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Medical Forum / General / Cardiology / December 2004

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What  can  one  do  to  reduce LDL's

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Michael P Gabriel - 06 Dec 2003 12:39 GMT
Hi,  My lipid profile is not too bad...C=204  and CH / HDL ratio =
3.4.  All others within range except LDL's-129.   Also, I want to
concentrate on LDL. Would natural seed pastes such as sesame paste
made from sesame seeds and known as Tahini,  be responsible? I use one
teaspoon per day and that would be 2/3 of a gram of satfat! But
natural satfat! Not even processing involved.

Thanks!  I'm convinced that most doctors are really not into nutrition
and instinctively reach for tht dreaded prescription pad..

Mike
mppg1@att.net
Help please?
Patrick Blanchard, M.D. - 06 Dec 2003 13:39 GMT
> Hi,  My lipid profile is not too bad...C=204  and CH / HDL ratio =
> 3.4.  All others within range except LDL's-129.   Also, I want to
[quoted text clipped - 9 lines]
> mppg1@att.net
> Help please?

You might consider asking your doctor to perform a subclass analysis of you
LDL. Not all LDL is "atherogenic", or bad.

http://tinyurl.com/y009

Signature

~~~
Patrick Blanchard, M.D., A.B.F.P.
Board Certified in Family Practice
http://www.familydoctor.org/blanchard
~~~
SonoScore
Winning against heart attack and stroke
http://www.sonoscore.com

Dr. Andrew B. Chung, MD/PhD - 06 Dec 2003 21:09 GMT
> Hi,  My lipid profile is not too bad...C=204  and CH / HDL ratio =
> 3.4.  All others within range except LDL's-129.   Also, I want to
> concentrate on LDL. Would natural seed pastes such as sesame paste
> made from sesame seeds and known as Tahini,  be responsible?

Could be.

> I use one
> teaspoon per day and that would be 2/3 of a gram of satfat! But
> natural satfat! Not even processing involved.

Doesn't matter.  Saturated is saturated.

> Thanks!  I'm convinced that most doctors are really not into nutrition
> and instinctively reach for tht dreaded prescription pad..

What about the rest of your medical history?  Are you overweight?  Do you
have hypertension, diabetes, coronary disease, et cetera?

> Mike
> mppg1@att.net
> Help please?

Certainly.

Humbly,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/
Matti Narkia - 06 Dec 2003 23:19 GMT
Sat, 06 Dec 2003 16:09:59 -0500 in article
<3FD245A7.2A7B6ADB@heartmdphd.com> "Dr. Andrew B. Chung, MD/PhD"
<andrew@heartmdphd.com> wrote:

>> Hi,  My lipid profile is not too bad...C=204  and CH / HDL ratio =
>> 3.4.  All others within range except LDL's-129.   Also, I want to
[quoted text clipped - 8 lines]
>
>Doesn't matter.  Saturated is saturated.

One cannot eliminate saturated fatty acids from the diet. Teaspoon of
tahini contains only about 0.34 g of them (not 2/3 of a gram), which is
far less than in a teaspoon of fish, olive or soy oil, just to mention a
few. It also contains considerably larger amount of monounsaturated and
polyunsaturated fatty acids.
Matti Narkia - 06 Dec 2003 22:16 GMT
6 Dec 2003 04:39:54 -0800 in article
<a20043.0312060439.8fcdeef@posting.google.com> axipolti@yahoo.com (Michael
P Gabriel) wrote:

>Hi,  My lipid profile is not too bad...C=204  and CH / HDL ratio =
>3.4.  All others within range except LDL's-129.   Also, I want to
>concentrate on LDL. Would natural seed pastes such as sesame paste
>made from sesame seeds and known as Tahini,  be responsible? I use one
>teaspoon per day and that would be 2/3 of a gram of satfat! But
>natural satfat! Not even processing involved.

Actually you get less than 2/3 of gram of saturated fatty acids from a
teaspoonful of tahini, about 0.34 g. That's negligible, IMHO, especially
considering that you also get 0.91 g monounsaturated and 1.06 g
polyunsaturated fatty acids from the same teaspoonful of tahini. These
figures are based on

   Search the USDA National Nutrient Database for Standard Reference
   <http://www.nal.usda.gov/fnic/cgi-bin/nut_search.pl>

Note that you also get 0.9 g, 0.6 g and 0.65 g saturated fatty acids from
a teaspoonful of fish oil, olive oil and soy oil, respectively, each of
which is more than you get from a teaspoonful of tahini.

There are tiny amounts of saturated fatty acids in practically all oils
and fats. You cannot avoid getting some saturated fatty acids, if you're
going to eat fat. And you are, because fat free diet is besides unhealthy,
also impossible to implement in practice.

What you can avoid is to eat foods whose fat content consists
_predominantly_ of saturated fatty acids, such as meats and animal fat,
(excluding fat from fish, marine mammals and other seafood).
Matti Narkia - 07 Dec 2003 13:07 GMT
Sun, 07 Dec 2003 00:16:24 +0200 in article
<49j4tvs73si5v7mcrv23eb8ni6u56ejbof@4ax.com> Matti Narkia
<mnng@despammed.com> wrote:

>6 Dec 2003 04:39:54 -0800 in article
><a20043.0312060439.8fcdeef@posting.google.com> axipolti@yahoo.com (Michael
[quoted text clipped - 15 lines]
>    Search the USDA National Nutrient Database for Standard Reference
>    <http://www.nal.usda.gov/fnic/cgi-bin/nut_search.pl>

So the amount of saturated fatty acids in tahini gives no reason for
concern. However, it has a rather high amount of omega-6 polyunsaturated
fatty acids, which we tend to get too much in comparison with omega-3
fatty acids. One teaspoonful of tahini a day will not harm you and will
probably be good for you, but if you start consuming larger amounts of
tahini, say several tablespoons a day or more, you may be getting too much
omega-6 fatty acids.

Omega-3 fatty acids are very important for the general health and for the
prevention of fatal cardiac incidents. Best sources are fatty fish and
fish oil, which contain omega-3 fatty acids EPA and DHA. Best plant
sources are ground flaxseed and flaxseed oil, but they contain
alpha-linolenic acid, which body has to convert to EPA and DHA, and this
conversion is slow and inefficient.
Brad Sheppard - 07 Dec 2003 11:56 GMT
Hi,

With your ratio at 3.4 you're in good shape.  It's as important to
increase HDL as it is to reduce LDL.  Try oatmeal - one cup daily may
reduce LDL by 10%. Also, avoid saturated fat - stick unsaturated -
olive oil, for example. To reduce CHD risk be sure to eat 2x fatty
fish (salmon, etc) weekly. No, sesame seeds wouldn't increase LDL.
Eating a higher % of fats in your diet can improve your lipid profile
if they are "good" fats. See
http://www.hsph.harvard.edu/nutritionsource/fats.html

> Hi,  My lipid profile is not too bad...C=204  and CH / HDL ratio =
> 3.4.  All others within range except LDL's-129.   Also, I want to
[quoted text clipped - 9 lines]
> mppg1@att.net
> Help please?
Matti Narkia - 07 Dec 2003 12:43 GMT
7 Dec 2003 03:56:42 -0800 in article
<b06e736a.0312070356.2176f0be@posting.google.com>

>> Hi,  My lipid profile is not too bad...C=204  and CH / HDL ratio =
>> 3.4.  All others within range except LDL's-129.   Also, I want to
[quoted text clipped - 11 lines]
>if they are "good" fats. See
>http://www.hsph.harvard.edu/nutritionsource/fats.html

That's good advice and an excellent link. There is a lot of other useful
information on that Harvard School of Public Health Nutrition Source web
site, for example Harvard'd food pyramid

<http://www.hsph.harvard.edu/nutritionsource/pyramids.html>

and information about fiber

<http://www.hsph.harvard.edu/nutritionsource/fiber.html>

and carbohydrates

<http://www.hsph.harvard.edu/nutritionsource/carbohydrates.html>

There is also a recent study which showed that cholesterol can be lowered
by a diet as much as with lovastatin:

Jenkins DJ, Kendall CW, Marchie A, Faulkner DA, Wong JM, de Souza R, Emam
A, Parker TL, Vidgen E, Lapsley KG, Trautwein EA, Josse RG, Leiter LA,
Connelly PW.
Effects of a dietary portfolio of cholesterol-lowering foods vs lovastatin
on serum lipids and C-reactive protein.
JAMA. 2003 Jul 23;290(4):502-10.
PMID: 12876093 [PubMed - indexed for MEDLINE
<http://jama.ama-assn.org/cgi/content/abstract/290/4/502>
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&list_uids=1
2876093&dopt=Abstract
>

   "... RESULTS: The control, statin, and dietary portfolio
   groups had mean (SE) decreases in low-density lipoprotein
   cholesterol of 8.0% (2.1%) (P =.002), 30.9% (3.6%)
   (P<.001), and 28.6% (3.2%) (P<.001), respectively.
   Respective reductions in C-reactive protein were 10.0%
   (8.6%) (P =.27), 33.3% (8.3%) (P =.002), and 28.2% (10.8%)
   (P =.02). The significant reductions in the statin and
   dietary portfolio groups were all significantly different
   from changes in the control group. There were no
   significant differences in efficacy between the statin and
   dietary portfolio treatments. CONCLUSION: In this study,
   diversifying cholesterol-lowering components in the same
   dietary portfolio increased the effectiveness of diet as a
   treatment of hypercholesterolemia."
   
