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The Mediterranean Diet: The New Gold Standard?
Forbes ^ | 2/25/2013 | Larry Husten

Posted on 02/25/2013 4:33:31 PM PST by neverdem

Comment Now Follow Comments Earlier today I summarized the important new PREDIMED study published in the New England Journal of Medicine showing the cardiovascular benefits of the Mediterranean diet. This study– a rare and much welcome instance of a large randomized controlled study of a diet powered to reach conclusions about important cardiovascular endpoints– has been widely praised and will undoubtedly have a major effect in the field of nutrition and will influence lots of people to adopt some form of a Mediterranean diet.

The study’s major potential weakness appears to be that the control group didn’t get a fair chance. Here’s how the authors describe the control group:

Participants in the control group… received dietary training at the baseline visit and completed the 14-item dietary screener used to assess baseline adherence to the Mediterranean diet. Thereafter, during the first 3 years of the trial, they received a leaflet explaining the low-fat diet (Table S2 in the Supplementary Appendix) on a yearly basis. However, the realization that the more infrequent visit schedule and less intense support for the control group might be limitations of the trial prompted us to amend the protocol in October 2006. Thereafter, participants assigned to the control diet received personalized advice and were invited to group sessions with the same frequency and intensity as those in the Mediterranean-diet groups, with the use of a separate 9-item dietary screener (Table S3 in the Supplementary Appendix)...

(Excerpt) Read more at forbes.com ...


TOPICS: Culture/Society
KEYWORDS: cad; cardiology; chd; mediterraneandiet
Primary Prevention of Cardiovascular Disease with a Mediterranean Diet

It's a FReebie, but it opens at the discussion courtesy of Forbes.

1 posted on 02/25/2013 4:33:40 PM PST by neverdem
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To: neverdem

My mom age 86 has a diet including olive oil, garlic, salads and some fish. She also eats red meats, butter, cakes, ice cream, bagels and such. She’s a bit overweight with HBP but she’s still around. Only one male member of the extended family to my knowledge has made it to age 80.


2 posted on 02/25/2013 4:46:39 PM PST by tflabo (Truth or Tyranny)
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To: carlo3b

Ping! You knew it all the while!


3 posted on 02/25/2013 4:49:39 PM PST by afraidfortherepublic
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To: afraidfortherepublic

Indeed.. It’s my way of life, so to speak.. I’ve been preaching it for years.. Now I hope more people will listen.. LOL


4 posted on 02/25/2013 4:56:42 PM PST by carlo3b (Less Government, more Fiber)
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To: neverdem

I just wonder if the good outcomes are based more on the diet or more on the genetics of the Spaniards participating.

For instance, and I mean this seriously, if African Americans ate a diet like this would this reduce the high rates of hypertension they have as a race? I suspect not, but I don’t know, of course.


5 posted on 02/25/2013 5:24:18 PM PST by Persevero (Homeschooling for Excellence since 1992)
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To: neverdem

Or, mother could reclaim her previous job as family nutritionist.


6 posted on 02/25/2013 5:25:57 PM PST by donna (Pray for revival.)
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To: carlo3b

I work with a naturalized Iraqi (their diet is similar); he couldn’t think of anyone there who had diabetes or heart disease under the age of 70 - or, more importantly, anyone who DIED from those causes. It’s hard to say if this is the diet or genetics. There is a certain logic to “survival of the fittest”, also...the brutal truth is that in areas with little modern medical care, people who don’t have good, “tough” genes reproduce less simply because of the lack of opportunity. The ethnic diet of my ancestors was TERRIBLE by any standards (bread, cabbage, potatoes, fried everything, and vodka) and yet they lived quite long lives.


7 posted on 02/25/2013 5:26:00 PM PST by The Antiyuppie ("When small men cast long shadows, then it is very late in the day.")
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Freepers, your Contributions make every difference!
Please keep ‘em coming! Thank you all very much!

8 posted on 02/25/2013 5:26:12 PM PST by RedMDer (Support Free Republic)
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To: tflabo
One of the philosophies I use is "Eat real food"... You will note that your mom's diet doesn't include Doritos (red dye), Diet Pepsi (Aspartame), and Margarine (soybean oil).

Soy, is not fit for human consumption, and has compounds that mimic female reproductive hormones (called Phytoestrogens) and absolutely have no business being in foods that men consume, but try going to the grocery store and buying any manufactured food that doesn't contain soy. It's a challenge...

Fresh fruits and vegetables when in season... Raw, unpasteurized dairy products, Meat, Fish, Poultry, Eggs... whole wheat bread... this is real food.

9 posted on 02/25/2013 5:32:38 PM PST by Rodamala
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To: neverdem

Salient components of the Mediterranean diet reportedly associated with better survival include moderate consumption of ethanol (mostly from wine), low consumption of meat and meat products, and high consumption of vegetables, fruits, nuts, legumes, fish, and olive oil. Perhaps there is a synergy among the nutrient-rich foods included in the Mediterranean diet that fosters favorable changes in intermediate pathways of cardiometabolic risk, such as blood lipids, insulin sensitivity, resistance to oxidation, inflammation, and vasoreactivity.

...favorable trends were seen for both stroke and myocardial infarction. ...changes in total fat were small and the largest differences at the end of the trial were in the distribution of fat subtypes.

