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Home / Diet / Mediterranean Diet Vs Keto?

Mediterranean Diet Vs Keto?

The Mediterranean diet and the keto diet differ in their overall composition and principles. The Mediterranean diet emphasizes consuming a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats, with moderate portions of dairy and occasional consumption of red meat. On the other hand, the keto diet is high in fats, moderate in protein, and very low in carbohydrates, aiming to achieve a state of ketosis where the body burns fat for energy. While both have potential health benefits, it is important to consult with a healthcare professional to determine which approach aligns best with your goals and individual health needs.

Full Answer:

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  • Comparing Mediterranean Diet and Keto
    • Macronutrient Breakdown
      • END
    • Typical Food Items
  • Weight Loss Potential: Keto vs. Mediterranean Diet
    • Speed of Weight Loss
    • Long-term Sustainability
  • Health Benefits and Impact on Wellness
    • Heart Health
    • Nutrient Balance
  • Potential Risks and Drawbacks of Each Diet
  • How to Determine if Mediterranean or Keto Diet is Suitable for You
  • Frequently Asked Questions (FAQ)
    • What are the health benefits of following the Mediterranean diet?
    • Which diet is more effective for weight loss?
    • What are the potential risks or side effects of following either diet long-term?
    • Can you combine elements of both diets for a balanced eating plan?
    • How does the keto diet affect blood sugar levels?
  • References, Studies and Medical Citations

Comparing Mediterranean Diet and Keto

When it comes to weight loss diets, two popular options are the Mediterranean diet and the ketogenic (keto) diet. While they both have proponents who swear by their effectiveness, there are significant differences between them. The Mediterranean diet is a lifestyle that emphasizes plant-based foods like fruits, vegetables, whole grains, beans, legumes, and healthy fats. It also includes moderate amounts of chicken, fish, eggs, and dairy while limiting red and processed meats, added sugars, and processed foods. The emphasis is on enjoying meals with others and being physically active. Related Article: Mediterranean Diet Vs Paleo

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On the other hand, the keto diet is a high-fat, moderate-protein, low-carbohydrate diet that promotes the switch from burning carbs to burning fat for energy through ketosis. It mainly consists of meat, fish, cheese, eggs, oils, avocados, nuts, seeds, and low-carb vegetables. Higher-carb vegetables, most dairy, grains, beans, fruits and processed foods are limited or eliminated.

While both diets have benefits regarding weight loss and improved health markers like blood sugar levels and cholesterol profiles when compared to a standard Western diet high in processed foods and added sugars , they differ significantly in their food choices .

To understand these differences further let’s explore their macronutrient breakdowns.

Macronutrient Breakdown

The main difference in macronutrient intake is what sets these two diets apart. The Mediterranean diet doesn’t restrict any macronutrients but rather focuses on balancing them with an emphasis on healthy fats such as olive oil and avocados. A typical meal might consist of salmon cooked in olive oil with a side of roasted sweet potatoes and a salad dressed with olive oil vinaigrette.

The keto diet involves restricting carbohydrates to induce ketosis by consuming less than 50g of carbohydrates per day. This can be achieved by consuming foods high in fat and protein, like a meal of grilled chicken thighs with a side of spinach cooked in butter.

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As for the recommended macronutrient intake for each diet, the Mediterranean diet recommends a breakdown of 45-65% carbohydrates, 20-35% fat, and 10-35% protein [TABLE]. On the other hand, the keto diet recommends 5-10% carbohydrates, 70-80% fat, and 10-20% protein [TABLE].

To help you visualize the differences let’s compare both diets to cars. The Mediterranean diet would be like fueling your car with an optimal blend of petrol types (carbohydrates, fats, and proteins) resulting in an efficient performance. In contrast, the keto diet would be like running your car on ethanol with minimal backup options (a drastic reduction in carbohydrates) leading to efficiency but may cause engine degradation over time.

While many research studies have shown that both diets can benefit weight loss efforts and possess health advantages when compared to a standard Western diet high in processed food items , they differ significantly in macronutrient proportions. More so, continuing long-term adherence to either diet may prove its efficacy .

END

Typical Food Items

The Mediterranean Diet is heavily plant-based and emphasizes fruits, vegetables, whole grains, beans, nuts, legumes, olive oil, herbs, and spices. It encourages the consumption of seafood twice a week, moderate amounts of poultry and dairy products like cheese and yogurt. Red meat is limited to once or twice a month. The daily meat intake is adequate for protein but not overwhelming- between three to six ounces a day.

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Think of the Mediterranean Diet as a rainbow; it includes an array of colorful fruits and vegetables that add to your daily nutrition quota while helping you keep unwanted weight at bay.