This study has been commented in the editorial of the same issue of JAMA:

Diet First, Then Medication for Hypercholesterolemia
James W. Anderson
JAMA. 2003;290:531-533.
<http://jama.ama-assn.org/cgi/content/full/290/4/531>

An excerpt which describes what nutrients were used:

   "... Intensive nutrition management requires the addition
   of soy protein,5 soluble (viscous) fiber,6 and plant
   sterols7 to the low-saturated-fat, low-trans-fatty-acid,
   low-cholesterol features of the American Heart Association
   diets.8 Intensive intervention with high-fiber, low-fat
   diets decreases serum LDL-C, but only by 16% from baseline
   values according to a meta-analysis of 12 controlled
   studies of individuals with diabetes.9 Thus, complementary
   nutrition measures are required to achieve serum
   cholesterol and LDL-C reductions of greater than 30%.
   Incorporating 3 to 6 g/d of soluble fiber from oat
   products or psyllium may decrease serum LDL-C levels by
   approximately 7%.6 Including 2 to 3 g/d of plant sterols
   into the regimen may reduce serum LDL-C by another 10% to
   15%.7 Psyllium and plant sterols are available in gel
   capsules and soluble fiber in palatable whole-grain oat
   cereals.

   Of all the cholesterol-lowering nutrients, soy protein has
   the broadest range of effects on serum lipoproteins and
   cardiovascular risks. Soy protein significantly decreases
   serum cholesterol, LDL-C, and triglyceride levels;
   slightly increases serum high-density lipoprotein
   cholesterol (HDL-C) levels5; and may selectively decrease
   the amount of atherogenic small, dense LDL particles.10 In
   addition to its beneficial effects on serum lipids, soy
   protein and its isoflavones reduce the risk of
   atherosclerotic disease by improving vascular reactivity,
   decreasing in vivo oxidation, preventing inflammation, and
   reducing platelet aggregation.11 Soy protein also
   favorably affects coronary artery vascular reactivity in
   monkeys12 and may enhance postischemic reperfusion in
   humans.13 In addition, soy protein intake lowers in vivo
   oxidation of LDL-C14 and serum homocysteine levels15 and
   may decrease C-reactive protein levels.2

   Although soy isoflavones may contribute to the
   hypocholesterolemic benefits of soy protein,5 recent data
   suggest that bioactive peptides may play a more important
   role.16 Soy protein is hydrolyzed in the intestine, and it
   appears that small peptides containing 4 to 6 amino acids
   are absorbed into the portal circulation.16 These soy
   peptides appear to activate hepatic LDL receptors with in
   vitro models17 and increase messenger RNA expression of
   LDL receptors in circulating human monocytes.18 Soy
   protein, peptides, and isoflavones may work together to
   produce effects on lipid metabolism and gene expression.
   In animal models, soy protein hydrolysates selectively
   decrease visceral adipose tissue19 and may have effects on
   enzymes involved in lipid metabolism,20 including the
   expression of their messenger RNA.21 In humans, soy
   protein intake appears to promote insulin sensitivity.22
   ..."

This study has also been commented in the articles

Vegetarian diet may work as well as cholesterol drugs
<http://www.usatoday.com/news/health/2003-07-23-cholesterol_x.htm>

   "... The fiber-rich vegetarian diet included eggplant, okra, soy
   protein, almonds, margarine containing plant sterols, barley and
   psyllium — foods that alone have been shown to have potentially
   beneficial effects on cholesterol ..."

and

Vegetarian diet nearly equals cholesterol drugs in study
<http://seattletimes.nwsource.com/html/healthscience/2001211480_cholesterol23.html>

   "... The vegetarian group showed an average drop of 28.6 percent in
   their LDL cholesterol, the "bad cholesterol" that can raise the risk
   of heart disease. That was about equal to the 30.9 percent reduction
   seen in the low-fat diet plus statin group. By contrast, the low-fat
   diet only group had just an 8 percent drop. ..."

Although this study apparently did not use fatty fish or fish oil, I think
it would be sensible to include also these, because fatty acids in fish
have been shown to inhibit cardiac arrhythmia and prevent sudden cardiac
death. An excerpt from the Harvard page

<http://www.hsph.harvard.edu/nutritionsource/fats.html> :

   "Fish, an important source of the polyunsaturated fat
   known as omega-3, has received much attention in the past
   for its potential to lower heart disease risk. And there
   have been some studies to back this up, although not all
   have shown consistent benefits. One recent large trial,
   however, found that by getting 1 gram per day of omega-3
   fatty acids over a 3.5 year period, patients who had
   previous suffered heart attacks could lower their risk of
   dying from heart disease by 25 percent. (To get that
   amount of omega-3 fatty acids would require the equivalent
   of 1 daily serving of fatty fish, such as mackerel,
   salmon, sardines, or swordfish.) Although more research is
   needed, adding fish to the diet may help protect you from
   heart disease, and it doesn't have any known risks. The
   American Heart Association currently recommends that
   everyone eat at least two servings of fish a week."
Michael P Gabriel - 07 Dec 2003 20:53 GMT
.....to all the beautiful people who answered succinctly and so
clearly my question about lowering LDL's and using Tahini! My folks
were from Greece and I was weaned from mother's milk on Tahini, I'm
positive!  I am  thrilled with the answers, and ready to start 2004 on
the right note...to better halth, as naturally as I can. May your 2004
be happy, healthy and holy!!!
Michael  - mppg1@att.com.   (if emailing, change .COM to .NET !

> 7 Dec 2003 03:56:42 -0800 in article
> <b06e736a.0312070356.2176f0be@posting.google.com>
[quoted text clipped - 164 lines]
>     American Heart Association currently recommends that
>     everyone eat at least two servings of fish a week."
Matti Narkia - 07 Dec 2003 21:34 GMT
7 Dec 2003 12:53:52 -0800 in article
<a20043.0312071253.7ffd6774@posting.google.com> axipolti@yahoo.com

>.....to all the beautiful people who answered succinctly and so
>clearly my question about lowering LDL's and using Tahini! My folks
>were from Greece and I was weaned from mother's milk on Tahini, I'm
>positive!  I am  thrilled with the answers, and ready to start 2004 on
>the right note...to better halth, as naturally as I can. May your 2004
>be happy, healthy and holy!!!

Mike, if your roots are in Greece, find out (if you don't already know)
about traditional Greek diets, especially about the diet of Crete. The
Mediterranean diet is very heart-friendly and the traditional Cretan diet
is the best of all the variations of Mediterranean diet. In the famous
_Seven Countries Study_ Crete had the lowest incidence of coronary heart
disease of all the countries included. Cancer incidence was quite low,
too. A lot of past and current nutritional research has been inspired by
the _Seven Countries Study_  and the diet of Crete. So go back to your
roots diet wise and stay healthy :-).
Matti Narkia - 07 Dec 2003 22:20 GMT
Sun, 07 Dec 2003 23:34:19 +0200 in article
<fj67tvorngejk7h5vsteia0ono576bojif@4ax.com> Matti Narkia
<mnng@despammed.com> wrote:

>7 Dec 2003 12:53:52 -0800 in article
><a20043.0312071253.7ffd6774@posting.google.com> axipolti@yahoo.com
[quoted text clipped - 15 lines]
>the _Seven Countries Study_  and the diet of Crete. So go back to your
>roots diet wise and stay healthy :-).

To justify my point a recent article about a study about Mediterranean
diet based on Greek population:

Mediterranean diet lowers cancer, heart risks
<http://health.iafrica.com/healthnews/248647.htm>

The study itself is

Trichopoulou A, Costacou T, Bamia C, Trichopoulos D.
Adherence to a Mediterranean diet and survival in a Greek population.
N Engl J Med. 2003 Jun 26;348(26):2599-608.
PMID: 12826634 [PubMed - indexed for MEDLINE]
<http://content.nejm.org/cgi/content/abstract/348/26/2599>

Abstract:

   "BACKGROUND: Adherence to a Mediterranean diet may improve
   longevity, but relevant data are limited. METHODS: We conducted a
   population-based, prospective investigation involving 22,043 adults
   in Greece who completed an extensive, validated, food-frequency
   questionnaire at base line. Adherence to the traditional
   Mediterranean diet was assessed by a 10-point Mediterranean-diet
   scale that incorporated the salient characteristics of this diet
   (range of scores, 0 to 9, with higher scores indicating greater
   adherence). We used proportional-hazards regression to assess the
   relation between adherence to the Mediterranean diet and total
   mortality, as well as mortality due to coronary heart disease and
   mortality due to cancer, with adjustment for age, sex, body-mass
   index, physical-activity level, and other potential confounders.
   RESULTS: During a median of 44 months of follow-up, there were 275
   deaths. A higher degree of adherence to the Mediterranean diet was
   associated with a reduction in total mortality (adjusted hazard
   ratio for death associated with a two-point increment in the
   Mediterranean-diet score, 0.75 [95 percent confidence interval,
   0.64 to 0.87]). An inverse association with greater adherence to
   this diet was evident for both death due to coronary heart disease
   (adjusted hazard ratio, 0.67 [95 percent confidence interval, 0.47
   to 0.94]) and death due to cancer (adjusted hazard ratio, 0.76 [95
   percent confidence interval, 0.59 to 0.98]). Associations between
   individual food groups contributing to the Mediterranean-diet score
   and total mortality were generally not significant. CONCLUSIONS:
   Greater adherence to the traditional Mediterranean diet is
   associated with a significant reduction in total mortality."

