Mediterranean Diet A Lifesaver 

Study Shows Benefits Of Eating Plan

People who closely follow a Mediterranean diet - one rich in vegetables, grains, and olive oil - live longer than those who do not follow this eating plan, according to a new study reported in the New England Journal of Medicine.

That is the conclusion of a new Harvard University study that found a dramatic reduction in death rates among those who used the diet's guidelines.

Working with a 10-point scale that gauged adherence to the diet, researchers found that an increase of two points on the scale led to a 25 percent reduction in overall death rates. It also led to a 33 percent reduction in deaths from coronary heart disease, and a 24 percent reduction in deaths from cancer.

"Twenty-five percent is a very substantial reduction," says Dr. Dimitrios Trichopoulos, the senior author of the study and a professor in the department of epidemiology at the Harvard School of Public Health.

"It tells you that diet can accomplish that [decreased mortality] over and beyond obesity and everything else," Dr. Trichopoulos says. "This is an important message because there has been doubt about what you can accomplish with diet."

Healthy Approach to an Eating Plan

Dr. Ira Nash, associate professor of medicine at Mount Sinai School of Medicine in New York City, says, "This is more support for a concept that's been emerging: that there's something particularly beneficial about eating in a way that doesn't concentrate on just one dimension of changing the way people eat, but instead promoting a healthy approach to food in general.

"This appears to be a more palatable and sustainable way of eating than a lot of more extreme diets," Dr. Nash says.

The search for a dietary fountain of youth has been underway for centuries. The so-called Mediterranean diet has emerged as a leading contender but, as Dr. Frank Hu of the Harvard School of Public Health states in an accompanying editorial in the journal, "the diet... has been surrounded by as much myth as scientific evidence."

The traditional Mediterranean diet puts the emphasis on vegetables, legumes, fruits, nuts, cereals, and olive oil. It goes light on saturated fats and involves a moderately high intake of fish, a low-to-moderate intake of dairy products, a low intake of meat and poultry, and a regular, albeit moderate, intake of alcohol, mostly in the form of wine at meals.

The new study analyzed the dietary patterns of 22,043 adults in Greece. Each participant was given a detailed questionnaire about 150 foods and beverages commonly consumed in Greece. They were asked to record how frequently they consumed the items and what the portion size was.

The researchers also collected information on physical activity.

The participants, who ranged in age from 20 to 86, were followed for an average of almost four years, during which time there were 275 deaths, 97 from cancer and 54 from heart disease. Those who adhered more closely to the Mediterranean diet were less likely to die, in general, and were less likely to die of coronary heart disease or cancer.

There were no significant associations between individual food groups and total mortality.

"What is intriguing is that they [the researchers] weren't able to find an association with individual foods, so it also speaks to the fact that we really don't know so much about nutrition and the impact of various interactions of foods with one another," Dr. Nash notes.

Mediterranean Plan Easy To Follow

The Mediterranean diet is not that different from guidelines promoted by the American Heart Association, Dr. Nash says, so it should not be too difficult for Americans to follow.

"You can substitute whatever lipids [fats] you use with olive oil," Dr. Trichopoulos suggests. "Consider increasing your consumption of vegetables and legumes, which are important, or you can reduce your consumption of meat. A reduction of a little bit of dairy products will be useful."

But paying attention to types of food is not enough, says Samantha Heller, a senior clinical nutritionist at New York University Medical Center in New York City. "If you eat healthy foods, you still have to watch out for how much you eat," she warns. "It's how much and what you eat."

The other part of the equation is physical activity.

"What we want to say to the public is, follow the guidelines of that diet, which is generally very healthy," Ms. Heller says. "Watch your portion size and move physically. None of this is new. How we get people to do it is the hard part."

Always consult your physician for more information.

Online Resources

(Our Organization is not responsible for the content of Internet sites.)  

American Heart Association

American Psychological Association

Centers for Disease Control and Prevention (CDC) 

HealthierUS.Gov

National Cancer Institute (NCI) Eat 5 to 9 A Day 

National Heart, Lung, and Blood Institute (NHLBI) 

National Institutes of Health (NIH)        

August 2003

Mediterranean Diet A Lifesaver

Healthy Approach to an Eating Plan

Mediterranean Plan Easy To Follow

Depression in Heart Attack Patients Can Improve

Symptoms of Major Depression

Online Resources

Depression in Heart Attack Patients Can Improve

The first major study to evaluate the effects of treating depression and low social support in recent heart attack patients found no reduction in deaths or second heart attacks.

However, study participants showed significant improvement in depression and social functioning.

Results from the Enhancing Recovery in Coronary Heart Disease Patients Study (ENRICHD) are reported in the Journal of the American Medical Association (JAMA). The study was supported by the National Heart, Lung, and Blood Institute (NHLBI).

Dr. Susan Czajkowski, ENRICHD lead investigator and an NHLBI research psychologist, enrolled 2,481 patients within 28 days of a heart attack.

Patients had depression, low social support, or both. After random assignment to a “treatment” or “usual medical care” group, all patients received written information on heart disease risk factors.

The treatment group also received six months of cognitive behavioral therapy. During these sessions, trained counselors provided cognitive therapy, which seeks to modify or eliminate thought patterns contributing to the patient’s symptoms, and behavioral therapy which helps patients change habits.

Some patients received antidepressants.

Survival at 29 months was virtually identical in both groups - 75.9 percent in usual care and 75.8 percent in the treatment group. The risk of death or of a second heart attack was lower among patients who were taking antidepressants, regardless of whether they received counseling.

ENRICHD’s depression/social support findings reveal the benefits of treatment on quality of life.

At six months, depressed patients in the treatment group had a 57 percent reduction in depression versus a 47 percent reduction in the usual care group.

Patients with low social support in the treatment group had a 27 percent improvement in this condition compared to an 18 percent improvement in usual medical care.

According to Dr. Czajkowski, these findings show that treatment can have a significant impact on heart attack patients’ psychosocial functioning.

Always consult your physician for more information.

Symptoms of Major Depression

The following are the most common symptoms of major depression. However, each individual may experience symptoms differently.

Symptoms may include:

Always consult your physician for a diagnosis