also shows pictures with healthy lifestyles, such as regular physical activity, sharing meals in a family and social environment, and moderately drinking wine or other fermented alcoholic beverages (always respecting social beliefs). The MD is not only a dietary pattern with health benefits from an epidemiologi,caL and public health approach. It is also a lifestyle and cultural heritage which cont:ributes to the preservation of territory, stimulating local production and augmenting environmental sustainability. 18.5. References - For further knowledge Serra-Majem L, go de la Cruz J, Ribas L, Salieras L. Mediterranean dict and health: is ali the sccret in olive oíl?. Pathophysiol Haemost Thromb 2003;33(5-6):461-465. doi: 10.1159/000083846. Estruch R, Ros E, Salas-Salvadó J, Covas 1II, Corella D, Arós F, Gómez-Gracia E, Ruiz-Gutiérrez V, Fío! M, LapetraJ, Lamuela-Ravcntos RM, Serra-Majem L, Pintó X, BasoraJ, Muñoz MA, Sorlí JY, Martínez JA, Fitó M, Gea A, Hernán MA, MartínezGonzálcz MA; PREDIMED Study Investigators. Primary Prevention of Cardiovascular Diseasc with a Mediterranean Diet Supplcmented with Extra-Virgin Olive Oíl or Nuts. Eng!J Med 2018;378(25):e34. doi: 10.1056/ EJMoal800389. Serra-Majem L, Román-Viñas B, Sanchez-Villegas A, Guasch-Fcrré M, Corclla D, La Vecchia C. Bencfits of the Mediten-anean dict: Epidemiological and molecular aspects. Mol A5pccts Med 2019;67:1-55. doi: 10.1016/j.mam.2019.06.001. Sáez-Almendros S, Obrador B, Bach-Faig A, Serra-Majcm L. Environmental footprints of Mediterranean versus \Vestern dietary patterns: beyond the health benefits of the Meditcrranean diet. Environ Health 2013;30;12:118 (1-8). doi: 10.1186/l476-069X-12-l 18. Serra-Majcm L, Medina X. The Mediterranean dict as an intangible and sustainable food culture.In: Preedy VR, Watson RR, editors. The Mediterranean diet. An evidencc-based approach, London: Elsevier; 2015, p. 37 46. ACKNOWLEDGEMENTS Authors thank Lourdes Ribas andJoy Ngo for supervising the chapter.
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