The Mediterranean Diet: A Guide for Women Over 60

The Mediterranean diet is a healthy-eating plan based on the traditional cuisine of countries bordering the Mediterranean Sea. It's more than just a diet; it's a lifestyle that emphasizes plant-based foods, healthy fats, and social connections. For women over 60, this diet offers a multitude of benefits, promoting heart health, cognitive function, and overall well-being.

Understanding the Mediterranean Diet

There's no single, rigid definition of the Mediterranean diet, but its foundation lies in plant-based foods. The Mediterranean diet is a way of eating based on the traditional cuisine of countries bordering the Mediterranean Sea. This includes:

  • Abundant Plant Foods: Fruits, vegetables, whole grains, legumes, nuts, and seeds form the cornerstone.
  • Healthy Fats: Olive oil is the primary source of fat, with nuts and seeds also contributing. These provide unsaturated fats.
  • Moderate Dairy: Dairy products like cheese and yogurt are consumed in moderate amounts.
  • Seafood: Fish, especially fatty fish rich in omega-3 fatty acids, is a key component. Lean fish and shellfish are also included.
  • Poultry and Eggs: These are included in moderation.
  • Limited Red Meat: Red meat consumption is low, replaced by fish, poultry, or beans.
  • Wine (Optional): Red wine is often included in moderation, typically with meals.

The Mediterranean diet encourages you to eat plenty of some foods (like whole grains and vegetables) while limiting others.

Benefits for Women Over 60

Cardiovascular Health

Cardiovascular disease is the leading cause of death for both men and women. The Mediterranean diet is renowned for its heart-healthy benefits. It may lower the risk for cardiovascular disease, stroke, and hypertension. The Lyon Diet Heart Study, a randomized secondary prevention trial, demonstrated a significant 70% reduction in all-cause mortality due to a 73% reduction in coronary heart disease mortality among individuals following a Mediterranean-style diet.

  • Unsaturated Fats: Olive oil and nuts provide unsaturated fats, which may help lower the risk of heart disease by replacing saturated fats.
  • Omega-3 Fatty Acids: Fatty fish like salmon, tuna, and mackerel are rich in omega-3s, unsaturated fats that may lower inflammation, reduce blood fats called triglycerides, and affect blood clotting.
  • Reduced Inflammation: Fruits, vegetables, and omega-3 fatty acids dampen systemic inflammation, including inflammation that can develop inside coronary arteries.
  • Improved Heart Rhythm: This diet may also prevent a cardiac arrhythmia, or abnormal heart rhythm. Fresh fish may play an important role in regulating the heart rate so contractions are strong and regular, which helps the blood flow effortlessly through the coronary arteries, thus reducing the risk of blood clots.

Cognitive Function

Greater adherence to Mediterranean Diet has been related to improved mental depression, age related cognitive decline and Alzheimer’s disease.

Read also: A Review of the Mediterranean Diet in Kidney Disease

The Mediterranean diet's emphasis on whole foods and healthy fats may also benefit cognitive function as you age.

Weight Management

The Mediterranean diet can be helpful for maintaining a healthy weight. While not specifically designed as a weight-loss diet, its focus on whole, unprocessed foods and healthy fats can promote satiety and prevent overeating.

Reduced Risk of Chronic Diseases

Consuming a Mediterranean diet rich in minimally processed plant foods has been associated with a reduced risk of developing multiple chronic diseases and increased life expectancy. The PRIDIMED study was a primary prevention randomized trial on the effects of a Mediterranean diet, supplemented with approximately 1 liter per week of extra-virgin olive oil or 30 g of mixed nuts per day, conducted in 7,447 men and women at high cardiometabolic risk, but with no evident cardiovascular disease at baseline. Data from several randomized clinic trials have demonstrated a beneficial effect in the primary and secondary prevention of cardiovascular disease, type 2 diabetes, atrial fibrillation, and breast cancer.

  • Type 2 Diabetes: The Mediterranean diet has been shown to reduce the incidence of type 2 diabetes.
  • Cancer: Some studies suggest a reduced risk of certain cancers, such as breast cancer and cancers of the upper aerodigestive tract, with greater adherence to the Mediterranean diet.

