Embarking on a journey toward better health often begins with a simple diet plan. This article explores various facets of healthy eating, drawing from established dietary approaches and expert recommendations to provide a comprehensive guide for individuals seeking to improve their well-being through mindful nutrition.
Understanding the Mediterranean Diet
The Mediterranean Diet is a way of eating that emphasizes plant-based foods and healthy fats. This approach prioritizes overall eating patterns rather than strict formulas or calculations. This dietary pattern reflects the traditional eating habits of people in Mediterranean countries during the mid-20th century. Researchers have observed a link between these eating patterns and a reduced risk of coronary artery disease (CAD). Healthcare providers often recommend this plan for individuals with heart disease risk factors or to support other aspects of health. A dietitian can provide personalized modifications based on medical history, allergies, and preferences.
Core Components of the Mediterranean Diet
In general, the Mediterranean Diet includes:
- Abundant Consumption of Plant-Based Foods: Lots of vegetables, fruit, beans, lentils and nuts.
- Whole Grains: A good amount of whole grains, like whole-wheat bread and brown rice.
- Healthy Fats: Plenty of extra virgin olive oil (EVOO) as a source of healthy fat.
- Fish: A good amount of fish, especially fish rich in omega-3 fatty acids.
- Dairy in Moderation: A moderate amount of natural cheese and yogurt.
- Limited Red Meat: Little or no red meat, choosing poultry, fish or beans instead of red meat.
- Minimal Sweets: Little or no sweets, sugary drinks or butter.
- Optional Wine: A moderate amount of wine with meals (but if you don’t already drink, don’t start).
Benefits of Adopting the Mediterranean Diet
The Mediterranean Diet has many benefits, including:
- Cardiovascular Health: Lowering your risk of cardiovascular disease, including a heart attack or stroke.
- Weight Management: Supporting a body weight that’s healthy for you.
- Blood Sugar Control: Supporting healthy blood sugar levels, blood pressure and cholesterol.
- Metabolic Health: Lowering your risk of metabolic syndrome.
- Gut Health: Supporting a healthy balance of gut microbiota (bacteria and other microorganisms) in your digestive system.
- Cancer Prevention: Lowering your risk for certain types of cancer.
- Cognitive Function: Slowing the decline of brain function as you age.
- Longevity: Helping you live longer.
Why the Mediterranean Diet Works
The Mediterranean Diet achieves these benefits by:
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- Limiting Unhealthy Fats: It limits saturated fat and trans fat. Eating too much saturated fat can raise your LDL (bad) cholesterol, increasing the risk of plaque buildup in your arteries (atherosclerosis). Trans fat has no health benefits. Both of these “unhealthy fats” can cause inflammation.
- Encouraging Healthy Fats: It encourages healthy unsaturated fats, including omega-3 fatty acids. Unsaturated fats promote healthy cholesterol levels, support brain health and combat inflammation. A diet high in unsaturated fats and low in saturated fat promotes healthy blood sugar levels.
- Limiting Sodium: Eating foods high in sodium can raise your blood pressure, putting you at a greater risk for a heart attack or stroke.
- Limiting Refined Carbohydrates: Foods high in refined carbs can cause your blood sugar to spike. Refined carbs also give you excess calories without much nutritional benefit and often have little or no fiber.
- Promoting Fiber and Antioxidants: These nutrients help reduce inflammation throughout your body. Fiber also helps keep waste moving through your large intestine and helps maintain healthy blood sugar levels. Antioxidants protect you against cancer by warding off free radicals.
The diet's effectiveness lies in the combination of nutrients it provides, working together to support overall health.
Mediterranean Diet Food List
The Mediterranean Diet encourages you to eat plenty of some foods (like whole grains and vegetables) while limiting others. Here are some examples of foods to eat often with the Mediterranean Diet:
- Fresh fruits and vegetables
- Whole grains
- Legumes (beans and lentils)
- Fish
- Nuts
- Extra virgin olive oil (EVOO)
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. Fruit: 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. ½ 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. 1 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. ½ 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. 3 to 4 ounces. Choose fish rich in omega-3s, like salmon, sardines, herring, tuna and mackerel.
- Nuts: At least 3 servings per week. ¼ 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). 3 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). 1 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. 1 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. 3 ounces. Limit to lean cuts, such as tenderloin, sirloin and flank steak.
- Wine (optional): 1 serving per day (females); 2 servings per day (males). 1 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. Varies 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.
