Strong evidence supports the protective effect of a Mediterranean diet on risk of coronary heart disease [CHD], and overall diet pattern appears more important than individual foods.

These findings, from a review of close to 200 studies, are published in the April 13, 2009 issue of the Archives of Internal Medicine.

"We found strong evidence that a 'Western' diet--which is high in processed meats, red meats, butter, eggs, refined grains, and high-fat dairy products--is associated with an increased risk of CAD [coronary artery disease], so we could say [to patients]: 'You should consume less of those types of foods and gravitate more toward a "prudent" diet or a Mediterranean diet, which are both high in fruits and vegetables, legumes, whole grains, and fish,' " senior author Dr Sonia Anand
The study also found strong evidence of increased CHD risk from consuming trans-fatty acids and foods with a high glycemic index such as white potatoes, sugar, white rice, and white bread.

Physicians should advise patients: "Lower your trans-fats, lower your saturated fats, but also watch for some of these simple carbohydrates, because they can have adverse effects as well,'' said Anand.
Source: MedscapeCME - Marlene Busko