There are a lot of similarities between the Healthy Eating Pyramid and the  Mediterranean Diet Pyramid. However, the Mediterranean Diet Pyramid is  representative of a traditional diet followed by many people in Mediterranean  countries such as Greece and Italy, updated in 2008 to reflect new scientific  developments. The Healthy Eating Pyramid, also updated in 2008, is based on the  most up-to-date research in nutrition and health, and it has a more varied  dietary pattern to meet the preferences of different ethnic groups. 
The Mediterranean Diet Pyramid is rich in vegetables, fruits, grains,  beans, nuts, and seeds, with cheese or yogurt eaten daily in low to moderate  amounts. It is low in red meat, with fish encouraged at least twice a week, and  with fish, poultry and eggs replacing beef and lamb. The main sources of added  fat are olive oil and nuts. Sweets are limited as occasional treats, and fresh  fruit is usually served for dessert. Red wine is consumed with meals, in  moderation. It also recommends daily physical activity.
The Healthy Eating Pyramid is similar to the Mediterranean Diet Pyramid in  that it emphasizes plant foods (fruits, vegetables, whole grains) and recommends  limiting red meat and sweets. It also recommends choosing healthy sources of  protein, from plant foods (nuts, seeds, beans and tofu) and from fish, poultry  or eggs. Like the Mediterranean Diet Pyramid, it is built on a base of daily  exercise, emphasizing the importance of weight control. But there are a few  specific differences: 
The Healthy Eating Pyramid has less emphasis on dairy products than the  Mediterranean Diet Pyramid does, and it notes that it is fine to obtain calcium  and vitamin D from a supplement rather than from dairy.
On the Healthy Eating Pyramid, potatoes and refined grains (white rice,  white pasta, white bread) join sweets, red meat and butter in the "use  sparingly" tip of the pyramid.
The Healthy Eating Pyramid allows for more flexibility in the diet, to  accommodate cultural food choices. For example, vegans or Asians could use tofu  as a protein source. Oils used are more varied, including peanut, sunflower,  sesame, soy bean, and canola oil. Alcohol can be consumed from wine, beer, or  spirits, as long as it is in moderation.
The Healthy Eating Pyramid recommends a daily multivitamin supplement plus  extra vitamin D.

 
 
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