Macro partitioning
Adherence to a traditional Mediterranean dietary pattern (rich in vegetables, fruits, nuts, legumes, unrefined cereals, moderate fish/shellfish, and fermented dairy) is associated with reduced all-cause and cardiovascular mortality in primary and secondary prevention of cardiovascular disease.
Adopt a dietary pattern centered on vegetables, fruits, nuts, legumes, and unrefined cereals. Use olive oil as your primary fat source. Include moderate amounts of fish, shellfish, and fermented dairy. Limit red and processed meats. This approach is more effective for long-term cardiovascular health than focusing solely on reducing saturated fat.
The most widely studied diet pattern in relation to cardiovascular health is the ‘Mediterranean’ diet (MedDiet), with multiple studies suggesting this diet pattern is associated with lower all-cause mortality in both primary and secondary prevention of CVD.
Why this rating
Supported by multiple cohort studies and meta-analyses, though RCT evidence for specific components is mixed.
Source
Optimum nutritional strategies for cardiovascular disease prevention and rehabilitation (BACPR)
Tom Butler et al. · Heart · 2020
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