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Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.
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Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.
Katherine Zeratsky and Jennifer Nelson
Jennifer K. Nelson, M.S., R.D., L.D., C.N.S.D.
Jennifer Nelson is your link to a better diet. As specialty editor of the Food & Nutrition Center, she plays a vital role in bringing you healthy recipes and meal planning."Nutrition is one way people have direct control over the quality of their lives," she says. "I hope to translate the science of nutrition into ways that people can select and prepare great-tasting foods that help maintain health and treat disease."
A St. Paul, Minn., native, she is certified by the National Board of Nutrition Support Certification, has been with Mayo Clinic since 1978, and is director of clinical dietetics and an associate professor of nutrition at Mayo Clinic College of Medicine.
She leads clinical nutrition efforts for a staff of more than 50 clinical dietitians and nine dietetic technicians and oversees staffing, strategic and financial planning, and quality improvement. Nelson was co-editor of the James Beard Foundation Award-winning "The New Mayo Clinic Cookbook." She has been a contributing author to and reviewer of many Mayo Clinic books, including "Mayo Clinic Healthy Weight for EveryBody," "The Mayo Clinic Family Health Book" and "The Mayo Clinic/Williams Sonoma Cookbook." She contributes to the strategic direction of the Food & Nutrition Center, which includes creating recipes and menus, reviewing nutrition content of various articles, and answering nutrition questions posed to Ask a Specialist.
Katherine Zeratsky, R.D., L.D.
As a specialty editor for the Food & Nutrition Center, Katherine Zeratsky helps you sort through the facts and figures, the fads and the hype to learn more about nutrition and diet.A Marinette, Wis., native, she is certified in dietetics by the state of Minnesota and the American Dietetic Association. She has been with Mayo Clinic since 1999.
She is active in nutrition-related curriculum and course development in pediatrics at Mayo Clinic Rochester and nutrition education related to the physiology and recommended intakes for premature infants.
Other areas of interest include breast milk and formula safety, neonatal feeding, and nutrition for breast-feeding mothers.
She graduated from the University of Wisconsin-Madison, served a dietetic internship at the University of Iowa Hospitals and Clinics, and worked as a registered dietitian and health risk counselor at ThedaCare of Appleton, Wis., before joining the Mayo Clinic staff.
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May 19, 2009
Blog: The new Mediterranean Diet Pyramid
By Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.
A new Mediterranean Diet Pyramid? Was something wrong with the old one? No! The creators of the Mediterranean Diet Pyramid have just updated it to reflect the latest science.
Here's what's new:
- All plant foods — fruits, vegetables, grains, nuts, legumes, seeds, olives and olive oil — are grouped together and form the largest part of the pyramid.
- Herbs and spices are now part of the pyramid. They add flavor and aroma and reduce the need for fat and salt when cooking.
- Fish and shellfish are recommended more often, at least twice a week, in recognition of their unique health benefits.
The pyramid still emphasizes:
- Being physically active and enjoying meals with others as the foundation of a healthy lifestyle.
- Choosing the least processed forms of plant foods. Fresh, raw and lightly cooked vegetables, fruits and whole grains retain fiber and most of their nutrients.
- Using olive oil for cooking, baking, and for dressing salads and vegetables. Extra virgin olive oil is highest in monounsaturated fat and phytonutrients.
- Enjoying cheese and yogurt in moderation — preferably low-fat versions.
- Serving poultry more often than red meat. Lean red meat should be limited to several times a month.
Since the Mediterranean Pyramid was introduced in 1993, extensive research has corroborated the healthfulness of this cuisine, which has demonstrated the highest average life expectancy and the lowest rates of chronic diseases among adults. People have taken notice: Over the past 15 years, many restaurants, cooking shows and cookbooks have embraced this way of meal planning.
Even so, many still struggle with eating red meat only a few times a month. I know I've gradually (sometimes even grudgingly) changed my eating habits to make plant foods the main focus of meals. I now fill at least three-quarters of my plate with vegetables, whole grains and fruit. I'm also eating fish and seafood at least twice a week, choosing low-fat cheese and yogurt, and limiting eggs to once a week.
How have you adjusted your eating habits over the past 15 years? Tell me your stories.
