JCL roundtable: Healthy ethnic diets.

Epidemiology has long suggested that diet plays a major role in determining risk for atherosclerotic cardiovascular disease. A small number of important randomized controlled trials support this contention. We have to recognize that dietary patterns also constitute a large part of ethnic identity. In our increasingly connected world of international mobility and influence, lipidologists face new challenges in counseling patients with diverse nutritional preferences. In this JCL roundtable, we discuss Hispanic, South Asian, and Mediterranean dietary patterns and their association with atherosclerotic risk. Culturally acceptable ways are suggested to mitigate the atherogenic aspects of Hispanic and South Asian diets and to reinforce their heart healthy aspects. The Mediterranean diet provides a model for ameliorating risk, but one should understand how it is practiced in its native countries compared with its adaptations abroad.