Implementing the Mediterranean Diet – Part One

Implementing the Med Diet – Part One

Do you think you eat enough plants in your diet? How many plants do you eat in a week? Not refined grains, but plants. You can cook them, boil, bake, microwave, roast them or even eat them raw. How many? Further, it’s not just eating more volume of plants, it’s diversity.

Mediterranean Diet and Plants

Adherence to the Mediterranean diet depends more on plants.

  • Vegetables
  • Fruits, Tree Nuts, Seeds
  • Legumes
  • Whole Grains
  • Olive oil

When it comes to plants, more is better. But not just in quantity of plants, but also diversity.

Think about this: there is no one plant that can provide all the micronutrients and macronutrients a person needs. We tell vegetarians to use several plant sources for complete proteins, the same is true for any nutrient.

Gut Bugs and Plants

Your gut contains a trillion bugs. There are more of them than of us. But what do they eat? It turns out, most of what they eat are the things we don’t. Gut bugs eat plant parts. Without them eating those plant parts, we would be far worse off. Thus, the gut microbiome is an exciting research field.

Guts break down fiber to chemicals shown to:

  • Decrease the risk of colon cancer
  • Lower cholesterol
  • Decrease blood sugar spikes
  • Decrease depression
  • Allow absorption of polyphenols

From Gill, S.K., Rossi, M., Bajka, B. et al. Dietary fibre in gastrointestinal health and disease. Nat Rev Gastroenterol Hepatol 18, 101–116 (2021). https://doi.org/10.1038/s41575-020-00375-4

Fiber

When most people think about fiber, they think of regulating their bowels. We all want regular bowel movements. After all, we don’t want to be constipated, nor do we want to be too loose.  Finally, fiber is far more interesting and complex than just making you have happy poop.

Fiber is undigestible carbohydrates. Cows can digest fiber, but humans cannot. We lack enzymes to break these particular chemical bonds. But it turns out that the bacteria in our gut can break down that fiber into chemicals we need.

Soluble and Insoluble Fiber

Insoluble fiber is the type of fiber that remains unchanged when it makes its way through the gut. Equally important, soluble fiber is a type of fiber that dissolves in water and forms a gel in your intestine.

Insoluble fiber is important to regulate bowel movements and make them regular. If your stools are too loose, the fiber will add bulk. If your stools are too hard, they will increase bulk and stool water. Thus insoluble fiber is good for your stool, lose or hard.

Soluble fiber is associated with decreasing LDL, decreasing blood glucose spikes.

New Fiber Metrics

Today, we think of fiber as a three dimension spectrum, instead of binary.  The important parts of fiber are now thought of to be

  • Viscosity
  • Fermentability
  • Solubility

From Gill, S.K., Rossi, M., Bajka, B. et al. Dietary fibre in gastrointestinal health and disease. Nat Rev Gastroenterol Hepatol 18, 101–116 (2021). https://doi.org/10.1038/s41575-020-00375-4

 

Fiber is an Essential Nutrient

Plants provide vitamins, minerals, macro and micronutrients. A single source of plants cannot provide the nutrients a person requires, which has been the main reason we recommend a diversified diet. Fiber is also a nutrient, an essential nutrient, one that humans cannot make, but without it there is clearly an increase in disease. While those on the extreme of low-carb diets will disagree, the literature is unambiguous.

Myth

Fiber supplements are not a substitute. Some are expensive, one selling for over $150 a month. But no supplement gives you the diversity of nutrients that you can get from your diet. Mother Nature gives you a better deal. So, eat your fiber, don’t buy a supplement.

Now begin to chart your diversity

Today’s assignment is simple: begin to chart the diversity in your diet, so that you increase the sources of your plants. One of my favorite dieticians, Dr. Megan Rossie, suggests a person has 30 plant-based foods per week. Sound impossible? Let’s try it using the Meditereanean Diet.

Why 30?

It isn’t that difficult to implement, but consider that you want to consume the vitamins, minerals, anti-oxidants, and other nutrients and there is no one plant that does this. But many will.

Vegetables:

One Mediterranean diet point is achieved by consuming 9 ounces of vegetables per day.  Run through the list of vegetables that you can add to your diet in any given week.

