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February 2003
Why mid-20th-century Crete, Greece and southern Italy? For one, research revealed some of the worlds lowest chronic-disease rates and highest adult life expectancies within the regions population at that time, despite medical services trailing those in the United States, and Northern and Western Europe. Additionally, when researchers compared records of local, mid-century eating habits with contemporary nutritional understanding based on epidemiological and clinical studies, they couldnt ignore the diet-to-health links.
But thereafter, resemblances thin. The Mediterranean pyramid
proposes consuming poultry, fish and eggs the diets principle
sources of animal protein on a weekly basis, rather than at the
USDAs recommended rate of two to three servings per day. It includes
tree nuts and legumes in the fruits-and-vegetables sector, instead of
with the animal-based proteins as in the USDA pyramid. The starkest
disparity, however, appears in the guides pinnacles. The USDA
dedicates its top and smallest section to fats, oils and
sweets, which it advises we use sparingly. In contrast,
the Mediterranean apex contains red meat, accompanied by a monthly
consumption suggestion. Sweets appear in the sector directly below,
where they rank with poultry, fish and eggs as weekly indulgences. And whither the lipids in the Mediterranean diet? Theyre
found on just about everything, from grilled fish and fresh cheese to
roasted peppers and eggplants. The people of Crete, Greece and southern
Italy dont skimp on the olive oil, and the Mediterranean pyramid
reflects that liberality. Oil gets pride of place in the daily
sector, sandwiched between fruits, vegetables, beans, legumes and nuts
below, and cheese and yogurt above. In other words, go ahead and consume
oil a bit less than you would those oranges and chickpeas, but a little
bit more than youre inclined to enjoy feta curds or tzaziki sauce.
The pyramid doesnt translate that into percentages, but Oldways
suggests keeping total fat calories to between 25% and 35% by
no means a Spartan decree, particularly to Americans conditioned to
treat fat with caution. The benediction comes with a caveat, though: The Mediterranean
diet pyramid, in mirroring the regions kitchens and cooking practices,
focuses on olive oil, which geography, agriculture and tradition have
made regionally ubiquitous. In fact, olive oil provides the regions
average diet with its greatest contribution of fat calories. But even
as the Mediterranean diet welcomes olive oil, as well as fish and nut
oils, its proportion of saturated fats from red meat tops out at around
7% to 8% of daily calories. And traditionally, the diet derived little,
if any, trans fat from hydrogenated or partially hydrogenated oils. By differentiating healthy oils from saturated
fats and processed trans fats, the Mediterranean pyramid exhibits a
nuance that the USDAs lacks. Oldways notes that prevailing nutritional
understanding, based on such studies as the 1989 Diet and Health Report
of the Washington, D.C.-based National Academy of Sciences, links heart
disease to saturated fats, and trans fats in particular. Oldways points
out that there is no evidence suggesting that the monounsaturated
fat found so abundantly in olive oil and some other plant foods, such
as nuts and avocados, needs to be curtailed in the diet, absent concerns
about obesity and activity levels. A study conducted in Greece
during the 1960s found that although subjects obtained up to one-third
of their calories from olive oil, typically olive oil cooked with
vegetables and legumes, which were the core of the diet
(t)heir
heart-disease rates were a fraction of what Americans experience, and
rates of other chronic diseases were similarly low. The organization
also cites research confirming that diets high in monounsaturated fats
control insulin-dependent diabetes more effectively than other dietary
regimens. If nothing else, the emphasis on monounsaturates nudges saturated
fats to the dietary margins, giving them less room to wreak nutritional
havoc. The Mediterranean guide further breaks from USDA precedent by taking into account the regions habits of daily physical activity and moderate wine consumption. Nobody denies the former is important to good health, and mounting evidence has associated the latter with reduced heart-disease risk. And lest it give the impression that the nutritionally minded need look only to Crete, Greece and southern Italy for dietary cues, Oldways is quick to explain that cultures throughout the Mediterranean practice eating habits consistent with its pyramid. Not surprisingly, all share ages of olive cultivation, as well as the geography, climate and history the lifestyle, really that shaped the diet and the culture. Only by understanding that lifestyle can American manufacturers bring the locales foods to the table in authentic, healthful and appealing form.
