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Dr Claire McEvoy and Sarah Moore. Overview Does a Mediterranean diet reduce risk of heart disease and diabetes? What is the Mediterranean diet? TEAM-MED.

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Presentation on theme: "Dr Claire McEvoy and Sarah Moore. Overview Does a Mediterranean diet reduce risk of heart disease and diabetes? What is the Mediterranean diet? TEAM-MED."— Presentation transcript:

1 Dr Claire McEvoy and Sarah Moore

2 Overview Does a Mediterranean diet reduce risk of heart disease and diabetes? What is the Mediterranean diet? TEAM-MED research study

3 Heart disease In NI, over 75,000 people with heart disease and 1 in 4 people die each year due to heart disease Diabetes is a major risk factor for heart disease Most deaths could be prevented by making lifestyle changes such as eating a healthy diet… BHF, 2013 & NHS, 2012

4 Seven Countries Study (1968) Disease rates and dietary patterns differed across countries Mediterranean diet responsible? Mediterranean Diet and Heart Disease RESEARCH Keys et al., 1986

5 Does a Mediterranean diet reduce risk of heart disease and diabetes?

6 People: 7447 adults at risk of heart disease Groups: Med diet and olive oil Med diet and nuts Low fat diet Outcome: Heart related death, heart attack, stroke or diabetes Duration: 5 years Predimed Study

7 PREDIMED Study Year 0 1 2 3 4 5 60 40 30 20 10 0 50 Low fat diet Med diet + nuts Med diet + olive oil % people had heart event Estruch et al., 2013 Heart events over 5 years

8 PREDIMED Study Med diet + olive oil Low fat diet Salas-Salvadó et al., 2011 Med diet + nuts Survival without diabetes over 5 years (non-diabetic individuals) Cumulative survival from diabetes

9 30% reduction in risk of heart disease 52% reduction in risk of diabetes PREDIMED Results (Taylor et al, 2013; (Knowler et al, 2002) 27% reduction in risk of heart disease with statin treatment 30% reduction in risk of diabetes with metformin treatment

10 Greater adherence to a Mediterranean diet is more effective than current drug treatments to reduce the risk of heart disease and diabetes. What these results tell us…

11 Mediterranean Diet: How it reduces risk Blood pressure Cholesterol Blood glucose Weight gain

12 Other health benefits of a Mediterranean diet Following a Mediterranean diet can: reduce the risk of Alzheimer's and Parkinson's disease reduce the risk of death from or occurrence of Cancer Sofi F et al., 2010

13 Summary Heart disease remains a major cause of death Good evidence that following a Mediterranean diet can reduce risk of heart disease and diabetes Further research needed on how to support people to change their diet

14 What is the Mediterranean diet?

15 The Mediterranean diet High in fruits, vegetables, wholegrain bread, rice and pasta, potatoes, beans, nuts, and seeds Olive oil as an important fat source and dairy products, fish, and poultry (consumed low- moderate amounts) Eggs (moderate amounts), and red meat (low amounts) Wine is consumed in low to moderate amounts. Dietary pattern based on food patterns of many Mediterranean regions in 1960s Kris-Etherton, 2001

16 Mediterranean Diet Pyramid

17 Mediterranean Diet guidelines Every main meal 1-2 portions fruits, 2+ portions vegetables 1-2 servings wholegrain bread/ rice/ pasta Use olive oil as main cooking fat or as a dressing Every day 2 servings dairy 1-2 servings nuts Weekly 2 servings poultry, 2+ servings oily fish, 2+ servings legumes Less than 2 servings red meat, 1 or less serving processed meat 0-4 servings Eggs Less than 2 servings sweet foods Optional: 1 glass wine/day(women), 2 glasses/day(men) most days Bach-Faig et al., 2011

18 Eat more fruit & vegetables Include oily fish (e.g. salmon, herring, sardines) 2-3 times/ week Eat wholegrain bread and cereals instead of white/ low fibre Use olive or rapeseed oils & spreads Add more natural nuts into your diet (e.g. walnuts, almonds or hazelnuts) Reduce red meat intake and eat poultry more often Alcohol in moderation (optional) Guidelines: key foods & advice

19 Breakfast Fruit or small glass of unsweetened fruit juice Wholegrain breakfast cereal/ porridge/ muesli Wholemeal bread/ toast with olive oil spread Lunch Soup and wholemeal bread Small portion of chicken/ fish/ egg/ cheese Salad Wholemeal bread Fruit and yoghurt Evening meal Small portion meat/ chicken/ fish/ egg Plenty of salad/ vegetables Potatoes, rice, pasta, other grains or wholemeal bread Fruit for dessert Glass of wine (optional) Mediterranean diet meal plan MENU Wholegrain bagel with olive oil spread +fresh fruit Lentil soup + wholegrain bread Mediterranean-style marinated fish or chicken Snacks: Fruit/ nuts

20 2 tbsp olive oil 1 clove garlic, thinly sliced 1 carrot, diced 1 large onion, sliced 1 celery stick, sliced 1 medium potato, diced 1-2 slices of turnip, diced 100g (4oz) red lentils 1L (1 ¾ pt) chicken or vegetable stock (serves 4) Heat the olive oil in a saucepan and add the onion and garlic. Sauté gently for 5 minutes until softening Add the rest of the vegetables and cook for a further 4-5 minutes. Add the lentils and stock and bring to the boil. Simmer for 15-20 minutes. Season with pepper, blend until smooth. Pour the mixture back into the pan, reheat gently. Serve with wholemeal bread Mediterranean diet recipes LENTIL SOUP

21 2 (100g/4oz) fish fillets (or chicken breasts) 2 tbsp olive oil 2 tsp red wine vinegar ½ tsp ground black pepper ½ dried basil or thyme ¼ tsp garlic granules 2 bay leaves (serves 2) In a bowl, mix olive oil, vinegar, pepper, basil, thyme and garlic. Coat both sides of the fish/ chicken fillets. Break the bay leaves into 3-4 pieces, press onto both sides of fillets. Cover and refrigerate for at least an hour. Remove the bay leaves. Cook in a non-stick pan over a medium-high heat. Serve with potatoes, pasta, rice or another grain such as couscous and vegetables Mediterranean diet recipes MED-STYLE MARINATED FISH (or chicken)

22 Encouraging adoption of a Mediterranean diet

23 75 people at risk of heart disease Peer support (25) Time 0 12 (months) Written Mediterranean diet advice (25) Sessions with Dietitian and provided olive oil and nuts (25) TEAM-MED Study

24 TEAM-MED is seeking to recruit suitable people to take part in the study. If you are over 40 years, overweight and with no previous history of heart disease, stroke or diabetes you may be eligible to take part in TEAM-MED. For more details contact: Claire McEvoy: c.mcevoy@qub.ac.uk (tel: 02890 632764) orc.mcevoy@qub.ac.uk Sarah Moore: smoore550@qub.ac.uk (tel: 02890 635020)smoore550@qub.ac.uk

25 Nutrition and Metabolism Group Centre for Public Health, QUB Thank you for your attention Any questions?


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