  1. Asparagus
  2. Beets
  3. Bok Choi
  4. Broccoli
  5. Brussels Sprouts
  6. Cabbage
  7. Cauliflower
  8. Carrots
  9. Celery
  10. Cucumbers
  11. Eggplant
  12. Jicama
  13. Kale
  14. Leeks
  15. Lettuce
  16. Onions
  17. Parsnips
  18. Peppers
  19. Spinach
  20. Squash
  21. Tomatillos
  22. Zucchini

Fruits:

  1. Apples
  2. Apricots
  3. Avocado
  4. Bananas
  5. Blueberries
  6. Cherries
  7. Coconuts
  8. Dates
  9. Grapes
  10. Grapefruit
  11. Jackfruit
  12. Kiwi
  13. Lemon
  14. Lime
  15. Mangos
  16. Melons
  17. Nectarines
  18. Peaches
  19. Pears
  20. Pineapple
  21. Pomegranates
  22. Plumbs
  23. Prunes
  24. Oranges
  25. Tomato
  26. Watermelon

Legumes:

  1. Black beans
  2. Butter beans
  3. Chickpeas
  4. Green beans
  5. Kidney beans
  6. Navy beans
  7. Pinto beans
  8. Navy beans
  9. Lentils
  10. Peanuts

Whole Grains:

  1. Barley
  2. Brown Rice
  3. Buckwheat
  4. Bulgur
  5. Corn
  6. Millet
  7. Oatmeal
  8. Whole wheat
  9. Red rice

Nuts:

  1. Acorns
  2. Almonds
  3. Brazil nuts
  4. Cashews
  5. Chesnuts
  6. Hazelnuts
  7. Macadamias
  8. Pecans
  9. Pine nuts
  10. Pistachios
  11. Walnuts

Seeds:

  1. Chia
  2. Flax seeds
  3. Hemp
  4. Pomegranate
  5. Poppy seeds
  6. Pumpkin
  7. Sesame seeds
  8. Squash seeds
  9. Sunflower

These provide a diversity of micronutrients, macronutrients and fiber.

All of which provide a healthy diet.

But let’s not forget one of the most important plants:

Perhaps the most important part of the Mediterranean Diet is this plant.

 

 

Breakfast ideas:

Overnight oats, which in my recipe has oats, chia seeds, and in the morning I add blueberries and peanut butter. There are four different plants.

 

Lunch ideas:

A whole grain sandwich to which I add: tomatoes, cucumbers, lettuce

Add an apple

The whole grain can have multiple grains in it.

Snack:

A handful of almonds

Dinner:

Want some pasta – how about the sauce? Start the sauce with onions, mushrooms, carrots, garlic, all in olive oil.

You haven’t even had a salad yet.

On this day we have 15.

 

Tips:

Salads are a great way to add seeds, nuts, and even some legumes.

Buy the mixed vegetables not just the broccoli.

Terry’s Tacos

The standard fast-food taco is a lot of ground beef, a lot of cheese, and a smear of sauce.

My taco is: lots of cabbage which I have for a slaw and other great crunch

My salsa has some amazing fresh ingredients in it like my mango salsa

And cheese and meat are more of a condiment. But you can reduce the meat by using lentils and mushrooms.

Soups:

Vegetables soups in the winter! Lots of additions here for vegetables.

 

Diversity is not only healthy, but it is delicious.

 

About the Author
You probably first saw Dr. Simpson on TikTok or Instagram or Facebook or Twitter. Dr. Terry Simpson received his undergraduate, graduate, and medical degrees from the University of Chicago where he spent several years in the Kovler Viral Oncology laboratories doing genetic engineering. Until he found he liked people more than Petri dishes. Dr. Simpson, a weight loss surgeon, is an advocate of culinary medicine. He believes teaching people to improve their health through their food and in their kitchen. On the other side of the world, he has been a leading advocate of changing health care to make it more "relationship based," and his efforts awarded his team the Malcolm Baldrige award for healthcare in 2018 and 2011 for the NUKA system of care in Alaska and in 2013 Dr Simpson won the National Indian Health Board Area Impact Award. A frequent contributor to media outlets discussing health related topics and advances in medicine, he is also a proud dad, author, cook, and surgeon “in that order.” For media inquiries, please visit www.terrysimpson.com.