After decades of living by a fat-phobic credo (or at least
knowing about it), Americans still suffer the same chronic diseases,
in some cases to a greater extent than before. So maybe the reductivist
approach to health doesnt work after all. The key to the Mediterranean
diets success may be a complex of factors, and distilling its
health-improving potential down to a specific ingredient or dish
as occurred when fat was tagged with a scarlet letter misses
the point. Its kind of a whole package working together,
explains Jackie Newgent, R.D., C.D.N., a nutrition consultant based
in New York. We call it food synergy. All these nutrients
taken out of the foods and consumed in isolation, or added one-by-one
back to other foods they werent part of originally, lose that
synergistic effect, which really may be whats creating this tremendous
advantage for heart health and cancer prevention. Aside from stripping
Mediterranean cuisine of its nutritional might, mining it for one easy-to-swallow
nutrition solution makes it a lot less fun to eat, too. Much of what defines the Mediterranean diet only tangentially concerns the diet itself. Paralleling Newgents food synergy is a powerful relationship among Mediterranean eating habits, activities and cultural values that shapes the whole cuisine nutritionally and aesthetically. While product developers cant blend the Mediterranean lifestyle into their formulas or include them as part of the finished products preparation instructions (Step 1: Boil 2 qts. water. Step 2: Live as they live in the South of France.), they can benefit from the creative insight that comes from understanding Mediterranean cuisine and culture.
Its hard not to appreciate how this region transformed
a welter of nationalities, ethnicities, languages and religions into
a culture so cohesive that people often consider themselves Mediterranean
first, and Moroccan, Turkish or otherwise second. The regional allegiance
plays out in the food. The fare in southern France resembles more what
youd find in Algiers or Naples than at a Parisian bistro. Such
kinship comes with the historical territory, though: Mediterranean peoples
were, at some point in their history, all subjects of the same ruling
empire, be it Phoenician, Grecian, Roman, Byzantine or Arabic. As those classical societies flourished in their sunny
Southern climes, already planting the seeds of the civilized cuisine
we know today, Northern Europe still hunched over its trenchers, bare-handedly
tearing apart joints of meat. No wonder the Mediterranean is known as
the finishing school for Western culture. And in cradling
the three Abrahamic religions Christianity, Islam and Judaism
the region nurtured the dietary laws and ritual feasts of each,
fostering an appreciation for foods symbolic value and an acceptance
of dietary diversity. Nothing encouraged ecumenism in Mediterranean cuisine
more than its role as a hub in Asian trade routes. Millennia of commerce
in precious Eastern spices left an indelible mark on the food that,
over time, bled from one end of the region to the other. That mark changed
as it spread, covering a wide range of tastes and terrains, but the
overall edible impression retained a uniquely Mediterranean continuity
across its spectrum, from Seville to Syria. Trade also spurred migration, particularly within the
Mediterraneans Jewish population. Migration further spread cultures
and foodways east from the Levant to Spains western shore, from
North Africa to France, and back again to Turkey and Palestine. Thus,
dozens of dishes reappear throughout the region, tweaked slightly according
to local tastes. They give and take from each other, Vendôme
explains. The French do a great risotto in the South and
we call it risotto, as the Italians do. We make good pasta, too. On
the other hand, youve got bouillabaisse in southern France that,
when you go into Italy, is called a cacciucco or brodetto. But theyre
all a basic fishmongers stew. Speaking of fish, the Mediterranean Sea looms so large
that it defines the region, providing a livelihood for its inhabitants,
and making fish and seafood recurring themes in the diet. Mediterranean
cultures also share a hot, dry climate, and inhospitable topography
burdened by craggy outcroppings in the North and slim, sandy shores
in the South. Thus, large-scale agriculture is a bust. But while land
for cattle-grazing is scarce, sheep, goats and poultry require little
room, and nut, olive and citrus trees, along with modest backyard fruit
and vegetable plots, hang on stubbornly where amber waves of grain wont. So, behind the tourist-tempting images of sun and sea,
the Mediterranean is actually a hotbed of hardship that, coupled with
a lack of pretension, fashioned a cooking style exalting simple ingredients,
bold flavors and uncomplicated techniques. Peppering that rusticity
with the remnants of empire and Eastern trade, Mediterranean cooking
hints at a worldliness that mixes thrift and ingenuity with an appreciation
for the finer points of taste. Above all, Mediterranean cuisine celebrates foods in their local, seasonal glory, and takes its own sweet time in doing so. Says Vendôme: The weather allows you to sit in the café, drinking a glass of pastis, nibbling olives and watching the sun glint off the water as beautiful people walk by. The great French chef Roger Verge called it cuisine du soleil: the cuisine of the sun. People have beautiful gardens with almond and olive trees, and they sit there and eat, and the meal lasts three hours. What harried American mom or overworked middle manager could refuse that?
