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HealthThe Evidence

The Mediterranean Diet Holds Up, Again

Seventy years of research and it is still at the top. The evidence for olive oil and beans remains hard to beat.

A pile of colorful round objects

2 min read

Most diets don't survive contact with long-term data. This one, stubbornly built on vegetables, pulses and lunch with your family, has kept on passing its tests.

The claim

The claim is everywhere, generally accompanied by a photograph of someone laughing at a salad. To test it properly, we looked through the systematic reviews and large trials, setting aside the single small studies that tend to produce the most exciting newspaper headlines and the least reliable answers.

It remains the rare health claim that gets stronger with time.

The studies

The strongest evidence comes from randomised controlled trials, and here there are a few good ones. Results lean in a positive direction, although the effects are small, and they vary considerably among different groups of people. Observational studies look far more impressive, as observational studies very often do.

Our verdict

Beware of the phrase "linked to". It may mean a causal relationship, but it may mean only that people who do one healthy thing tend to do lots of other healthy things as well. Careful researchers try to adjust for this. No one can ever adjust for it entirely.

Our verdict is at the top of this page. It is unlikely to do you any harm, and it may help a little, but it will not replace the basics. Please do be sceptical of anybody who offers you certainty, particularly if their website also has a shopping basket.

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