Creating a Mediterranean Diet Meal Plan
It’s important to consult with a primary care physician (PCP) or dietitian before making drastic changes to your diet or trying any new eating plan. They’ll make sure your intended plan is best for you based on your individual needs. They may also share meal plans and recipes for you to try at home.
In general, when thinking about meals, you’ll want to collect some go-to options and recipes for breakfasts, lunches, dinners and snacks. The more variety, the better. You don’t want to get stuck in a rut or feel like you’re restricted in which foods you can or should eat. Luckily, there’s plenty of room for changing things up with the Mediterranean Diet.
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Sample Meal Ideas
- Breakfast: Steel-cut oats with fresh berries and ground flaxseed, Whole-grain toast with nut butter and a nutritious smoothie, Greek yogurt topped with fruit and walnuts, or Egg white omelet with fresh, seasonal veggies.
- Lunch: Preparing lunches the day before so they’re ready to pack or grab from the fridge as needed is very convenient.
- Dinner: For some added nutrients and color, throw together a side salad - like a sesame cucumber salad or a fennel, orange and mint salad. To keep things simple, try drizzling mixed greens with a nutritious Mediterranean dressing.
- Snacks: A handful of nuts and seeds (low salt or no salt added), Fresh fruit, ideally local and in-season, Nonfat Greek yogurt and a small piece of dark chocolate (at least 70% cacao), Whole-grain crackers with hummus, or Raw veggies with a nonfat Greek yogurt dip.
Foods to Limit
The Mediterranean Diet doesn’t set hard and fast rules for what you’re allowed or not allowed. Rather, it encourages you to eat more of certain foods and limit others.
Sample 7-Day Meal Plan
Here is a sample 7-day meal plan:
Day 1:
- Breakfast: Combine 3/4 cup bran flakes, 1 banana and 1 cup fat-free milk in a bowl.
- Lunch: Build a pita sandwich with 1 mini whole wheat pita, 3 ounces turkey breast, 1/2 roasted pepper, 1 teaspoon mayo, mustard and lettuce. Serve with 1 stick part-skim mozzarella string cheese and a serving of fruit, like 2 kiwis.
- Dinner:
- Veggie Niçoise Pitas: Packed with hummus, red peppers, chickpeas, and kalamata olives.
Day 2:
- Breakfast:
- Lunch: Heat up 1 cup vegetable soup, and serve with 1 veggie burger on a slice of whole grain and seed toast or an English muffin. Pair with 1 cup of fresh grapes.
- Dinner:
- Barbecue Cutlets with Citrus Slaw: Combine barbecue sauce, Dijon and 1 teaspoon of peeled orange. Or, skip the slaw and combine 2 heaping cups of sautéed spinach with garlic, olive oil and tomatoes and serve with 1/2 plain baked or sweet potato.
Day 3:
- Breakfast: In the microwave, cook 1/2 cup quick-cooking oats with low-fat or unsweetened soy milk. Add 1/2 apple (sliced or chopped), 1 teaspoon honey and a pinch of cinnamon.
- Lunch: To make a chicken salad, toss 4 ounces shredded skinless roast chicken breasts with 1/4 cup sliced red grapes, 1 tablespoon slivered almonds or nuts of choice, 1/4 cup chopped celery, 1 tablespoon mayonnaise and 1 tablespoon plain, unsweetened Greek yogurt. Serve over lettuce. Eat with 1 large piece of multigrain toast.
- Dinner: Serve 4 ounces steamed shrimp with 1 baked potato topped with 3 tablespoons salsa and 1 tablespoon unsweetened Greek yogurt, plus 3 cups spinach, steamed. Finish the meal off with 1 ounce of chocolate or a 100- to 150-calorie ice cream bar.
Day 4:
- Breakfast: Top 1 cup of plain or low-sugar Greek yogurt with 1 cup berries of choice and 1/3 cup low-sugar granola to make a simple but delectable yogurt parfait.
- Lunch: Heat 1 cup tomato soup and serve with a sandwich made with 1 mini whole-wheat pita, 3 ounces thinly sliced roast beef, 1 teaspoon horseradish, mustard, tomato slices and lettuce. Eat with 2 cups raw veggies and 1/4 cup of hummus.