A related study:

Costacou T, Bamia C, Ferrari P, Riboli E, Trichopoulos D, Trichopoulou A.
Tracing the Mediterranean diet through principal components and cluster
analyses in the Greek population.
Eur J Clin Nutr. 2003 Nov;57(11):1378-85.
PMID: 14576750 [PubMed - in process]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
4576750&dopt=Abstract
>
( http://tinyurl.com/y5eg )

Additional references:

1:  Briante R, Febbraio F, Nucci R.
Antioxidant properties of low molecular weight phenols present in the
mediterranean diet.
J Agric Food Chem. 2003 Nov 19;51(24):6975-81.
PMID: 14611157 [PubMed - in process]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
4611157&dopt=Abstract


2:  Serra-Majem L, Ngo de la Cruz J, Ribas L, Tur JA.
Olive oil and the Mediterranean diet: beyond the rhetoric.
Eur J Clin Nutr. 2003 Sep;57 Suppl 1:S2-7.
PMID: 12947443 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2947443&dopt=Abstract


3:  Gerber M.
Biofactors in the Mediterranean diet.
Clin Chem Lab Med. 2003 Aug;41(8):999-1004.
PMID: 12964804 [PubMed - in process]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2964804&dopt=Abstract
>

4:  Contaldo F, Pasanisi F, Mancini M.
Beyond the traditional interpretation of Mediterranean diet.
Nutr Metab Cardiovasc Dis. 2003 Jun;13(3):117-9.
PMID: 12955791 [PubMed - in process]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2955791&dopt=Abstract
>

5:  Carluccio MA, Siculella L, Ancora MA, Massaro M, Scoditti E, Storelli
C, Visioli F, Distante A, De Caterina R.
Olive oil and red wine antioxidant polyphenols inhibit endothelial
activation: antiatherogenic properties of mediterranean diet
phytochemicals.
Arterioscler Thromb Vasc Biol. 2003 Apr 1;23(4):622-9. Epub 2003 Feb 20.
PMID: 12615669 [PubMed - in process]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2615669&dopt=Abstract
>

6:  Barzi F, Woodward M, Marfisi RM, Tavazzi L, Valagussa F, Marchioli R;
GISSI-Prevenzione Investigators.
Mediterranean diet and all-causes mortality after myocardial infarction:
results from the GISSI-Prevenzione trial.
Eur J Clin Nutr. 2003 Apr;57(4):604-11.
PMID: 12700623 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2700623&dopt=Abstract
>

7:  Pitsavos C, Panagiotakos DB, Chrysohoou C, Papaioannou I,
Papadimitriou L, Tousoulis D, Stefanadis C, Toutouzas P.
The Adoption of Mediterranean Diet Attenuates the Development of Acute
Coronary Syndromes in People with the Metabolic Syndrome.
Nutr J. 2003 Mar 19;2(1):1.
PMID: 12740043 [PubMed - as supplied by publisher]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2740043&dopt=Abstract
>

8:  Fortes C, Forastiere F, Farchi S, Mallone S, Trequattrinni T, Anatra
F, Schmid G, Perucci CA.
The protective effect of the Mediterranean diet on lung cancer.
Nutr Cancer. 2003;46(1):30-7.
PMID: 12925301 [PubMed - in process]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2925301&dopt=Abstract
>

9:  Tuck KL, Hayball PJ.
Major phenolic compounds in olive oil: metabolism and health effects.
J Nutr Biochem. 2002 Nov;13(11):636-644.
PMID: 12550060 [PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2550060&dopt=Abstract
>

10:  Manna C, D'Angelo S, Migliardi V, Loffredi E, Mazzoni O, Morrica P,
Galletti P, Zappia V.
Protective effect of the phenolic fraction from virgin olive oils against
oxidative stress in human cells.
J Agric Food Chem. 2002 Oct 23;50(22):6521-6.
PMID: 12381144 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2381144&dopt=Abstract
>

11:  Pitsavos C, Panagiotakos DB, Chrysohoou C, Skoumas J, Papaioannou I,
Stefanadis C, Toutouzas PK.
The effect of Mediterranean diet on the risk of the development of acute
coronary syndromes in hypercholesterolemic people: a case-control study
(CARDIO2000).
Coron Artery Dis. 2002 Aug;13(5):295-300.
PMID: 12394655 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2394655&dopt=Abstract
>

12:  Martinez-Gonzalez MA, Fernandez-Jarne E, Serrano-Martinez M, Marti A,
Martinez JA, Martin-Moreno JM.
Mediterranean diet and reduction in the risk of a first acute myocardial
infarction: an operational healthy dietary score.
Eur J Nutr. 2002 Aug;41(4):153-60.
PMID: 12242583 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2242583&dopt=Abstract
>

13:  Curtis BM, O'Keefe JH Jr.
Understanding the Mediterranean diet. Could this be the new "gold
standard" for heart disease prevention?
Postgrad Med. 2002 Aug;112(2):35-8, 41-5. Review.
PMID: 12198752 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2198752&dopt=Abstract
>

14:  Massaro M, De Caterina R.
Vasculoprotective effects of oleic acid: epidemiological background and
direct vascular antiatherogenic properties.
Nutr Metab Cardiovasc Dis. 2002 Feb;12(1):42-51. Review.
PMID: 12125230 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2125230&dopt=Abstract
>

15:  Trichopoulou A, Vasilopoulou E.
Mediterranean diet and longevity.
Br J Nutr. 2000 Dec;84 Suppl 2:S205-9. Review.
PMID: 11242471 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
1242471&dopt=Abstract
>

16:  Kafatos A, Verhagen H, Moschandreas J, Apostolaki I, Van Westerop JJ.
Mediterranean diet of Crete: foods and nutrient content.
J Am Diet Assoc. 2000 Dec;100(12):1487-93.
PMID: 11138441 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
1138441&dopt=Abstract
>

17:  Kouris-Blazos A, Gnardellis C, Wahlqvist ML, Trichopoulos D, Lukito
W, Trichopoulou A.
Are the advantages of the Mediterranean diet transferable to other
populations?
A cohort study in Melbourne, Australia.
Br J Nutr. 1999 Jul;82(1):57-61.
PMID: 10655957 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
0655957&dopt=Abstract
>

18:  Massaro M, Carluccio MA, De Caterina R.
Direct vascular antiatherogenic effects of oleic acid: a clue to the
cardioprotective effects of the Mediterranean diet.
Cardiologia. 1999 Jun;44(6):507-13. Review.
PMID: 10443051 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
0443051&dopt=Abstract
>

19:  Willett WC, Sacks F, Trichopoulou A, Drescher G, Ferro-Luzzi A,
Helsing E, Trichopoulos D.
Mediterranean diet pyramid: a cultural model for healthy eating.
Am J Clin Nutr. 1995 Jun;61(6 Suppl):1402S-1406S. Review.
PMID: 7754995 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7
754995&dopt=Abstract
>

20:  Renaud S, de Lorgeril M, Delaye J, Guidollet J, Jacquard F, Mamelle
N, Martin JL, Monjaud I, Salen P, Toubol P.
Cretan Mediterranean diet for prevention of coronary heart disease.
Am J Clin Nutr. 1995 Jun;61(6 Suppl):1360S-1367S.
PMID: 7754988 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7
754988&dopt=Abstract
>

21: de Lorgeril M, Renaud S, Mamelle N, Salen P, Martin JL, Monjaud I,
Guidollet J, Touboul P, Delaye J. Related Articles, Links  
Mediterranean alpha-linolenic acid-rich diet in secondary prevention of
coronary heart disease.
Lancet. 1994 Jun 11;343(8911):1454-9. Erratum in: Lancet 1995 Mar
18;345(8951):738.
PMID: 7911176 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7
911176&dopt=Abstract

Matti Narkia - 08 Dec 2003 09:58 GMT
Mon, 08 Dec 2003 00:20:56 +0200 in article
<u087tvgag6088gv0a1bcpghj3ii75uo37k@4ax.com> Matti Narkia
<mnng@despammed.com> wrote:

>Sun, 07 Dec 2003 23:34:19 +0200 in article
><fj67tvorngejk7h5vsteia0ono576bojif@4ax.com> Matti Narkia
[quoted text clipped - 125 lines]
>PMID: 12740043 [PubMed - as supplied by publisher]
><http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2740043&dopt=Abstract
>

The full text of this study is also available at the url

http://www.nutritionj.com/content/2/1/1

An excerpt describing the content of Mediterranean diet:

   "... The Mediterranean dietary pattern consists of: (a)
   daily consumption: of non refined cereals and products
   (whole grain bread, pasta, brown rice, etc), vegetables (2
   – 3 servings/day), fruits (6 servings/day), olive oil (as
   the main added lipid) and dairy products (1 – 2
   servings/day), (b) weekly consumption: of fish (4–5
   servings/week), poultry (3 – 4 servings/week), olives,
   pulses, and nuts (3 servings/week), potatoes, eggs and
   sweets (3 – 4 servings/week) and monthly consumption: of
   red meat and meat products (4 – 5 servings/month). It is,
   also, characterized by moderate consumption of wine (1 – 2
   wineglasses/day) and high monounsaturated: saturated fat
   ratio (> 2). This dietary pyramid was suggested by a
   Harvard-led group with substantial input from Greek
   scientists [13]. ..."

