The incidence of cancer overall in Mediterranean countries is lower than in
Scandinavian countries, the United Kingdom, and the United States. This is
mostly accounted for by the lower incidence among Mediterranean countries
of cancer of the large bowel, breast, endometrium, and prostate. These form
s of cancer have been linked to dietary factors, particularly low consumpti
on of vegetables and fruit, and to a certain extent, high consumption of me
at. The traditional Mediterranean diet is characterized by high consumption
of foods of plant origin, relatively low consumption of red meat, and high
consumption of olive oil, which in several studies has been reported to be
more beneficial against cancer than other forms of added lipids. By taking
into account the established or presumed nutritional causation of major fo
rms of cancer and the composition of the traditional Mediterranean diet, es
timates can be derived concerning the fraction of cancer occurrence in high
ly developed Western countries that could be attributed to their diets in c
omparison with the healthy traditional Mediterranean diet. Although estimat
es can only be crude, it can be calculated that up to 25% of the incidence
of colorectal cancer, similar to 15% of the incidence of breast cancer, and
similar to 10% of the incidence of prostate, pancreas, and endometrial can
cer could be prevented if the populations of highly developed Western count
ries could shift to the traditional healthy Mediterranean diet.