- Dinner: Serve 4 ounces poached salmon with a slaw made by tossing 1 1/4 cups coleslaw mix and 2 sliced scallions with 1 tablespoon of rice vinegar and 1 1/2 teaspoons olive oil. Add spices, herbs and seasoning as desired. Pair with 1 cup of a 100% whole grain, like quinoa.
Day 5:
- Breakfast: Combine 1 cup Cheerios, 1/2 cup berries, 1 tablespoon slivered almonds and 6 ounces plain, unsweetened Greek yogurt in a bowl.
- Lunch:
- Mushroom Quesadillas: Complete the meal with cucumber spears and 1/2 cup 2% cottage cheese or Greek yogurt, topped with 2 clementines.
- Dinner:
Day 6:
- Breakfast: Toast a 100% whole-grain frozen waffle and spread 2 tablespoons nut butter on top. Add 1 small sliced banana, plus cinnamon and nutmeg. Serve with 8 ounces fat-free milk.
- Lunch:
- Healthy Tuna Salad: Serve with 10 baby carrots and 2/3 cup plain, unsweetened Greek yogurt with a small pear.
- Dinner:
- Spicy Sausage Jambalaya: Serviced with 3 cups spinach sautéed with garlic in 1 tablespoon olive oil.
Day 7:
- Breakfast: Layer 1/2 toasted English muffin with 1 ounce reduced-fat sliced cheese, 1 sliced tomato sliced, 1 cup steamed and drained spinach and 1 poached egg. Serve with one grapefruit.
- Lunch: Make black bean salad by tossing 1/2 cup canned black beans, 1/2 cup orange slices, chopped red bell peppers, red onion, scallions and any other desired veggies with 1 teaspoon vinegar.
Simple App
The Simple app will help you reshape your lifestyle by adopting healthy new habits and breaking unhealthy old ones. It focuses on changing your daily routine by adding and breaking habits that can affect your weight. Simple habits, such as eating more fruits and vegetables, not eating while you watch TV, and moving your body for 30 minutes a day, can help you lose weight.
Mayo Clinic Diet
The Mayo Clinic Diet is the official weight-loss program developed by Mayo Clinic experts. The program focuses on eating delicious healthy foods and increasing physical activity. It emphasizes that the best way to keep weight off for good is to change your lifestyle and adopt new habits that you enjoy and can stick with.
Phases of the Mayo Clinic Diet
- Lose It!: This two-week phase is designed to jump-start your weight loss, so you may lose up to 6 to 10 pounds (2.7 to 4.5 kilograms) in a safe and healthy way. In this phase, you focus on lifestyle habits that are associated with weight. You learn how to add five healthy habits, break five unhealthy habits and adopt another five bonus healthy habits.
- Live It!: This phase is a lifelong approach to health. In this phase, you learn more about food choices, portion sizes, menu planning, physical activity, exercise and sticking to healthy habits. You may continue to see a steady weight loss of 1 to 2 pounds (0.5 to 1 kilograms) a week until you reach your goal weight.
Key Principles of the Mayo Clinic Diet
- The Mayo Clinic Diet makes healthy eating easy by teaching you how to estimate portion sizes and plan meals. The program doesn't require you to be precise about counting calories.
- Mayo Clinic experts designed the Mayo Clinic Healthy Weight Pyramid to help you eat foods that are filling but low in calories. Each of the food groups in the pyramid emphasizes health-promoting choices.
- The program recommends getting at least 30 minutes of physical activity every day and even more exercise for further health benefits and weight loss. It provides an exercise plan with easy-to-follow walking and resistance exercises that will help maximize fat loss and boost mental well-being. If you've been inactive or you have a medical condition, talk to your doctor or health care provider before starting a new physical activity program.
- The Mayo Clinic Diet provides a choice of five different eating styles at several calorie levels.
- You can have sweets but no more than 75 calories a day. For practicality, consider thinking of your sweets calories over the course of a week. After that, you transition into the second phase, where you continue to lose 1 to 2 pounds (0.5 to 1 kilograms) a week until you reach your goal weight.
Safety and Considerations
The Mayo Clinic Diet is generally safe for most adults. For most people, eating lots of fruits and vegetables is a good thing - these foods provide your body with important nutrients and fiber. Also, the natural sugar in fruit does affect your carbohydrate intake - especially if you eat a lot of fruit. This may temporarily raise your blood sugar or certain blood fats. If you have diabetes or any other health conditions or concerns, work with your doctor to adjust the Mayo Clinic Diet for your situation. For example, people with diabetes should aim for more vegetables than fruits, if possible.