>8:  Fortes C, Forastiere F, Farchi S, Mallone S, Trequattrinni T, Anatra
>F, Schmid G, Perucci CA.
[quoted text clipped - 16 lines]
>PMID: 12381144 [PubMed - indexed for MEDLINE]
><http://www.ncbi.n
m.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12381144&dopt=Abstract>

>11:  Pitsavos C, Panagiotakos DB, Chrysohoou C, Skoumas J, Papaioannou I,
>Stefanadis C, Toutouzas PK.
[quoted text clipped - 54 lines]
>PMID: 10443051 [PubMed - indexed for MEDLINE]
><http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
0443051&dopt=Abstract
>

<http://www.ajcn.org/cgi/content/abstract/61/6/1402S>

>19:  Willett WC, Sacks F, Trichopoulou A, Drescher G, Ferro-Luzzi A,
>Helsing E, Trichopoulos D.
[quoted text clipped - 18 lines]
>PMID: 7911176 [PubMed - indexed for MEDLINE]
><http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7
911176&dopt=Abstract
>

More references:

Ros E.
Dietary cis-monounsaturated fatty acids and metabolic control in type 2
diabetes.
Am J Clin Nutr. 2003 Sep;78(3 Suppl):617S-625S. Review.
PMID: 12936956 [PubMed - indexed for MEDLINE]
<http://www.ajcn.org/cgi/content/abstract/78/3/617S>

Fernandez-Jarne E, Martinez-Losa E, Prado-Santamaria M, Brugarolas-Brufau
C, Serrano-Martinez M, Martinez-Gonzalez MA.
Risk of first non-fatal myocardial infarction negatively associated with
olive oil consumption: a case-control study in Spain.
Int J Epidemiol. 2002 Apr;31(2):474-80.
PMID: 11980820 [PubMed - indexed for MEDLINE]
<http://ije.oupjournals.org/cgi/content/abstract/31/2/474>

Kris-Etherton P, Eckel RH, Howard BV, St  Jeor S, Bazzarre TL; Nutrition
Committee Population Science Committee and Clinical Science Committee of
the American Heart Association.
AHA Science Advisory: Lyon Diet Heart Study. Benefits of a
Mediterranean-style,
National Cholesterol Education Program/American Heart Association Step I
Dietary Pattern on Cardiovascular Disease.
Circulation. 2001 Apr 3;103(13):1823-5.
<http://circ.ahajournals.org/cgi/content/full/103/13/1823>

Robertson RM, Smaha L.
Can a Mediterranean-style diet reduce heart disease?
Circulation. 2001 Apr 3;103(13):1821-2.
<http://circ.ahajournals.org/cgi/content/full/103/13/1821>

Serge Renaud: from French paradox to Cretan miracle.
Lancet 2000; 355: 48 - 52.
<http://www.thelancet.com/journal/vol355/iss9197/full/llan.355.9197.news.2419.1>

de Lorgeril M, Salen P, Martin J-L, Monjaud I, Delaye J, Mamelle N:
Mediterranean diet, traditional risk factors and the rate of
cardiovascular complications after myocardial infarction. Final report of
the Lyon Diet Heart Study.
Circulation 1999, 99:779-785
<http://circ.ahajournals.org/cgi/content/full/99/6/779>

Zambon D, Sabate J, Munoz S, Campero B, Casals E, Merlos M, Laguna JC,
Ros E.
Substituting walnuts for monounsaturated fat improves the serum lipid
profile of hypercholesterolemic men and women. A randomized crossover
trial.
Ann Intern Med. 2000 Apr 4;132(7):538-46. Erratum in: Ann Intern Med 2000
Oct 17;133(8):659.
<http://www.annals.org/cgi/content/full/132/7/538>
   
Trichopoulou A, Vasilopoulou E, Lagiou A.
Mediterranean diet and coronary heart disease: are antioxidants critical?
Nutr Rev. 1999 Aug;57(8):253-5. Review.  
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
0518412&dopt=Abstract
>

Simopoulos AP.
Evolutionary aspects of omega-3 fatty acids in the food supply.
Prostaglandins Leukot Essent Fatty Acids. 1999 May-Jun;60(5-6):421-9.
Review.
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
0471132&dopt=Abstract
<

Leaf A.
Dietary prevention of coronary heart disease: the Lyon Diet Heart Study.
Circulation. 1999 Feb 16;99(6):733-5.
<http://circ.ahajournals.org/cgi/content/full/99/6/733>

de Lorgeril M, Salen P, Martin JL, Monjaud I, Boucher P, Mamelle N. Links
Mediterranean dietary pattern in a randomized trial: prolonged survival
and possible reduced cancer rate.
Arch Intern Med. 1998 Jun 8;158(11):1181-7.  
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9
625397&dopt=Abstract
>

Renaud SC.
Dietary management of cardiovascular diseases.
Prostaglandins Leukot Essent Fatty Acids. 1997 Oct;57(4-5):423-7.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9
430390&dopt=Abstract


de Lorgeril M, Salen P, Caillat-Vallet E, Hanauer MT, Barthelemy JC,
Mamelle N.  
Control of bias in dietary trial to prevent coronary recurrences: The Lyon
Diet Heart Study.
Eur J Clin Nutr. 1997 Feb;51(2):116-22.
PMID: 9049571 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9
049571&dopt=Abstract
>

De Lorgeril M, Salen P, Martin JL, Mamelle N, Monjaud I, Touboul P,
Delaye J.
Effect of a mediterranean type of diet on the rate of cardiovascular
complications in patients with coronary artery disease. Insights into the
cardioprotective effect of certain nutriments.
J Am Coll Cardiol. 1996 Nov 1;28(5):1103-8.
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8
890801&dopt=Abstract
>

Espiro-Montoro A, Lopez-Miranda J, Castro P, et al.: Monounsaturated fatty
acid enriched diets lower plasma insulin levels and blood pressure in
healthy young men.
Nutr Metab Crdiovasc Dis 1996, 6:147-154.
Matti Narkia - 08 Dec 2003 13:42 GMT
I have considerably expanded and rearranged my bibliography of
Mediterranean diet. It now includes 151 references. There are now also
several studies about health effects of nuts. Enjoy.

1: Trichogenous A, Costacou T, Bamia C, Trichopoulos D.
Adherence to a Mediterranean diet and survival in a Greek population.
N Engl J Med. 2003 Jun 26;348(26):2599-608.
PMID: 12826634 [PubMed - indexed for MEDLINE]
<http://content.nejm.org/cgi/content/abstract/348/26/2599>

Abstract:

   "BACKGROUND: Adherence to a Mediterranean diet may improve
   longevity, but relevant data are limited. METHODS: We conducted a
   population-based, prospective investigation involving 22,043 adults
   in Greece who completed an extensive, validated, food-frequency
   questionnaire at base line. Adherence to the traditional
   Mediterranean diet was assessed by a 10-point Mediterranean-diet
   scale that incorporated the salient characteristics of this diet
   (range of scores, 0 to 9, with higher scores indicating greater
   adherence). We used proportional-hazards regression to assess the
   relation between adherence to the Mediterranean diet and total
   mortality, as well as mortality due to coronary heart disease and
   mortality due to cancer, with adjustment for age, sex, body-mass
   index, physical-activity level, and other potential confounders.
   RESULTS: During a median of 44 months of follow-up, there were 275
   deaths. A higher degree of adherence to the Mediterranean diet was
   associated with a reduction in total mortality (adjusted hazard
   ratio for death associated with a two-point increment in the
   Mediterranean-diet score, 0.75 [95 percent confidence interval,
   0.64 to 0.87]). An inverse association with greater adherence to
   this diet was evident for both death due to coronary heart disease
   (adjusted hazard ratio, 0.67 [95 percent confidence interval, 0.47
   to 0.94]) and death due to cancer (adjusted hazard ratio, 0.76 [95
   percent confidence interval, 0.59 to 0.98]). Associations between
   individual food groups contributing to the Mediterranean-diet score
   and total mortality were generally not significant. CONCLUSIONS:
   Greater adherence to the traditional Mediterranean diet is
   associated with a significant reduction in total mortality."

