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Monday, December 14, 2009

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Why Mediterraneans don’t get fat

I was invited to lecture in Italy and my husband, Mark, tagged along. After my work was done, we hiked a scenic trail and afterward we settled into a small café for a leisurely lunch: a small plate of pasta with pesto, fresh fish drizzled with olive oil and a platter of grilled artichokes and peppers, along with a carafe of the house red. With plenty of exercise, delicious Mediterranean food in reasonable portions and a relaxed pace, I experienced the Mediterranean lifestyle in its home base—and felt wonderful.

Based on the age-old dietary traditions of Crete, Greece and southern Italy, this “diet” or eating pattern, is based on 9 key healthy ingredients, including abundant fruits, vegetables and olive oil, a little meat and daily red wine.

This way of eating not only keeps Mediterraneans lean, it also boasts health benefits:

  • Just last week, the British Medical Journal online published a review that linked the Mediterranean diet with a reduced risk of death and lower risk of developing Parkinson’s and Alzheimer’s diseases—the closer people stuck to the “diet,” the greater the benefit.
  • Another recent study showed the Mediterranean eating pattern helped people lose more weight than a conventional low-fat diet and helped people with diabetes better control their blood-glucose levels.
  • We also know the diet reduces inflammation, a risk factor for heart attack and stroke, and may even ward off depression and lower the risk of developing type 2 diabetes.

Pretty impressive, huh?

Recognizing these many benefits, here are four easy ways to adapt the Mediterranean Diet to your life:

1. Stock your pantry and cook at home. Do your best to cook more and use whole, unprocessed Mediterranean-inspired ingredients, such as canned tomatoes, olives, whole-wheat pasta and frozen vegetables, so you can control portion sizes, salt and calories.

2. Get most of your protein from beans and fish. Swap out some of your meat and get your protein from beans, nuts and other plants. By displacing meat, you’ll lower your saturated-fat intake while adding healthful nutrients, like fiber and antioxidant-rich flavonols. Try to make the focus of the meal whole grains and vegetables and think of meat as a flavoring. Aim to make a plant-based dinner, like EatingWell’s Okra & Chickpea Tagine, once or twice a week.

Okra & Chickpea Tagine

1 pound fresh or frozen okra, stem ends trimmed, cut into 1/2-inch pieces
10 sprigs fresh cilantro, plus more leaves for garnish
2 tablespoons extra-virgin olive oil
1 red bell pepper, finely diced
1 medium onion, finely diced
3 cloves garlic, minced
1/2 teaspoon ground ginger
1/2 teaspoon freshly ground pepper
3 plum tomatoes, diced, or 1 cup drained canned diced tomatoes
1/2 cup vegetable broth or reduced-sodium chicken broth
3/4 teaspoon ground cumin
1 15-ounce can chickpeas, rinsed
3/4 teaspoon salt
1 teaspoon harissa (see Ingredient Note) or hot sauce, or to taste

1. Place a large bowl of ice water next to the stove. Bring a large saucepan of water to a boil. Add okra and cook for 2 minutes. Transfer the okra with a slotted spoon to the ice water. Drain.
2. Tie cilantro sprigs together with kitchen string.
3. Heat oil in a tagine dish set over a heat diffuser or a large saucepan over medium-high heat. Add bell pepper. Cook, stirring, until soft, 2 to 5 minutes. Transfer to a bowl with a slotted spoon.
4. Add onion, garlic, ginger and pepper to the pan. Cook, stirring, until the onion is soft, 3 to 6 minutes. Mix in tomatoes, broth, cumin, the okra, cilantro sprigs and half the bell pepper. Reduce heat to medium; partially cover. Cook, stirring occasionally, until the okra is soft, 10 to 15 minutes. Stir in chickpeas and salt; cook for 4 minutes. Remove from the heat; discard the cilantro sprigs. Stir in harissa (or hot sauce). Serve sprinkled with the remaining bell pepper and cilantro leaves, if desired.

Ingredient note: Harissa is a fiery Tunisian chile paste commonly used in North African cooking. Find it at specialty-food stores, mustaphas.com or amazon.com. Harissa in a tube will be much hotter than that in a jar. You can substitute Chinese or Thai chile-garlic sauce for it.

Makes 6 servings.

Per serving: 136 calories; 6 g fat (1 g sat, 4 g mono); 0 mg cholesterol; 20 g carbohydrate; 5 g protein; 7 g fiber; 443 mg sodium; 389 mg potassium. Nutrition bonus: Vitamin C (80% daily value), Vitamin A (25% dv), Folate (20% dv).

3. Make olive oil your staple fat. Give heart-healthy olive oil as well as other plant-based oils like canola and walnut oil star billing over saturated-fat-laden, LDL-cholesterol-raising butter, lard or shortening—even in baking.

