Presentation on theme: "Mediterranean diet and"— Presentation transcript:
1 Mediterranean diet and heart healthDr Claire McEvoy and Sarah Moore
2 OverviewDoes a Mediterranean diet reduce risk of heart disease and diabetes?What is the Mediterranean diet?TEAM-MED research study
3 Heart diseaseIn NI, over 75,000 people with heart disease and 1 in 4 people die each year due to heart diseaseDiabetes is a major risk factor for heart diseaseMost deaths could be prevented by making lifestyle changes such as eating a healthy diet…BHF, 2013 & NHS, 2012
4 Mediterranean Diet and Heart Disease Seven Countries Study (1968)Disease rates and dietary patterns differed across countriesMediterranean diet responsible?RESEARCHKeys et al., 1986
5 Does a Mediterranean diet reduce risk of heart disease and diabetes?
6 Predimed Study People: 7447 adults at risk of heart disease Groups: Med diet and olive oilMed diet and nutsLow fat dietOutcome: Heart related death, heart attack, stroke or diabetesDuration: 5 years
7 PREDIMED Study Year Heart events over 5 years Low fat diet 60Med diet + nuts50% people had heart event4030Med diet + olive oil2010YearEstruch et al., 2013
8 Survival without diabetes over 5 years (non-diabetic individuals) PREDIMED StudySurvival without diabetes over 5 years (non-diabetic individuals)Med diet + olive oilCumulative survival from diabetesMed diet + nutsLow fat dietSalas-Salvadó et al., 2011
9 PREDIMED Results30% reduction in risk of heart disease 52% reduction in risk of diabetes27% reduction in risk of heart disease with statin treatment30% reduction in risk of diabetes with metformin treatment(Taylor et al, 2013; (Knowler et al, 2002)
10 What these results tell us… Greater adherence to a Mediterranean diet is more effective than current drug treatments to reduce the risk of heart disease and diabetes.
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 diseasereduce the risk of death from or occurrence of CancerSofi 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 diabetesFurther research needed on how to support people to change their diet
15 The Mediterranean diet High in fruits, vegetables, wholegrain bread, rice and pasta, potatoes, beans, nuts, and seedsOlive 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 1960sKris-Etherton, 2001
17 Mediterranean Diet guidelines Bach-Faig et al., 2011Every main meal1-2 portions fruits, 2+ portions vegetables1-2 servings wholegrain bread/ rice/ pastaUse olive oil as main cooking fat or as a dressingEvery day2 servings dairy1-2 servings nutsWeekly2 servings poultry, 2+ servings oily fish, 2+ servings legumesLess than 2 servings red meat, 1 or less serving processed meat0-4 servings EggsLess than 2 servings sweet foodsOptional: 1 glass wine/day(women), 2 glasses/day(men) most days
18 Guidelines: key foods & advice Eat more fruit & vegetablesInclude oily fish (e.g. salmon, herring, sardines) 2-3 times/ weekEat wholegrain bread and cereals instead of white/ low fibreUse olive or rapeseed oils & spreadsAdd 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)
19 Mediterranean diet meal plan BreakfastFruit or small glass of unsweetened fruit juiceWholegrain breakfast cereal/ porridge/ muesliWholemeal bread/ toast with olive oil spreadLunchSoup and wholemeal breadSmall portion of chicken/ fish/ egg/ cheeseSaladWholemeal breadFruit and yoghurtEvening mealSmall portion meat/ chicken/ fish/ eggPlenty of salad/ vegetablesPotatoes, rice, pasta, other grains or wholemeal breadFruit for dessertGlass of wine (optional)MENUWholegrain bagel with olive oil spread +fresh fruitLentil soup + wholegrain breadMediterranean-style marinated fish or chickenSnacks: Fruit/ nuts
20 Mediterranean diet recipes LENTIL SOUPHeat the olive oil in a saucepan and add the onion and garlic.Sauté gently for 5 minutes until softeningAdd 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 minutes.Season with pepper, blend until smooth.Pour the mixture back into the pan, reheat gently.Serve with wholemeal bread2 tbsp olive oil1 clove garlic, thinly sliced1 carrot, diced1 large onion, sliced1 celery stick, sliced1 medium potato, diced1-2 slices of turnip, diced100g (4oz) red lentils1L (1 ¾ pt) chicken or vegetable stock(serves 4)
21 Mediterranean diet recipes MED-STYLE MARINATED FISH (or chicken)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 vegetables2 (100g/4oz) fish fillets (or chicken breasts)2 tbsp olive oil2 tsp red wine vinegar½ tsp ground black pepper½ dried basil or thyme¼ tsp garlic granules2 bay leaves(serves 2)
23 TEAM-MED Study Time 0 12 (months) 75 peopleat risk of heart diseasePeer support (25)Time(months)Written Mediterranean diet advice (25)Sessions with Dietitian and provided olive oil and nuts (25)We are currently working on the TEAM-MED study. The aim of this study is to examine different ways of supporting people, at risk of heart disease to change their diet towards a MD.We will recruit 75 individuals that are at risk of heart disease but who have no history of heart disease or diabetes. Individuals will be asked to follow a MD for 12 months and will be given different levels of support; 1 group will receive written advice, one group will receive sessions with a dietitian and olive oil and nuts and one group will receive peer support- which is a form of support provided by individuals that have experience of successfully making dietary changes to lower their risk of heart disease.
24 TEAM-MED StudyTEAM-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 (tel: ) orSarah Moore: (tel: )
25 Nutrition and Metabolism Group Centre for Public Health, QUB Thank you for your attentionAny questions?