This study has been commented in the article

Mediterranean diet lowers cancer, heart risks
<http://health.iafrica.com/healthnews/248647.htm>

2: Costacou T, Bamia C, Ferrari P, Riboli E, Trichopoulos D,
Trichopoulou A.
Tracing the Mediterranean diet through principal components and cluster
analyses in the Greek population.
Eur J Clin Nutr. 2003 Nov;57(11):1378-85.
PMID: 14576750 [PubMed - in process]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
4576750&dopt=Abstract
>
( http://tinyurl.com/y5eg )

3: Moreno JJ.
Effect of olive oil minor components on oxidative stress and arachidonic
acid mobilization and metabolism by macrophages RAW 264.7.
Free Radic Biol Med. 2003 Nov 1;35(9):1073-81.
PMID: 14572610 [PubMed - in process]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
4572610&dopt=Abstract
>

4: Briante R, Febbraio F, Nucci R.
Antioxidant properties of low molecular weight phenols present in
themediterranean diet.
J Agric Food Chem. 2003 Nov 19;51(24):6975-81.
PMID: 14611157 [PubMed - in process]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
4611157&dopt=Abstract


5: Serra-Majem L, Ngo de la Cruz J, Ribas L, Tur JA.
Olive oil and the Mediterranean diet: beyond the rhetoric.
Eur J Clin Nutr. 2003 Sep;57 Suppl 1:S2-7.
PMID: 12947443 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2947443&dopt=Abstract


6: Dietary cis-monounsaturated fatty acids and metabolic control in type 2
diabetes.
Am J Clin Nutr. 2003 Sep;78(3 Suppl):617S-625S. Review.
PMID: 12936956 [PubMed - indexed for MEDLINE]
<http://www.ajcn.org/cgi/content/abstract/78/3/617S>

7: Garcia-Lorda P, Megias Rangil I, Salas-Salvado J.
Nut consumption, body weight and insulin resistance.
Eur J Clin Nutr. 2003 Sep;57 Suppl 1:S8-11. Review.
PMID: 12947444 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2947444&dopt=Abstract
>

8: Sabate J.  
Nut consumption and body weight.
Am J Clin Nutr. 2003 Sep;78(3 Suppl):647S-650S. Review.
PMID: 12936960 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2936960&dopt=Abstract
>

9: Choi SB.
Benefits of Mediterranean diet affirmed, again.
CMAJ. 2003 Aug 19;169(4):316.
<http://www.cmaj.ca/cgi/content/full/169/4/316>

10: Gerber M.
Biofactors in the Mediterranean diet.
Clin Chem Lab Med. 2003 Aug;41(8):999-1004.
PMID: 12964804 [PubMed - in process]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2964804&dopt=Abstract
>

11: Ciccarone E, Di Castelnuovo A, Salcuni M, Siani A, Giacco A, Donati
MB, De Gaetano G, Capani F, Iacoviello L; On behalf of the Gendiabe
Investigators.
A high-score Mediterranean dietary pattern is associated with a reduced
risk of peripheral arterial disease in Italian patients with Type 2
diabetes.
J Thromb Haemost. 2003 Aug;1(8):1744-52.
PMID: 12911588 [PubMed - in process]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2911588&dopt=Abstract
>

12: Togna GI, Togna AR, Franconi M, Marra C, Guiso M.
Olive oil isochromans inhibit human platelet reactivity.
J Nutr. 2003 Aug;133(8):2532-6.
PMID: 12888632 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2888632&dopt=Abstract
>

13: Panagiotakos DB, Pitsavos CH, Chrysohoou C, Skoumas J, Papadimitriou
L, Stefanadis C, Toutouzas PK.  
Status and management of hypertension in Greece: role of the adoption of a
Mediterranean diet: the Attica study.
J Hypertens. 2003 Aug;21(8):1483-9.
PMID: 12872041 [PubMed - in process]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2872041&dopt=Abstract
>

14: Toobert DJ, Glasgow RE, Strycker LA, Barrera M Jr, Radcliffe JL,
Wander RC, Bagdade JD.
Biologic and quality-of-life outcomes from the Mediterranean Lifestyle
Program: a randomized clinical trial.
Diabetes Care. 2003 Aug;26(8):2288-93.
PMID: 12882850 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2882850&dopt=Abstract
>

15: Zibaeenezhad MJ, Rezaiezadeh M, Mowla A, Ayatollahi SM,
Panjehshahin MR.  
Antihypertriglyceridemic effect of walnut oil.
Angiology. 2003 Jul-Aug;54(4):411-4.
PMID: 12934760 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2934760&dopt=Abstract
>

16: Sabate J, Haddad E, Tanzman JS, Jambazian P, Rajaram S.
Serum lipid response to the graduated enrichment of a Step I diet with
almonds: a randomized feeding trial.
Am J Clin Nutr. 2003 Jun;77(6):1379-84.
PMID: 12791613 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2791613&dopt=Abstract
>

17: Coulston AM.
Do Nuts Have a Place in a Healthful Diet?
Nutr Today. 2003 May-Jun;38(3):95-99.
PMID: 12813188 [PubMed - as supplied by publisher]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2813188&dopt=Abstract
>

18: Hu FB.
The Mediterranean diet and mortality--olive oil and beyond.
N Engl J Med. 2003 Jun 26;348(26):2595-6.
<http://content.nejm.org/cgi/content/extract/348/26/2595>

19: Contaldo F, Pasanisi F, Mancini M.
Beyond the traditional interpretation of Mediterranean diet.
Nutr Metab Cardiovasc Dis. 2003 Jun;13(3):117-9.
PMID: 12955791 [PubMed - in process]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2955791&dopt=Abstract
>

20: Carluccio MA, Siculella L, Ancora MA, Massaro M, Scoditti E, Storelli
C, Visioli F, Distante A, De Caterina R.
Olive oil and red wine antioxidant polyphenols inhibit endothelial
activation: antiatherogenic properties of mediterranean diet
phytochemicals.
Arterioscler Thromb Vasc Biol. 2003 Apr 1;23(4):622-9. Epub 2003 Feb 20.
PMID: 12615669 [PubMed - in process]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2615669&dopt=Abstract
>

21: Alper CM, Mattes RD.
Peanut consumption improves indices of cardiovascular disease risk in
healthy adults.
J Am Coll Nutr. 2003 Apr;22(2):133-41.
PMID: 12672709 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2672709&dopt=Abstract
>

22: Barzi F, Woodward M, Marfisi RM, Tavazzi L, Valagussa F, Marchioli R;
GISSI-Prevenzione Investigators.
Mediterranean diet and all-causes mortality after myocardial infarction:
results from the GISSI-Prevenzione trial.
Eur J Clin Nutr. 2003 Apr;57(4):604-11.
PMID: 12700623 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2700623&dopt=Abstract
>

23: Pitsavos C, Panagiotakos DB, Chrysohoou C, Papaioannou I,
Papadimitriou L, Tousoulis D, Stefanadis C, Toutouzas P.
The Adoption of Mediterranean Diet Attenuates the Development of Acute
Coronary Syndromes in People with the Metabolic Syndrome.
Nutr J. 2003 Mar 19;2(1):1.
PMID: 12740043 [PubMed - as supplied by publisher]
<http://www.nutritionj.com/content/2/1/1>

An excerpt describing the content of Mediterranean diet:

   "... The Mediterranean dietary pattern consists of: (a)
   daily consumption: of non refined cereals and products
   (whole grain bread, pasta, brown rice, etc), vegetables (2
   – 3 servings/day), fruits (6 servings/day), olive oil (as
   the main added lipid) and dairy products (1 – 2
   servings/day), (b) weekly consumption: of fish (4–5
   servings/week), poultry (3 – 4 servings/week), olives,
   pulses, and nuts (3 servings/week), potatoes, eggs and
   sweets (3 – 4 servings/week) and monthly consumption: of
   red meat and meat products (4 – 5 servings/month). It is,
   also, characterized by moderate consumption of wine (1 – 2
   wineglasses/day) and high monounsaturated: saturated fat
   ratio (> 2). This dietary pyramid was suggested by a
   Harvard-led group with substantial input from Greek
   scientists [13]. ..."Ros E.

24; Benkhalti F, Legssyer A, Gomez P, Paz E, Lopez-Miranda J,
Perez-Jimenez F, el Boustani ES.  
Effects of virgin olive oil phenolic compounds on LDL oxidation and
vasorelaxation activity.
Therapie. 2003 Mar-Apr;58(2):133-7.
PMID: 12942853 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2942853&dopt=Abstract
>

25:Mezzano D, Leighton F, Strobel P, Martinez C, Marshall G, Cuevas A,
Castillo O, Panes O, Munoz B, Rozowski J, Pereira J.
Mediterranean diet, but not red wine, is associated with beneficial
changes in primary haemostasis.
Eur J Clin Nutr. 2003 Mar;57(3):439-46.
PMID: 12627181 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2627181&dopt=Abstract
>

26: Fortes C, Forastiere F, Farchi S, Mallone S, Trequattrinni T, Anatra
F, Schmid G, Perucci CA.
The protective effect of the Mediterranean diet on lung cancer.
Nutr Cancer. 2003;46(1):30-7.
PMID: 12925301 [PubMed - in process]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2925301&dopt=Abstract
>

27: Capuano V, Bambacaro A, D'Arminio T, Del Regno B, Dantonio V,
Lanzara C.  
Changes in total serum cholesterol for cardiovascular disease in a
Mediterranean area, 1989-1999.
Eur J Epidemiol. 2003;18(1):27-32.
PMID: 12705620 [PubMed - indexed for MEDLINE]
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2705620&dopt=Abstract
>

