Hostname: page-component-8448b6f56d-dnltx Total loading time: 0 Render date: 2024-04-17T10:10:51.677Z Has data issue: false hasContentIssue false

Mediterranean diet and longevity

Published online by Cambridge University Press:  09 March 2007

A. Trichopoulou*
Affiliation:
University of Athens Medical School, Department of Hygiene and Epidemiology, Mikras Asias 75, 115 27 Athens, Greece
E. Vasilopoulou
Affiliation:
University of Athens Medical School, Department of Hygiene and Epidemiology, Mikras Asias 75, 115 27 Athens, Greece
*
*Corresponding author: A.Trichopoulou, Dept of Hygiene and Epidemiology, University of Athens, Medical School, Mikras Asias 75, Athens 115 27, Greece, tel +301 7488 042, fax +301 7488 902, email antonia@nut.uoa.gr
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Mortality statistics from the WHO database covering the period 1960 to 1990 have provided intriguing evidence that something unusual has been affecting in a beneficial way the health of the Mediterranean population. In recent papers, which evaluated the evidence accumulated over the last three decades, it was concluded that the traditional Mediterranean diet meets several important criteria for a healthy diet. Direct evidence in support of the beneficial properties of the Mediterranean diet has also become available. These data were derived from three studies, which have used a diet score, devised a priori on the basis of eight desirable key features of the traditional common diet in the Mediterranean region. The conclusion of these studies is that a diet that adheres to the principles of the traditional Mediterranean one is associated with longer survival. The Greek version of the Mediterranean diet is dominated by the consumption of olive oil and by high consumption of vegetables and fruits. Antioxidants represent a common element in these foods and an antioxidant action provides a plausible explanation for the apparent benefits. Wild edible greens frequently eaten in rural Greece in the form of salads and pies contain very high quantities of flavonoids — considerably higher than those found in red wine or black tea. While there is no direct evidence that these antioxidants are central to the benefits of the Mediterranean Diet, indirect evidence from epidemiological data and the increasing understanding of their mechanisms of action suggest that antioxidants may play a major role.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2000

