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The Mediterranean Diet

The Mediterranean Diet and its Many Healthy Aspects

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Mediterranean diet: Olive Oil

The US News and World Report have recently announced that the Mediterranean diet is the best diet for the year 2019. The report also awarded it with the first spot in a series of sub categories, including best diet for healthy eating, best plant-based diet, best diet for diabetes and easiest diet to follow, as reported by CNN.

UNESCO and the Mediterranean Diet in Italy:

That the Mediterranean diet is special doesn’t come as a surprise: in the end, it has been part of the UNESCO Intangible Cultural Heritage since 2013.

Read on to understand why the food of the Mediterranean is considered so good for your health, how it compares to traditional American food and why eating Mediterranean is more than a diet, it’s a real lifestyle.

Mediterranean Diet in Italy

mediterranean diet

Italian cuisine is a mediterranean type of cuisine. This article will give you some information about the basics of healthy Mediterranean cooking, as well as provide a comparison with a typical American diet.

Before beginning, you must consider one thing: a Mediterranean diet is not only Italian, as it is typical of the entire basin of the Mediterranean Sea. As a consequence, it embraces the cuisines of places as far as Spain and Israel, Syria and Greece, North Africa and Italy. Because of this variety, both cultural and geographical, Mediterranean cuisine can be quite different from one area to another: for instance, in Italy we like to use pasta as the basis for our main meals, and as main source of carbohydrates. In the Middle East, on the other hand, chickpeas and barley would be the staple of most dishes.

At the same time, there is a common substratum made of fresh ingredients, olive oil and particular food associations that join at the root the way people around the Mediterranean cook: there is a heavy reliance on complex carbohydrates, fresh vegetables and fruits, with an accent placed on fish consumption as opposed to meat, and the use of olive oil instead of butter as main form of condiment.

It is pretty clear how these characteristics make a typical Mediterranean diet very different from a Continental one (that of central and northern Europe), which revolves around red meat, potatoes and butter. On this particular note, it is interesting to mention the fact that Italy, especially in the north, does present recipes and culinary habits that can be very much considered “continental:” this is because of the presence of the Alps, and the fact that the climate of our northern regions is, at times, closer to that of central Europe than that of the south of the country.

The Mediterranean Diet: a Bit of History

If you think the Mediterranean diet is a recent invention of dieticians, you’d be mistaken. The food of the Mediterranean has been important to its societies since the inception of civilization. Favorable climate and the presence of the sea, which provided both food and an easy way to communicate and trade with other regions, helped and supported the birth and growth of society.

At the core of the way our forefathers ate (think of the Greeks, the Aegyptians, the Israelites and of course, the Romans) was the Mediterranean Triad. The triad was formed by three, essential elements: olives, cereals (barley and spelt more than wheat) and vine, as well as their products, oil, bread and wine. Supported by fish on the coast and dairy products in the hinterlands, this type of nutrition evolved throughout the centuries and became what is today known as Mediterranean cuisine.

The Mediterranean Diet and Health

According to the American Heart Associationa Mediterranean diet is characterized by:

  • Fruit
  • Vegetables
  • Nuts and seeds
  • Olive oil
  • Small amounts of dairy
  • Small amounts of fish and poultry
  • Very small amounts of red meat and eggs
  • Moderate amounts of wine

Always according to the American Heart Association, a Mediterranean diet may be high in fats.

Truth is, however, that the fats abounding in Mediterranean cuisine are monounsaturated and therefore healthy. If it is true that the Mediterraneans have become increasingly obese, it is also true that the real culprit is not the Mediterranean diet itself, but rather the increase in consumption of processed foods and sugars, a widespread phenomenon all around the world.

The Mayo Clinic seems to be better informed about it, and presents a typical Mediterranean diet as the perfect choice to keep our heart healthy.

That the Mediterraneans eat well, or at least better than others, is evident from the data collected by  FAO, the Food and Agriculture Organization. According to it, Italians consume 140 kg of fruit and 180 kg of vegetable per capita a year. Americans, on the other hand, only consume 113 kg of fruit and 129 kg of vegetables, although the worst are the Brits with only 91 kg of fruit and 89 of vegetables consumed per capita in 12 months.

mediterranean diet
Fresh Fruit and Vegetables are the core of a Mediterranean Diet

Italian Food, the Mediterranean Diet and how we Interpret it in the US

When people talk to me about going to an Italian restaurant, they mention pizza or pasta (by the way, Alfredo sauce is unknown in Italy).

