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    Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

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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.

38 comments posted

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

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  • May 26, 2009 7:56 p.m.

    With the oceans so polluted I'm not sure that I want to eat fish so often even though I love it. I have heard that one should not consume fish caught off the Oregon coast more than once a month, Washington coast twice a month. Alaska's northern waters okay so far. Perhaps going vegan would be best.

    - Diane Kaufman

  • May 26, 2009 6:34 p.m.

    I am on a food plan for an eating disorder that requires 16 oz veggies at lunch and dinner, fruit at each meal, 1 fat at breakfast, 2 at lunch and 4 at dinner. I feel great strong and I don't eat sugar or anything containing it or any kind of flour. All cravings for sugar and flour are gone by not eating those things. The clarity of mind is significantly better and happiness is way above what it has been when eating these things. Thanks for your information.

    - HReilly

  • May 26, 2009 5:58 p.m.

    I LIVE NOW IN COLOMBIA. S-A--FOR THE PAST FOUR YEARS I HAVE GROWN MY OWN GARDEN VEGETABLES IN AN ORGANIC WAY, NO CHEMICAL FERTILIZERS AND NO FUMIGATION. THERE IS A T.V. CHANNEL THAT PUTS EMPHASIS ON ORGANIC CULTIVES: TVAGRO.COM-SPANISH ONLY. THANK-YOU FOR THE NEWSLETTER.

    - carlota lopez

  • May 26, 2009 5:52 p.m.

    Research indicates that the less fat you consume, the healthier you will be. The fat-free diet profiled by Dr. Esselstyn of the Cleveland Clinic is a plant-based, legume-oriented diet, and it may do a much better job of unclogging arteries than any diet that includes olive oil, dairy, or meats of any kind. Let's hear it for green leafy vegetables!

    - Gene Bammel

  • May 26, 2009 2:43 p.m.

    Dear Jennifer/Katherine: What about the daily cup of wine. Can we eat bread, potatoes and rice?. Thank you.

    - Gustavo Mourraille

  • May 26, 2009 1:25 p.m.

    I have been looking for a good Mediterranean cook book with menus that has LOTS of photos. No luck yet. Do you know of one? Thank you, Stephanie

    - Stephanie Mosqueda

  • May 23, 2009 9:47 a.m.

    "The creators of the Mediterranean Diet Pyramid have just updated it to reflect the latest science." What is that science? I thought all the science was showing that low fat continues to fail on weight loss, CVD and diabetes. Latest science I saw said monounsaturated fat was worse than saturated fat. "For a 5% lower energy intake from SFAs and a concomitant higher energy intake from PUFAs, there was a significant inverse association between PUFAs and risk of coronary events" Jakobsen MU, et al: Major types of dietary fat and risk of coronary heart disease: a pooled analysis of 11 cohort studies. Am J Clin Nutr 2009, 89:1425-1432.

    - rumford

  • May 22, 2009 5:35 p.m.

    All anyone needs to know about the old USDA Food Guide Pyramid is contained in it's name. With all due respect to the fine professionals there, USDA stands for US Department of Agriculture, the same government agency responsible for making loans to, and collecting loan payments from, ranchers and wheat and corn farmers. Not coincidentally, they also issue certain food-based public assistance and school food programs. So, it isn't hard to see the USDA's prime motivation in developing their old pyramid to be keeping government assistance costs down by promoting relatively cheap but nutritionally vacuous tummy-fillers and ensuring the financial stability of the farms that produce them. I, too, would like to see a graphic of the Mediterranean food pyramid, and a citation for the science behind it. I look forward to the day when nutritional and dietary guidance is published by the National Institutes of Health based on sound medical science, not the USDA.

    - Denise

  • May 21, 2009 2:03 p.m.

    I eat mediterranean style because I like it, so no problem there. But I would like very much to see a graphic showing the new pyramid, please, in case I need to adjust anything.

    - Martha Aitchison

  • May 20, 2009 2:54 p.m.

    So in essence, you are saying the USDA Food Guide Pyramid is old science. As Registered Dietitians, I applaud you for stepping out and saying it. The USDA Food Guide Pyramid is based upon VERY old science.

    - Bonnie Minsky, MA, MPH, LDN, CNS

  • May 20, 2009 11:02 a.m.

    I've been eating Mediterranean-style since 2000 or so. That was when the Atkins diet was peaking (again!) and the low-fat eating style was starting to fade. I had done research into various diets since my patients were asking my advice on how to both lose weight and get healthier. The obvious choice was the Mediterranean diet. I've wondered how much of the health benefit derives from the spices common in Mediterranean cuisine: cumin, paprika, turmeric, cinnamon, ginger, coriander, anise, Spanish saffron, lemon,mint, parsley, garlic, dill, pepper, and sumac. I look forward to reading Oldways rationale for adding spices to the pyramid. -Steve Parker, M.D. -Health Lifestyle Blog: http://AdvancedMediterraneanDiet.com/blog/

    - Steve Parker, M.D.

  • May 20, 2009 9:49 a.m.

    Well, ladies, have the pyramids not done enough damage? Take the vegan edition--- I have outlived all of them already on a non-diet , consuming your weekly red meat quota once a day. At 84 all systems Normal! No vitamins, medicines supplements. In order to define obesity I chose to coin a new word ( disease?); Carbohydritis.

    - Hart Oldenburg

  • May 20, 2009 9:31 a.m.

    My husband and I have started eating more chicken and using less salt around 1991. Now I focus on adding more fish, fresh fruits, and olive oil to our meals. Like you, giving up the red meat is difficult for my husband.

    - Joan

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