References

Byrd-bredbenner, C, Lagiou, P & Trichopoulou, A (2000) A comparison of household food availability in 11 countries. Journal of Human Nutrition and Dietetics 13, 197204.CrossRefGoogle ScholarPubMed
Crozier, N, Lean, MEJ, Mcdonald, MS & Black, C (1997) Quantitative analysis of the flavonoid content of commercial tomatoes, onions, lettuce, and celery. Journal of Agricultural and Food Chemistry 45, 590595.Google Scholar
Dalla-vorgia, P, Sasco, A, Skalkidis, Y, Katsouyanni, K & Trichopoulos, D (1990) An evaluation of the effectiveness of tobacco-control legislative policies in European Community countries. Scandinavian Journal of Social Medicine 18, 8189.CrossRefGoogle ScholarPubMed
Hertog, MGL, Hollman, PCH & Katan, MB (1992) Content of potentially anticarcinogenic flavonoids of 28 vegetables and 9 fruits commonly consumed in the Netherlands. Journal of Agricultural and Food Chemistry 40, 23792383.Google Scholar
Hertog, MGL, Hollman, PCH & van de putte, B (1993) Content of potentially anticarcinogenic flavonoids of tea infusions, wines, and fruit juices. Journal of Agricultural and Food Chemistry 41, 12421246.CrossRefGoogle Scholar
Justesen, U, Knuthsen, P & Leth, T (1998) Quantative analysis of flavonols, flavones, and flavanones in fruits, vegetables and beverages by high-performance liquid chromatography with photo-diode array and mass spectrometric detection. Journal of Chromatography A 799, 101110.CrossRefGoogle Scholar
Keys, A (1980) Seven Countries: A Multivariate Analysis of Death and Coronary Heart Disease. Cambridge, MA: Harvard University PressGoogle Scholar
Keys, A, Menotti, A, Karvonen, MJ, Aravanis, C, Blackburn, H, Buzina, R, Djordjevic, BS, Dontas, AS, Fidanza, F & Keys, MH, et al. (1986) The diet and 15-year death rate in the Seven Countries Study. American Journal of Epidemiology 124, 903915.CrossRefGoogle ScholarPubMed
Kouris-blazos, A, Gnardellis, Ch, Wahlqvist, ML, Trichopoulos, D, Gukito, W & Trichopoulou, A (1999) Are the advantages of the Mediterranean diet transferable to other populations? A cohort study in Melbourne, Australia. British Journal of Nutrition 82, 5761.CrossRefGoogle ScholarPubMed
Lionis, C, Fatesjo, A, Skoula, M, Kapsokefalou, M &Faresjo, T (1998) Antioxidant effects of herbs in Crete. Lancet 352, 19871988.CrossRefGoogle ScholarPubMed
Mattson, FH & Grundy, SM (1985) Comparison of effects of dietary saturated, monounsaturated, and polyunsaturated fatty acids on plasma lipids and lipoproteins in man. Journal of Lipid Research 26, 194202.CrossRefGoogle ScholarPubMed
Mensink, RP & Katan, MB (1987) Effect of monounsaturated fatty acids versus complex carbohydrates on high-density lipoproteins in healthy men and women. Lancet 1, 122s125s.CrossRefGoogle ScholarPubMed
National Research Council, Commission on Life Sciences, Food and Nutrition Board, Committee on Diet and Health (1989) Diet and Health. Implications for Reducing Chronic Disease Risk. Washington DC: National Academy PressGoogle Scholar
Osler, M & Schroll, M (1997) Diet and mortality in a cohort of elderly people in a north European community. International Journal of Epidemiology 26, 155159.CrossRefGoogle Scholar
Supreme Scientific Health Council, Ministry of Health and Welfare of Greece (1999) Dietary guidelines for adults in Greece. Archives of Hellenic Medicine 16, 516524.Google Scholar
Trichopoulou, A (1988) Rapporteur. The Mediterranean Diet and Food Culture. What, Why, How? Report of a World Health Organization (Europe) Meeting, Delphi, Greece.Google Scholar
Trichopoulou, A (1992) On ‘More on Chewing the Fat: The Good Cholesterol’, by Sacks & Willet (letter). New England Journal of Medicine 327, 53.Google Scholar
Trichopoulou, A, Kouris-blazos, A, Wahlqvist, ML, Gnardellis, Ch, Lagiou, P, Polychronopoulos, E, Vassilakou, T, Lipworth, L & Trichopoulos, D (1995 a) Diet and overall survival in elderly people. British Medical Journal 311, 14571460.CrossRefGoogle ScholarPubMed
Trichopoulou, A, Kouris-blazos, A, Vassilakou, T, Gnardellis, Ch, Polychronopoulos, E, Venizelos, M, Lagiou, P, Wahlqvist, M & Trichopoulos, D (1995 b) The diet and survival of elderly Greeks; a link to the past. American Journal of Clinical Nutrition 61, (suppl), 1346S1350S.CrossRefGoogle ScholarPubMed
Trichopoulou, A & Lagiou, P (1997 a) Healthy traditional Mediterranean diet: an expression of culture, history and lifestyle. Nutrition Reviews 55, 383389.CrossRefGoogle ScholarPubMed
Trichopoulou, A & Lagiou, P [editors] (1997 b) Methodology for the Exploitation of HBS Food Data and Results on Food Availability in Five European Countries. EC publication, ISBN 92–828–1570–6.Google Scholar
Trichopoulou, A & Lagiou, P [editors] (1998) Methodology for the Exploitation of HBS Food Data and Results on Food Availability in Six European Countries. EC publication ISBN 92–828–4294–0.Google Scholar
Trichopoulou, A, Lagiou, P & Papas, A (1998) Mediterranean diet: are antioxidants central to its benefits? In Antioxidant Status, Diet, Nutrition, and Health, pp. 107118 [Papas, AM, editors]. Boca Raton, FL: CRC Press.Google Scholar
Trichopoulou, A, Vasilopoulou, E, Hollman, P, Chamalides, Ch, Foufa, E, Kaloudis, Tr, Kromhout, D, Miskaki, Ph, Petrochilou, I, Poulima, E, Stafilakis, K & Theophilou, D (2000) Nutritional composition and flavonoid content of edible wild greens and green pies: a potential rich source of antioxidant nutrients in the Mediterranean diet. Food Chemistry 70, 319323.Google Scholar
Visioli, F & Galli, C (1998) The effect of minor constituents of olive oil on cardiovascular disease: new findings. Nutrition Reviews 56, 142147.CrossRefGoogle ScholarPubMed
Willett, WC (1994) Diet and health: what we should eat? Science 264, 532537.CrossRefGoogle ScholarPubMed
World Health Organization (1993) Health for all — Statistical database. WHO, Regional Office for Europe.Google Scholar