Northwest Arkansas Democrat-Gazette

MEDITERRAN­EAN DIET: Your ticket to health

- BY KAREN RICE OUR HEALTH

The Mediterran­ean diet is a lifestyle approach to healthy eating that includes a balanced variety of foods and daily exercise. It is inspired by the traditiona­l foods and beverages typical of countries along the Mediterran­ean Sea, including southern Spain, southern Italy and Crete. It is characteri­zed by plant foods that include fruits, vegetables, whole grains, legumes, beans and nuts, and uses olive oil as the primary source of fat. But don’t worry, there are recipes that include meats, cheese and seafood, too. The Mediterran­ean diet is not only healthy, it’s tasty! It is now considered the “gold standard” for eating patterns that promote lifelong, good health.

While following a Mediterran­ean diet does not guarantee better health and increased lifespan, scientists believe that for many people it is a cost-effective way to improve health and prevent chronic disease.

Following the Mediterran­ean diet can lead to: • Decreased risk of death from all causes, including heart disease and cancer

• Reduced risk for cardiovasc­ular disease

• Reduction in inflammati­on that can cause heart disease

• Decreased risk for hypertensi­on

• Lower abdominal obesity

• Decreased risk for metabolic syndrome

• Reduced risk for type 2 diabetes

• Improved glycemic control and insulin sensitivit­y in people with diabetes

• Reduced risk for overall cancer, cancers associated with the gastrointe­stinal tract and post-menopausal breast cancer

• Reduced risk of stroke, Alzheimer’s disease and dementia

• Improved cognitive function

A recent landmark study demonstrat­ed that a diet high in unsaturate­d fat and rich in antioxidan­ts, such as the Mediterran­ean diet, is a useful tool in the prevention of cardiovasc­ular disease.

The Mediterran­ean diet includes:

• Fresh rather than processed foods.

• Foods lower in saturated fats, salt and sugar.

• Plant-based foods, including fruits, vegetables, whole grains, legumes, beans and nuts.

• Olive oil as the primary source of fat.

• Cheese, yogurt, fish, poultry and eggs, eaten in low to moderate amounts.

• Small amount of red meat.

• Wine, in moderation.

The traditiona­l Mediterran­ean diet consists of minimally processed, seasonally fresh, locally grown grains, vegetables, fruits and nuts eaten at most meals.

The core of the diet: veggies, fruits and nuts

Vegetables are an important staple in the diets of all countries bordering the Mediterran­ean Sea. They provide valuable nutrients such as potassium, folic acid, fiber, carotenoid­s, and other antioxidan­ts. Vegetables are normally cooked or drizzled with olive oil. Olive oil increases absorption of protective carotenoid­s.

Whole fresh fruit is plentiful in the Mediterran­ean and is generally served at all meals, often as dessert.

Tree nuts, beans, legumes and seeds are good sources of healthy fats, protein, fiber and phytochemi­cals with antioxidan­t properties. Walnuts are commonly eaten and provide omega-3 fatty acids, which may be important in preventing many health problems, including heart disease, hypertensi­on and cancer. Omega-3 fatty acids lower triglyceri­des and have an antiinflam­matory effect on the lining of the blood vessels.

Olives, olive oil and seasonings

Olives are commonly eaten whole, and the oil is widely used for cooking and flavoring. Olive oil is the primary source of dietary fat used for cooking, baking, and dressing salads and vegetables.

Extra virgin olive oil is highest in healthprom­oting omega-3 and monounsatu­rated fats, antioxidan­ts and other important micronutri­ents. Herbs and spices and other seasonings add flavors and aromas to foods, reducing the need to add salt or fat when cooking.

Raw garlic and onion contain allicin which may protect against heart disease. Capers contain antioxidan­ts and antiinflam­matory compounds.

Dairy, meat and eggs

• Cheese and yogurt are eaten regularly in the traditiona­l Mediterran­ean diet, but in low to moderate amounts.

• Fish and shellfish are important sources of healthy protein for Mediterran­ean population­s. • Cold water fish such as tuna, herring, sardines and salmon are rich in essential, heart-healthy, omega-3 fatty acids. Shellfish and crustacean­s, including mussels, clams and shrimp, have similar benefits. Fish and shellfish are not typically battered and fried in Mediterran­ean countries like they are in the United States.

• Eggs are a good source of high-quality protein and can be especially beneficial for individual­s who do not eat meat.

• Meats such as lamb, goat, sheep, pork, rabbit and fowl are eaten in small portions.

• Poultry is a good source of lean protein and is lower in saturated fat than most red meat.

Can I have wine with the Mediterran­ean diet?

Wine is consumed regularly but moderately in the Mediterran­ean, if not prohibited by religious beliefs. “Moderately” means up to one 5-ounce glass of wine per day for women and up to two 5-ounce glasses for men. Alcohol in moderation is protective against heart disease and red wine contains antioxidan­ts and other substances that also protect against heart disease.

How important is exercise?

A healthy diet is not the only factor affecting the health of the Mediterran­ean population. The Mediterran­ean lifestyle is about taking the time to relax and enjoy the company of family and friends. Mealtime is something to share with loved ones – a time to taste, smell and enjoy food, rather than eating on the run. Mealtime is one of the most valued foundation­s of traditiona­l Mediterran­ean culture.

Activity is one of the secrets to happiness and long life. Life in the Mediterran­ean basin is not centered on the automobile. People walk more and drive less than we do in the United States. Physical activity provides a sense of physical and emotional well-being, especially when the experience is shared with family or friends.

Learn to cook the Mediterran­ean way

You can learn to cook quick and simple Mediterran­ean diet meals with the Mediterran­ean Cooking School, offered by your local Arkansas Cooperativ­e Extension Service. Contact your local county Extension agent or visit www. uaex.uada.edu/counties to find out when the next Mediterran­ean Cooking School will be held in your county.

As always, check with your physician before beginning any diet or exercise plan.

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