Enhanced Skin Condition

Foods rich in omega-3 fatty acids, such as salmon and olive oil, are thought to play an important role in collagen production. As people age, collagen production decreases, leaving the skin dry, dehydrated, and thin. Also, many seniors experience severe itching, which is thought to be caused by decreased collagen production and a diminished lipid skin layer. When the Mediterranean diet is followed, skin condition may be enhanced, which may reduce the risk for irritation, itching, and skin breakdown.

Boosts Mood

The vitamins, minerals, and antioxidants in the Mediterranean diet play important roles in preventing depression and anxiety, and they facilitate the release of “feel-good” chemicals known as endorphins. If your loved one experiences depression or other emotional health issues, trying the Mediterranean diet may alleviate the symptoms. While the Mediterranean diet on its own may not eliminate depression or anxiety, it can be an excellent addition to your loved one’s depression treatment plan, which may include medication and psychological therapy.

Read also: Delicious Mediterranean Recipes

Promotes Healthy Joints

People with degenerative joint and bone conditions such as osteoarthritis, osteoporosis, and rheumatoid arthritis may experience less pain and inflammation when following the Mediterranean diet. This diet plan may also relieve morning stiffness while increasing range of motion and mobility. When combined with anti-inflammatory medications and exercise, the Mediterranean diet is an excellent intervention for seniors with chronic pain. It may also help them lose weight so less stress is placed on the joints.

Implementing the Mediterranean Diet

Want to try the Mediterranean diet? Here are some practical tips:

  • Eat More Fruits and Vegetables: Aim for 2 to 3 servings of fruit and four or more servings of vegetables each day.
  • Choose Whole Grains: Switch to whole-grain bread, cereal, and pasta.
  • Use Unsaturated Fats from Plants: Replace saturated fats with olive, canola, or safflower oil in cooking and at the table.
  • Eat More Seafood: Aim for 2 to 3 servings of fish or shellfish per week. Choose fish that are low in mercury.
  • Get Nuts: Eat four servings of raw, unsalted nuts each week.
  • Enjoy Some Dairy: Opt for skim or 1% milk, low-fat cottage cheese, and low-fat Greek or plain yogurt. Limit cheese and higher-fat dairy.
  • Reduce Red and Processed Meat: Eat more fish, poultry, or beans instead. If you eat meat, choose lean cuts and keep portions small.
  • Spice it up: The Mediterranean diet has a lot of flexibility, so you can make it a delicious and nutritious way to eat.

Mediterranean Diet food list

The Mediterranean Diet encourages you to eat plenty of some foods (like whole grains and vegetables) while limiting others. If you’re planning a grocery store trip, you might wonder which foods to buy. Here are some examples of foods to eat often with the Mediterranean Diet.From colorful veggies to crunchy seeds, there's a wide range of nutritious foods to choose from when following a Mediterranean Diet.

Mediterranean Diet serving goals and sizes

A fridge and pantry full of nutritious foods are great for starters. But where do you go from there? How much of each food do you need? It’s always best to talk to a dietitian to get advice tailored to your needs as you get started. The chart below offers some general guidance on serving goals and serving sizes, according to the type of food.

