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These studies suggest that a healthy diet high in plant-based foods and low in animal-based foods, such as the Mediterranean diet, can reduce the risk of non-communicable diseases, improve cardiovascular health, and promote healthy aging, though socioeconomic factors and nutrient support for specific diets like veganism are important considerations.
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A healthy diet is essential for preventing non-communicable diseases (NCDs) such as cardiovascular disease, cancer, and diabetes. Contemporary dietary patterns like the Mediterranean diet (MeDi), Dietary Approaches to Stop Hypertension (DASH), and the Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet have been shown to positively influence health outcomes. These diets emphasize the consumption of plant-based foods, including fresh fruits and vegetables, whole grains, legumes, seeds, and nuts, while limiting the intake of fatty and processed meats.
The Mediterranean diet is one of the most studied dietary patterns and has been associated with numerous health benefits. Systematic reviews and meta-analyses have shown that adherence to the MeDi can improve health status and reduce the risk of NCDs, including cardiovascular diseases, diabetes, and neurodegenerative disorders. The diet's benefits are amplified when combined with physical activity and avoidance of tobacco and excessive alcohol consumption . Additionally, the MeDi has a lower environmental impact, making it a sustainable dietary model.
Consumer understanding of what constitutes a healthy diet is often poor, and low socioeconomic status (SES) is a consistent risk factor for not adhering to healthy dietary patterns. Psychological factors such as intentions, habits, and self-regulatory skills, along with the social and physical environment, play significant roles in dietary behaviors. Interventions targeting habitual behavior and the physical environment are more effective than educational interventions alone in promoting healthy eating habits.
Diet plays a crucial role in healthy aging by preventing age-related diseases and preserving overall health. Plant-based dietary patterns have been shown to optimize cognitive, psychological, sensory, and physical functions, contributing to healthy aging. However, more epidemiological studies are needed to fully understand the relationship between diet and multidimensional aspects of healthy aging.
While various diets claim to be superior, the fundamentals of healthy eating patterns overlap significantly. Diets rich in minimally processed foods and predominantly plant-based are consistently associated with health promotion and disease prevention. The Healthy Eating Index (HEI), Alternate Healthy Eating Index (AHEI), and DASH score are all associated with significant reductions in the risk of all-cause mortality, cardiovascular disease, cancer, and type 2 diabetes .
Plant-based diets, including vegetarian and vegan diets, generally provide higher intakes of fiber, polyunsaturated fatty acids (PUFA), folate, vitamin C, E, and magnesium. However, they may result in lower intakes of vitamin B12, vitamin D, iron, zinc, iodine, calcium, and bone turnover markers compared to meat-based diets. Public health strategies should focus on facilitating the transition to balanced diets with diverse nutrient-dense plant foods through education, food fortification, and supplementation.
A healthy diet is characterized by high consumption of plant-based foods and limited intake of processed and fatty meats. The Mediterranean diet, DASH, and similar dietary patterns have robust evidence supporting their role in reducing the risk of NCDs and promoting overall health. Psychological and environmental factors significantly influence dietary behaviors, and effective interventions should target these determinants. As plant-based diets gain popularity, it is crucial to address potential nutrient deficiencies through comprehensive public health strategies.
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