28: Moreno JA, Lopez-Miranda J, Gomez P, Benkhalti F, El Boustani ES,
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29: Tuck KL, Hayball PJ.
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30: Su Q, Rowley KG, Itsiopoulos C, O'Dea K.
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31: Jiang R, Manson JE, Stampfer MJ, Liu S, Willett WC, Hu FB.  Nut and
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32: Lovejoy JC, Most MM, Lefevre M, Greenway FL, Rood JC.
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33: Manna C, D'Angelo S, Migliardi V, Loffredi E, Mazzoni O, Morrica P,
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34: Jenkins DJ, Kendall CW, Marchie A, Parker TL, Connelly PW, Qian W,
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35: Morgan JM, Horton K, Reese D, Carey C, Walker K, Capuzzi DM.
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36: Pitsavos C, Panagiotakos DB, Chrysohoou C, Skoumas J, Papaioannou I,
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37: Martinez-Gonzalez MA, Fernandez-Jarne E, Serrano-Martinez M, Marti A,
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38: Curtis BM, O'Keefe JH Jr.
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39: Perez-Jimenez F, Lopez-Miranda J, Mata P.
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40: Martinez-Gonzalez MA, Fernandez-Jarne E, Martinez-Losa E,
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41: Pitsavos C, Panagiotakos DB, Chrysohoou C, Kokkinos PF, Skoumas J,
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42: Stark AH, Madar Z.
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43: Albert CM, Gaziano JM, Willett WC, Manson JE.
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44: Feldman EB.  
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45: Fernandez-Jarne E, Martinez-Losa E, Prado-Santamaria M,
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46: Ursini F, Sevanian A.  
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47: Panagiotakos DB, Chrysohoou C, Pitsavos C, Tzioumis K, Papaioannou I,
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48: Garcia Closas R, Serra Majem L, Sabater Sales G, Olmos Castellvell M,
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49:  Massaro M, De Caterina R.
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50: Gimeno E, Fito M, Lamuela-Raventos RM, Castellote AI, Covas M, Farre
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51: Franz IW.
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52: Visioli F, Poli A, Gall C.
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53: Kouris-Blazos A.  
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54: Visioli F, Galli C.
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55: Savige GS.
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56: Ellsworth JL, Kushi LH, Folsom AR.
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57: Simopoulos AP.
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58: Anderson KJ, Teuber SS, Gobeille A, Cremin P, Waterhouse AL,
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59: Covas MI, Fito M, Marrugat J, Miro E, Farre M, de la Torre R, Gimeno
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60: Trichopoulou A.
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61: Mezzano D, Leighton F, Martinez C, Marshall G, Cuevas A, Castillo O,
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62: De Lorenzo A, Alberti A, Andreoli A, Iacopino L, Serrano P,
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63: Rumm-Kreuter D.
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64: Kris-Etherton P, Eckel RH, Howard BV, St  Jeor S, Bazzarre TL;
Nutrition Committee Population Science Committee and Clinical Science
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AHA Science Advisory: Lyon Diet Heart Study. Benefits of a
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65: Robertson RM, Smaha L.
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66: Kris-Etherton PM, Zhao G, Binkoski AE, Coval SM, Etherton TD. R
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67: Gylling H, Miettinen TA.
A review of clinical trials in dietary interventions to decrease the
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68: Visioli F, Galli C.
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69: Visioli F, Galli C.
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70: Guerra A, Feldl F, Koletzko B.  
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71: Trichopoulou A, Vasilopoulou E.
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72: Kafatos A, Verhagen H, Moschandreas J, Apostolaki I, Van Westerop JJ.
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73: Yarnell JW, Evans AE.
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74: Lee A, Thurnham DI, Chopra M.
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75: Vogel RA, Corretti MC, Plotnick GD.
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76: Ruidavets J, Teissedre P, Ferrieres J, Carando S, Bougard G,
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77: Owen RW, Giacosa A, Hull WE, Haubner R, Wurtele G, Spiegelhalder B,
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78: Lopez-Miranda J, Gomez P, Castro P, Marin C, Paz E, Bravo MD, Blanco
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79: Visioli F, Galli C.
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Am J Clin Nutr. 2000 Sep;72(3):853.
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80: de Lorgeril M, Salen P.  
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81: Fito M, Covas MI, Lamuela-Raventos RM, Vila J, de la Torre C,
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82: Fito M, Covas MI, Lamuela-Raventos RM, Vila J, Torrents L, de la Torre
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83: Zambon D, Sabate J, Munoz S, Campero B, Casals E, Merlos M, Laguna JC,
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84: Ballmer PE.
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85: Morgan WA, Clayshulte BJ.
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86: Ryan M, McInerney D, Owens D, Collins P, Johnson A, Tomkin GH.
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87: von Schacky C.
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88: Serge Renaud: from French paradox to Cretan miracle.
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89: Covas MI, Fito M, Lamuela-Raventos RM, Sebastia N, de la Torre-Boronat
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90: Kris-Etherton PM, Pearson TA, Wan Y, Hargrove RL, Moriarty K, Fishell
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91: Salas J, Lopez Miranda J, Jansen S, Zambrana JL, Castro P, Paniagua
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Med Clin (Barc). 1999 Dec 11;113(20):765-9. Spanish. Erratum in: Med Clin
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92: Salen P, de Lorgeril M.
[Hyperlipidemias. Concern with the Mediterranean diet]
Presse Med. 1999 Nov 20;28(36):2018-24. Review. French.
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93: Hu FB, Stampfer MJ.    
Nut consumption and risk of coronary heart disease: a review of
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Curr Atheroscler Rep. 1999 Nov;1(3):204-9.
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94: Trichopoulou A, Vasilopoulou E, Lagiou A.
Mediterranean diet and coronary heart disease: are antioxidants critical?
Nutr Rev. 1999 Aug;57(8):253-5. Review.  
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95: Perez-Jimenez F, Castro P, Lopez-Miranda J, Paz-Rojas E, Blanco A,
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Circulating levels of endothelial function are modulated by dietary
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Atherosclerosis. 1999 Aug;145(2):351-8.
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96: Kouris-Blazos A, Gnardellis C, Wahlqvist ML, Trichopoulos D, Lukito
W, Trichopoulou A.
Are the advantages of the Mediterranean diet transferable to other
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Br J Nutr. 1999 Jul;82(1):57-61.
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97: Menotti A, Kromhout D, Blackburn H, Fidanza F, Buzina R, Nissinen A.  
Food intake patterns and 25-year mortality from coronary heart disease:
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Eur J Epidemiol. 1999 Jul;15(6):507-15.
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98: Fraser GE.
Nut consumption, lipids, and risk of a coronary event.
Clin Cardiol. 1999 Jul;22(7 Suppl):III11-5. Review.
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99: Massaro M, Carluccio MA, De Caterina R.
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100: Kromhout D.  
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101: Edwards K, Kwaw I, Matud J, Kurtz I.
Effect of pistachio nuts on serum lipid levels in patients with moderate
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J Am Coll Nutr. 1999 Jun;18(3):229-32.
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102: Simopoulos AP.
Evolutionary aspects of omega-3 fatty acids in the food supply.
Prostaglandins Leukot Essent Fatty Acids. 1999 May-Jun;60(5-6):421-9.
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103: Jan F.
[Nuts, Mediterranian women and coronary arteries]
Presse Med. 1999 Apr 24;28(16):847-8.  

104: Lavedrine F, Zmirou D, Ravel A, Balducci F, Alary J. R
Blood cholesterol and walnut consumption: a cross-sectional survey in
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Prev Med. 1999 Apr;28(4):333-9.
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105: de Lorgeril M, Salen P, Martin J-L, Monjaud I, Delaye J, Mamelle N:
Mediterranean diet, traditional risk factors and the rate of
cardiovascular complications after myocardial infarction. Final report of
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Circulation 1999, February 16, 99:779-785
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106: Sanchez E, Jansen S, Castro P, Blanco A, Lopez-Miranda J, Fuentes F,
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107: Leaf A.
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108: Tsimikas S, Philis-Tsimikas A, Alexopoulos S, Sigari F, Lee C,
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LDL isolated from Greek subjects on a typical diet or from American
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Arterioscler Thromb Vasc Biol. 1999 Jan;19(1):122-30.  
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109: Hu FB, Stampfer MJ, Manson JE, Rimm EB, Colditz GA, Rosner BA,
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110: Tunstall-Pedoe H.
Nuts to you (...and you, and you). Eating nuts may be beneficial-though it
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111: Roche HM, Zampelas A, Knapper JM, Webb D, Brooks C, Jackson KG,
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112: de Lorgeril M, Salen P, Martin JL, Monjaud I, Boucher P, Mamelle N.
Links
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113: Visioli F, Bellomo G, Galli C.
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114: Weisburger JH.
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115: Visioli F, Galli C.
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116: Vognild E, Elvevoll EO, Brox J, Olsen RL, Barstad H, Aursand M,
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117: Chisholm A, Mann J, Skeaff M, Frampton C, Sutherland W, Duncan A,
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119: Mata P, Varela O, Alonso R, Lahoz C, de Oya M, Badimon L.
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120: Jenkins DJ, Popovich DG, Kendall CW, Vidgen E, Tariq N, Ransom TP,
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121: Ghiselli A, D'Amicis A, Giacosa A.
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123: de Lorgeril M, Salen P, Caillat-Vallet E, Hanauer MT, Barthelemy JC,
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124: de Lorgeril M, Salen P, Monjaud I, Delaye J.
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125: De Lorgeril M, Salen P, Martin JL, Mamelle N, Monjaud I, Touboul P,
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126: Dreher ML, Maher CV, Kearney P.
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127: Jossa F, Mancini M.
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128: Lopez-Segura F, Velasco F, Lopez-Miranda J, Castro P, Lopez-Pedrera
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Monounsaturated fatty acid-enriched diet decreases plasma plasminogen
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129: Voukiklaris GE, Kafatos A, Dontas AS.
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130: Espiro-Montoro A, Lopez-Miranda J, Castro P, et al.:
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131: Mancini M, Parfitt VJ, Rubba P.
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132: Visioli F, Bellomo G, Montedoro G, Galli C.
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134: Willett WC, Sacks F, Trichopoulou A, Drescher G, Ferro-Luzzi A,
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135: Renaud S, de Lorgeril M, Delaye J, Guidollet J, Jacquard F, Mamelle
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136: Kushi LH, Lenart EB, Willett WC.
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137: Kushi LH, Lenart EB, Willett WC.
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138: Rimm EB, Ellison RC.
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139: James WP.
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140: Salami M, Galli C, De Angelis L, Visioli F.
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141: Oosthuizen W, Vorster HH, Jerling JC, Barnard HC, Smuts CM, Silvis N,
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142:de Lorgeril M, Renaud S, Mamelle N, Salen P, Martin JL, Monjaud I,
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143: Trichopoulou A, Lagiou P, Trichopoulos D.
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145: Sabate J.  
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Matti Narkia - 08 Dec 2003 16:56 GMT
Links to Mediterranean, Greek and Cretan diet information, including
recipes:

