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What's behind Mediterranean diet and lower cardiovascular risk

44 points| dnetesn | 7 years ago |medicalxpress.com | reply

42 comments

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[+] andrewl|7 years ago|reply
Researchers at the Monell Chemical Senses Center in Philadelphia and the University of Pennsylvania found that extra-virgin olive oil contains an anti-inflammatory agent that acts similarly to how ibuprofen does. They named the substance oleocanthal:

https://www.monell.org/news/news_releases/olive_oil_contains...

So a lot of people in the Mediterranean consume an anti-inflammatory as part of their daily diet. I believe the thinking is that this is part of the lower cardiovascular risk, but not the only factor by any means.

[+] socratis|7 years ago|reply
"The team also explored why and how a Mediterranean diet might mitigate risk of heart disease and stroke by examining a panel of 40 biomarkers, representing new and established biological contributors to heart disease. ... The team saw changes in signals of

* inflammation (accounting for 29 percent of the cardiovascular disease risk reduction)

* glucose metabolism and insulin resistance (27.9 percent),

* and body max index (27.3 percent).

The team also found connections to blood pressure, various forms of cholesterol, branch-chain amino acids and other biomarkers, but found that these accounted for less of the association between Mediterranean diet and risk reduction."

The suggestion from the data being that inflammation and insulin resistance might be more important factors than the usual cholesterol panel that people tend to fixate on.

[+] alchemism|7 years ago|reply
I have friends in Athens, whom I visit. I’ve observed that most of the time they put their virgin olive oil on the food once it is done cooking. When asked about it they claimed that the oil is ‘full of healthy things that turn cancerous when burned.’

They rarely use extra-virgin to cook with, either.

[+] coldtea|7 years ago|reply
Greeks use virgin olive oil (and good quality one, often from some friend/relative in a village making their own) raw on top of salads, bread, and other stuff. Raw oil is also common over grilled fish and such.

They do use it to cook all the time, in soups, stews, oven foods, pasta, meats, fish, etc.

Often, however, they'll fry french fries) with some other oil like sunflower. But many still fry with olive oil as well, and usually consider it better.

"In fact, olive oil may be one of the better oils to fry with. "Smoke points tend to increase with olive oil quality, as the free fatty acid content tends to decrease and the antioxidant content increases," explained Rachel Adams, a health science professor at Cardiff Metropolitan University in the U.K. "The high antioxidant content of olive oil could even reduce the amount of harmful chemicals produced during cooking," Adams told The Conversation. According to the Cleveland Clinic, flaxseed oil has a low smoking point, meaning you really shouldn't heat it up. Light olive oil, by comparison, has a high smoking point, meaning you can make it pretty hot. If you're going to deep fry, light refined olive oil is a good way to go. Extra virgin olive oil and canola oil are more in the middle – you can stir fry or bake with them, but don't deep fry. "Bottom line – if you cook at high heat, stick with refined olive oil," Berkowitz explained. "Medium temperature on most stoves is 250-350, which even extra virgin olive oil can handle. But high temp cooking or frying deserves high smoke point oils."

[+] aero142|7 years ago|reply
Extra virgin olive oil is the first press oil. It contains particulates that have a very low smoke point. You should not be cooking with extra virgin olive oil. Pure olive oil is a later hot press extraction and does not have the particulates. It has a much higher smoke point. Im not convinced that US stores are actually selling extra virgin olive oil anyway outside of specialty shops. Olive oil is supposed to be fresh and should taste spicy at first.
[+] mrfusion|7 years ago|reply
I’ve always wondered if Americans can follow the Mediterranean diet with all the reports of our olive oil being conterfiets.
[+] daphneokeefe|7 years ago|reply
Look for olive oil from California. It's really only olive oil.
[+] alchemism|7 years ago|reply
Just avoid Italian oil unless you know the source / trust the distributor. Spanish and Greek oils are better, in general.
[+] yboris|7 years ago|reply
Here's a simple trick to avoid cardiovascular risk: any diet that reduces the amount of meat people consume. Overwhelming majority of Americans eat too much meat (with respect to health), so any diet that has less meat in it will on average improve their health. No surprise: https://nutritionfacts.org/2018/02/06/how-healthy-is-the-med...
[+] InGodsName|7 years ago|reply
What if it's not diet.