4. Enjoy a glass of wine with meals. Enjoy wine in moderation during meals, never drinking alone outside of the meal and never in excess. Drinking wine increases HDL (good) cholesterol, may help regulate blood sugar and can even help you digest your food and absorb its nutrients. Wines, especially red wines, also deliver a dose of heart-healthy resveratrol.


By Rachel Johnson, Ph.D., M.P.H., R.D., for EatingWell Magazine

Rachel Johnson, EatingWell’s senior nutrition advisor, is dean of the University of Vermont College of Agriculture & Life Sciences.


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From the Community…

Comments 1-10 of 23
  • 2 Damn Defiant's Avatar
    Posted by 2 Damn Defiant Wed Sep 17, 2008 2:22pm PDT

    well look at our diet!!no wonder america is the fattest country on earth FAT and CONTENT!!!!!!

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  • ramona's Avatar
    Posted by ramona Thu Sep 18, 2008 4:40am PDT

    i come from europa never had a problem with my diet , till i got here ,have to work hard to meintain my weight the way it was in europa , its the lifestyle here

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  • Erin's Avatar
    Posted by Erin Thu Sep 18, 2008 6:40am PDT

    What are you supposed to do if you don't like red wine? Seriously, the stuff makes me shudder at every sip. I need a chaser if I'm gonna drink a whole glass.

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  • 's Avatar
    Posted by Thu Sep 18, 2008 7:00am PDT

    I just spent 3 months in US and I saw how hard it is to stick to healthy food. Eating in restaurants is almost forbidden, as the portions are huge and we can even smell so much fat they use - the meals turn out to be a stress instead of enjoyable. Once I order a veggie sandwich and the waitress looked at me like i was ordering some weird thing, like: wow, no meat? and I need to ask several times to please put more of each ingredient, cos obviously for her that was just color addition to the "real" thing.

    And in the supermarkets, I need to read carefully all the ingredients,otherwise I will surely get home with HFCS, enriched and bleached flour mixed in supposedly whole wheat foods, etc. OMG, and even the yogurts have modified corn starch added - it's unbelievable!!! I saw a documentary about the corn business in US, and only by analysing a single hair of a person, they got to the conclusion that americans are made of CORN!!!! And also because the government support that "farm industry", when the farmers themselves do no eat what they grow! Just get the money from it. How ironic is that???

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  • crystal's Avatar
    Posted by crystal Thu Sep 18, 2008 7:42am PDT

    I'd suggest grape juice if you prefer that to wine. I think it's the grapes that are supposed to be good for the heart. but most adults act like once they hit a certain age it's not they aren't allowed to drink juice anymore

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  • TinaH's Avatar
    Posted by TinaH Thu Sep 18, 2008 2:44pm PDT

    I love how you say "use whole, unprocessed Mediterranean-inspired ingredients, such as canned tomatoes... and frozen vegetables."

    Why not use fresh tomatoes you dice up yourself and fresh vegetables that havent been frozen for months?

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  • Alex's Avatar
    Posted by Alex Thu Sep 18, 2008 6:40pm PDT

    You can't get fresh tomatoes year round. Canned tomatoes are actually better because they are picked at the peak of freshness to be canned, not early to be shipped.

    Erin, you should try different types of red wine. There are an abundance of them and you will be able to find one you like and gradually try some "stronger" ones. Letting the wine breathe a bit before you drink it helps too and red wine sucks when it's chilled.

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  • Disgruntled's Avatar
    Posted by Disgruntled Mon Sep 22, 2008 9:19am PDT

    If you live somewhere that doesn't have a Whole Foods or other decent grocery store, canned tomatoes are a good option. All I can find at my local grocery store are bland hard tomatoes. I've made salsa with canned tomatoes and bland fresh tomatoes and my family prefers the canned tomatoes. I buy canned tomatoes by the case because I cook with tomatoes so much. If I can help it my pantry always has chick peas, olives, pasta, olive oil and canned tomatoes. Mediterranean food is by far my favorite.

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  • e g's Avatar
    Posted by e g Mon Sep 22, 2008 11:54am PDT

    i live in the south and visiting chicago. this diet may be good, but i realized the reason we are so heavy in the south is because we don't exercise enough or eat properly. we move slower and are generally spoiled. everywhere we go we have to drive, and theres a parking garage close by. we will drive around a parking lot for 30 minutes to park near the door. lol. in chicago, most places they go, they have to get to a train or a bus. everybody here walk fast and they keep it moving. most of the quick spots to eat are sandwich/salad shops. where i live every sign for food reads supersize for a buck more. i noticed most people we passed were comfortably slim, and tall.

    i said all that to say this, diet and exercise anywhere, are the basis for staying or achieving being lean.

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  • Bradley's Avatar
    Posted by Bradley Mon Sep 22, 2008 12:50pm PDT

    Good stuff i like such as : Beans, avacodos thats (good fat),nuts sun dried tomatoes,rice,salmon, olive oil, mangos goes good as a meal with some sort of good bread for a meal you don't have to do much with on a day where you don't want to cook.

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