- Jennifer
38 comments posted
November 16, 2009 12:03 a.m.
Nice post, thanks for sharing this wonderful and usefull information with us.
- Jemerin
October 23, 2009 8:37 a.m.
Susan - Your question is interesting - I haven't seen research looking at a gluten-free/Mediterranean diet and health effects. So I can only assume the following: avoiding whole wheat (rye, barley and in some instances oats - and products made with them) is only one part of the Mediterranean diet. The base of the new Mediterranean Pyramid includes vegetables, fruits, legumes (beans), nuts and seeds, olive oil, herbs and spices - and yes whole grains. There are gluten free grains that are whole: brown or wild rice, kasha (buckwheat), quinoa. And I occasionally see whole grain flours made from them. I watch the labels of all grain products and try to pick gluten-free ones with the highest fiber content. My husband has Celiac disease so I too try to incorporate the Mediterranean style approach to eating into our diet. I hope this helps!
- - your blog host, Jennifer
October 20, 2009 7:50 a.m.
Will this diet work if you are gluten intolerant? What can you substitute for whole wheat bread? Cereal, pasta, etc?
- Susan
September 4, 2009 8:49 a.m.
i didn't realise this had a term. i just try to eat healthily generally. the Mediterraneans seem to have got it right with their work ethic and how they eat food. really awesome food in moderation! i occasionally top up my day with some natural health products but thats about it.
- richard
August 29, 2009 9:11 p.m.
I have changed my eating habits over the last 6 years to more meet the standards or make-up of the Mediterranean diet. Luckily I've always enjoyed Greek food having spent some time there in previous years. After three months I started to notice a better feeling of well-being and I lost a significant amount of weight which I think was mostly due to processed food consumption earlier on. I mostly follow the Mediterranean food pyramid to the best of my ability and the best example of that is this I think - http://safe-and-easy-weightloss.com/MedDietPy
ramid.htm From time to time I sway a little but not frequently. I find that the hardest part to follow is ensuring you have access to fresh fish on a regular basis. - Ray
July 20, 2009 11:57 a.m.
We have friends from Israel, plus go to a Temple that has many Middle Eastern members, I have gleaned alot of knowledge from them. Your Pyramid changes are right on, Spicy Fish is a big dish and we love it, it is versatile as far as what Fish to use. Also there are many Eggplant Dishes, just a few Items I have picked up:Salt should be Sea Salt , Spices are key Cumin, Coriander, Paprika, Ground Pepper are super Flavor Enhancers, when it comes to Oil THE BEST extra virgin is a must. Lots of Fresh Tomato Fresh Cilantro and Mint. Garbanzo Beans are a huge source of Protein and are also used Liberally. Meats we use are Ground Turkey Breast, and a bit of Beef Brisket, Chicken Breast are also eaten a lot in this house. We have a Kosher home so easy on the Salt is our rule. I search for Kosher recipes on the web, and keep the ones I like, always using my rule of kitchen....my Kitchen My Dish My Rules!. Be Well
- Jay
June 24, 2009 12:41 p.m.
I HAVE 4TH STAGE BREAST CANCER AND AM DOING WELL. I WONDERED WHAT I COULD DO TO IMPROVE MY CHANCE FOR LIVING LONGER. I BOUGHT THE BOOK,'LIFE AFTER CANCER". THE BOOK FOLLOWS THE MEDITERRANEAN DIET PLAN EXCEPT NO CHICKEN. SOY.DAIRY OR SUGAR. I PRESENTLY, BEGAN THE DIET HOPELY IT WILL HELP ME LIVE LONGER. I FIGURE I HAVE EVERYTHING TO LOSE IF I DO NOT TRY,,,PEACE
- riaclare
June 9, 2009 5:09 p.m.
I just started eating meat after eating only veg and seafood for the last 20 years (as an attempt to eat more protein, especially since so much seafood is unsustainable these days). Now that I've found sources for nonindustrially farmed meat in some restaurants and the farmer's market, I am eating a little more protein but still not that much as I haven't gotten into the habit. My diet will always be simple, clean and mostly plant-based, whether you call that Meditteranean or whatnot. I think it's simply healthy.
