Mixed
Adherence to a Mediterranean Diet, particularly when supplemented with extra-virgin olive oil or nuts, significantly reduces the incidence of cardiovascular disease events and promotes the regression of metabolic syndrome compared to a low-fat diet.
Adopt a Mediterranean-style diet rich in vegetables, fruits, whole grains, fish, and healthy fats like olive oil and nuts. If you are at high risk for heart disease or have metabolic syndrome, this dietary pattern is clinically proven to reduce cardiovascular events and reverse metabolic issues more effectively than standard low-fat diets. Focus on consistency and quality of fats rather than just calorie counting.
The MD with extra-virgin oil after a median follow-up of 4.8 years, had reduced by 30% the rate of CVD events, whereas the MD with nuts had reduced by 28%, compared with the control group. Moreover the MD, either supplemented with extra virgin olive oil or nuts, was not associated with the onset of MetS but only with its regression [123].
Why this rating
Based on large-scale randomized trials (PREDIMED) and meta-analyses cited, though the paper itself is a review.
Source
Impact of Mediterranean diet on metabolic syndrome, cancer and longevity
Nicola Di Daniele et al. · Oncotarget · 2016
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