According to data from the first pooled analysis of studies evaluating the possible role of the Mediterranean diet on diabetes development, adherence to this diet was associated with a 21 per cent reduced risk of diabetes as compared to the control dietary groups.
This reduced risk was even more pronounced among people at high risk for cardiovascular disease - among whom diabetes prevention is especially critical.
The analysis showed that patients in this subgroup were almost 27 per cent less likely to develop diabetes compared to controls.
"This diet has a beneficial effect, even in high risk groups, and speaks to the fact that it is never too late to start eating a healthy diet," Panagiotakos said.
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The researchers systematically reviewed 19 original research studies that followed more than 162,000 participants for an average of 5.5 years.
These studies spanned European and non-European populations, which Panagiotakos said is important as most of the published studies have been European-based and there has been some question of possible confounding factors in these regions, including genetics, the environment, lifestyle and lower stress levels.
While there is no set Mediterranean diet, it commonly emphasises fresh fruits and vegetables, whole grains, beans, nuts, fish, olive oil and even a glass of red wine.
Panagiotakos said he believes the Mediterranean diet, in particular, lowers the risk of diabetes by helping to guard against obesity.
Earlier research has shown that following the traditional Mediterranean diet is also linked to weight loss, reduced risk of heart disease and related death, as well as lower blood pressure and blood cholesterol levels.