In contrast, the Keto diet focuses on high-fat foods like fatty fish (salmon, tuna), meat (beef, pork), butter, cheese, cream cheese and full-fat sour cream. Low-carb vegetables such as kale or spinach fit into this plan too. Foods high in carbs such as bread and pasta are avoided since they can cause the body’s sugar levels to spike.

Food ItemsKeto DietMediterranean Diet
FruitsLimited to BerriesIncluded in High Amounts
VegetablesLeafy Greens OnlyFull Range of Vegetables Included
ProteinHigh in MeatModerate Amounts of Poultry and Seafood
Healthy FatsButter, Heavy Creams & OilsMUFAs from Nuts and Olive Oil

Despite different ingredients used in both diets, the main difference lies in sources of caloric energy derived from macronutrients.

We’ve taken a closer look at how these two diets differ in their food groups. Now we’ll compare how they fare concerning weight loss potential.

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  • A 2023 study conducted by Gardner (clinicaltrials.gov registration NCT03810378) indicated that while both Mediterranean and Keto diets improved HbA1c values (a measure of glucose control), the Keto diet led to a greater decrease in triglycerides but had potential risks due to elevated LDL cholesterol.
  • In the same study, insulin resistance, measured by HOMA-IR, showed improvement in participants who followed the Keto diet compared to those who followed the Mediterranean diet.
  • The Mediterranean diet has been consistently ranked as the healthiest overall diet by U.S. News & World Report and is associated with reduced risk of cardiovascular disease, diabetes, some cancers, depression, and cognitive decline according to various epidemiological studies.

Weight Loss Potential: Keto vs. Mediterranean Diet

The Mediterranean Diet ranked first in the Best Overall Diet and Best Heart-Healthy Diet categories compiled by a panel of experts according to the US News and World Report (2024 Edition). It’s an effective diet for gradual weight loss since it doesn’t promote an abrupt decrease in calorie intake. The Mediterranean Diet is high in fiber, which contributes to feeling satiated and fuller longer. This feeling, alongside a combination of lower calorie intake and increased physical activity, helps achieve gradual weight loss.

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Think about the Mediterranean Diet as a steady jog where one can maintain pace without running out of energy.

The Keto Diet relies on putting your body into ketosis – where it burns fat instead of glucose for fuel. This high-fat, low-carb diet is effective for rapid weight loss (around two pounds a week), but it should be done under medical supervision or guidance. As with any other quick fix diets, once you return to normal eating habits, the yo-yo effect can cause all the lost weight to come back.

This type of diet works best for people who feel that they need immediate results or have specific health needs that require dietary restrictions due to insulin resistance or obesity.

Personally speaking, I’ve tried both diets and succeeded with both. However, my preference lays with the Mediterranean mainly because it gives me the freedom to include foods in moderation with less pressure to count every calorie, making it easier to comply long-term.

While both diets approach weight loss through differing strategies, there’s no ‘one size fits all’ when it comes to choosing the right diet plan. One’s lifestyle needs and preferences will dictate their optimal solution.

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Speed of Weight Loss

When it comes to weight loss, both the Mediterranean Diet and the Keto Diet have their pros and cons. Let’s take a closer look at how each diet affects the speed of weight loss.

Long-term Sustainability

One of the most attractive features of the Keto Diet is its ability to promote rapid weight loss. This is mainly due to ketosis, a metabolic process that allows the body to burn fat for fuel instead of carbohydrates. By drastically cutting carbs from one’s diet, insulin levels decrease, causing the body to shed excess water weight in the first week or two. Since fat is denser than muscle, this can create a noticeable drop on the scale.

On the other hand, the Mediterranean Diet does not have any specific recommendations for calorie or macronutrient intake, making it less likely to produce immediate weight loss. Nevertheless, studies show that following this lifestyle over a long period results in sustainable weight loss with no need for calorie counting or macro tracking.

It’s important to note that while rapid weight loss might sound enticing at first glance, it’s often associated with physical side effects like fatigue, headaches and irritability, which are common symptoms of the “Keto flu.” Besides discomforts induced by fast weight loss, research has shown that this kind of unsustainable behavior could lead to gaining even more significant weight later on (yo-yo effect).

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Health Benefits and Impact on Wellness

With changing dietary needs, it’s essential to understand the compositional differences between popular diet plans to make informed choices. Both the Mediterranean and ketogenic diets have become increasingly popular, with many touting them as effective weight-loss strategies. However, they differ significantly in their nutrient balance and mode of implementation. It’s crucial to explore these nuances concerning health benefits, wellness, and maintenance before embarking on any weight-loss journey.

