A Lowcountry Plate, Mediterranean Style
Based on Estruch et al., Primary Prevention of Cardiovascular Disease with a Mediterranean Diet, New England Journal of Medicine (2018)
What the Mediterranean diet is, the trial showing about 30 percent fewer heart attacks and strokes, its building blocks and how it compares with DASH.
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In this guide
Swap the Fat
- Collards in olive oil and garlic
- Skip the fatback
- A handful of nuts most days
Mediterranean or DASH?
- They overlap a great deal
- DASH adds low-fat dairy, less sodium
- Both are good choices
Keep It Occasional
- Red and processed meat
- Sweets
- Poultry, eggs and cheese in moderation
What the guideline says
- The Mediterranean diet is a way of eating built on vegetables, fruit, beans, whole grains, nuts, olive oil and fish, with less red meat and few sweets.
- In the PREDIMED trial, 7,447 adults aged 55 to 80 at high cardiovascular risk followed a Mediterranean diet supplemented with extra-virgin olive oil or nuts, or a lower-fat control diet.
- Over about five years, the Mediterranean groups had roughly 30 percent fewer major cardiovascular events, such as heart attacks and strokes, than the control group.
- Extra-virgin olive oil is the main cooking fat, with fish and seafood at least twice a week and a handful of nuts most days.
- The DASH eating plan overlaps heavily with the Mediterranean diet and puts extra emphasis on low-fat dairy and less sodium.
This guide is general health information and does not replace advice from your own provider.
Frequently Asked Questions
Cook collards in olive oil and garlic instead of fatback.
In the DASH-Sodium trial, the DASH diet lowered systolic blood pressure more as sodium came down.
Both are good choices. Your provider can help you pick based on your blood pressure, cholesterol and blood sugar.