Mediterranean diet vs. American Heart Association Diet

In 1994, the Lyon Heart Study demonstrated a 50-70% reduction in coronary events in participants who followed a diet rich in vegetables, olive oil, fish, nuts, red wine, and enjoyed meals as a family activity. Various other studies have documented similar phenomena with less metabolic syndrome, better lipid patterns, less obesity with the Mediterranean lifestyle.

There are two fundamental differences between the Mediterranean diet and the diet advocated by the American Heart Association (AHA) for people with heart disease: the Mediterranean diet uses olive oil more liberally, such that fat calories can reach 40% of total; and, unlike the AHA diet, processed foods are not a part of the Mediterranean diet. Greeks, for instance, are far less likely to eat Count Chocula cereal for breakfast, or snack on Healthy Choice Premium Caramel Swirl Sandwich (ice cream sandwiches) or Malt-O-Meal Honey Nut Scooters. All three of these foods on listed on the AHA Heart-Check Mark heart-healthy program.

In other words, remove all the processed foods, and the AHA diet pretty closely resembles the Mediterranean diet. There are differences but they tend to be relatively small. If the only major difference is the presence of processed foods, wouldn't you therefore expect the AHA to embrace the Mediterranean diet?

Here's what their official stand on the Mediterranean diet states:

Does a Mediterranean-style diet follow American Heart Association dietary recommendations?

Mediterranean-style diets are often close to our dietary recommendations, but they don’t follow them exactly. In general, the diets of Mediterranean peoples contain a relatively high percentage of calories from fat. This is thought to contribute to the increasing obesity in these countries, which is becoming a concern.



The AHA is actually lukewarm towards the diet that was the first to show a dramatic decrease in heart attack and death. Why?

The answer is obvious, once cast in this light. To wholeheartedly endorse the Mediterranean diet might be seen as an indirect rejection of American processed foods. You know, the foods that have caused an extraordinary and unprecedented epidemic of obesity in the U.S., the foods that are manufactured by ConAgra, General Mills, Kelloggs--all also major financial contributors to the AHA, according to the AHA Annual Report.

I tell my patients: If you want heart disease, follow the American Heart Association diet. In my view, it is a diet founded on politics and money, not on health. How else could Cocoa Puffs be regarded as heart healthy?

Comments (4) -

  • DietKing2

    6/18/2007 1:25:00 PM |

    Hey Doc, leave my Count Chocula and Cocoa Puffs alone, man! Well, at least you didn't go after my beloved Cocoa Pebbles! (This is what I was raised on...wonder why I'm addicted to sugar??)
    I'm just kiddin ya, you know that. It just annoys me when you bring these things to light-the AHA witholding support of a diet (or lifestyle perhaps?) that is obviously so much better than their program. This is a group of supposedly intelligent professionals who you would think would want what's best for the American people as a whole.
    Enjoyed reading this post, but I still wish they'd invent 'Mediterranean Cocoa Pebbles' or something. LOL
    Adam

  • Anonymous

    6/30/2008 12:11:00 AM |

    Uh huh. Now I see what has been going on when my husband has been in the hospital for a 4 in 1 heart procedure (aortic valve replacement, one bypass, MAZE {?} procedure and restructuring of a portion of a heart chamber). I invariably raised my eyebrows at his food tray, but finally flipped out when a breakfast tray had french toast with syrup, Frosted Flakes and apple juice, in addition to eggs, sausage and milk. My husband loved every bit of it because he rarely gets that type of food at home. In fact, Frosted Flakes and their kin are strictly banned in this house since we're both fighting a tendency toward high blood sugar.
    Then there was the hospital version of chicken fried steak, with gravy yet. Pork chop another day, with gravy of course. Plenty of gravy on potatoes and butter for rice and rolls. A turkey sandwich on white bread for an evening snack, with a hefty packet of mayo. Smuckers peanut butter. And on and on I could go.
    I wanted to run through the hospital kitchens screaming, "Are you people nuts? Or are you trying to assure repeat visits?"
    Incidently, this was the "regular" hospital diet which my husband's heart surgeon allows during his patient's recovery period.
    Another week or two of this at home and then he's supposed to buckle down and eat right. Oooookay. But Frosted Flakes are still banned.

  • Anavar

    5/18/2010 11:56:31 AM |

    No diet is necessary if you just change white carbs for whole grains and bad fat for good fat. And weight will be gone for sure. And of course exercise must be included too. No diet is as successful as this.

  • buy jeans

    11/3/2010 7:33:19 PM |

    In other words, remove all the processed foods, and the AHA diet pretty closely resembles the Mediterranean diet. There are differences but they tend to be relatively small. If the only major difference is the presence of processed foods, wouldn't you therefore expect the AHA to embrace the Mediterranean diet?

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When meat is not just meat

When meat is not just meat


The edgy nutrition advocate, Mike Adams, over at NewsTarget.com came up with this scary photo tour of a processed meat product from Oscar Mayer: Mystery Meat Macrophotography: A NewsTarget PhotoTour by Mike Adams







Along with increasingly close-up photographs of this meat-product, Adams lists the ingredients in Oscar Mayer's Cotto Salami:


Beef hearts
Pork
Water
Corn syrup
Beef

Contains less than 2% of:
Salt
Sodium lactate
Flavor
Sodium phosphates
Sodium diacetate
Sodium erythorbate
Dextrose
Sodium nitrite
Soy lecithin
Potassium phosphate
Potassium chloride
Sugar


As I reconsider the role of saturated fat in diet, given the startlingly insightful discussion by Gary Taubes of Good Calories, Bad Calories, I am reminded that not all meat is meat, not all saturated fat sources are equal.

