What is the primary prevention of cardiovascular disease with a Mediterranean diet?
The primary prevention of cardiovascular disease with a Mediterranean diet includes eating a diet rich in fruits, vegetables, whole grains, legumes, nuts, fish, and monounsaturated fatty acids such as extra-virgin olive oil while limiting the intake of saturated and trans fats, red and processed meats, and sugars. This diet has been associated with a decreased risk of cardiovascular disease and mortality, as well as improved glycemic control and insulin sensitivity. A recent study by Estruch et al. (2013) showed that a Mediterranean diet supplemented with extra-virgin olive oil or nuts resulted in a significant decrease in major cardiovascular events compared to a low-fat diet.  