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V.C.1 - The Mediterranean (Diets and Disease Prevention)

from V.C - The History and Culture of Food and Drink in Europe

Published online by Cambridge University Press:  28 March 2008

Kenneth F. Kiple
Affiliation:
Bowling Green State University, Ohio
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Summary

The basic elements of healthful diets are well established (USDHHS 1988; National Research Council 1989; USDA/USDHHS 1995). They provide adequate amounts of energy and essential nutrients, reduce risks for diet-related chronic diseases, and derive from foods that are available, affordable, safe, and palatable. A very large body of research accumulated since the mid-1950s clearly indicates that healthful diets are based primarily on fruits, vegetables, and grains, with smaller quantities of meat and dairy foods than are typically included in current diets in the United States and other Western countries (James 1988; USDHHS 1988; National Research Council 1989).

Throughout the course of history, societies have developed a great variety of ways to combine the foods that are available to them (as a result of geography, climate, trade, and cultural preferences) into characteristic dietary patterns. In some areas, typical diets have developed patterns so complex, varied, and interesting in taste that they have come to be identified as particular cuisines. Some of these, most notably those of Asia and the Mediterranean, seem to bless the populations that consume them with substantially lower levels of coronary heart disease, certain cancers, diabetes mellitus, and other chronic diseases than those suffered by other peoples. Consequently, such apparent relationships between cuisines and health have created much interest in traditional dietary patterns.

Illustrative is the current interest in Mediterranean diets that has been stimulated by the unusually low levels of chronic diseases and the longer life expectancies enjoyed by adults residing in certain regions bordering the Mediterranean Sea (WHO 1994). context of those factors usually associated with disease prevention in industrialized countries, such as educational levels, financial status, and health-care expenditures. Indeed, the percentages of those who are poor in Mediterranean regions are often quite high relative to those of more developed economies (World Bank 1993). To explain this paradox, researchers have focused on other lifestyle characteristics associated with good health, and especially on the various constituents of the typical Mediterranean diet.

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Publisher: Cambridge University Press
Print publication year: 2000