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Managing Blood Glucose
To better manage your blood glucose (blood sugar), eat at regular times and give your body two to three hours between meals to allow your blood glucose to lower to a desirable level before you eat your next meal. There are seven recognized meal patterns that are recommended for people with diabetes. Work with your health care team to identify the right pattern for you.
The Diabetes Plate
The Diabetes Plate is the easiest way to create healthy meals that can help manage blood glucose. You can create perfectly portioned meals with a healthy balance of non-starchy vegetables, protein, and quality carbohydrates-without any counting, calculating, weighing, or measuring. All you need is a nine-inch plate! The Diabetes Plate can be used with any of the seven recognized meal patterns.
Healthy Snacking
Healthy snacks can be part of your meal plan and help with hunger management between meals. Before you reach for a snack, figure out if you are hungry or thirsty (sometimes being thirsty can make your body think it’s hungry). If thirsty, drink water or a zero-calorie beverage. This can help prevent adding more calories to your day. When you do select a snack, choose healthy options that offer a combination of protein, healthy fats, and fiber, with or without carbohydrates.
The Healthy Eating Plate
Use the Healthy Eating Plate as a guide for creating healthy, balanced meals-whether served at the table or packed in a lunch box.
Key Components of the Healthy Eating Plate
- Healthy Oils: Use healthy oils (like olive and canola oil) for cooking, on salad, and at the table. Limit butter.
- Beverages: Drink water, tea, or coffee (with little or no sugar). Limit milk/dairy (1-2 servings/day) and juice (1 small glass/day).
- Vegetables: The more veggies - and the greater the variety - the better.
- Whole Grains: Eat a variety of whole grains (like whole-wheat bread, whole-grain pasta, and brown rice).
- Protein Power: Fish, poultry, beans, and nuts are all healthy, versatile protein sources-they can be mixed into salads, and pair well with vegetables on a plate.
- Healthy Plant Oils: Choose healthy vegetable oils like olive, canola, soy, corn, sunflower, peanut, and others, and avoid partially hydrogenated oils, which contain unhealthy trans fats. The Healthy Eating Plate encourages consumers to use healthy oils, and it does not set a maximum on the percentage of calories people should get each day from healthy sources of fat.
Environmental Considerations
Just as different foods can have differing impacts on human health, they also have differing impacts on the environment.
Portion Sizes
The Healthy Eating Plate does not define a certain number of calories or servings per day from each food group. The relative section sizes suggest approximate relative proportions of each of the food groups to include on a healthy plate.
Alcohol Consumption
For some people, moderate alcohol consumption can offer health benefits, whereas for others alcohol may pose risks.
Development of the Healthy Eating Plate
The Healthy Eating Plate, created by nutrition experts at the Harvard T.H. Department of Agriculture (USDA)’s MyPlate. The Healthy Eating Plate is based exclusively on the best available science and was not subjected to political or commercial pressures from food industry lobbyists.
Comparison to USDA Guidelines
To see how well the principles embodied in the Healthy Eating Pyramid stacked up against the government’s advice, researchers at the Harvard Chan School of Public Health created an Alternate Healthy Eating Index with a scoring system similar to the USDA’s index. Men who scored highest on the USDA’s original Healthy Eating Index (meaning their diets most closely followed federal recommendations) reduced their overall risk of developing heart disease, cancer, or other chronic disease by 11% over 8 to 12 years of follow-up compared to those who scored lowest. Women who most closely followed the government’s recommendations were only 3% less likely to have developed a chronic disease. In comparison, scores on the Alternate Healthy Eating Index did appear to correlate more closely with better health in both sexes. Men with high scores (those whose diets most closely followed the Healthy Eating Pyramid guidelines) were 20% less likely to have developed a major chronic disease than those with low scores. Women with high scores lowered their overall risk by 11%.
Research Support
A study that tracked 7,319 British civil servants for 18 years found that men and women with the highest scores on the Alternate Healthy Eating Index had a 25% lower risk of dying from any cause, and a 42% lower risk of dying from heart disease, than people with the lowest scores. Another observational study in 93,676 post-menopausal women found that following a Healthy Eating Pyramid-style diet (as measured by adherence to the Alternative Healthy Eating Index) was superior to following a low-fat diet at lowering cardiovascular disease and heart failure risk.