Cited by 198Nutritional Studies and DietFood and Agricultural SciencesFatty Acid Research and Health

Mediterranean Diet of Crete

KAFATOS, ANTHONY, VERHAGEN, HANS, MOSCHANDREAS, JOANNA, APOSTOLAKI, IOANNA, WESTEROP, JOHANNES J.M.VAN·2000·Journal of the American Dietetic Association

Abstract

Objectives To describe the traditional diet of Crete and evaluate the nutrient composition of 3 types of diet common in Crete by means of chemical analyses of composite food samples. To compare results with dietary analyses from a nutrient database developed at the University of Crete, Greece.Design Three composite diet samples were obtained based on 7-day weighed food records representing the traditional Cretan Mediterranean diet (diet A), typical diet of present-day Greek adolescents (diet B), and fasting diet of the Eastern Orthodox church (diet C). Analyses were performed chemically and using a nutrient database.Results Chemical analyses provided a definitive measure, for the first time, of the nutrient composition of the complete Greek diet as it was in the early 1960s. In comparing chemical analyses with nutrient database analyses, differences greater than 15% of the analyzed value were found in all 3 diets for cholesterol and some vitamins. The differences between analyzed and calculated values in total fat and saturated fat content were less than 15% in all diets.Applications/conclusions The present study provides 2 practical examples of the Mediterranean diet, which although widely publicized has rarely been analyzed chemically. Diet A has been shown to be related to the lowest rates for coronary heart disease and cancer mortality compared with the diets of the other populations of the Seven Countries study. As such, it could be recommended for health promotion and prevention of disease. Diet C contains even lower amounts of saturated fatty acids and would be excellent for patients with hypercholesterolemia. The high antioxidants in diet C probably maintain very low levels of low-density lipoprotein cholesterol. Dietary analyses of the Greek diet could be based on an operational database such as ours if further chemical analyses are performed on specific foods. These would result in improved precision of the database and possible extension into national food composition tables and a national dietary database.

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Crossref · 10.1016/s0002-8223(00)00416-8

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Authors
KAFATOS, A., VERHAGEN, H., MOSCHANDREAS, J., APOSTOLAKI, I., & WESTEROP, J. J. M. V.
Affiliations
  • University of Crete (GR)
  • Netherlands Organisation for Applied Scientific Research (NL)
Corresponding author
KAFATOS, ANTHONY
Venue
Journal of the American Dietetic Association
Publisher
Elsevier BV
Published
2000-12
Volume
100
Issue
12
Pages
1487-1493
ISSN
0002-8223 (ISSN-L)
OpenAlex
W85477685
Cited by
198
References
20
Citations by year
2026: 3 · 2025: 5 · 2024: 11 · 2023: 7 · 2022: 7 · 2021: 7 · 2020: 10 · 2019: 5 · 2018: 16 · 2017: 11 · 2016: 7 · 2015: 6 · 2014: 13 · 2013: 9 · 2012: 7
FWCI
4.69
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of the American Dietetic Association (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Life Sciences › Agricultural and Biological Sciences › Food Science › Food and Agricultural Sciences
  • Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
Keywords
Mediterranean diet, traditional diet, nutrient composition, dietary assessment, food composition, cholesterol, saturated fat, antioxidants, LDL cholesterol, fasting diet, adolescents, Seven Countries Study, coronary artery disease, cancer mortality, hypercholesterolemia
MeSH terms
Adolescent, Adult, Cholesterol, Dietary, Chronic Disease, Diet, Dietary Fats, Fasting, Feeding Behavior, Female, Food Analysis, Greece, Humans, Male, Diet Records, Databases, Factual, Adolescent Nutritional Physiological Phenomena

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