© 2002 by European Society of Cardiology
Copyright © 2002, European Society of Cardiology
Mediterranean diet and the French paradox
Two distinct biogeographic concepts for one consolidated scientific theory on the role of nutrition in coronary heart disease
aLaboratoire du Stress Cardiovasculaire et Pathologies Associées, Laboratoire de Biologie du Stress Oxydant, UFR de Médecine et Pharmacie, Grenoble, France
bDépartement de Cardiologie, CHU de Rennes, Rennes, France
michel.delorgeril@ujf-grenoble.fr
* Corresponding author. Laboratoire du Stress Cardiovasculaire et Pathologies Associées, UFR de Médecine et Pharmacie, Domaine de la Merci, 38706 La Tronche, Grenoble, France. Tel.: +33-4-7663-7471; fax: +33-4-7663-7152
Received 16 August 2001; accepted 12 November 2001
KEYWORDS Coronary disease; Epidemiology
| The first 150 words of the full text of this article appear below. |
| 1 Introduction |
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Scientists and physicians have long been debating the Mediterranean-style diet and the French paradox for coronary heart disease (CHD). However, folksy they sound, these two biogeographic concepts can still be very useful to explain unexpected or controversial medical and scientific data, such as the low mortality rate from CHD in Mediterranean Southern Europe and in France as compared with other European countries. Understanding these concepts may help improve our ability to treat and prevent CHD. Most of the present confusion probably comes from the consistent underestimation by physicians and scientists of the role of nutrition in CHD. This article is not aimed at giving a comprehensive review of these two complex notions, which have to be analyzed in a broad geographic, climatic, agricultural, historical and socioeconomic context. We will only provide a superficial overview, in relation to the epidemiology of CHD. Finally, we will try to introduce the two concepts
| 2 The Mediterranean-style diet |
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2.1 Definition
2.2 Historical overview
2.3 A consensus about the concept of the cardioprotective Mediterranean diet
2.4 Geographic variations
2.5 Variations in time
2.6 Comments
| 3 The French paradox for coronary heart disease |
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3.1 Definition
3.2 Historical overview
3.3 What is the role of the diet in the French paradox?
3.4 May alcohol and wine drinking have a role in the French paradox?
3.5 Dietary diversity and attitudes to food and drink
3.6 Comments
| 4 Conclusion and prospects |
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