I am concerned in particular about sodium nitrite content, a color-fixer added to cured meats that caused a stir in the 1970s when data suggesting a carcinogenic effect surfaced. The public's effort to remove sodium nitrite from the food supply was vigorously opposed by the meat council and it remains in cured meats like sausage, hot dogs, and processed meats like Cotto Salami. A 2006 meta-analysis (combined analysis of studies) of 63 studies did indeed suggest that sodium nitrite was related to increased risk of gastric cancer. This argument is plausible from animal models of cancer risk, as 40 animal models have likewise suggested the same carcinogenic association.

Also, fructose? This is most likely added for sweetness. Recall that fructose heightens appetite and raises triglycerides substantially.

I personally have a natural aversion to meat. I don't like the taste, the look, smell, and the thought of what the animal went through to make it to the supermarket. But, considered from the cold, carnivorous viewpoint of the question, "Is meat okay to eat?", among the issues to consider is whether the meat has been cured or processed, and does that process include addition of sodium nitrite.

Cotto Salami and similar products are not, of course, what carnivorous humans in the wild ate. This is a processed, modified product created from factory farm animals raised in cramped conditions and fed corn and other cheap, available foods. It is not created from free-ranging animals wandering their pastures or pens, eating diets nature intended. This results in modified fat composition, not to mention hormones and antibiotics added. These are not listed on the ingredients. Wild meat does not contain fructose or color-fixers, either.

So don't mistake "meat" in your grocery store for meat. It might look and smell the same--until you look a little closer.



Copyright 2007 William Davis, MD

Comments (7) -

  • Nancy M.

    12/18/2007 3:04:00 PM |

    Wasn't Good Calories, Bad Calories good?  Man, just what the medical world needs, a good wake-up call into how schlocky their science is (sometimes).  

    Did you finish the book yet?  Parts of it infuriated me at the stupidity and arrogance of people.  And I have to say it is getting harder and harder to have respect for medical "authorities" when you know the horrible science their training was based on, that they don't question the basis for these assumptions yet assume their patients are all idiots.

    I'd love to hear more of your comments on his book if you get a chance to blog about them.

  • MAC

    12/18/2007 3:05:00 PM |

    Would be interested in any comments you have as you "reconsider the role of saturated fat in diet" as a low carb diet appears to be beneficial in raising HDL.

    This research  from Jeff Volek was of interest: Jeff Volek, et al: Low carb diet reduces inflammation and blood saturated fat in Metabolic Syndrome. http://www.sciencedaily.com/releases/2007/12/071203091236.htm

    Also, Cordain makes the case in his FAQ for the Paleo Diet that saturated fat averaged 11% in wild animal carcasses.

  • Ross

    12/18/2007 5:50:00 PM |

    If you're going to buy something like salami, ham, bacon, sausage, or other meat product, the best source is often a deli that makes it on site.  Not only will the salami, ham, or sausage be made with fewer ingredients, but it's much tastier, fresher, and often a similar cost to mass-marketed processed meats.  

    This will not be practical for people everywhere.  Living in LA as I do, there are specialty delis all over the place and it isn't too hard to find locally made sausage, etc.  One alternative would be a deli that takes great pride in presenting the craft-made meat products of a smaller supplier.

    I've actually ignored what might be the best option of all, which is to make it yourself.  Simple ham, proscuitto, bacon, salami, many different kinds of sausage, etc. can all be made in the home with inexpensive tools and (for proscuitto and salami) a decent dry place where they won't be disturbed.  It's also fun!

    But at all costs, avoid anything made by oscar mayer or any other mass produced meat product.  It's all crap.

  • chickadeenorth

    12/20/2007 5:26:00 AM |

    Even Dr Atkins said no meats allowed that are processed or have nitrates, only meats like our ancestors ate, he said it was like "the kiss of death".I don't even considered those types of meat to have sat fats, but poision, they are all part of Franken foods to me, like Snackwell cookies.. If I have sausage I get a local German butcher to make organic elk meat into garlic sausage for us.To me low carb means nutrient dense whole foods.

  • Dr. Davis

    12/20/2007 5:36:00 AM |

    What's frightening is that, whenever I've discussed the Atkins' approach with people doing it on their own, they've virtually always included plentiful cured and processed meats.

    Somehow that part of the message didn't get stressed enough.

  • Dr. Davis

    12/20/2007 5:38:00 AM |

    In response to Nancy's first post:

    I'm embarassed to admit that Taubes was so tremendously unique and entertaining (in a nerdy sort of way) that I've savored each discussion slowly and carefully. So it's literally taken me two months to read his book. But I have enjoyed every word.

  • chickadeenorth

    12/21/2007 7:21:00 AM |

    Yes I think those of us who used the board and forum understood it better and we could call his office and talk to his nurse or leave him a question, lots misconstrued they should eat a lb  bacon a day, He said no nitrates and sat fats under 20 gr a day.I learned his big boo boo was eventually incorporating rungs adding breads, potatoes etc, they are the kiss of death IMHO.

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