The Mediterranean diet is a healthy-eating plan. It's plant based and incorporates the traditional flavors and cooking methods of the region.
By Mayo Clinic Staff
Looking for a heart-healthy eating plan? The Mediterranean diet might be the right fit.
Interest in the diet began in the 1950s when it was noted that heart disease was not as common in Mediterranean countries as it was in the U.S. Since then, numerous studies have confirmed that the Mediterranean diet helps prevent heart disease and stroke.
The Mediterranean diet is a way of eating that's based on the traditional cuisines of Greece, Italy and other countries that border the Mediterranean Sea.
Plant-based foods, such as whole grains, vegetables, legumes, fruits, nuts, seeds, herbs and spices, are the foundation of the diet. Olive oil is the main source of added fat.
Fish, seafood, dairy and poultry are included in moderation. Red meat and sweets are eaten only occasionally.
Olive oil is the primary source of added fat in the Mediterranean diet. Olive oil provides monounsaturated fat, which lowers total cholesterol and low-density lipoprotein (or "bad") cholesterol levels. Nuts and seeds also contain monounsaturated fat.
Fatty fish, such as mackerel, herring, sardines, albacore tuna and salmon, are rich in omega-3 fatty acids. These polyunsaturated fats help fight inflammation in the body.
Omega-3 fatty acids also help decrease triglycerides, reduce blood clotting, and lower the risk of stroke and heart failure.
Wine is often associated with the Mediterranean diet. It can be included but only in moderation. While alcohol may reduce the risk of heart disease, it has other health risks.
Interested in trying the Mediterranean diet? Get started with these tips:
- Build meals around vegetables, beans and whole grains.
- Eat fish at least twice a week.
- Use olive oil instead of butter in preparing food.
- Serve fresh fruit for dessert.
Living the Mediterranean way also means being physically active and sharing meals with loved ones. Savor the benefits!
Show References
- Mediterranean diet 101 brochure. Oldways Preservation Trust. https://oldwayspt.org/resources/mediterranean-diet-101-brochure. Accessed May 17, 2021.
- Caprara G. Mediterranean-type dietary pattern and physical activity: The winning combination to counteract the rising burden of non-communicable diseases (NCDs). Nutrients. 2021; doi:10.3390/nu13020429.
- What is the Mediterranean diet? American Heart Association. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/nutrition-basics/mediterranean-diet. Accessed May 17, 2021.
- Monounsaturated fat. American Heart Association. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/fats/monounsaturated-fats. Accessed May 17, 2021.
- Duyff RL. Plan smart to eat smart. In: Academy of Nutrition and Dietetics Complete Food and Nutrition Guide. 5th ed. Houghton Mifflin Harcourt; 2017.
- Ellis E. Make it Mediterranean. Academy of Nutrition and Dietetics. https://www.eatright.org/food/planning-and-prep/cooking-tips-and-trends/make-it-mediterranean. Accessed May 17, 2021.
- Rimm EB, et al. Seafood long-chain n-3 polyunsaturated fatty acids and cardiovascular disease: A science advisory from the American Heart Association. Circulation. 2018;138:e35.
- Van Horn L, et al. Recommended dietary pattern to achieve adherence to the American Heart Association/American College of Cardiology (AHA/ACC) guidelines: A scientific statement from the American Heart Association. Circulation. 2016; doi:10.1161/CIR.0000000000000462.
- 2020-2025 Dietary Guidelines for Americans. U.S. Department of Health and Human Services and U.S. Department of Agriculture. https://www.dietaryguidelines.gov. Accessed May 17, 2021.
- Colditz GA. Healthy diet in adults. https://www.uptodate.com/contents/search. Accessed May 17, 2021.
- Rees K, et al. Mediterranean-style diet for the primary and secondary prevention of cardiovascular disease. Cochrane Database of Systematic Reviews. https://www.cochranelibrary.com. Accessed May 17, 2021.
July 23, 2021Original article: https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/mediterranean-diet/art-20047801