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Many health conscious diners expect to sacrifice flavor for what they perceive as "healthy"

Olive oil had the greatest risk-reduction of cardiovascular disease and the low fat, high carbohydrate diet had the least risk-reduction

Recommended Reading List

Etherton, P, et al High monounsaturated fatty acid diets lower both plasma cholesterol and triacylglycerol concentrations 1999 Am J Clin Nutr. 70; 1009-15
Trichopoulou A, et al Cancer and Mediterranean dietary traditions. Cancer Epidemiol Biomarkers Prev 2000;9:869 -73
Triochopoulou A, Mediterranean Diet and Longevity. Br J Nutr 2000, Dec 84 Supp 2: S 205-9
Keys A. Seven Countries: A multivariate analysis of death and coronary heart disease. Cambridge, MA. Harvard University Press, 1980
Feldman EB. Fruits and vegetables and risk of stroke. Nutr Rev 2001; 59:24-7
Michels KB et al. Prospective study of fruit and vegetable consumption and incidence of colon and rectal cancer. J Natl Cancer Inst. 2000; 92:1740-52.

Other Findings

Connie GuttersenMediterranean Cuisines
Just what the customer (and Doctor) ordered.


Fat Is Not Always A Four Letter Word
Taste That's A Shot In The Arm
Monos Can Be Singularly Flavorful

by Connie Guttersen, RD PhD,
author of the Sonoma Diet


Mediterranean cuisine continues to be one of America's favorite culinary experiences. The wide variety of flavors and the simplicity of these dishes have the added benefit of enticing us to use more vegetables, grains and seafood. It's also raised awareness about the value of quality ingredients.

While flavor is definitely what attracts us to this cuisine, it also has the added benefit of being extremely healthy. In fact, Mediterranean food has been shown to reduce the leading causes of death of the US: coronary heart disease and cancer.

Cardiovascular Disease:

 

1 of every 2.4 deaths
949,954 deaths per year
Cancer: 534,310 deaths per year

National Center for Health Statistics, American Heart Association

The health value of the Mediterranean diet was first introduced to us by Ancel Keys during the early 1960s. His Seven Countries Study found that populations in the Mediterranean region not only had the lowest levels of heart disease in the world, but also had lower levels of cancer, diabetes and obesity. The studies concluded that these lower trends of disease were associated with a high intake of olives and nuts (monounsaturated fat) and low intakes of butter and animal fats (saturated fat).

The lesson here is that the type of dietary fat matters more than the actual amount of fat eaten. Another landmark study, The Lyon Trial, also confirmed that same message. In this study, the Mediterranean diet decreased the risk from coronary heart disease by half. This effect was greater than what was seen in other trials that used cholesterol-lowering drugs.

Unfortunately, many Americans today have not yet understood the impact of these studies and instead focus on reducing total fat, without identifying the different types of dietary fat and their varied health effects. From a culinary sense, this has brought some disadvantages with respect to how we prepare foods and view flavorful ingredients. Many health-conscious diners expect to sacrifice flavor for what they perceive as "healthy".


Fat Is Not Always A Four Letter Word
Just how do monounsaturated fats protect against heart disease?


Protective Properties of Monounsaturated Fats
1. Decrease Blood Cholesterol
2. Decrease Low Density Lipoproteins
3. Decrease Blood Triglycerides
4. A source of Antioxidants
5. Decrease Blood Clotting
6. Decrease Elevated Blood Pressure
(click on diagrams for larger view)

In a recent comparison study, Etherton et al. found that diets that contained larger amounts of monounsaturated fat sources (olive oil, peanut oil, peanuts and peanut butter) had much better cardio-protective effects than the conventional American Heart Association Step II diet, which is the low fat, high carbohydrate diet. The monounsaturated diets not only decreased blood cholesterol levels, but also decreased the bad cholesterol known as LDL and blood triglycerides. This occurred without reducing the good cholesterol also known as high-density lipoproteins (HDL). When the data were compared to establish the total effect on risk reduction, the different monounsaturated diets varied in their protective effects. Olive oil had the greatest risk-reduction of cardiovascular disease and the low fat, high carbohydrate diet had the least risk-reduction. The explanation for the differences between the different monounsaturated sources may be related to natural components, such as antioxidants and phytochemicals, which are present prior to processing and refinement.

Taste That's A Shot In The Arm
The American Cancer Society recently published information reflecting the importance of fruits, vegetables and other diet components. They concluded that up to 70% of all preventable cancers and 33% of cancer deaths are attributed to diet. The best cancer fighting foods are vegetables and fruit because they contain powerful antioxidants, phytochemicals and fibers. These are the types of foods found in traditional Mediterranean cuisines, which are characterized by large amounts of vegetables and fruits in accompaniment with large amounts of olive oil and nuts.
(click on diagram for larger view)

The incidence of cancer in the Mediterranean countries is lower than in the Westernized populations, such as the United States. In particular, there are fewer of the types of cancers related to dietary factors, such as large bowel, breast, endometrial and prostate. A recent study by Trichopoulou estimates that up to 25% of the incidence of colorectal cancer, 15% of breast cancer, and 10% of prostrate, pancreas, and endometrial cancers could be prevented if highly westernized countries would change their eating habits to reflect the traditional Mediterranean Diet.

Monos Can Be Singularly Flavorful
(click on diagram for larger view)
These are important findings for food professionals. Many chefs have been led to believe that the emphasis on healthy cooking should be focused solely on reducing the amount of fat in the dish. The cornerstones of healthy cooking are the quality of ingredients, nutrient density in the foods, moderation, variety and balance. The common factor among global healthy cuisines is the large variety of fruits, vegetables, grains and legumes and the lower consumption of animal proteins.

Monounsaturated fats are also important flavor components of these ethnic cuisines. Olives, nuts, avocados, and peanuts are at the cornerstone of flavor and health. If your kitchen prepares calorie-controlled meals, such as spa cuisine, these ingredients can be your major flavor components. A little goes a long way for the flavor of a lean dish. The flavor dynamics of these ethnic cuisines are a result of high quality ingredients and the basic techniques of developing flavor in the cooking process. In the Mediterranean cuisine, this flavor development occurs in the initial steps of cooking. Many of the Mediterranean cuisines feature olive oil as a foundation for flavor. Sauces are another method of complimenting healthy dishes. And the various sauces of the Mediterranean often feature healthier fats, like olives and nuts. These flavorful sauces can be used to complement many dishes such as seafood, pasta, grains, and legumes. Warm White Bean SaladFor a recipe tour of Mediterranean cuisine, why not try our Moroccan Roast Chicken Breast, Mediterranean Chickpea Soup or a Warm White Bean Salad?

 

 

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