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References

Alberti-Fidanza, A., Paolacci, C. A., Chiuchiù, M. P., et al. 1994. Dietary studies on two rural Italian population groups of the Seven Countries Study. 1. Food and nutrient intake at the thirty-first year follow-up in 1991. European Journal of Clinical Nutrition 48.Google ScholarPubMed
Allbaugh, L. G. 1953. Crete: A case study of an undeveloped area.Princeton, N.J.CrossRefGoogle Scholar
Buzzard, I. M., and Willett, W. C., eds. 1994. First international conference on dietary assessment methods: Assessing diets to improve world health. American Journal of Clinical Nutrition 59 (Supplement).Google Scholar
Cannon, G. 1992. Food and health: The experts agree. London.Google Scholar
Cresta, M., Ledermann, S., Garnier, A., et al. 1969. Étude des consommations alimentaires des population de onze régions de la Communauté Européenne en vue de la détermination des niveaux de contamination radioactive. Rapport établi au Centre d'étude Nucléaire de Fontenay-aux-Roses, France EUR 4218 f. Bruselles.Google Scholar
Darby, W. J., Ghalioungui, P., and Grivetti, L.. 1977. Food: The gift of Osiris. 3 vols. London.Google Scholar
Dwyer, J. T. 1994. Vegetarian eating patterns: Science, values, and food choices – where do we go from here? In Second International Congress on Vegetarian Nutrition: Proceedings of a symposium held in Arlington, Virginia, June 28–July 1, 1992, ed. Johnston, P. K.. American Journal of Clinical Nutrition 59 (Supplement).CrossRefGoogle Scholar
,FAO (Food and Agriculture Organization of the United Nations). 1991. Food balance sheets, 1984–1986 average. Rome.
Ferro-Luzzi, A., and Branca, F.. 1995. The Mediterranean diet, Italian style: Prototype of a healthy diet. American Journal of Clinical Nutrition 61 (Supplement).CrossRefGoogle ScholarPubMed
Ferro-Luzzi, A., and Sette, S.. 1989. The Mediterranean diet: An attempt to define its present and past composition. European Journal of Clinical Nutrition 43.Google ScholarPubMed
Fidanza, F. 1979. Diets and dietary recommendations in ancient Greece and Rome and the school of Salerno. Progress in Food and Nutrition Science 3.Google ScholarPubMed
Gerrior, S. A., and Zizza, C.. 1994. Nutrition content of the U.S. food supply, 1909–1990. U.S. Department of Agriculture Home Economic Research Report No. 52. Hyattsville, Md.Google Scholar
Giacco, R., and Riccardi, G.. 1991. Comparison of current eating habits in various Mediterranean countries. In The Mediterranean diets in health and disease, ed. Spiller, G. A.. New York.Google Scholar
Giacosa, A., and Hill, M. J., eds. 1993. The Mediterranean diet and cancer prevention: Proceedings of a workshop organized by the European Cancer Prevention Organization and the Italian League Against Cancer, Cosenza, Italy, June 28–30, 1991. Andover, England.Google Scholar
Giacosa, A., Merlo, F., Visconti, P., et al. 1993. Mediterranean diet: An attempt at a clear definition. In The Mediterranean diet and cancer prevention: Proceedings of a workshop organized by the European Cancer Prevention Organization and the Italian League Against Cancer, Cosenza, Italy, June 28–30, 1991, ed. Giacosa, A. and Hill, M. J.. Andover, England.Google Scholar
Gifford, K. D., Drescher, G., and Jenkins, N. H., eds. 1993. Diets of the Mediterranean: A summary report of the 1993 International Conference on the Diets of the Mediterranean, Cambridge, Massachusetts, January 20–23, 1993. Boston, Mass.Google Scholar
Goldstein, J. 1994. Mediterranean the beautiful: Authentic recipes from the Mediterranean lands. New York.Google Scholar
Grieco, A. J. 1993. Olive tree cultivation and the alimentary use of olive oil in late medieval Italy (ca. 1300–1500). In Oil and wine production in the Mediterranean area, ed. Amouretti, M.-C. and Brun, J.-P.. Bulletin de Correspondance Hellenique (Supplement 26). Paris.Google Scholar
Gussow, J. D. 1994. Ecology and vegetarian considerations: Does environmental responsibility demand the elimination of livestock? In Second International Congress on Vegetarian Nutrition: Proceedings of a symposium held in Arlington, Virginia, June 28–July 1, 1992. American Journal of Clinical Nutrition 59 (Supplement).Google Scholar
Gussow, J. D. 1995. Mediterranean diets: Are they environmentally responsible?American Journal of Clinical Nutrition 61 (Supplement).CrossRefGoogle ScholarPubMed
Haddad, E. H. 1994. Development of a vegetarian food guide. In Second International Congress on Vegetarian Nutrition: Proceedings of a symposium held in Arlington, Virginia, June 28–July 1, 1992. American Journal of Clinical Nutrition 59 (Supplement).Google Scholar
