“The relationship between dietary factors and coronary heart disease has been a major focus of health research for almost half a century,” wrote Andrew Mente, of the Population Health Research Institute, and colleagues. But even though there are many published studies on the topic, “the strength of the evidence supporting valid associations has not been evaluated systemically in a single investigation.”
When they pooled the findings from the studies and applied a predefined algorithm, Mente and his team identified “strong evidence of a causal relationship for protective factors, including intake of vegetables, nuts and monosaturated fatty acids and Mediterranean, prudent and high-quality dietary patterns, and harmful factors, including intake of trans-fatty acids and foods with a high glycemic index or load and a Western dietary pattern,” the researchers wrote.
“Among these dietary exposures, however, only a Mediterranean dietary pattern has been studied in randomized controlled trials and significantly associated with coronary heart disease,” they said. The Mediterranean died is typically loaded with fruits, vegetables, grains and olive oil.
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