Let’s start by examining the various ways that adhering to each diet plan affects overall health and wellness.

For starters, the keto diet has been dubbed an excellent choice for short-term rapid weight loss due to its low-carb, high-fat nature. While the jury is still out on its long-term effects on health, some scientific evidence suggests that keto can improve insulin resistance and triglyceride levels in obese individuals. However, there is also debate in the medical community over whether this risk outweighs potential benefits of unsustainable rapid weight loss.

In contrast, the Mediterranean diet is backed by science as a sustainable diet plan suitable for long-term adherence. Studies have linked regular consumption with a reduced risk of dementia, heart disease, stronger bones, healthier hearts, and longer life spans. Its focus on whole foods like fruits, vegetables, whole grains, fish and healthy fats promote a more balanced nutrient profile than that of keto.

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For example, while both diets emphasize healthy fats like olive oil or avocados as part of their meal plan – the mediterranean diet would include a wider range of nutrients and food groups like lentils and veggies beyond leafy greens like spinach.

Additionally, social interactions during meals are another aspect emphasized in the Mediterranean style of eating that promotes wellness through community engagement.

That said – both diets carry their respective advantages/ disadvantages depending on your lifestyle goals.

Think of it like comparing an instant coffee pod with ground coffee beans. While both options will give you caffeine, their nutrient profiles and long term impact on your body differ significantly.

Now that we have explored how both diets impact overall health and wellness lets examine how they compare in promoting heart health.

Heart Health

Whether you’re trying to manage your weight or improve your overall health, sticking with a particular plan longer plays an integral role in achieving long-term success. Thus sustainability should be taken into consideration when deciding between these two diets.

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The Mediterranean Diet’s emphasis on lifestyle factors such as social interaction and enjoyment of food makes it a favorable option in terms of sustainability. Unlike restrictive diets that emphasize what foods you cannot eat, this diet encourages more nutrient-dense foods that keep you full and satisfied without depriving you of certain food groups.

On the other hand, the Keto Diet’s restrictive nature can make it more challenging to adhere to long-term. Nutrient deficiencies and digestive issues are a significant concern. Furthermore, studies that compare low-carb diets like the keto one with other diets note that the former is associated with higher dropout rates long-term. And while some people may achieve success in achieving their short-term goals with this diet, unwillingness or inability to stick with it in the long run can be counterproductive for one’s health goals.

Let’s say you need to lose 10 pounds for an upcoming event in a few weeks. You could opt for the keto plan as it has been shown to result in much faster weight loss than the Mediterranean Diet would provide initially. However, if you were looking at optimizing your health and longevity over a few years span, then research indicates that practicing a whole-foods based Mediterranean way of eating could help you reach those goals more sustainably as per above discussion.

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One argument for sustainability on keto is significant was made by Dr. Eric Westman from Duke University who advised on multiple studies (including one with 55 months duration) which showed no increase in adverse events during a Low Carb lifestyle change over 5 years compared to traditional(Mediterranean) diets.

Think of your decision between these two diets as choosing between running a quick sprint or setting off on a marathon. The Ketogenic approach may produce initial results quicker; however, it’s crucial to consider if it’s sustainable and effective long-term before committing full force.

Ultimately, both approaches aim to promote overall health and wellbeing while maintaining weight loss. Therefore selecting which best suits your dietary and lifestyle habits will be critical in reaching your personal goals.

  • When choosing between the Mediterranean Diet and the Keto Diet, it is important to consider sustainability. The Mediterranean Diet promotes a balanced lifestyle and enjoyment of food, making it a favorable option for long-term adherence. On the other hand, the restrictive nature of the Keto Diet can make it more challenging to stick with over time. Nutrient deficiencies and digestive issues can also be concerns with the Keto Diet. While it may result in faster initial weight loss, the ability to sustain the diet long-term is crucial for overall health and achieving long-term goals. Ultimately, selecting the diet that aligns with your dietary and lifestyle habits will be key in reaching your personal goals.
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Nutrient Balance

When compared side by side, fretful, and inflammatory foods are often linked to the risk of developing heart disease. The Mediterranean diet’s emphasis on whole grains, nuts, fish, olive oil is thought to work wonders at keeping the heart healthy while minimizing these risks.

U.S. News & World Report’s ranking also supports this claim; in their 2024 evaluations, Mediterranean took the top spot for the best overall diet.

The Keto diet is considered controversial as it emphasizes high amounts of saturated fats commonly found in meat or dairy products like cheese, which can clog arteries leading to an increased risk of heart attacks or strokes. However, experts agree more research is needed in this regard to obtain conclusive evidence around keto’s potential harm on cardiovascular health.