Hamlin, S. 1994. Mediterranean madness. The Washington Post, June 8.Google Scholar
Heimendinger, J., and Duyn, M. A. S.. 1995. Dietary behavior change: The challenge of recasting the role of fruits and vegetables in the American diet. American Journal of Clinical Nutrition 61 (Supplement).CrossRefGoogle ScholarPubMed
Helsing, E. 1995. Traditional diets and disease patterns of the Mediterranean circa 1960. American Journal of Clinical Nutrition 61 (Supplement).CrossRefGoogle ScholarPubMed
Helsing, E., and Trichopoulou, A., eds. 1989. The Mediterranean diet and food culture – a symposium. European Journal of Clinical Nutrition 43.Google Scholar
Hurley, J., and Liebman, B.. 1994. When in Rome…. Nutrition Action Healthletter 21.Google Scholar
James, W. P. T. 1988. Healthy nutrition: Preventing nutrition-related diseases in Europe. Copenhagen.Google Scholar
Jamison, D. T., and Mosley, W. H.. 1991. Disease control priorities in developing countries: Health policy responses to epidemiological change. American Journal of Public Health 81.CrossRefGoogle ScholarPubMed
Jenkins, N. H. 1994. The Mediterranean diet cookbook: A delicious alternative for lifelong health. New York.Google Scholar
Johnston, P. K., ed. 1994. Second International Congress on Vegetarian Nutrition: Proceedings of a symposium held in Arlington, Virginia, June 28–July 1, 1992. American Journal of Clinical Nutrition 59 (Supplement).Google Scholar
Kafatos, A., Kouroumalis, I., Vlachonikolis, I., et al. 1991. Coronary-heart-disease risk-factor status of the Cretan urban population in the 1980s. American Journal of Clinical Nutrition 54.CrossRefGoogle ScholarPubMed
Keys, A. 1995. The Mediterranean diet and public health: Reflections. American Journal of Clinical Nutrition 61 (Supplement).CrossRefGoogle ScholarPubMed
Keys, A. ed. 1970. Coronary heart disease in seven countries. Circulation 41.Google Scholar
Keys, A., Aravanis, C., Blackburn, H., et al. 1980. Seven countries: A multivariate analysis of death and coronary heart disease. Cambridge, Mass.CrossRefGoogle Scholar
Keys, A., Fidanza, F., Scardi, V., et al. 1954. Studies on serum cholesterol and other characteristics on clinically healthy men in Naples. Archives of Internal Medicine 93.CrossRefGoogle ScholarPubMed
Keys, A., and Keys, M.. 1959. Eat well and stay well. New York.Google Scholar
Keys, A., and Keys, M.. 1975. How to eat well and stay well the Mediterranean way. New York.Google Scholar
Kromhout, D., Keys, A., Aravanis, C., et al. 1989. Food consumption patterns in the 1960s in the seven countries. American Journal of Clinical Nutrition 49.CrossRefGoogle ScholarPubMed
Kromhout, D., Menotti, A., and Blackburn, H., eds. 1994. The Seven Countries Study: A scientific adventure in cardiovascular disease epidemiology. Utrecht, the Netherlands.Google Scholar
Kummer, C. 1993. The Mediterranean diet. Self (July).Google Scholar
Kushi, L. E., Lenart, E. B., and Willett, W. C.. 1995a. Health implications of Mediterranean diets in the light of contemporary knowledge. 1. Plant foods and dairy products. American Journal of Clinical Nutrition 61 (Supplement).Google Scholar
Kushi, L. E., Lenart, E. B., and Willett, W. C.. 1995b. Health implications of Mediterranean diets in the light of contemporary knowledge. 2. Meat, wine, fats, and oil. American Journal of Clinical Nutrition 61 (Supplement).Google Scholar
LaVecchia, C., Lucchini, F., Negri, E., et al. 1993. Patterns and trends in mortality from selected cancers in Mediterranean countries. In The Mediterranean diet and cancer prevention: Proceedings of a workshop organized by the European Cancer Prevention Organization and the Italian League Against Cancer, Cosenza, Italy, June 28–30, 1991, ed. Giacosa, A. and Hill, M. J.. Andover, England.Google Scholar
Levenstein, H. 1985. The American response to Italian food, 1880- 1930. Food and Foodways 1.CrossRefGoogle Scholar
Levenstein, H. A., and Conlin, J. R.. 1990. The food habits of Italian immigrants to America: An examination of the persistence of a food culture and the rise of “fast food” in America. In Dominant symbols in popular culture, ed. Browne, R. B., Fishwick, M. W., and Browne, K. O.. Bowling Green, Ohio.Google Scholar
Mertz, W. 1992. Food intake measurements: Is there a “gold standard”?Journal of the American Dietetic Association 92.Google Scholar
,National Research Council. 1948. Recommended dietary allowances. Revised edition. Washington, D.C.