  • Fresh fruits and vegetables: Fruit: 3 servings per day; Veggies: At least 3 servings per day. Serving SizeFruit: ½ cup to 1 cup; Veggies: ½ cup cooked or 1 cup raw. Have at least 1 serving of veggies at each meal; Choose fruit as a snack.
  • Whole grains and starchy vegetables (potatoes, peas and corn): 3 to 6 servings per day. Serving Size½ cup cooked grains, pasta or cereal; 1 slice of bread; 1 cup dry cereal. Choose oats, barley, quinoa or brown rice; Bake or roast red skin potatoes or sweet potatoes; Choose whole grain bread, cereal, couscous and pasta; Limit or avoid refined carbohydrates.
  • Extra virgin olive oil (EVOO): 1 to 4 servings per day. Serving Size1 tablespoon. Use instead of vegetable oil and animal fats (butter, sour cream, mayo); Drizzle on salads, cooked veggies or pasta; Use as dip for bread.
  • Legumes (beans and lentils): 3 servings per week. Serving Size½ cup. Add to salads, soups and pasta dishes; Try hummus or bean dip with raw veggies; Opt for a veggie or bean burger.
  • Fish: 3 servings per week. Serving Size3 to 4 ounces. Choose fish rich in omega-3s, like salmon, sardines, herring, tuna and mackerel.
  • Nuts: At least 3 servings per week. Serving Size¼ cup nuts or 2 tablespoons nut butter. Ideally, choose walnuts, almonds and hazelnuts; Add to cereal, salad and yogurt; Choose raw, unsalted and dry roasted varieties; Eat alone or with dried fruit as a snack.
  • Poultry: No more than once daily (fewer may be better). Serving Size3 ounces. Choose white meat instead of dark meat; Eat in place of red meat; Choose skinless poultry or remove the skin before cooking; Bake, broil or grill it.
  • Dairy: No more than once daily (fewer may be better). Serving Size1 cup milk or yogurt; 1 ½ ounces natural cheese. Choose naturally low-fat cheese; Choose fat-free or 1% milk, yogurt and cottage cheese; Avoid whole-fat milk, cream, and cream-based sauces and dressings.
  • Eggs: Up to 1 yolk per day. Serving Size1 egg (yolk + white). Limit egg yolks; No limit on egg whites; If you have high cholesterol, have no more than 4 yolks per week.
  • Red meat (beef, pork, veal and lamb): None, or no more than 1 serving per week. Serving Size3 ounces. Limit to lean cuts, such as tenderloin, sirloin and flank steak.
  • Wine (optional): 1 serving per day (females); 2 servings per day (males). Serving Size1 glass (3 ½ ounces). If you don’t drink, the American Heart Association cautions you not to start drinking; Talk to your healthcare provider about the benefits and risks of consuming alcohol in moderation.
  • Baked goods and desserts: Avoid commercially prepared baked goods and desserts; Limit homemade goods to no more than 3 servings per week. Serving SizeVaries by type. Instead, choose fruit and nonfat yogurt; Bake using liquid oil instead of solid fats; whole grain flour instead of bleached or enriched flour; egg whites instead of whole eggs.

Sample Meal Plan

Here are some examples of meals you might enjoy.

Read also: Mediterranean Diet, Instant Pot Style

  • Breakfast: Steel-cut oats with fresh berries and ground flaxseed.
  • Lunch: Large salad with leafy greens, grilled chicken, feta cheese, olives, and a lemon vinaigrette.
  • Dinner: Baked salmon with roasted vegetables (broccoli, bell peppers, zucchini) and a side of quinoa.
  • Snacks: A handful of nuts and seeds (low salt or no salt added).

Considerations

  • Protein Intake: Some older adults may need more protein than is typically found in the Mediterranean diet to preserve muscle mass.
  • Mercury Levels: Children and people who are pregnant or breastfeeding may want to limit certain types of fish due to mercury levels.
  • Alcohol Consumption: If you don't already drink, the American Heart Association cautions you not to start drinking.

The changing Mediterranean diet

The problem is that since 1950s, the composition of the Mediterranean diet has changed dramatically, and the quality and quantity of food people eat nowadays, for example in Italy, Greece and Spain, has little to do with the Traditional Mediterranean diet. Consistently the incidence of coronary heart disease and certain cancers, which was very low in those countries, has increased substantially. Probably, other lifestyle factors, such as a dramatic increase in sedentary lifestyle, excessive calorie intake, psychological stress and pollution might have contributed to the increased incidence of these and other chronic diseases in all these Mediterranean countries. However, accumulating data from a combination of epidemiological, human clinical trials, animal and molecular studies indicate that diet remains a key factor in the prevention of cardiovascular disease, obesity, type 2 diabetes and some of the most common types of cancer.

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