The best and worst diets of 2019

The Mediterranean diet has been named the best diet of 2019, and it’s for good reason.

This way of eating has been shown in multiple studies to reduce the risk of heart disease, dementia, depression, and cancer.

Now that’s the power of food!

And in case you’re wondering why the Mediterranean diet is so beneficial, it’s because it ensures meaningful intakes of fiber, good fats, antioxidants, and plant sterols.

The Mediterranean diet is not vegan, paleo or keto. It encourages eating greens, beans, nuts, seeds, vegetables, fruits, grains (in their whole and most unprocessed forms), fish and low-fat dairy in reasonable amounts. Meat is not completely excluded but it comprises a small minority of calories.

Despite the connotation, the Mediterranean diet does NOT mean bowls and bowls of pasta.  In general, processed grain products, like bread and pasta, comprise a small component of the Mediterranean approach. We tend to forget that pasta is traditionally served as an appetizer in Italy — a small serving of noodles before the main course (which is typically a simple fish course without additional starches).

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The worst diet of 2019

And what was named worst diet of the year? Keto.

And why? Because with the Keto diet, carbohydrate intake is restricted to 20 grams daily. This is such a small amount that it doesn’t allow for meaningful consumption of fruits, beans or any whole grain foods.

Related: Pros and cons of the keto diet

While you may end up significantly decreasing calorie intake with Keto, which helps promote weight loss, this eating approach removes important nutrients from your meals like fiber and antioxidants which are essential to health but are only found as part of complex carbohydrates (like fruits, beans, and whole grains).

So, if you’re going to choose a diet, go with the Mediterranean.

But I have to tell you that I hate the word “diet,” because it implies deprivation and tends to put the focus on weight loss. We shouldn’t primarily eat to lose weight.  We should primarily eat to build health. Because if you eat to build health, the weight thing will take care of itself. That way diet becomes a word that helps denote a healthier way of eating.

That approach can be summarized in my favorite eight words of dietary advice: Eat real food. Not too much. Mostly plants. Which is really no diet at all.  It’s simply about eating differently than the way you’ve been eating (if the way you were eating led to excess weight or other health issues).

My advice for long term dietary success? At every food occasion, make the best choice you can. And then feel really good about the better choice you made. None of us is perfect, but every better choice adds up to better health.

In case you’re curious, Step One Foods, which are made with nuts, seeds, whole grains and fruits and (for some products) beans, fit in perfectly with the Mediterranean approach. So, if you hope to eat for your best health in 2019, we’ve got you covered.

Dr. Elizabeth Klodas MD, FACC

By Dr. Elizabeth Klodas MD, FACC

"Diet is a major driver of high cholesterol, but instead of changing the food, we prescribe medications. This never seemed logical to me.” Dr. Klodas has dedicated her career to preventive cardiology. Trained at Mayo Clinic and Johns Hopkins, she is the founder and Chief Medical Officer for Step One Foods. Dr. Klodas is a nationally sought out speaker and has an active role at the American College of Cardiology. Her clinical interests include prevention of heart disease and non-invasive cardiac imaging and she has published dozens of scientific articles throughout her career. Dr. Klodas has been featured on CNN Health for her mission to change how heart disease is treated. An independent study performed at leading medical institutions affirmed the ability of Step One Foods to deliver measurable and meaningful cholesterol-reduction benefits in the real world. The results of the trial were presented at the 2018 American Heart Association’s Scientific Sessions. Dr. Klodas has also authored a book for patients, "Slay the Giant: The Power of Prevention in Defeating Heart Disease," and served as founding Editor-in-Chief of the patient education effort of the American College of Cardiology. In addition to her practice and her duties at Step One Foods, she also serves as medical editor for webMD.

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