- Jean
June 3, 2009 8:09 p.m.
My wife and I do not eat red meats as often. We have switched to sea food mostly with organic buffalo when we want a red meat meal. We eat pork back ribs rarely. More fruit and veg with an empahsis on broccoli helps with fibre. Organic rolled oats for breakfast.
- Arch Hill
June 2, 2009 8:14 a.m.
and what about animal ( saturated )fat? I've heard there are more such fats in that diet without any harm ful effects and even useful
- A-Ahmadi
May 31, 2009 6:24 p.m.
I had to change my diet because of a crazy amount of hormone/endocrine issues, now I am free of gluten, soy and dairy... it has been a true challenge. However, I LOVE to cook, so I decided to change how I approached cooking and that helped me stick to my new dietary needs. In the end I started a website called Nourish This to help others as well... its not always easy but in my case it made such a big difference it was and still is well worth it!
- Kristin
May 31, 2009 2:04 p.m.
3jdkfp I have discovered the glories of cooking bulgur instead of rice and potatoes and have added lots of legumes to my family's diet. It keeps away hunger longer, the fiber helps a lot with constipation and as an added benefit, our blood sugar levels are under control My husband and i have type 2 diabetes so our food choices are so very important.
- andrea
May 31, 2009 11:14 a.m.
If you've ever followed the Weight Watchers diet, this is old news.
- Elda
May 28, 2009 7:37 p.m.
Would like to see pictorial of the pyramid.
- Ike
May 28, 2009 3:13 p.m.
I've been trying to do the usual: more fresh veggies, less red meat, less fat in general, after a very brief Sugar-Busters fling. One thing that's helped me keep on track lately has been using HealthVault to keep track of weight, diet and other info (http://www.healthvault.com/personal/scenario
/lose-weight.html). My doctor has been incredibly supportive, and I like taking an active role in my health. - Rob
May 28, 2009 12:22 a.m.
Being Italian, it always amazes me to read about this "new" trend of eating, which was the way my family always ate. Fesh fruit, fresh vegetables, nuts, Italian cheese, butter, Italian bread, pork, chicken, beef, potatoes, pasta, (and lots of it) e.v.o.o., salad, eggs, ice water, tea, coffee, jello, Italian baked goods, a small garden for herbs and, of course, garlic! We didn't have prepared "boxed" food. Everything was freshly made. There was no "junk" food or pop in the house. A snack would be a chunk of cheese, pepperoni and Italian bread or fruit, or popcorn with butter. No high blood pressure, no heart problems, no diabeties and we weren't overweight. This way of eating has carried throughout my life with some pitfalls along the way..getting trapped into junk food eating at work, which I recently stopped!!! In conclusion, I do believe that people today don't eat properly...and...have little or no physical activity. Children are allowed to much t.v., video games and sitting at the computer. As for adults, I don't understand why so many are overweight. I work full time and every Sunday cook 2-3 meals for the week. It helps so much to come home after work and have a good meal. It's healthier and cheaper than going out too! thanks!!
- laraine
May 27, 2009 4:51 p.m.
One egg a week? Here's in defense of eggs, from Vreni Gurd's Wellness Tips: Slowly the evidence is mounting that there is absolutely no need to be afraid of eating eggs, despite the fact that they are high in cholesterol. Hopefully soon the mainstream medical establishment will go that one step further and acknowledge that there is no association between cholesterol levels and heart disease, as is blatantly obvious in the graph at the end of this entertaining article by Dr. Malcolm Kendrick comparing percent-population with high cholesterol and death rates from CHD in various countries. That said, eating cholesterol does not seem to increase cholesterol levels in the body, and eggs are an extremely nutritious food, so there is no harm in eating them every day if you want to. Hard-boiled eggs can be packed along as a healthy protein snack - much healthier than those processed protein bars that contain a list of chemicals a mile long, and just as convenient, and also much healthier than protein shakes made from protein-isolate. So, enjoy your eggs!
- ana
May 27, 2009 10:32 a.m.
I have always found this quite interesting since the people in Mediterranean countries I have visited in the past and more recently have always enjoyed thier lamb (particularly greece) and pork. I understand also the people in Mediterranean countries and asia are prone to Thallasemia. Perhaps we should aim for a more balance diet. Say two white meat, two fish, one red meat and a couple of veg (eash week) for a proper balance. I also heard that we also need some sunflower oil in our diet is this not the case?
