The NEW ENGLAND JOURN ALG MEDIEENE,
PERSPECTIVE
The Mediterranean Diet and Mortality —
Olive Oil and Beyond
Trane RH,
The concept ofthe Meterinean cet igiatd
fro the Sven Couies Sidi by Ane
eps inthe 1950 The sy showed that ep
high oak the poplationo hella of
inGreee a ery ater corona at di
case acer pes fener nd had oie
expecta Theta dietary pater pica
of Crete sich ofthe rest of reece, ar seem
Italy ntceaty 18s wer considered belay
responsible rhe gone obsewedn eee
fons. The main cnrceristes ofthe Meiers
nea di (ce gurl incndeanabudaner plan
Too vit, vegetables, whole grat eel te,
an legumes) ole ail x tie pital soe of
ft ih and poly ansaid fo eerate
amount; reli eonsumpon oe et
‘Over the eas, the Meterranea det ha een
prorioed ata mol for healthy etn The et
however, ha been snunded by sch tha
scintiicidence Thetis rage "Meter
tcl Mote ha Seon er the Med
iteranen Sen, and thi cea habs he peso
fool priced and ier entreseary consider
Moree, the dlfenees that Keys absered in
totaly fry coronary ease among sent
populations coldwell beatae eof:
Inghy other Hsteeated toe hae pg
tala
the it clinical evidence in spor ofthe
hich bene ofthe Medleateay tt exe
Frm the Lyon Dit Heat Sy in wih 08 a
tents wha had ads myocardial infarton were
randy assigned ta "Mederaneaneste det
ta cal diet rescming the America Heat
Aesolton Step die. Paents in the Meters
nearsyle~et group were encouraged (0 co
Sue tore rit, vegetables, sl ay oe es
teen andto pace biter and ctenm witha
patine tich in a-tinolenie acid (to mimic the 1-3.
MD. PhD,
content of the traditional Cretan diet). After a
‘mean follow-up 027 months, the rate of coronary
‘events was reduced by 73 percent, and total martal-
ity was reduced by 79 percent in the intervention
row.
More recently, Singh etal. ested an “indo-Med-
iterranean diet” in 1000 patients in tla with ex:
isting coronary disease or at high risk for coronary
disease. As compared with the control det, the fn
tevvention diet — characterized by inereased intake
‘of mustard or soybesa oil, nuts, vegetables, fruits,
and whole grains — reduced the rae of fatal myo:
cardial infaretion by one third and the rate of st
den death from cardiac causes by to th
In this iste ofthe Joursal, Trichopaitlon etal
(pages 2599-2608) report ihe results of a popula
tion-hased study involving 22,043, apparently
Ties ate ex caves, pole
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Daly Phys nay
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