The Green Mediterranean Diet: The New Science for Heart and Brain Health

The diet of Mediterranean diet is referred to as the healthiest diet in the world. However, scientists are now considering its green version- the Green Mediterranean Diet (Green-MED). It contains increased plants, reduced meats, and an additional increase of polyphenols, and provides the heart and brain with solid evidence of their protection [1-5].

The Indian Adapted Mediterranean Diet (IAMD) was put to the test in India by scientists of AIIMS Delhi, where cardiovascular disease and dementia are currently increasing. It is a culturally adapted form that incorporates Indian cuisine, such as dal, millet. sabzi along with the principles of the Mediterranean, and there were major benefits in terms of heart health in a 2025-year clinical trial [6].

What is Unique about the Green Mediterranean Diet?

The Green-MED pattern: In comparison to the classic Mediterranean diet, it covers;

  • Walnuts, green tea, and mankai (duckweed) to increase polyphenols.
  • Further minimize red and processed meat.
  • Provides greater anti-inflammatory and antioxidant effects.

In a trial, DIRECT PLUS, it was seen that the Green-MED decreased liver fat, reduced cholesterol, enhanced blood sugar, and slowed the aging effects on the brain compared to the ordinary Mediterranean diet [1,2,4].

The Green-MED Thali Method

The following is a special version of the Green-MED Thali process:

  • Grains: Millet roti, or multigrain chapati, brown rice.
  • Protein: Dal, sprouts, chana, paneer, tofu.
  • Polyphenol Boosters: Walnuts, moringa, turmeric, green tea.
  • Vegetables: Sabzi, spinach, methi, leafy greens.
  • Healthy Oils: Mustard, groundnut, or olive oil in moderation

Comparison Table

AspectStandard Mediterranean DietGreen Mediterranean DietIndian Adapted Mediterranean Diet (AIIMS Thali)
Red/Processed MeatModerate intakeMinimalRare in many Indian households
GreensSpinach, kaleMankai, green tea, spinachSpinach, moringa, methi
NutsAlmonds, walnutsExtra walnutsWalnuts + groundnuts
GrainsWheat, barleyWhole grainsMillet, roti, brown rice
PolyphenolsOlive oil, fruitsVery high (tea, walnuts, Mankai)High (spices, tea, walnuts, greens)

Heart Health Benefits

Heart disease is the major killer of Indians. The Green-MED diet helps by:

  • Reducing triglycerides and LDL cholesterol [1].
  • Enhancing the insulin sensitivity and blood pressure regulation [1].
  • Bringing down liver and fatty liver disease risk [2].

The AIIMS trial (2025) affirmed that the Indian Adapted Mediterranean Diet (IAMD) obtained a significantly lower rate of cardiac risk elements using Indian local foods such as dal, millet, and sabzi [6].

Brain Health and Cognitive Performance

The effect of the diet on the brain is impressive:

  • Retards the shrinkage of hippocampus associated with memory lapse and dementia [4,5].
  • Reduces brain cell inflammation and oxidative stress [4].
  • Provides a natural remedy for the increase in dementia in India [5].

Gut Microbiome: The Hidden Link

The Green-MED diet alters the intestinal microbiome, promoting the proliferation of such bacteria as Prevotella, which promote metabolism [3]. Walnuts, tea, and Indian spices contain polyphenols, which serve as food for such microbes. A healthier gut will offer greater shielding to the heart and the brain.

Green Mediterranean Diet

Sample 3-Day Indian Green-MED Meal Plan.

Indian green - med meal plan

Key Takeaways from Indian Research

  • The IAMD trial at AIIMS Delhi [6] proves that Mediterranean principles can be successfully adapted into the Indian thali format.
  • By using familiar staples like millet, dal, and sabzi, the diet becomes both affordable and culturally acceptable.
  • Globally and in India, the evidence is clear: a greener plate supports a healthier heart and sharper brain.

FAQs

Q1. What is the Green Mediterranean Diet?

A minimum meat intake is combined with a polyphenol-enriched diet that includes walnuts, green tea, and Mankai in it [1].

Q2. Does Green Mediterranean Diet help the brain?

Yes, it slows down memory loss and lessens the risk of dementia [4,5].

Q3. Is the Green Mediterranean Diet effective for heart disease prevention?

Yes, it also reduces cholesterol, liver fats, and controls blood sugar [1,2].

Q4. What can replace Mankai in India?

Good substitutes include spinach, moringa, and methi.

References

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  1. Tsaban G, Yaskolka Meir A, Rinott E, Zelicha H, Kaplan A, Rudich A, et al. The effect of green Mediterranean diet on cardiometabolic risk; a randomised controlled trial. Heart. 2020;107(14):1054-61.(Link)
  2. Yaskolka Meir A, Rinott E, Tsaban G, Zelicha H, Kaplan A, Rosen P, et al. Effect of green-Mediterranean diet on intrahepatic fat: the DIRECT PLUS randomised controlled trial. Gut. 2021;70(11):2085-95. (Link)
  3. Rinott E, Yaskolka Meir A, Tsaban G, Zelicha H, Kaplan A, Rudich A, et al. The effects of the Green-Mediterranean diet on cardiometabolic health are linked to gut microbiome modifications: a randomized controlled trial. Genome Med. 2022;14:62. (Link)
  4. Kaplan A, Zelicha H, Yaskolka Meir A, Rinott E, Tsaban G, Levakov G, et al. The effect of a high-polyphenol Mediterranean diet (Green-MED) combined with physical activity on age-related brain atrophy: the DIRECT PLUS trial. Am J Clin Nutr. 2022;115(5):1270-81. (Link)
  5. Pachter D, Kaplan A, Tsaban G, Zelicha H, Meir A, Levakov G, et al. Glycemic control contributes to the neuroprotective effects of Mediterranean and Green-Mediterranean diets on brain age: The DIRECT PLUS Brain-MRI Randomized Controlled Trial. Am J Clin Nutr. 2024. (Link)
  6. AIIMS Delhi. Indian Adapted Mediterranean Diet trial results. India Today. 2025 Jul 17 (Link)

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