Newswise — Despite decades of scientific evidence linking the Mediterranean diet to lower rates of heart disease, diabetes, obesity and other chronic illnesses, the eating pattern is steadily disappearing in the very countries where it originated. Nutritional choices among populations in countries such as Greece, Spain and southern Italy are moving away from their traditional dietary habits even as the Mediterranean diet gains popularity around the world, according to a new review published by researcher Domenico Praticò, M.D., Professor in the Department of Neural Sciences, at the Lewis Katz School of Medicine, Temple University.
The article, Adherence to Mediterranean diet: a public health paradox, describes the phenomenon of the “Mediterranean diet paradox,” and warns that this alarming trend can be attributed to a shift in lifestyle, increasing consumption of ultra-processed foods, globalization of Western eating habits, urbanization and evolving socioeconomic factors. As a result, these countries are expected to experience rising rates of obesity, metabolic disorders and other chronic diseases, creating a growing public health challenge.
“The Mediterranean diet has long been considered one of the healthiest dietary patterns available,” Praticò says. “Its decline in the Mediterranean region itself raises significant concerns for future public health.”
The Mediterranean diet emphasizes fruits, vegetables, legumes, whole grains, nuts, olive oil and fish while limiting highly processed foods and excessive red meat. Numerous studies have shown that following the diet is associated with a reduced risk of cardiovascular disease, type 2 diabetes, obesity, certain cancers and neurodegenerative diseases, while also promoting healthy aging and longer life expectancy.
Countries outside the Mediterranean basin have increasingly embraced the diet as awareness of its health benefits has grown among physicians, nutrition experts and the public. Meanwhile, coordinated public health efforts to preserve not only a scientifically validated nutritional model but also an important cultural heritage for Mediterranean countries where the diet is becoming less popular.
“Diet influences health throughout every stage of life,” adds Praticò, “from fetal development during pregnancy through childhood, adulthood and aging. Because nutrition is one of the most important modifiable risk factors for chronic disease, restoring adherence to healthy dietary patterns could have profound effects on reducing disease burden and healthcare costs.”
The paper concludes by recommending that renewed investment in nutrition education, public health initiatives and policies that encourage traditional Mediterranean eating habits will be essential to reversing current trends and preventing long-term health and economic consequences in the region where the diet first emerged.
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