Close Adherence to a Traditional Mediterranean Diet Promotes Longevity
http://www.hsph.harvard.edu/press/releases/press06252003.html

Mediterranean diet 'extends life'
http://news.bbc.co.uk/2/hi/health/3173077.stm

Mediterranean Diet: More Than Olive Oil
'Divine Mix' Prevents Death From Cancer, Heart Disease
http://my.webmd.com/content/article/67/80070.htm

The Mediterranean Diet and Mortality — Olive Oil and Beyond
Frank B. Hu, M.D., Ph.D.
http://www.medical-journals.com/r03266b.htm

Lyon Diet Heart Study
http://www.americanheart.org/presenter.jhtml?identifier=4655

Postgraduate Medicine: Understanding the Mediterranean diet
http://www.postgradmed.com/issues/2002/08_02/curtis.htm

Hearty Diet
http://www.accessexcellence.org/WN/SUA11/meddiet897.html

The Mediterranean Diet
http://nutrition.about.com/library/weekly/aa100499.htm

update: Mediterranean diet
Study Mediterranean diet in this distance learning course for pharmacists
and pharmacy students
http://www.dotpharmacy.co.uk/upmed.html

Strat's Place  - Daniel Rogov - The Mediterranean Diet
http://www.stratsplace.com/rogov/mediterranean_diet.html

Serge C Renaud and Dominique Lanzmann-Petithory
AThe beneficial effect of alpha-linolenic acid in coronary artery disease
is not questionable
American Journal of Clinical Nutrition, Vol. 76, No. 4, 903-904, October
2002
http://www.ajcn.org/cgi/content/full/76/4/903

Mediterranean diet can help prevent memory loss
<http://www.brain.com/Merchant2/merchant.mv?Screen=PROD&Store_Code=W&Product_Code
=body_678&Product_Count=0&Category_Code=diet
>

How Does the Mediterranean Diet Promote Longevity?
http://www.healthandage.com/Home/gm=2!gid2=2655

Mediterranean Diets
Francesco Visioli, Ph.D.
Visiting Scientist
http://lpi.oregonstate.edu/f-w00/mediterr.html

Mediterranean & Asian food patterns of the 1960's
http://www.healthyeatingclub.com/info/articles/foodcult/mediterr-asia.htm

Mediterranean Diet Guidelines
http://www.diet-i.com/mediterranean-diet.htm

Mediterranean Diet Food Pyramid
http://www.diet-i.com/mediterranean-diet-pyramid.htm

Mediterranean Diet Soothes Aching Joints
http://www.healthfinder.gov/news/newsstory.asp?docID=511856

Health articles based on the greek way of living
http://www.gourmed.gr/mediterranean-diet/health/?gid=3

Cretan Nutrition and long life
http://www.crete-homes.com/nutrition/history.html

Statistical health data about Cretan diet
http://www.ebeh.gr/diatrofi/english/data/resultsindex.htm

Research statistics about the Cretan diet
http://www.cretetravel.com/Cretan_Diet/Cretan_Diet_research.htm

The Mediterranean Diet
http://www.cheshire-med.com/services/dietary/nutrinew/mediter.html

The Mediterranean Diet Pyramid
http://www.oldwayspt.org/pyramids/med/p_med.html

Quantum - Mediterranean Diet Guidelines
http://www.abc.net.au/quantum/stories/meddiet.htm

The Classic Mediterranean Diet Combines Fabulous Taste With Health
Protection
http://www.charitywire.com/charity10/00250.html

Cretan diet and food. Mediterranean diet, the diet from Crete island
http://www.mediterraneandiet.gr/cretan.html

The mediterranean diet and food. Mediterranean diet details and
mediterranean food exports
http://www.mediterraneandiet.gr/index.html

Greek food details. Greek food quality, benefits and greek food producers
http://greekproducts.com/greekproducts/index.html

Mediterranean diet and food details. Mediterranean diet and food quality,
benefits and mediterranean food producers
http://greekproducts.com/greekproducts/mediterranean.html

The Mediterranean Diet
http://www.trincoll.edu/~jvillani/Mediterranean.htm

Cretan diet and food details. Diet and food of Crete island quality,
benefits and cretan food producers
http://greekproducts.com/greekproducts/cretan.html

Crete | The Cretan Diet - Cretan cuisine &amp; healthy food - by
CreteTravel.com
http://www.cretetravel.com/Cretan_Diet/Cretan_Diet_1.htm

ALPHA & OMEGA. Cretan diet
http://www.alpha-omegaonline.co.uk/diet-crete.htm

Cretan diet – Mediterranean Diet
http://www.heraklion-city.gr/English/diatrofi-en.htm

Cretan Diet, Olive Oil and Health
http://www.kotinos.com/cretandiet.html

The Good Life, Cretan Style
Eat More, Live Longer
http://www.greece.gr/LIFE/GourmetGreece/TheGoodLifeCretanStyle.stm

Cretan Food
http://www.analipsi-village.gr/analipsien/indexen.htm

Cretan Recipes
http://www.knossos-olivenoel.de/english/recipes/recipes.htm

Mediterranean diet recipes of Crete with olive oil
http://www.explorecrete.com/cuisine/psilakis-recipes.html

The secrets of cretan nutrition
http://www.crete-homes.com/nutrition/index.html

Cretan Cooking
http://home.earthlink.net/~macrakis/cretancooking.htm

Cookie Recipe
This Greek recipe comes from Crete. It is a filled cookie with a filling
of walnuts, almonds, sesame seeds, and honey.
http://www.cookierecipe.com/az/KritikaPatouthia.asp

Cooking Greek food, recipes Mediterranean diet Crete book
http://www.inkmonitor.com/recipes.html

Cretan Mixed Greens and Tomatoes
with Black-Eyed Peas
From Mediterranean Grains and Greens: A Book of Savory, Sun-Drenched
Recipes by Paula Wolfert.
http://www.paula-wolfert.com/recipes/mixed_greens.html
http://table.mpr.org/recipes/vegetable_greens.html

Greek recipes by EatGreekTonight.COM
http://www.eatgreektonight.com/Recipes/index.html

 Cretan Meat Pie
 http://www.eatgreektonight.com/recipes/entrees/meatpie.html

Greek Cuisine
http://www.greekcuisine.com/

Greek Cooking Resources
http://www.webexpert.net/vasilios/recipes.htm

Greek Cooking
http://trfn.clpgh.org/Lifestyle/Cooking/greek.html

Greek recipes of olive oil foods
http://www.olympia-oliveoil.com/recipes

GO GREEK
http://www.vegsoc.org/cordonvert/recipes/greek.html

Greek Recipes
http://gogreece.about.com/msub6.htm?once=true&

95 Greek/Middle Eastern Recipes
http://www.ivu.org/recipes/greek/
Patrick Blanchard, M.D. - 08 Dec 2003 17:36 GMT
Archived by "Fetch"

http://tinyurl.com/y9gd

> Links to Mediterranean, Greek and Cretan diet information, including
> recipes:
[quoted text clipped - 175 lines]
>
> 95 Greek/Middle Eastern Recipes http://www.ivu.org/recipes/greek/

Signature

~~~
Patrick Blanchard, M.D., A.B.F.P.
Board Certified in Family Practice
http://www.familydoctor.org/blanchard
~~~
SonoScore
Winning against heart attack and stroke
http://www.sonoscore.com

Matti Narkia - 08 Dec 2003 18:48 GMT
Mon, 08 Dec 2003 11:36:35 -0600 in article
<oprzvhu9gcx9pqj2@news-60.giganews.com> "Patrick Blanchard, M.D."
<blanchard@sonoscore_nospam.com> wrote:

>Archived by "Fetch"
>
>http://tinyurl.com/y9gd

That was quick. It would 've been polite if "Fetch" had mentioned the
source.
Patrick Blanchard, M.D. - 08 Dec 2003 19:59 GMT
> Mon, 08 Dec 2003 11:36:35 -0600 in article
> <oprzvhu9gcx9pqj2@news-60.giganews.com> "Patrick Blanchard, M.D."
[quoted text clipped - 6 lines]
> That was quick. It would 've been polite if "Fetch" had mentioned the
> source.

