Mediterranean Diet Pepi Granat M D 1302022 Pepi

Mediterranean Diet Pepi Granat, M. D. 1/30/2022 Pepi Granat, MD 1

Introduction n n 1/30/2022 The Mediterranean diet What is it? Who eats it? Why should we care? “Greater adherence to the traditional Mediterranean diet is associated with a significant reduction in total mortality. “ Pepi Granat, MD 2

Diet = Definition of word n n n n n 1/30/2022 Common misconception of “diet” I ask: “What is your diet? ” Patient answers: “I’m not on a diet” So I ask: “What do you eat? ” Note: Everyone has a diet!!! Your “DIET” is: WHAT YOU EAT every day NOT what you do to lose weight or comply with doctor’s instructions And: “YOU ARE what you eat. ” Pepi Granat, MD 3

Death & diet n n n n 1/30/2022 Why do people die? Life span could be 120 years! Sedentary habits Obesity Heart disease Cancer Drugs: Nicotine & alcohol Trauma Pepi Granat, MD 4

Diet content n Specifically & simply: the Mediterranean diet is u u n n n 1/30/2022 Fruits & vegetables Whole grains Olive oil Fish Evidence: Multiple medical articles, especially NEJM Vol 348: 2599 -2608 June 26, 2003 No. 26 It matters to YOU. You can do it. Pepi Granat, MD 5

The Mediterranean Diet and Mortality — Olive Oil and Beyond 1/30/2022 Hu FB. NEJM Vol 348: 2595 -2596 June 26, 2003 6

Change: Difficult, not Impossible n Change can be: Incremental (little by little) u Monumental (sudden) u n n n 1/30/2022 Decide how you’re likely to adhere Change STARTS with BELIEF Motivation comes AFTER belief So change starts between your EARS It’s all in your head – but it ends up on your ARTERIES Pepi Granat, MD 7

Real Life n n Here’s an example: Mr. Joe Grand: u u u n 1/30/2022 Age 55; Family man; loves new grandbaby Weighs 250 lb. , 5’ 11” Cholesterol 250; HDL 35; ratio 7. 1 Eats meat & potatoes Watches TV; no exercise Father died at 65 with sudden heart attack Where is he headed? (Doesn’t he already know this? Why no change? ) Pepi Granat, MD 8

What This Means n n Everyone should pay MUCH more attention to food intake Remember: u It’s only in your mouth a little while u It’s on your arteries forever u Forever is a lot shorter than it could be 1/30/2022 Pepi Granat, MD 9

Mediterranean Diet n n n n 1/30/2022 It’s delicious & easy It’s good for you If you don’t fantasize the foods that are NOT good for you, you won’t miss them Start doing it: you’ll get used to it Remember: fruits, vegetables, grains, olive oil, fish – MAINLY Small amounts other food are ok GOOD LUCK!!!!!!! Pepi Granat, MD 10

The Mediterranean Diet and Mortality — Olive Oil and Beyond 1/30/2022 Hu FB. NEJM Vol 348: 2595 -2596 June 26, 2003 11

Plans & Promises n n 1/30/2022 You need to THINK about your nutrition every day You need to enjoy your life – but don’t sabotage your arteries You need to make changes you can live with – not fad diets and stop-gap solutions You need to find a general physician who knows you & your special problems, and can follow you over time Pepi Granat, MD 12