I remember when I was studying nutrition in college, we were taught the DASH diet, which basically stands for Dietary Approaches to Stop Hypertension. It was considered the gold standard of diets when it came to high blood pressure. At the time the diet was developed, it was based on research that showed that certain minerals such as potassium and magnesium, reduced blood pressure. The authors noted that in order for the diet to be accepted by the American public it included meat, even though research had showed consistently that a vegetarian diet lowers blood pressure.
This diet therefore was a diet rich in fruits and vegetables. It also was low in fat and moderate to high in carbohydrates which at the time (90’s) were considered necessary factors of a healthy diet.
Fast forward to 2016 where we now know that healthy fats such as olive oil do not necessarily make you fat, but the overly processed carbohydrates do. When reviewing the website that sells and promotes the DASH diet books, it refers to the DASH diet as “home-grown” compared to the Mediterranean diet. In other words, an Americanized version of the Mediterranean diet. However it goes on to say that the new book that is based on newer DASH research, is more similar to the Mediterranean diet: more good fats and less refined carbohydrates.
So basically it’s the Mediterranean diet but without the wine and more meat.
Now another diet comes along, it is called the MIND diet, it stands for Mediterranean-DASH Intervention for Neurodegenerative Delay and it is basically a hybrid of the Mediterranean and Dash diet, but to me it looks like the Mediterranean diet with less vegetables and less cheese. It is known to reduce the risk of Alzheimer’s by 53 percent according to one study. However, the same study showed that the Mediterranean diet lowered the risk even more; by 54 percent and the DASH diet lowered it by 39 percent. But yet this new diet is getting all the attention as “the diet” that can protect your brain. It was even voted as one of the best diets last year and it has the catchy title “MIND”. What about poor ol’ Mediterranean diet? It lowered the risk even more, plus it appears to protect us from a variety of other diseases, plus it has hundreds of studies supporting it. The developers of this diet mention that the MIND diet is easier to follow. But is it?
Does the Mediterranean diet have a branding problem?
How many studies does the MIND diet have backing it up or even the DASH diet compared to the Mediterranean diet? It seems that both diets were developed using existing research for a new diet plan that incorporates these elements. I think it is good to promote healthy diets such as the two above, but again they just seem like homegrown versions of the original Mediterranean diet. Why do we have to reinvent the wheel when it comes to healthy, effective diets?
One may think it is all about marketing. As a reader (Greg) on the blog so aptly commented “We must push forward a new diet (with perhaps an accompanying book or two) with a new name, so we can market it! There is no quick money to be made by advocating for an old diet.” That may be true. The Mediterranean diet is an old diet. But that doesn’t mean it cannot be applied to today’s lifestyle as I hope I have shown here on Olive Tomato.
Another issue is how accessible a diet appears. As a health professional, I can understand the importance of compliance to a diet. Perhaps these versions may appeal more to the American public because of the supposed ease and the fact that they have a catchy name. They may appeal more because they include good portions of meat or maybe because they do not include wine. An important question here is: can these man-made diets provide the same results as the Mediterranean diet? And are they easier? And finally is the Mediterranean diet as difficult, expensive and vague as it is presented to be? As I have said numerous times: No.
Objectively, when we see over and over again new diets showing up that are based pretty much on the Mediterranean diet, one cannot help but wonder why.
If the Mediterranean diet is supposed to be how the Mediterranean peoples eat, then it is mistaken.
I have read many times, say, how Med people only eat whole grains. Not true! They eat precisely the same pasta and rice, say, as the non-health-conscious do. Not whole grain. They do eat more mixed salads, which often used to be put on the table automatically, even in cheap restaurants.
The consequence is that the Mediterranean countries have an increasing overweight and obesity problem. Worst amongst them is Greece, where well over half the population is deemed overweight.
I’ve written about this issue here: https://www.olivetomato.com/if-the-greek-diet-is-so-healthy-why-are-greeks-obese/
Also when talking about “The Mediterranean Diet”, I am always referring to the traditional diet of Greeks and S. Italians in the 1960’s as it has been defined, not the diet of today which is very Westernized in the Mediterranean countries.
They’d have to give up all the moussaka, pastitsio, baklava etc in order to follow the “Mediterranean” diet. That’s another kind of branding problem
As the study you linked to states, the advantage of the MIND diet over the Mediterranean diet is that even moderate compliance to the MIND diet still results in a 35% reduced risk of Alzheimers, which is not mirrored in either the Mediterranean or the DASH diets. Since, as you state, many people find it difficult or distasteful to make a full switch to any healthier diet, the MIND diet is important in reducing their risk regardless of their level of compliance.
I can live without the cheese, which is off the Mind diet…is that really key to the Med diet?
I am so “into” eating a Mediterranean-style diet (although not quite up to the amount of vegetables that you recommend, but more than I used to eat!), with very little meat and enjoying the dairy items and legumes, that I actually forget that everyone isn’t eating this way! As alluded to by you and in other Comments, it really is about changing one’s habits (and perhaps those of others who live in your house) until the “new” way of eating simply becomes a regular habit 🙂
There’s also a new diet in Germany that seems to be very popular, it’s called “flexi-carb”, and it’s basically a mediterranean diet with some more meat and less carbs. It even says “mediterranean enjoyment with the flexi-carb method”. People should just get back to the real thing and not buy into these watered down versions.
Thanks for sharing Ronald!
I think that it’s more of a palatability issue. The academics who are publishing in scientific journals aren’t really marketing.
Americans don’t routinely eat legumes and barely eat vegetables or whole fruit (vs. “fruity flavored” junk.) We’re awash in inexpensive “highly palatable” foods and getting people to eat “la cucina povera” is just not an easy sell. I don’t know what the solution is.
That is true as I was mentioning the compliance to the diet, but the 2 particular diets above also require vegetables and legumes.
I think that the marketing explanation is probably part of the answer. But I think the larger problem is what you alluded to in your next to last paragraph. Dietary professionals are afraid or reluctant to really tell people how much needs to change about the Standard American Diet (SAD). Convenience and processed food is so entrenched here in the US that I can’t imagine trying to convince the majority of people that you can–just as an example–make a meal out of cauliflower cooked in tomatoes and olive oil with feta, some bread, and a side of greens. So nutritionists make incremental changes in hopes of not discouraging people who would be put off from making a wholesale change in eating habits. But adding a tablespoon of olive oil or some red wine to the SAD isn’t really going to change health profiles significantly. Heck, we can’t even get people to eat just 5 servings of fruit and veg a day. Imagine trying to get people to eat 8 or 9, which is probably more in line with what the traditional Greek diet includes. People at work are always making comments about how healthy my made-at-home lunches are but I can’t convince them that I am not doing anything extraordinary nor am I doing anything that they couldn’t do themselves if they were willing to make the changes. Instead they convince themselves that eating baked (instead of fried) potato chips with their Subway sandwiches everyday is healthy eating.
Great insights Mary and so true. Thank you for your comment!