Only high end Italian restaurants in the United States offer a variety of vegetables. It is even rarer to find fruit being served as dessert.

Salad is often served with pre-packed dressings that Euro-Italians have never seen, and that cannot compare in quality and taste to a dash of fresh olive oil and mild vinegar. Some of these dressings are so high in fat that they eliminate the benefits of eating salads.

Italian-American cooking lacks the essentials of a good, old fashioned Mediterranean diet. Salads and vegetables are overwhelmed with sauces and cheese. And even Italian classics like eggplant parmigiana, are heavier in America, where the eggplant is usually deep fried and smothered with fatty cheese. Even pizza is cooked differently in the United States.

Mediterranean (Italian) and American Recipes: how do They Compare?

It is undeniable: the way Italian-Mediterranean cuisine is interpreted in the US differs greatly from its original, European counterpart. One of the best ways to really understand how much is to look at recipes. Check out what makes a typically American pasta sauce:

  • 3 TBSP of butter
  • 8 fluid ounces of heavy whipping cream
  • Salt to taste
  • 1 pinch of ground nutmeg
  • 1/4 cup grated Parmesan cheese
  • 1/4 cup grated Romano cheese
  • 1 egg yolk
  • 2 tablespoons grated Parmesan cheese

This is a sauce heavy in fats, which makes it also hard digest.

On the other hand, an Italian, everyday pasta sauce would be prepared with ingredients like these:

  • fresh tomatoes
  • fresh garlic
  • fresh basil
  • extra virgin olive oil
  • grated real parmesan

It’s easy to see how light this sauce is: made up with fresh ingredients, the almost totality of its fat content is that of the extra virgin olive oil. Parmesan is a very healthy type of cheese, rich in iron and other minerals and, unless you cover your pasta with it, it’ll only add healthy proteins and minerals to your meal.

Pizza and pasta do not have to be cooked like a Kamikaze’s last meal! Both can be quite healthy and any significant grease or fat can be avoided, if they are cooked properly.

Here is a simple recipe to make a perfect (and healthy) Italian tomato sauce

What Should We Eat if we Decide to Follow a Mediterranean Diet at Home? 

If you want to try to follow a real Mediterranean diet, you could try to follow the suggestions given by Andrea Ghiselli and Lavinia Guffanti in La dieta Mediterranea, The Mediterran Diet:

  • A brioche or croissant for breakfast – 1 slice of bread, Fette Biscottate, or cereals
  • A portion of fruit twice a day
  • A portion of vegetables twice a day
  • A portion of fish two or three times a week
  • Do not consume more than four eggs a week
  • Do not eat fast food
  • Eat legumes more than once a week
  • Eat pasta or rice three to five times a week
  • Use olive oil as dressing
  • Do not consume much alcohol
  • Eat less than 100g of meat a day.

What does it Take to Create an Authentic Mediterranean Diet in the USA?

Try eating pasta with a simple sauce made with fresh tomatoes, or tomatoes and clams (pasta alle vongole) or ragù sauce (ragù in Italy is not a brand, but a type of sauce made with meat and tomatoes). Avoid Alfredo sauce, and other cream and butter based sauces.

In Italy, cream-based pasta sauces have been out of style since the 1980s. Avoid bread sticks that come with American Pizza, fresh bread is healthier.

An Italian Breakfast

An Italian breakfast is frugal: it usually consists of cappuccino or coffee and milk, with a cornetto (a type of croissant). This is often consumed on the go, at the café, just before getting to work. When having breakfast at home, Italians have coffee and milk and maybe one or two light cookies, or one or two slices of bread with jam and maybe some fresh fruit.

mediterranean diet
An Italian ‘prima colazione’, or breakfast.

Freshly squeezed orange juice is becoming more popular.

I have heard in the US that this type of breakfast is unhealthy, and that you should eat a decent sized energy breakfast to start out your day. This may have been true seventy years ago, when people would go work in the fields and a nutritious breakfast was vital. At that time, breakfast was a more conspicuous affair in Italy, too.

