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The Mediterranean diet as the most likely dietary model to provide protection against CHD.  Increasing adherence to the Mediterranean diet has been consistently beneficial for prevention of major chronic diseases, including fatal and nonfatal CHD, as well as all-cause mortality.

 In 4098 participants in the Nurses’ Health Study who survived an initial MI.  average dietary quality improved only marginally post-MI among the highly educated health professionals

Nevertheless, for participants who increased the diet/nutrition score, there was a 29% reduction in all-cause mortality and a 40% reduction in cardiovascular mortality. The AHEI2010 diet score used includes 11 components: vegetables, fruits, nuts and legumes, red meat and processed meats, sugar-sweetened beverages, alcohol, polyunsaturated fat, trans fat, omega-3 fat, whole grains, and sodium intake.

Many of the recommendations regarding these foods and nutrients are similar to the traditional Mediterranean diet: high consumption of whole grains, fruits, and vegetables; substantial intake of protein from plant sources (nuts and legumes); moderate intake of polyunsaturated fat; fish as a source of omega-3 fatty acids; and alcohol; and a low consumption of trans fat, meat and meat products, and sugar-sweetened beverages.

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