Mediterranean diet for coronary artery disease

The Mediterranean diet emphasizes eating foods like fish, fruits, vegetables, beans, high-fibre grains and breads, and olive oils. Meat, cheese, and sweets are very limited. These recommended foods are rich with monounsaturated fats, fibre, and omega-3 fatty acids.

Although this diet is similar to the Therapeutic Lifestyle Changes (TLC) diet recommended by the National Cholesterol Education Program (NCEP) of the U.S. National Institutes of Health and the American Heart Association general dietary guidelines, it is not exactly the same. On the Mediterranean diet, an average of 35% of calories can come from fat, mainly from unsaturated oils, such as fish oils, olive oil, and certain nut or seed oils (such as canola, soybean, or flaxseed oil). These types of oils may have a protective effect on the heart.

Initial studies have shown that the Mediterranean diet may reduce the rate of a second heart attack and death in people who adopt the diet following a heart attack.1 Further research is needed, but current studies reinforce the importance of eating a diet rich in fruits, vegetables, fish, and high-fibre breads and whole grains. Furthermore, incorporating a moderate amount of fats from nuts, seeds, and foods high in linolenic acid (such as walnuts, flaxseeds, flaxseed oil, and canola oil) may also help prevent heart disease.2



Author: Douglas Dana
Robin Parks, MS
Last Updated: September 21, 2007
Medical Review: Anne C. Poinier, MD - Internal Medicine
Caroline S. Rhoads, MD - Internal Medicine
Stephen Fort, MD, MRCP, FRCPC - Interventional Cardiology
Robert A. Kloner, MD, PhD - Cardiology
Ruth Schneider, MPH, RD - Diet and Nutrition

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