegrain bread

Mediterranean-style marinated fish or chicken

Snacks: Fruit/ nuts

1 clove garlic, thinly sliced

1 carrot, diced

1 large onion, sliced

1 celery stick, sliced

1 medium potato, diced

1-2 slices of turnip, diced

100g (4oz) red lentils

1L (1 ¾ pt) chicken or vegetable stock

(serves 4)

Heat the olive oil in a saucepan and add the onion and garlic.

Sauté gently for 5 minutes until softening

Add the rest of the vegetables and cook for a further 4-5 minutes.

Add the lentils and stock and bring to the boil. Simmer for 15-20 minutes.

Season with pepper, blend until smooth.

Pour the mixture back into the pan, reheat gently.

Serve with wholemeal bread

2 (100g/4oz) fish/chicken

2 tbsp olive oil

2 tsp red wine vinegar

½ tsp ground black pepper

½ dried basil or thyme

¼ tsp garlic granules

2 bay leaves

(serves 2)

In a bowl, mix olive oil, vinegar, pepper, basil, thyme and garlic.

Coat both sides of the fish/ chicken fillets.

Break the bay leaves into 3-4 pieces, press onto both sides of fillets.

Cover and refrigerate for at least an hour.

Remove the bay leaves.

Cook in a non-stick pan over a mediumhigh heat.

Serve with potatoes, pasta, rice or another

‘grain’ such as couscous and vegetables

PREDIMED study (7500 pts)

30% reduction in risk of heart disease/stroke

52% reduction in risk of diabetes

Results comparable to statins and metformin respectively

reduce the risk of Alzheimer's and Parkinson's disease reduce the risk of death from or occurrence of

Cancer

PREDIMED Study(wt loss, BP, BS control is better vs low fat diet)

Stanford Study(lowered CRP levels)

Northwestern University(Oleic acid blocked cancer genes)

The Hale Project(50% decreased mortality in

Europeon elderly)

Emory University Study

Second University of Naples

Federico II University-

Maris Study/Wagening University

University of Michigan

Walter Reed Army Medical Center

Better blood pressure control

Weight loss; less metabolic syndrome

More favorable lipid profile;

lowers LDL

and

increases HDL

Better glycemic levels

More antioxidants from more vegetable sources.

Lower markers of inflammation, ie…CRP

 http://www.mediterraneanbook.com/themediterranean-diet/ http://allrecipes.com/recipes/healthyrecipes/special-diets/mediterranean-diet/ http://www.mayoclinic.org/healthyliving/nutrition-and-healthy-eating/indepth/mediterranean-diet-recipes

Even Fox news is aware of it! (next to the article about how Hilary wearing glasses is a “warning sign”) http://www.foxnews.com/health/2013/07/25/2

2-mediterranean-diet-recipes-to-improve-yourhealth/

Questions???

Answers !!??

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