I read somewhere that Silicy has higher life expectancy although it's poor (probably worse healthcare) in comparison to North Italy.

Maybe it's not diet but the family values? Maybe being family focused increases life expectancy despite having not superior diet.

[+] entity345|7 years ago|reply
You are assuming that poorer means worse diet.

That is simply not true at all in relation to having a healthy diet, and the opposite is perhaps true.

In many places the traditional diet is healthy. Then, when people become richer they eat more, eat more meat, more fat, more sugar, more processed food, etc., and obesity and cardiovascular diseases shoot up.

[+] iagooar|7 years ago|reply
What if it's the lifestyle? You certainly feel more relaxed when living in Italy or Spain, people seem to prioritize a simple life full of social interactions. Work is something one needs to do, but does not get obsessed with. Talking from my own experience.
[+] melling|7 years ago|reply
They are studying women in the US on the diet. I suppose they could consider other factors:

“A new study by investigators from Brigham and Women's Hospital, Harvard Medical School, and the Harvard T.H. Chan School of Public Health offers insights from a cohort study of women in the U.S. who reported consuming a Mediterranean-type diet. Researchers found a 25 percent reduction in the risk of cardiovascular disease among study participants who consumed a diet rich in plants and olive oil and low in meats and sweets.”

[+] sparrc|7 years ago|reply
It might be that a 'poorer' diet can be better. Reason being that they use more raw foods rich in fiber rather than processed flour, sugar, oil, etc.

See research on the Okinawan diet. People there had the some of the longest lifespans ever recorded and they ate mostly potatoes (albeit a very nutritious variety of purple sweet potato).

Today Okinawa is rich, there are 3 KFCs on the island, and their lifespan has declined.

[+] scottlocklin|7 years ago|reply
Stats on this kind of thing are certainly difficult. What if the med diet effect is from something like fasting?
[+] yardie|7 years ago|reply
Sicily’s main industry is agriculture. So it is poorer financially because most are employed as manual labor. Diet wise it’s very hard to eat poorly. Fresh food is abundant and eating processed, frozen foods is considered a luxury.
[+] mrfusion|7 years ago|reply
It could be as simple as they do more walking. Or walk after meals.
[+] bobthepanda|7 years ago|reply
Could another factor be physical activity? The extent of many Americans' physical activity is walking from the car to the entrance of a building; the fad goal of 10,000 steps is fairly trivial to hit if you walk to work or use transit on a regular basis.

Survey from NYC comparing exercise by primary modes of transportation: https://www1.nyc.gov/assets/doh/downloads/pdf/epi/PAT-survey...

[+] jorvi|7 years ago|reply
I always feel apprehensive about ‘region X’s diet is the healthiest’ articles. To me, the strongest example for this is the Japanese diet. Whilst their diet is healthy in many ways, it also raises your risk for stomach cancer by quite a lot.
[+] blunte|7 years ago|reply
I agree that I think that diet is one significant part of a (probably complex) equation - not a single deciding factor.

But regarding Japanese stomach cancer... if you're saying they get stomach cancer more than others because of their diet, how do they still live so long? Do they also have a secret way of beating the cancer so it doesn't cut their lives short?

[+] personjerry|7 years ago|reply
Mediterranean countries also have some of the worst economies. Could this also be related to diet? (I ask this as a legitimate question, not as an attack on Mediterranean countries)
[+] muxator|7 years ago|reply
Hardly.

It has more to do with gastronomical culture, I think. In Italy, for example, eating quality food is _important_, it is something people care about and actively look for.

This has a low correlation with social or economical status, is something deeper, something that people learn to do since kids, looking at their parent's behavior, going with them at the market and learning how to choose good ingredients, spending time cooking.

[+] kkapelon|7 years ago|reply
I think the high usage of olive oil overshadows everything else. Also I don't think that France or Italy have the "worst" economy.
[+] antidesitter|7 years ago|reply
Worst economies relative to what? Certainly not on a global scale.
[+] spacecity1971|7 years ago|reply
Valter Longo’s research has a good explanatory framework for this effect. For an introduction, The Longevity Diet (2016) is worth a read.
[+] whitepoplar|7 years ago|reply
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[+] qnsi|7 years ago|reply
I think they don't mean people in Mediterranean, but people following Mediterranean diet - frequently advised for heart health