,National Research Council. 1989. Diet and health: Implications for reducing chronic disease risk. Washington, D.C.
Nestle, M. 1993. Food lobbies, the food pyramid, and U.S. nutrition policy. International Journal of Health Services 23.CrossRefGoogle ScholarPubMed
Nestle, M. 1995a. Dietary guidance for the 21st century: New approaches. Journal of Nutrition Education 27.CrossRefGoogle Scholar
Nestle, M. 1995b. Mediterranean diets: Historical and research overview. American Journal of Clinical Nutrition 61 (Supplement).CrossRefGoogle Scholar
Nestle, M. 1995. Mediterranean diets: Science and policy implications. American Journal of Clinical Nutrition 61 (Supplement).Google Scholar
O'Brien, P. 1995. Dietary shifts and implications for U.S. agriculture. American Journal of Clinical Nutrition 61 (Supplement).Google ScholarPubMed
,OECD (Organization of Economic Cooperation and Development). 1991. Food consumption statistics, 1979–88. Paris.
Serra-Majem, L., and Helsing, E., eds. 1993. Changing patterns of fat in Mediterranean countries. European Journal of Clinical Nutrition 47 (Supplement).Google Scholar
Seymour, T. D. 1907. Life in the Homeric age. New York.Google Scholar
Shulman, M. R. 1989. Mediterranean light: Delicious recipes from the world’s healthiest cuisines. New York.Google Scholar
Simopoulos, A. P. 1995. The Mediterranean food guide: Greek column rather than an Egyptian pyramid. Nutrition Today 30.CrossRefGoogle Scholar
Spiller, G. A., ed. 1991. The Mediterranean diets in health and disease. New York.CrossRefGoogle Scholar
Trichopoulou, A., Katsouyanni, K., and Cnardellis, C.. 1993. The traditional Greek diet. European Journal of Clinical Nutrition 47 (Supplement 1).Google ScholarPubMed
Trichopoulou, A., Katsouyanni, K., Stuver, S., et al. 1995. Consumption of olive oil and specific food groups in relation to breast cancer risk in Greece. Journal of the National Cancer Institute 87.CrossRefGoogle Scholar
Trichopoulou, A., Toupadaki, N., Tzonou, A., et al. 1992. The macronutrient composition of the Greek diet: Estimates derived from six case-control studies. European Journal of Clinical Nutrition 47.Google Scholar
,USDA (U.S. Department of Agriculture). 1968. Food consumption, prices, and expenditures. Agriculture Economic Report No. 138. Washington, D.C.
,USDA (U.S. Department of Agriculture). 1992. The food guide pyramid. Home and Garden Bulletin No. 252. Hyattsville, Md.
,USDA/USDHHS (U.S. Department of Agriculture and U.S. Department of Health and Human Services). 1995. Nutrition and your health: Dietary guidelines for Americans. Fourth edition. Washington, D.C.
,USDHHS (U.S. Department of Health and Human Services). 1988. The surgeon general’s report on nutrition and health. Washington, D.C.
Varela, G., and Moreiras, O.. 1991. Mediterranean diet. Cardiovascular Risk Factors 1.Google Scholar
Vermeule, E. 1964. Greece in the Bronze age. Chicago.CrossRefGoogle Scholar
Verschuren, M., Jacobs, D. R., Bloemberg, Bennie P. M., et al. 1995. Serum total cholesterol and long-term coronary heart disease mortality in different cultures: Twentyfive-year follow-up of the Seven Countries Study. Journal of the American Medical Association 274.
Vickery, K. F. 1936. Food in early Greece. Illinois Studies in Social Sciences 20.Google Scholar
Wells, C. 1975. Prehistoric and historical changes in nutritional diseases and associated conditions. Progress in Food and Nutrition Science 1.Google ScholarPubMed
,WHO (World Health Organization of the United Nations). 1994. World health statistics annual, 1993. Geneva.
,WHO/FAO (World Health Organization and Food and Agriculture Organization). 1993. Food and health indicators in Europe: Nutrition and health, 1961–1990. Computer program. Copenhagen.
Willett, W. C. 1994. Diet and health. What should we eat?Science 264.CrossRefGoogle ScholarPubMed
Willett, W. C., Sacks, F., Trichopoulou, A., et al. 1995. Mediterranean diet pyramid: A cultural model for healthy eating. American Journal of Clinical Nutrition 61 (Supplement).CrossRefGoogle ScholarPubMed
Wolfert, P. 1994. The cooking of the Eastern Mediterranean: 215 healthy, vibrant, and inspired recipes. New York.Google Scholar
,World Bank. 1993. World development report: Investment in health. Washington, D.C.
Yonge, C. D., trans. 1909. The Deipnosophists or banquet of the learned of Athenaeus. 3 vols. London.Google Scholar
Young, L., and Nestle, M.. 1995. Portion sizes in dietary assessment: Issues and policy implications. Nutrition Reviews 53.Google ScholarPubMed

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