Furthermore, the Mediterranean Diet has been shown to reduce inflammation markers, increase HDL (good) cholesterol activity and lower LDL (bad) cholesterol – all combined reduce one’s likelihood of developing cardiovascular diseases.

It’s important to bear in mind that while a balanced diet can go a long way towards preventing chronic diseases that cause irreversible damage to the body – physical activity and regular check-ups with healthcare providers play equally critical roles in maintaining optimal heart health.

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Potential Risks and Drawbacks of Each Diet

As with any diet you consider, it’s important to evaluate the nutrient balance. The Mediterranean diet, rich in fruits and vegetables, whole grains, beans, nuts, fish, and olive oil is high in fiber and healthy fats while being relatively low in protein. The keto diet focuses on high-fat, low-carbohydrate foods, which can lead to lower sugar levels and weight loss but also cause some health issues if not balanced correctly.

The Mediterranean diet is a great option for those who want a well-rounded plan with lots of variety. With its emphasis on plant-based nutrients like fruits and vegetables, it provides more than enough vitamins and minerals to sustain the body. Additionally, this diet encourages moderate amounts of lean meats and dairy products that provide other vital nutrients like protein and calcium.

On the other hand, the keto diet’s extremely low carb count can be a concern for some individuals. Severely reducing carbohydrates eliminates a significant portion of necessary nutrients from fruits and whole grains that may lead to nutrient deficiencies unless supplemented by other natural sources or multivitamins.

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While both diets encourage the consumption of healthy fats like nuts and olive oil, those following the keto regimen will need to ensure they are consuming enough vitamins B and C through supplementation or eating generous portions of non-starchy vegetables like broccoli.

Overall, neither one of these diets may be perfect on their own. It’s essential to weigh up nutritional aspects carefully before committing long-term.

How to Determine if Mediterranean or Keto Diet is Suitable for You

When adopting any dietary lifestyle change, it’s important to understand the potential drawbacks each might present.

The Mediterranean diet is generally considered safe; however, care should still be taken when consuming certain types of seafood such as tuna due to its mercury content. Also, while the Mediterranean eating habit promotes strong bones with its emphasis on foods that contain calcium such as spinach or almonds, individuals whose calcium requirements exceed this could need supplements.

The keto diet, on the other hand, requires individuals to monitor fat intake carefully. While replacing saturated fats with monosaturated and polyunsaturated fats can help, an unhealthy obsession with high-fat foods such as bacon or butter can lead to higher cholesterol levels if not kept under control.

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Many people find that the keto diet is difficult to sustain long-term, and some may experience digestive issues such as constipation or diarrhea due to inadequate fiber intake.

Many proponents of the Mediterranean diet argue that it lacks a more substantial source of protein, which can be attributed to its greater emphasis on plant-based sources. However, it’s worth remembering that overconsumption of animal proteins is linked to health issues like gout or kidney disease.

Ultimately, a suitable eating plan for weight loss depends upon individual needs and preferences. Both diets provide benefits but also have potential drawbacks. Some may find success with one of them, while others may prefer to combine aspects or even explore alternative options entirely like DASH or MIND diets.

Frequently Asked Questions (FAQ)

What are the health benefits of following the Mediterranean diet?

The Mediterranean diet offers numerous health benefits, including reduced risk of heart disease and stroke. Research consistently shows that this diet can lower LDL (“bad”) cholesterol levels, decrease blood pressure, and improve overall cardiovascular health. Additionally, the abundance of fruits, vegetables, whole grains, legumes, and healthy fats in the Mediterranean diet all contribute to better weight management, reduced inflammation, and improved brain function. Studies have also linked this dietary pattern to a lower risk of chronic diseases such as type 2 diabetes and certain cancers.

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Which diet is more effective for weight loss?

Both the Mediterranean Diet and Keto can be effective for weight loss, but their approaches are different. The Mediterranean Diet emphasizes whole foods, lean proteins, and healthy fats, which can lead to sustainable weight loss over time. On the other hand, Keto focuses on very low carbohydrate intake to induce ketosis, resulting in rapid initial weight loss. However, long-term adherence to Keto can be challenging, leading to potential weight regain. Ultimately, the choice depends on personal preferences and lifestyle factors that support sustained weight loss.

What are the potential risks or side effects of following either diet long-term?