- Pat
May 27, 2009 9:53 a.m.
My comment: Due to borderline/pre-diabetes, I modify the so called Meditarean diet out of necessity by eating more protein- which, yes, tends to be beef, pork, chicken, as well as fish due to IBS interfering with using grains. Any comments? I stick closer to the low carb type diet whenever I can.
- Ellen-Sue
May 27, 2009 9:47 a.m.
A previous writer cited Dr. Esselstyn at Cleveland Clinic. Add his son, Rip, who has some profound things to say about diet (The Engine2 Diet). Their view (along with Dean Ornish) is that meat & the meat industry does not promote health, nor does dairy or eggs (and their industries). Human health comes from plants. The Esselsytns (and many others) have the science on heart patients to back up the return of patient disease indicators to normal and better from a plant based diet. I would suggest to Ms. Nelson & Zeratsky they give the plant based diet a try like I have. Too radical? The taste buds change, weight falls off and all the health indicators become amazing. In regard to those who have good health despite their diet, there is a percentage of the population that is immune to most health problems. They won the genetic lottery. The question is, did you?
- Hal
May 27, 2009 9:10 a.m.
You can see the new Mediterranean Diet Pyramid at: http://www.oldwayspt.org/med_pyramid.html
- MayoClinic.com staff
May 27, 2009 8:39 a.m.
Our biggest adjustments over the last 2 years have been changing where our red meat and eggs come from. We now purchase locally grown, grass fed beef by the 1/2 side, and eggs from local, happy, chickens that run around a field and eat grass and bugs all day. It is difficult to find beef and eggs that are raised in an outdoor space with natural grasses as food, but the omega 3 to omega 6 ratios make the effort well worth it. In America, most of our animals are sick and stressed in huge, confined feed lots that care nothing for them except the bottom line. Is it any wonder we are sick and stressed as well?
- Sherri Naughton
May 27, 2009 8:21 a.m.
Ladies: Where is the actual pyramid?
- Warren
May 27, 2009 12:21 a.m.
6 years ago went thru a quad bypass, 6 weeks later learned 3 of the 4 bypasses were occluded, leaving me with one bypass operational. I also have Type II diabetes, and the daily physical creakinesses of old age (I'm now 73). Diet-wise, I have greatly reduced sugar in diet, use almost no canned sauces, soups, etc. I now eat 3 times as many whole grain foods as before sx, carefully watch ingredients in any prepared foods, rejecting those loaded with with sugar or syrups, sodium, "bad" fats/oil, and so forth. I have greatly reduced my sodium intake. I only use olive and canola oils, stay away from other fats, except I use L/F butter spread @ 50 cals per Tbsp. My diet includes low fat or 1% dairy foods, lots of fresh veggies and fruits. Instead of white rice and white pasta I have switched to brown rice, cornmeal mush (i.e., polenta), baked or boiled in skin potatoes in small amounts, rarely eat white breads, and when I "fall off the wagon", I am right back on it the next day trying to continue eating right, including more poultry & fish, 1 red meat per week, & 3 eggs per week. I also exercise at the heart rehab gym facility, although I am guilty of sometimes not sticking to my goals. I have been doing this for six years, & am still in reasonably good health, I believe because of good diet, medium exercise, medications to help with cardio & diabetes, staying mentally "fit" (being happy vs depressed), and a great cardiolog
- Marilyn Fraser
May 27, 2009 12:18 a.m.
Based on my own experience, the Med Diet Pyramid was the crutch I needed to start a weight reduction program; from 230 to 195pds. In the process I discovered Olive oil and balsamic vinegar on fresh salads which beat the hell out of those Kraft concoctions on the store shelves. The net result: I was able to bring my blood pressure down to a level that I can now control, and excercising is no longer a challenge. Two items: Wild Fish off the northwest coast IS safe to consume - It is fresh halibut season up here and it is literally outstanding, and because of my belief in how healthy I feel, you should see my golf game Now!!
- Warren Sutherland
38 comments posted