Mediterranean vs. Paleo Diet: Which is Better?

This enticing spread features foods common to both the Mediterranean diet and the Paleo diet, including salmon, eggs, fresh vegetables, and dark chocolate.
By  Dr. Tufail Shaik, MD; Pledge To Fitness Guest Writer and Client

In this article, we will compare the Mediterranean vs. Paleo diet, their potential health benefits, limitations, and how they fit into different lifestyles. To help illustrate their unique approaches, we also provide sample meal plans to guide those considering either diet. Whether you’re looking to improve heart health, manage weight, or enhance overall well-being, understanding these dietary patterns can help you make an informed decision.

What is the Mediterranean Diet?

The Mediterranean diet is a traditional dietary pattern in the countries surrounding the Mediterranean Sea, such as Greece, Italy, Turkey, and parts of the Middle East. It includes a variety of plant-based foods, such as fruits, vegetables, whole grains, legumes, nuts, moderate amounts of fish, poultry, dairy products, and small amounts of red meat. The Mediterranean diet also includes olive oil as a source of fat and red wine in moderation.

What is the Paleo Diet?

The Paleo diet is based on the dietary patterns of our ancestors during the Paleolithic or “Stone Age” era, when humans lived a hunting and gathering lifestyle before the advent of agriculture. The Paleo diet consists of whole foods, fruits, nuts, seeds, vegetables, and protein and fat from meat and fish. It excludes foods unavailable during this period, such as grains, legumes, dairy products, and processed foods. As a result, the diet is high in protein and moderate in fat and carbohydrates.

To better understand the differences in the Mediterranean vs. Paleo diet, here’s a look at what a typical day of meals might look like for each approach.

Mediterranean Diet Sample Meal Plan

The Mediterranean diet includes a variety of plant-based foods, whole grains, lean proteins (especially fish), healthy fats, and moderate dairy consumption.

  • Breakfast: Greek yogurt with honey, walnuts, and fresh berries.
  • Snack: Whole grain toast with hummus and cherry tomatoes.
  • Lunch: Quinoa salad with chickpeas, cucumbers, tomatoes, feta cheese, and olive oil dressing.
  • Snack: A handful of almonds and a small piece of dark chocolate.
  • Dinner: Grilled salmon with sautéed spinach and a side of whole grain couscous.

Paleo Diet Sample Meal Plan

The Paleo diet emphasizes whole, unprocessed foods, focusing on lean proteins, vegetables, fruits, nuts, and seeds while excluding grains, legumes, dairy, and processed foods.

  • Breakfast: Scrambled eggs with spinach and mushrooms cooked in coconut oil, served with avocado.
  • Snack: A handful of almonds and fresh berries.
  • Lunch: Grilled chicken salad with mixed greens, cucumbers, bell peppers, and olive oil dressing.
  • Snack: Sliced carrots and celery with homemade guacamole.
  • Dinner: Baked salmon with roasted sweet potatoes and steamed broccoli.

Health Benefits of the Mediterranean and Paleo Diet

Recurrent studies show that the Mediterranean diet has various cardioprotective nutrients and foods, which improve markers of heart health, such as cholesterol levels and blood pressure, and reduce the risk of cardiovascular disease. In addition, it has been associated with a reduced risk of certain chronic diseases, including diabetes, certain types of cancer, and Parkinson’s disease. Furthermore, it has improved blood sugar control in people with diabetes. Also, the Mediterranean diet may be effective for weight loss management due to its emphasis on whole, less processed foods and its balance of nutrients.

Many ingredients of our modern (processed) food can induce low-grade inflammation and insulin resistance, which plays a critical role in the causation of metabolic syndrome (a cluster of conditions, including increased waist circumference, blood pressure, and fasting blood glucose). The paleo diet can effectively help in losing weight and improving body composition. In addition, it may help improve blood sugar control and triglycerides, thus decreasing the risk of developing chronic conditions, such as heart disease and diabetes; some research suggests that the Paleo diet may reduce the risk of colon cancer. In addition, some people report improved mental clarity and brain function while following the Paleo diet.

Limitations of the Mediterranean and Paleo Diet

If you are deciding between the Mediterranean vs. Paleo diet, it’s important to consider their limitations.

First, there is a lack of standardization in defining what constitutes a Mediterranean or Paleo diet, making it difficult to compare the results of different studies of these diets. Second, many studies on the health benefits of these diets are short-term and do not provide information on long-term effects. Third, it can also be challenging to separate the effects of the diet from other lifestyle factors that can impact health, such as physical activity and stress.

Many studies of two diets had an insufficient number of participants, which can limit the generalizability of their results. Finally, there are conflicting results among studies, with some finding positive health effects of the Mediterranean and Paleo diets while others have yet to. These may be due to differences in study design, sample size, and other factors.

Which Diet is the Better Choice?

So which diet is a better choice? A Healthy, Balanced Lifestyledepends upon your health and fitness goals. For example, as we discussed, the Mediterranean diet has been extensively studied and linked to numerous health benefits, particularly the prevention of cardiovascular disease. On the other hand, if your primary goals are weight loss and improved body composition and blood sugar control, the Paleo diet may better offer these potential health benefits. Either way, always consult your healthcare professional before starting any new diet.

A Balanced Approach to Long-Term Health

Finally, we should remember that all diets have their pros and cons. Therefore, we should not fall for every new diet claimed for good health. Instead, to stay healthy, we should follow the golden rules of eating a diet rich in nutrients, low in processed foods, and higher in fiber, exercising regularly, and avoiding harmful habits, such as smoking and excessive worries. 

References

Estruch, Ramón, Emilio Ros, Jordi Salas-Salvadó, Maria-Isabel Covas, Dolores Corella, Fernando Arós, Enrique Gómez-Gracia, et al. 2013. “Primary Prevention of Cardiovascular Disease with a Mediterranean Diet.” New England Journal of Med. 368 (14):1279-90. https://doi.org/10.1056/nejoa1200303.

“Mediterranean Diet, Cardiovascular Disease and Mortality in Diabetes: A Systematic Review and Meta-Analysis of Prospective Cohort Studies and Randomized Clnical Trials.” 2020. Critical Reviews in Food Science and Nutrition. 2020. https://www.tandfonline.com/doi/abs/10.1080/10408398.2019.1565281.

Manheimer, Eric W, Esther J van Zuuren, Zbys Fedorowicz, and Hanno Pijl. 2015. “Paleolithic Nutrition for Metabolic Syndrome: Systematic Review and Meta-Analysis.” The American Journal of Clinical Nutrition 102 (4): 922–32. https://doi.org/10.3945/ajcn.115.113613.

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