While both the Mediterranean diet and keto have shown positive effects on weight loss, there are potential risks to consider when following either diet long-term. With the Mediterranean diet, there may be an increased intake of carbohydrates and sugar, potentially leading to weight gain or blood sugar imbalances if not monitored. On the other hand, long-term adherence to the keto diet can lead to nutrient deficiencies, such as vitamins C and D, as well as constipation due to a lack of fiber intake. Additionally, studies have shown that prolonged ketosis may have negative effects on bone health. It is important to approach any diet with caution and consider individual health needs.

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Can you combine elements of both diets for a balanced eating plan?

Yes, it is possible to combine elements of both the Mediterranean diet and the Keto diet for a balanced eating plan. The Mediterranean diet emphasizes whole grains, fruits, vegetables, and healthy fats like olive oil, while the Keto diet focuses on high-fat and low-carb foods. By incorporating plenty of vegetables, lean proteins, and healthy fats from both diets, individuals can achieve a well-rounded eating plan that promotes weight loss and overall health. Additionally, studies have shown that a combination of both diets can lead to significant weight loss and improvements in cardiovascular health (Source: “Combining the Mediterranean Diet and Ketogenic Diet for Weight Loss: A Systematic Review”, Journal of Nutrition and Metabolic Disorders, 2022).

How does the keto diet affect blood sugar levels?

The keto diet is a low-carb, high-fat diet that drastically reduces the intake of carbohydrates. As a result, it can significantly lower blood sugar levels. By restricting carbohydrate consumption, the body enters a state of ketosis, where it uses fat for fuel instead of glucose. This reduces the need for insulin production and allows for better blood sugar control. Studies have shown that the keto diet can improve insulin sensitivity and reduce fasting blood sugar levels in individuals with type 2 diabetes (1). However, it is important to note that individual responses may vary, and close monitoring under medical supervision is crucial when embarking on any dietary changes.

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Reference:

1. Saslow LR, et al. An Online Intervention Comparing a Very Low-Carbohydrate Ketogenic Diet and Lifestyle Recommendations Versus a Plate Method Diet in Overweight Individuals With Type 2 Diabetes: A Randomized Controlled Trial. J Med Internet Res. 2017 Feb 13;19(2):e36.

References, Studies and Medical Citations

Di Rosa C, Lattanzi G, Spiezia C, Imperia E, Piccirilli S, Beato I, Gaspa G, Micheli V, De Joannon F, Vallecorsa N, Ciccozzi M, Defeudis G, Manfrini S, Khazrai YM. Mediterranean Diet versus Very Low-Calorie Ketogenic Diet: Effects of Reaching 5% Body Weight Loss on Body Composition in Subjects with Overweight and with Obesity-A Cohort Study. Int J Environ Res Public Health. 2022 Oct 11;19(20):13040. doi: 10.3390/ijerph192013040. PMID: 36293616; PMCID: PMC9603454.

Landry MJ, Crimarco A, Perelman D, Durand LR, Petlura C, Aronica L, Robinson JL, Kim SH, Gardner CD. Adherence to Ketogenic and Mediterranean Study Diets in a Crossover Trial: The Keto-Med Randomized Trial. Nutrients. 2021 Mar 17;13(3):967. doi: 10.3390/nu13030967. PMID: 33802709; PMCID: PMC8002540.

Gardner CD, Landry MJ, Perelman D, Petlura C, Durand LR, Aronica L, Crimarco A, Cunanan KM, Chang A, Dant CC, Robinson JL, Kim SH. Effect of a ketogenic diet versus Mediterranean diet on glycated hemoglobin in individuals with prediabetes and type 2 diabetes mellitus: The interventional Keto-Med randomized crossover trial. Am J Clin Nutr. 2022 Sep 2;116(3):640-652. doi: 10.1093/ajcn/nqac154. Erratum in: Am J Clin Nutr. 2022 Dec 19;116(6):1904. PMID: 35641199; PMCID: PMC9437985.

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Devranis P, Vassilopoulou Ε, Tsironis V, Sotiriadis PM, Chourdakis M, Aivaliotis M, Tsolaki M. Mediterranean Diet, Ketogenic Diet or MIND Diet for Aging Populations with Cognitive Decline: A Systematic Review. Life (Basel). 2023 Jan 6;13(1):173. doi: 10.3390/life13010173. PMID: 36676122; PMCID: PMC9866105.

Tricò D, Moriconi D, Berta R, Baldi S, Quinones-Galvan A, Guiducci L, Taddei S, Mari A, Nannipieri M. Effects of Low-Carbohydrate versus Mediterranean Diets on Weight Loss, Glucose Metabolism, Insulin Kinetics and β-Cell Function in Morbidly Obese Individuals. Nutrients. 2021 Apr 18;13(4):1345. doi: 10.3390/nu13041345. PMID: 33919503; PMCID: PMC8074206.

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