Theres no arguing that the food is easy to prepare.
For Americans who associate classic European cuisines with fussy recipes
requiring skills and prep times as extensive as their ingredient lists,
a Mediterranean meals laissez-faire simplicity is a breath of
fresh air. Says Vendôme: When you talk about cuisine Parisienne,
cuisine Lyonaisse, or cuisine Milanese all Northern cuisines
youre talking about complicated cuisines. In other words,
adding A and B doesnt give you AB; adding A and B makes X, something
completely different. You put together thyme, bay leaf, rosemary and
mustard, and you cook them for so long that by the time you serve the
dish, it ends up tasting like a whole new concept. Not so in the South. The flavors are very simple, but very powerful and identifiable. When you put olive oil, basil and tomato in a dish, thats what you taste. Its very well-defined, Vendôme adds. The cuisine oozes honesty: What you see going into the pan or onto the grill is what you get on the plate. You dont have to be a culinary expert to appreciate it. Mediterranean cooks live by the policy of less is more because, as he says: What you may have less of still has so much value. The ingredients do not need any more support. A perfectly ripe tomato does not need long cooking or truffle oil or foie gras. The tomato speaks to you, and it speaks for itself.
Again, to get the full picture of why the Mediterranean
diet is so good for the body and the soul, factor philosophy into the
equation. Vendôme explains that the Mediterranean culture doesnt
look at food through the prism of nutritional merit. Rather, We
see it as a pleasure, he says. We eat because we love it,
because it looks great, it smells great, it tastes even better, and
because when you share it with friends and family its so much
fun. Something about this almost Dionysian abandon sets our Puritanical
instincts on edge. Our national obsession with weight doesnt make
unfettered feasting more acceptable, either. The medias steady
stream of nutritional screeds studies warning that too much of
this brings certain death or not enough of that knocks a year or two
off our life makes it hard to stomach an unqualified enjoyment
of food. But forbidden foods are hard to resist. Thus the midnight
binges on potato chips and the empty promises never to do it again.
And empty they are, because few things bewitch us more than the transgressive
appeal of breaking rules, even rules weve set for ourselves. So why not get rid of the rules? Thats what theyve
done in the Mediterranean. The regions cooks pay little mind to
whats healthful or lowest in fat when planning meals. Instead,
they focus on whats in season, in ample supply and tastes best.
Then theres the serving size. The problem
is not the content, but the portion, Vendôme says of the
American diet. The average serving of meat in Europe would be
about 100 grams of beef. When you eat at a steakhouse here, they give
you a 26-oz. steak. Thats almost a kilo. The Mediterranean philosophy provides no food taboos;
its meals often present such satisfying variety that theres no
need to overindulge in one item to make up for the deprivation of another.
By trying a little of this and a bit of that, the body signals that
its had enough before you know it. When youre eating
foods that are satisfying and flavorful, and you enjoy them, you tend
to reach satiety on smaller amounts than when you try to get your fill
on a pound of fat-free cheese, Newgent says. And in the meantime,
youve sampled so many fruits, nuts, vegetables, grains and fish,
theres no way any necessary nutrient could have escaped notice.
To experience small-serving satisfaction firsthand, visit
a Middle Eastern teahouse or a Spanish bodega, where patrons indulge
in mezze and tapas, respectively. These appetizer-sized portions of
snacks hummus and pita bread, fried almonds sprinkled with sea
salt, or skewers of grilled calves liver and shrimp, for example
evolved to give patrons something to chew while they quaffed
glasses of mint tea or sherry. But they have the fringe benefit of conforming
to the grazing movement that many stateside consumers have
embraced as a way to curtail over-consumption without going hungry. The Mediterranean pyramid tackles the serving-size issue
by not tackling it, suggesting rough frequencies to include a food in
the diet daily, weekly or monthly, for instance in lieu
of recommending specific quantities or numbers of servings. This was
by design, because Oldways intended its pyramid to present a holistic
impression of a healthy diet, not a prescription for strict portions
or tight ratios of fat, carbohydrate and protein calories. Pointing
out that good health has been associated with considerable variation
within the overall (dietary) pattern, Oldways considers its open
recommendations an asset. Besides, by liberating the nutritionally concerned from the tyranny of food scales and caloric charts, the organization believes its doing them a favor. Oldways reminds us that researchers suggest that it is better to exercise or simply walk more often, than to spend time with a calculator worrying about the exact number of grams of olive oil in our pasta in a healthy Mediterranean-style diet.
