Mixed
Adherence to a Mediterranean dietary pattern significantly reduces the risk of major cardiovascular events, all-cause mortality, and coronary heart disease mortality in both primary and secondary prevention populations.
Adopt a Mediterranean-style eating pattern as your default. Fill your plate with vegetables, fruits, legumes, nuts, and whole grains. Use extra virgin olive oil as your primary fat source and eat fatty fish regularly. Limit red meat, sweets, and processed foods. This pattern is proven to significantly lower your risk of heart attack, stroke, and death.
The Prevenci´on con Dieta Mediterr´anea (PREDIMED) study was a primary prevention RCT... Compared to the low-fat diet, both Mediterranean diet patterns were associated with a reduced risk of composite cardiovascular endpoint (MI, stroke, or CV death), with HR 0.69 (0.53–0.91) for the Mediterranean diet+EVOO and HR 0.72 (0.54–0.95) for Mediterranean diet+nuts... In a secondary prevention cohort... higher adherence to a Mediterranean-style diet... was independently associated with a 5% reduction in cardiovascular events
Why this rating
Supported by large-scale RCTs (PREDIMED, Lyon Diet Heart) and extensive observational cohorts.
Source
Practical, Evidence-Based Approaches to Nutritional Modifications to Reduce Atherosclerotic Cardiovascular Disease: An American Society For Preventive Cardiology Clinical Practice Statement
Danielle Belardo et al. · American Journal of Preventive Cardiology · 2022
DOI 10.1016/j.ajpc.2022.100323
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