Research
Macro partitioning
Adherence to a Mediterranean dietary pattern significantly reduces the risk of coronary heart disease, an association supported by both strong observational evidence and randomized controlled trials.
Adopt a Mediterranean-style diet by prioritizing vegetables, fruits, nuts, whole grains, and healthy fats (like olive oil) while limiting saturated fats. This pattern is strongly linked to a reduced risk of heart disease in both long-term observational studies and clinical trials.
StrongSupportsHIGH confidence
Strong evidence supports valid associations (4 criteria satisfied) of protective factors, including intake of vegetables, nuts, and 'Mediterranean' and high-quality dietary patterns with CHD... Among the dietary exposures with strong evidence of causation from cohort studies, only a Mediterranean dietary pattern is related to CHD in randomized trials.
Why this rating
The review identifies this as having 'Strong evidence' based on 4/4 Bradford Hill criteria and confirmation in RCTs.
Source
A Systematic Review of the Evidence Supporting a Causal Link Between Dietary Factors and Coronary Heart Disease
Andrew Mente et al. · Archives of Internal Medicine · 2009
Meta-analysis · 189 studiesCited 1,280×
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