...extra-virgin olive oil and nuts were probably responsible for most of the observed benefits of the Mediterranean diets. Differences were also observed for fish and legumes but not for other food groups.

In conclusion, in this primary prevention trial, we observed that an energy-unrestricted Mediterranean diet, supplemented with extra-virgin olive oil or nuts, resulted in a substantial reduction in the risk of major cardiovascular events among high-risk persons.


10 posted on 02/25/2013 5:37:08 PM PST by ProtectOurFreedom
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To: donna
donna wrote:

Or,mother could reclaim her previous job as family nutritionist.

My mother was exactly what you describe... and you know what? These days finding a young woman that has half a clue what real food is... and how to meal plan for a family without it coming premade in some form... it's next to impossible. I am fortunate that in the town I live in now a young very beautiful local businesswoman has a business catering to people's health as a Wellness Coach/Cook/Naturopath... she's my Surrogate Mom to a degree.

11 posted on 02/25/2013 5:49:04 PM PST by Rodamala
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To: Rodamala

These days finding a young woman that has half a clue what real food is... and how to meal plan for a family without it coming premade in some form... it’s next to impossible.

&&&
That is so true. I am just appalled at what they give their kids. They are clueless, and they have no desire to improve their skills.

One can learn how to do just about anything on the Internet. There are nutrition sources all over, but, apparently, they just don’t care.


12 posted on 02/25/2013 6:40:22 PM PST by Bigg Red (Restore us, O God of hosts; let your face shine, that we may be saved! -Ps80)
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To: neverdem
Eligible participants were men (55 to 80 years of age) and women (60 to 80 years of age) with no cardiovascular disease at enrollment, who had either type 2 diabetes mellitus or at least three of the following major risk factors: smoking, hypertension, elevated low-density lipoprotein cholesterol levels, low high-density lipoprotein cholesterol levels, overweight or obesity, or a family history of premature coronary heart disease. Detailed enrollment criteria are provided in the Supplementary Appendix, available at NEJM.org. All participants provided written informed consent.

Beginning on October 1, 2003, participants were randomly assigned, in a 1:1:1 ratio, to one of three dietary intervention groups: a Mediterranean diet supplemented with extra-virgin olive oil, a Mediterranean diet supplemented with nuts, or a control diet. Randomization was performed centrally by means of a computer-generated random-number sequence.

Ummm, so they put some fat people middle aged people on a controlled diet for a change and it worked?

Amazing what passes for science these days...

13 posted on 02/25/2013 6:46:14 PM PST by Snickering Hound
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To: neverdem

Wait til they find out that high fat, high protein, extremely low carb diet is the healthiest way to live. The AHA can enjoy being fat and choke on their whole grains.


14 posted on 02/25/2013 6:52:33 PM PST by exit82b
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To: neverdem

The results were fudged. The control study had no controls. Pure garbage. The study was a product of the “Olive Garden” restaurant


15 posted on 02/25/2013 6:53:02 PM PST by batterycommander (a little more rubble, a lot less trouble)
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To: Rodamala
You will note that your mom's diet doesn't include Doritos (red dye), Diet Pepsi (Aspartame), and Margarine (soybean oil).

Good grief. Consuming these things in moderation isn't harmful in any way. These are just more nonsensical scares foisted on an ignorant public by people who know scaring the public can generate lots of money and power.

Soy, is not fit for human consumption, and has compounds that mimic female reproductive hormones (called Phytoestrogens)

I don't think you understand enough about soy and phytoestrogens, otherwise you wouldn't be so fearful. The people of Guam consume more soy per capita than anyone else in the world, and they still enjoy the longest life span of any people on earth.

Raw, unpasteurized dairy products...

Yup, nothing says good health and long life like a warm glass of pathogen ridden raw milk, or cheese rampant with listeria.

16 posted on 02/25/2013 7:53:02 PM PST by Mase (Save me from the people who would save me from myself!)
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To: exit82b

“Wait til they find out that high fat, high protein, extremely low carb diet is the healthiest way to live. The AHA can enjoy being fat and choke on their whole grains.”

Remember Woody Allen’s “Sleeper”? “Have some chocolate and tobacco” - the joke being that in the future, many foods with bad reputations are discovered to have health benefits.


17 posted on 02/25/2013 7:56:42 PM PST by The Antiyuppie ("When small men cast long shadows, then it is very late in the day.")
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To: Mase

Well, Doritos do contain red dye and “dye” sounds like “die”, so you’re wrong!


18 posted on 02/26/2013 2:48:23 AM PST by 1010RD (First, Do No Harm)
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To: The Antiyuppie

You’re right. It would be fairly easy to compare Polish medical records with Greek or Iraqi. Are there major differences in outcomes?


19 posted on 02/26/2013 2:49:53 AM PST by 1010RD (First, Do No Harm)
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To: Mase

I know where my milk comes from.

Enjoy your Soylent Green.


20 posted on 02/26/2013 9:52:40 PM PST by Rodamala ((It's people!))
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To: Rodamala
You may know where your milk comes from but you have no clue as to what’s in it — unless you have a high powered microscope and an advanced education in microbiology. Otherwise, you’re playing Russian roulette with your health. But hey, it’s your right to guzzle dangerous pathogens as you see fit. Good luck with that.
21 posted on 02/27/2013 11:54:38 AM PST by Mase (Save me from the people who would save me from myself!)
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