Sorry, "Fetch" is run by members of sonscore.com and scans usenet for
material that would be useful to others wanting to address atherosclerosis.
Many of our clients do not have usenet accounts, or do not understand what
it is, even though it is free on Google. "Fetch" sorts out the good stuff
and archives it all in one place, on our site.

Do you have a preference on the source "Fetch" should put? Let me know, and
I will update it.

Thanks Matti
Patrick

Signature

~~~
Patrick Blanchard, M.D., A.B.F.P.
Board Certified in Family Practice
http://www.familydoctor.org/blanchard
~~~
SonoScore
Winning against heart attack and stroke
http://www.sonoscore.com

Matti Narkia - 08 Dec 2003 22:18 GMT
Mon, 08 Dec 2003 13:59:10 -0600 in article
<oprzvogwolx9pqj2@news-60.giganews.com> "Patrick Blanchard, M.D."
<blanchard@sonoscore_nospam.com> wrote:

>> Mon, 08 Dec 2003 11:36:35 -0600 in article
>> <oprzvhu9gcx9pqj2@news-60.giganews.com> "Patrick Blanchard, M.D."
[quoted text clipped - 15 lines]
>Do you have a preference on the source "Fetch" should put? Let me know, and
>I will update it.

That's ok. I thought that "Fetch" was a person. Anyway, it could possibly
be useful to add a feature to "Fetch", which would allow it to get also
the newsgroups's name and the author's and the message's details, so that
the whole thread could be tracked down, if someone so desires. Or maybe it
already can do that?
Patrick Blanchard, M.D. - 08 Dec 2003 23:08 GMT
> Mon, 08 Dec 2003 13:59:10 -0600 in article
> <oprzvogwolx9pqj2@news-60.giganews.com> "Patrick Blanchard, M.D."
[quoted text clipped - 26 lines]
> it
> already can do that?

We use Opera, and essentially cut and paste from tne newsgroup for "Fetch".
Would another newsreader work better, to include more message details like
you are describing?

Thanks
Patrick

Signature

~~~
Patrick Blanchard, M.D., A.B.F.P.
Board Certified in Family Practice
http://www.familydoctor.org/blanchard
~~~
SonoScore
Winning against heart attack and stroke
http://www.sonoscore.com

us_visa@yahoo.com - 31 Dec 2004 22:09 GMT
I found a great free recourse site to help people manage their weight
loss and live a healthy lifestyle. I used a few of their tips and lost
a ton of weight.

Hope this helps you also :)
Visit http://www.manageweightloss.com for more information
Matti Narkia - 08 Dec 2003 21:16 GMT
Mediterranean Diet's rise to the fame started from the long-running Seven
Countries Study, which has been documented on the web site

On the Trail of Heart Attacks in Seven Countries
http://www.epi.umn.edu/about/7countries/index.shtm

The part describing Greece start from the page

Seven Countries Study : Greece
http://www.epi.umn.edu/about/7countries/greece.shtm
Matti Narkia - 08 Dec 2003 19:30 GMT
Mon, 08 Dec 2003 15:42:01 +0200 in article
<tej8tv429tp0n1s4cleqev8deqne99smkr@4ax.com> Matti Narkia
<mnng@despammed.com> wrote:

>I have considerably expanded and rearranged my bibliography of
>Mediterranean diet. It now includes 151 references. There are now also
>several studies about health effects of nuts. Enjoy.

It seems that I've missed an important recent study, here's the 152nd
reference:

Singh RB, Dubnov G, Niaz MA, Ghosh S, Singh R, Rastogi SS, Manor O, Pella
D, Berry EM.
Effect of an Indo-Mediterranean diet on progression of coronary artery
disease in high risk patients (Indo-Mediterranean Diet Heart Study): a
randomised single-blind trial.
Lancet. 2002 Nov 9;360(9344):1455-61
<http://www.thelancet.com/journal/vol360/iss9344/full/llan.360.9344.original_rese
arch.23027.1

Matti Narkia - 11 Dec 2003 09:10 GMT
See in a couple of excerpts from the article

Concepts and Controversies on Diet: Stop Recommending Low-Fat Diets!
Walter C Willett, MD, DrPH
Kaiser Permanente Permanente Journal, September 2003
http://www.countcarbs.com/research/stoprecommendinglowfat.htm

what Harvard researcher Walter C Willett writes about Low-Fat weight loss
diets compared with the Mediterranean diet:

   "... We analyzed32 results of a series of randomized
   trials that examined the effect of diets with lower levels
   of dietary fat as a percentage of total calorie intake and
   that lasted one year or more. Our analysis showed no
   weight benefit accrued after one year or more. Although a
   number of studies showed some modest decrease in body
   weight during the first few months, weight either
   stabilized or was regained by 12 to 18 months. It's very
   clear that low-fat diets are really not effective, on
   average, for long-term weight control. Some people can go
   on a low-fat diet and have enough willpower to lose
   weight, but randomized studies show that most people do
   not lose weight on low-fat diets.

   These findings are surprising, because most of these
   studies were seriously biased in favor of the low-fat
   group. In most of the studies, the control group got no
   intervention, and the low-fat-diet group got intensive,
   state-of-the-art intervention with monitoring of food
   intake, keeping diaries, weighing food, group support, and
   lots of counseling. Still, they didn't do any better than
   the control group. Evidence suggests that just intensive
   monitoring and attention to diet can help people lose a
   few pounds, so this result was surprising.

   On the basis of a small meta-analysis (restricted to the
   four studies that had similar-intensity intervention in
   both groups), low-fat diets did worse. A study by McManus
   et al33 had similar-intensity intervention for both
   groups. One group, on what was called "high-fat" but
   probably better called "moderate-fat," ate a diet with 35%
   of total calorie intake from fat, a Mediterranean-type,
   healthful diet. This diet included low amounts of red
   meat, lots of whole grains, lots of vegetables, and the
   fat was from nuts, olive oil, and salad dressing. The
   "low-fat" group ate a diet with 20% of calories from fat,
   an American Heart Association type of diet. What
   researchers saw was a paradigm for what's happened in the
   United States. In the first six months, similar weight
   loss occurred in both groups, but the people on the low-
   fat diet just couldn't adhere to this diet; they dropped
   out at a very high rate. When researchers brought these
   participants back in to weigh them, they had regained much
   of the weight. But the people on the higher­fat,
   Mediterranean-type diet had about twice the weight loss by
   18 months compared with loss in the low-fat group, and
   these people felt satisfied. Their diet was something they
   could live with, and they didn't feel deprived. ..."

--
Matti Narkia
Matti Narkia - 11 Dec 2003 13:10 GMT
Harvard School of Public Health Nutrition Source's page

Food Pyramids
http://www.hsph.harvard.edu/nutritionsource/pyramids.html

favorable a.ses Mediterranean food pyramid:

   "Other Alternatives

   The Healthy Eating Pyramid summarizes the best dietary
   information available today. It isn't set in stone,
   though, because nutrition researchers will undoubtedly
   turn up new information in the years ahead. The Healthy
   Eating Pyramid will change to reflect important new
   evidence.

   This isn't the only alternative to the USDA's Food Guide
   Pyramid. The Asian, Latin, Mediterranean, and vegetarian
   pyramids promoted by Oldways Preservation and Exchange
   Trust[www.oldwayspt.org] are also good, evidence-based
   guides for healthy eating. The Healthy Eating Pyramid
   takes advantage of even more extensive research and offers
   a broader guide that is not based on a specific
   culture.The Healthy Eating Pyramid is described in greater
   detail in Eat, Drink, and Be Healthy: The Harvard Medical
   School Guide to Healthy Eating, published by Simon and
   Schuster (2001)."

The description of Mediterranean Diet Food Pyramid can be found on the we
pages

The Mediterranean Diet Pyramid
<http://www.oldwayspt.org/pyramids/med/p_med.html>

and

Mediterranean Diet Food Pyramid
<http://www.diet-i.com/mediterranean-diet-pyramid.htm>

See also

Healthy Eating Pyramids & Other Tools
<http://www.e-guana.net/organizations.php3?orgid=61&typeID=193&action=printConten
tItem&itemID=1521
>

--
Matti Narkia
Matti Narkia - 07 Dec 2003 22:27 GMT
Sun, 07 Dec 2003 23:34:19 +0200 in article
<fj67tvorngejk7h5vsteia0ono576bojif@4ax.com> Matti Narkia
<mnng@despammed.com> wrote:

>7 Dec 2003 12:53:52 -0800 in article
><a20043.0312071253.7ffd6774@posting.google.com> axipolti@yahoo.com
[quoted text clipped - 15 lines]
>the _Seven Countries Study_  and the diet of Crete. So go back to your
>roots diet wise and stay healthy :-).

A note about the traditional Cretan diet and fat: It derived about 40% of
its calories from fat, mostly from olive oil. Omega-3 fatty acids were
also well presented, but intake of saturated fatty acids was fairly low.
 
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