Today, if you sit down in an office for eight hours straight you may think twice about letting all the fat from a heavy breakfast of egg and bacon stick around your hips.

In the USA I have seen people eating eggs and steak for breakfast. A high fat breakfast is different from a high energy breakfast. Fat makes your body slow down, and takes longer to digest. Grains give high energy without all the excess fat. Each of us use a certain quantity of calories to stay alive, to regulate body temperature etc. If we take in more calories than we burn, then we get fat.

Cereal, toast and fruit are fine for breakfast, so the Italian breakfast is not so far off.


In Italy, snacks are usually a very light affair: coffee, cappuccino, maybe a cornetto, tramezzino or a pizzetta. Fresh fruit and yogurt are also very popular options.


Lunch in Italy usually consist of a single dish, either pasta or meat and vegetables, plus some fruit and the ubiquituous coffee. For lunch, my mother either cooks pasta with tomato sauce or makes a salad. Sometimes she bakes fish in the oven with potatoes. She might make a light meat dish with a tossed salad or vegetables. All followed by fruit for dessert.


In a modern working family, dinnertime has become the main meal of the day. Not eating too late, giving time to digest before going to bed is important. I usually cook a one-course dinner with salad or vegetables. Sometimes I make “pasta e fagioli” (pasta with navy beans) or a soup with fish and vegetables. During the weekend, I might have friends over and cook a two course meal like pasta or rice with meat or fish and salad or vegetables and fruit.


According to a 2002 FAO study, “the high and increasing consumption of sugars and sweetened drinks by children in many countries is of alarming concern.” It has been estimated that a glass of sugar-sweetened drink per day increases the risk of becoming obese by 60%. Most of the evidence relates to carbonated drinks, but many fruit drinks and cordials are equally sugary, and may promote weight gain if consumed in large quantities. The evidence against high intake of sweetened drinks in promoting weight gain is considered moderately strong. Italians consume a limited amount of carbonated beverages and prefer mineral water to accompany their meals.

mediterranean diet
The Mediterranean Diet uses Olive Oil EVO instead of butter and and fresh ingredients

By Paolo Nascimbeni, edited and updated by Francesca Bezzone

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3 years ago

The Mediterranean diet is definitely extremely healthy and delicious! But as a college-aged American, it’s actually not that common to make alfredo sauce regularly for dinner, and it’s certainly not our “typical American pasta sauce”. We eat marinara sauce with vegetables very often for dinner too! 🙂

Same with our breakfasts; I do not know many people who eat steak and eggs for breakfast regularly. Those I know who do eat a protein heavy breakfast are mainly farmers, as I’m from a dairy farming community. Not that there aren’t any office workers out there who eat a heavy breakfast daily, but it’s not nearly as common as drinking a coffee and eating a piece of toast, a handful of nuts, a piece of fruit, or a granola bar.

4 years ago
Reply to  Julie

Hi Julie! The Mediterranean diet has a normal amount of carbs and relies on great quantities of vegetable, fruits and healthy fats and proteins. We don’t only eat pizza, pasta and bread. Pizza is something we may have once every couple of weeks when we go out and pasta and bread, well… it’s all down to portions, really! Also, you can easily eat a mediterranean diet cutting out a lot of carbs. I personally only eat past a couple of times a week (and many Italians do that, believe me) and fill up with vegetables, pulses and fruit. I hope that helps a little!

4 years ago

It seems the Mediterranean diet is a high carb one – pizza/bread/pasta.
Would you agree. The trend being that this is not good as a prevention of diabetes.
It gets confusing.

4 years ago

I think this diet is perfect for those wanting to keep their figure and stay healthy. I have adapted this way of eating while I was on vacation in Greece three years ago. I also use extra virgin olive oil for my salads. Steamed salmon with a drizzle of olive oil and lemon juice is my favorite! I’ve learned that a Mediterranean diet can increase longevity and it does make sense because all ingredients are fresh and not overly processed unlike what we’re used to eating.

Rebecca Nichols
4 years ago

I have researched various diets & believe the Mediterranean Diet best suits my age, health, & my taste buds!