We could start improving by reconciling our dysfunctional
relationship with fat. Newgent notes that when she travels the Mediterranean,
her stops at local grocery stores remind her just how dysfunctional
that relationship is. Its really amazing: You cant
find diet sodas and fat-free snacks, she says. You cant
find anything thats engineered to be fat-free, really, in these
Mediterranean countries, and I think that we in the U.S. have gone to
an extreme with that fat-free philosophy and that fear factor. Even
though we look at fats as bad, were often still consuming
too much. Were really not focusing as much as we should on the
different types of fats. Although we hear that we shouldnt be
eating as much saturated fat and that we need more monounsaturates,
theres still a lot of misinformation about the nutritional
value of a diet rich in the right fats. That is where the emphasis
is in the Mediterranean diet: on those foods that are high in monounsaturated
fats, such as nuts, seeds, seafood and, of course, olive oil,
she notes. The progress olive oil has made as an ambassador for the
Mediterranean diet, and for healthful fats in general, encourages Newgent:
It used to be a foreign concept a few years ago, but now most
Americans use extra-virgin olive oil. And thats a positive change. Nuts, which supply the Mediterranean diet with another
dose of healthful monounsaturates, deserve a similarly healthful reputation.
Pine nuts, pistachios, almonds, hazelnuts and walnuts all have a long
history in the Mediterranean as signs of wealth and hospitality. According
to Bonnie Gorder-Hinchey, director of culinary services at the Hazelnut
Council, New York, There are some traditions of having bowls of
dried apricots and hazelnuts set out for your guests as a sign of affluence
and graciousness to your guests. Yet theyre everyday foods, too, sprinkled on rice
pilafs or couscous, enjoyed as snacks, or ground into buttery pastes
perfect for giving Mediterranean desserts an unctuous richness. Its
a richness we can live with, though, thanks to the nuts fatty-acid
profiles and their high concentrations of protein, fiber and vitamin
E. Given Americans fascination with slimness, intriguing new studies
linking nuts to weight loss might prompt even more positive attention.
In fact, notes Newgent, there have been several studies
connected to this and to the Mediterranean diet being more beneficial
for weight loss. Researchers found that it wasnt that the loss
was any different, but that the weight loss was easier to maintain and
for longer. The subjects were just more satisfied with the foods they
were eating because of that little bit higher fat content that comes
with them. The Mediterranean diet could teach us a thing or two about
produce, too. So many Americans look at their diets and think,
Well, we only need our five servings (of fruits and vegetables)
a day, Newgent says. But most Americans arent
even getting that much, and thats something that the Mediterranean
diet really pinpoints as being a key. By focusing so much on macronutrients
fat, protein and carbohydrates Americans give short shrift
to the crucial micronutrients. In the Mediterranean, where fresh fruits and vegetables are a matter of course, the macronutrient ratios work themselves out naturally while including all the requisite vitamins and minerals. The diet is just so nutritionally dense, and I think thats another issue that weve gotten so far away from, Newgent says. While she notes that theres nothing remiss in taking a multivitamin (she even recommends it in some cases), she stresses that it neednt become a nutritional crutch. People dont realize that we can get all these wonderful nutrients if we really just put more focus on our diets themselves, she adds. And it might just take one more minute of planning a week, not an hour, or maybe less, thanks to the more enlightened crop of convenient prepared foods filling todays supermarket aisles.
People find that difficult to do with todays hectic
schedules. Even in the Mediterranean, the pace of life is revving its
engines and peoples dining habits are evolving to keep up. About
20 years after Americans discovered convenience, Vendôme observes
that it is changing the way Mediterranean inhabitants eat, too. Now
you can go to a butcher shop and find a piece of meat thats already
marinated, just like you have in an American supermarket, he notes.
Yes, its marinated with local olive oil and fresh herbes
de Provence, but the marinating is taken care of for you, and its
ready to cook. That the olive oil and herbs are both local reveals a
deeper truth about modern Mediterranean dining; even as it adapts to
a busier lifestyle, it refuses to sacrifice the freshness, simplicity
and locality that give it its charm. Thats why it still succeeds.
