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
Aspect | Standard Mediterranean Diet | Green Mediterranean Diet | Indian Adapted Mediterranean Diet (AIIMS Thali) |
Red/Processed Meat | Moderate intake | Minimal | Rare in many Indian households |
Greens | Spinach, kale | Mankai, green tea, spinach | Spinach, moringa, methi |
Nuts | Almonds, walnuts | Extra walnuts | Walnuts + groundnuts |
Grains | Wheat, barley | Whole grains | Millet, roti, brown rice |
Polyphenols | Olive oil, fruits | Very 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.

Sample 3-Day 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
Click to expand
- 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)
- 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)
- 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)
- 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)
- 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)
- AIIMS Delhi. Indian Adapted Mediterranean Diet trial results. India Today. 2025 Jul 17 (Link)