It is accepted that the Mediterranean diet reduces cardiovascular mortality and reduces the risk of metabolic syndrome.
A Spanish study cohort type on 13,380 subjects, followed over four years shows that it also reduces the risk of diabetes among healthy subjects.
The mediterranean diet, also sometimes called the Cretan diet, is a diet rich in plants, vegetables, fruits, oil seeds, grains, olive oil, with a little wine, some fish and relatively little meat. Such a diet provides protection cardiovascular well established. This protection is due to the richness of the food bowl in fiber and vegetable fats, ingestion of alcohol in moderate quantities and low consumption of trans fatty acids. Furthermore, consumption of olive oil, used for seasoning and cooking, can increase the ratio of mono-unsaturated fatty acids and saturated fats, whose responsibility in atherosclerosis is recognized, any such as cholesterol. Such a system improves the lipid profile and blood glucose control in diabetics.
It was shown that it is associated with a reduction in coronary mortality and was inversely associated with risk of metabolic syndrome and the elevation of markers of inflammation and endothelial dysfunction, predictive occurrence of type 2 diabetes. The Lyon’s study in secondary prevention of cardiovascular disease had also found the benefits of the Mediterranean diet, reducing frequency of the events and cardiovascular mortality, at subjects with coronary heart disease evident.
Regarding the risk of type 2 diabetes, MA Gonzalez-Martinez et al. (Pamplona, Spain) have implemented a prospective cohort type which is particularly ambitious. It has indeed brought about 13 380 graduates of higher education without diabetes at baseline who were followed for a median of 4.4 years.
The dietary habits of these subjects were determined using a semi quantity of 136 food products, validated since 1993. The quantities of each product ingested in the previous year were classified into 9 categories, from the total or almost to capture at least 6 times a day.
The products, with their quantities ingested, were grouped by categories (vegetables, fruits, meat, dairy products …). The food at Mediterranean diet has been noted a score of 0 to 9 for costing the observance of each participant in this mode of feeding. The observance was finally classified into three categories, low, medium or high, depending on this score.
The results of this work showed that among study participants who ate the most regularly “Mediterranean”, the incidence of new cases of diabetes was low. Compared with the subjects of the study with low adherence to this regime, the relative risk of diabetes was 0.41 (confidence interval 95%: 0,19-0,87) among participants with adherence average, and has even been only 0.17 (confidence interval 95%: 0,04-0,75) among those whose observance was the best. These excellent results of the Mediterranean diet were observed after adjusting for sex, age, the armies of higher education, food intake, body mass index, physical activity levels, physical inactivity, tobacco use, family history of diabetes and personal history of hypertension.
An increase of two points score of adherence to Mediterranean diet was associated with a reduced risk of type 2 diabetes by 35%. This trend was confirmed by multivariate analysis (p = 0.04).
A Mediterranean diet is well observed not only associated with a reduction in coronary mortality, but is also correlated in order to reverse the incidence of type 2 diabetes among healthy subjects.