The regions residents still hold out on the daily marketing, for
example. But the average American consumer doesnt stop off
at a market in downtown Chicago, buy a few vegetables, stick a baguette
under his arm and go home for a little dinner with the wife, Vendôme
says. Instead, he goes to the big-box store on Saturday morning,
loads up the truck with food and then freezes it. Luckily for him, he can do just that and still color
his diet with the same variety that Mediterranean consumers do. Even
in the depths of a Midwestern snowstorm, global connections among growers,
distributors and manufacturers bring the Southern Hemispheres
summer harvest to American tables. I was visiting a part of Minnesota
thats about two hours north of Sioux Falls, SD, in the middle
of December, Vendôme says, and I went to the supermarket.
They had fresh raspberries; fresh blackberries; a dozen different kinds
of tomatoes; yellow peppers. It was wonderful. America has, absolutely,
the best ingredients out there, no question about it. The question is,
just how are we going to go about presenting them? And how are consumers
going to go about consuming them? How about as frozen entrées? The frozen-food concept never quite gained a foothold in Europe and the Mediterranean, but its long been a standard in American kitchens, and the results get better with each passing year and each advance in technology. Fruits and vegetables can retain color and flavor when subjected to the deep freeze. Their nutrition is often better off for the experience, too, with vitamin integrity superior to the fresh equivalent after it spends a few days in the produce bin. Handled properly, Mediterranean cheeses, nuts and dried-fruit garnishes make the journey through the freezer unscathed, and the vegetable purees that are synonymous with the locales fresh flavors are often more amenable to frozen storage and reconstitution than thick starch- or dairy-based sauces and gravies.
It behooves food manufacturers, be they of ingredients
or finished products, to deliver those authentic Mediterranean flavors,
Vendôme points out, and to deliver them in ways that consumers
recognize immediately. Fortunately, with the kind of bold profiles were
dealing with, thats not a high hurdle to scale. One whiff of herbs
like rosemary, thyme, sage, tarragon, basil, mint, oregano and parsley
identifies something as hailing from the Mediterraneans Northern
shore; salad dressings, marinades, seasoning mixes and sauces could
all benefit from receiving that kind of passport stamp. The bold flavors
found on the regions Southern side come primarily from dried spices,
such as cumin, coriander, cinnamon, allspice, paprika, peppercorns,
cardamom and cayenne pepper. A sprinkling of ras-el hanout, a sort of
North African curry powder, or a few dabs of the harissa chile paste
found in Tunisia and Morocco, are sometimes all the Mediterranean flavor
a formula needs. Thats not to say that a hint of citrus essence,
toasted sesame paste or the tang of fresh yogurt all card-carrying
Mediterranean flavors couldnt do the same trick. Mediterranean cuisine isnt only the ingredients,
adds Vendôme. Its about the method of cooking, too.
So think about those techniques. Theyre very simple: a quick sauté
with light olive oil, grilling with wood fire outside, and roasting.
By adding an authentic grilled or roasted flavor to an entrée
or sauce, you translate a bit of those sunny cooking techniques to whatever
youre making. Simplicity of ingredient and technique is a hallmark of
Mediterranean cuisine, but its a simplicity that allows the bold,
colorful flavors to take center stage on the plate. In a way, that makes
the product developers job easier by obviating the need to recreate
a laundry list of complex, hard-to-imitate flavors. But at the same
time, it requires a keen palate for subtlety and authenticity, because
if you dont nail that single, featured note right on the mark,
the whole effect crumbles. Thats why major food manufacturers
need to rely on ingredients manufacturers with an understanding of both
flavor and the cooked flavor notes created during the cooking process,
Vendôme says, because thats our expertise: giving
you that flavor note, that cooked note, that will deliver authentic
taste for your application. For her part, Newgent thinks the best way to bring Mediterranean flavors and foods to Americas kitchen is to focus on one food at a time. And it might not mean, necessarily, eliminating anything. In fact, Id not eliminate anything. But just how much and how often were eating certain foods can be changed around a little bit. That means knowing what makes something Mediterranean, and staying true to those guidelines. Kimberly J. Decker, a California-based technical writer, has a bachelors degree in consumer food science with a minor in English from the University of California-Davis. She lives in the San Francisco Bay area.
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