Why Greeks Have Some of the Lowest Heart Disease Rates

January 16, 2026

In the mid-20th century, researchers embarked on a landmark study that would change the way the world thought about food and health forever. The Seven Countries Study, launched in the 1950s, sought to understand the relationship between diet, lifestyle, and cardiovascular disease. While heart attacks were becoming an epidemic in the United States, scientists noticed something peculiar happening across the ocean.

On the island of Crete, and across much of Greece, heart disease was rare. In fact, Greek men in the study had significantly lower rates of death from coronary heart disease compared to their counterparts in the U.S. and Northern Europe. Even more surprising? They weren't eating a low-fat diet. In fact, their diet was quite high in fat—but it was the right kind of fat.

Decades later, Greece continues to be a beacon of cardiovascular health. Despite the encroachment of Western fast food, the traditional Greek diet and heart health remain inextricably linked in the public consciousness. But what is the secret sauce? Is it just genetics, or is there a specific formula for longevity that we can replicate?

In this deep dive, we will explore the unique combination of dietary habits, social customs, and environmental factors that contribute to this phenomenon. We will uncover why the Mediterranean lifestyle is about more than just what is on the plate, and we will shine a spotlight on the golden elixir that sits at the center of it all: olive oil.

 

The Foundation: The Traditional Greek Diet

To understand the health of the Greek people, we must look at their plate. The traditional Greek diet is the prototype of the Mediterranean diet. It is not a restrictive regimen but a way of eating that celebrates fresh, seasonal, and whole foods.

Plant-Forward Eating

Long before "plant-based" became a buzzword, Greeks were practicing it. The foundation of the diet consists of:

  • Vegetables: Eaten in abundance, often as the main course.

  • Legumes: Beans, lentils, and chickpeas are staples, providing fiber and protein.

  • Fruits: Served as dessert rather than sugary cakes.

  • Whole Grains: Rough country bread and barley rusks.

This high intake of plant matter means the diet is rich in fiber, vitamins, and antioxidants. Fiber is crucial for heart health as it helps lower cholesterol levels and maintain healthy blood sugar.

The Role of Meat and Fish

Unlike the standard American diet, where a large steak is the centerpiece, meat in Greece is traditionally used more sparingly—often as a flavor enhancer for vegetable stews or reserved for holidays and Sundays. Red meat consumption is low. Instead, protein comes from fish (rich in Omega-3 fatty acids), poultry, and eggs.

The Absence of Processed Foods

For generations, the Greek diet was devoid of processed foods. Everything was made from scratch. This meant practically zero consumption of trans fats, high-fructose corn syrup, and artificial additives—all of which are major contributors to inflammation and heart disease in the West.

 

The Golden Thread: Olive Oil Consumption

If you ask any nutritionist why the Greek diet is so protective, the conversation will inevitably turn to olive oil. Greeks are the world's largest consumers of olive oil per capita. It is not just a cooking fat; it is a way of life.

The "Liquid Gold" Difference

The olive oil benefits for the heart are profound and well-documented. But why is it so special?

  1. Monounsaturated Fats: Olive oil is rich in oleic acid, a monounsaturated fat that is stable and heart-healthy. It helps reduce LDL (bad) cholesterol while maintaining or raising HDL (good) cholesterol.

  2. Polyphenols: This is the game-changer. High-quality extra virgin olive oil (EVOO) is packed with polyphenols—powerful antioxidants that fight oxidative stress. Oxidative stress is a primary driver of atherosclerosis (hardening of the arteries).

Protection Against Oxidation

One of the key reasons Greeks have such healthy arteries is that the antioxidants in olive oil protect their LDL cholesterol from oxidizing. Oxidized LDL is what sticks to artery walls and creates plaque. By consuming high-phenolic olive oil daily, Greeks are essentially armoring their cardiovascular system against damage.

At O-Liv, we understand that potency matters. Our products are sourced from Greece and are rich in these critical polyphenols. Learn more about our commitment to authentic Greek quality in Our Story.

 

The Power of Wild Greens (Horta)

There is a specific dietary habit in Greece that often goes overlooked but plays a massive role in heart health: the consumption of wild greens, known as horta.

Nature's Medicine Cabinet

In rural Greece, it is common to see people foraging in the fields for dandelion greens, chicory, nettles, and purslane. These greens are boiled and served with a generous dousing of olive oil and lemon juice.

Nutritional Density

Wild greens are nutritional powerhouses. They are:

  • High in Antioxidants: They contain more flavonoids and polyphenols than most cultivated vegetables.

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  • Rich in Omega-3s: Purslane, in particular, is one of the richest plant sources of Omega-3 fatty acids (ALA), which are essential for heart rhythm and reducing inflammation.

  • Potassium and Magnesium: These minerals are vital for regulating blood pressure.

By combining these bitter greens with olive oil, the body can better absorb the fat-soluble vitamins (A, K, E) they contain, creating a perfect nutritional synergy.

 

The Lifestyle Factor: "Siga Siga"

Diet is only half the equation. The Mediterranean lifestyle plays an equally critical role in keeping stress—and cortisol levels—low.

The Concept of Time

There is a saying in Greece: "Siga siga" (slowly, slowly). This isn't about laziness; it's about pacing. Life is not a frantic race.

  • Meals are Rituals: Lunch is often the main meal of the day, eaten leisurely with family. It is a time to disconnect from work and connect with loved ones.

  • Rest: The tradition of the afternoon nap (siesta) has been shown to reduce cardiovascular stress. While modern life is eroding this tradition in cities, the mindset of taking a break remains.

Social Connectivity

Loneliness is a significant risk factor for heart disease—some studies suggest it is as dangerous as smoking. In Greece, the social fabric is tight-knit. Extended families often live close by, and community life is vibrant. This strong support network buffers against stress and depression, both of which are linked to heart issues.

 

Movement, Not "Exercise"

If you visit a typical longevity "Blue Zone" like Ikaria, Greece, you won't find many gyms or people running marathons. Yet, the population is fit. Why?

Incidental Activity

The Greek lifestyle naturally incorporates movement.

  • Walking: Many towns and villages are built on hills, requiring constant walking.

  • Gardening: Many Greeks maintain gardens, requiring bending, digging, and lifting.

  • Manual Labor: Traditional occupations often involve physical work.

This constant, low-intensity physical activity keeps the metabolism active and the heart strong without the stress and inflammation that can come from extreme high-intensity workouts. They don't "exercise"; they just live active lives.

 

Fasting: An Ancient Detox

Religion plays a significant role in the Greek diet. The Greek Orthodox Church prescribes fasting for a significant portion of the year (up to 180 days), including periods before Easter and Christmas, and on Wednesdays and Fridays.

The Benefits of Restriction

During these fasting periods, animal products (meat, dairy, eggs) are eliminated. The diet becomes strictly vegan, relying heavily on legumes, vegetables, bread, and olive oil (though oil is restricted on some days, shellfish is allowed).

This cyclical pattern of eating has several heart health benefits:

  • Caloric Restriction: It naturally reduces overall calorie intake, helping to maintain a healthy weight.

  • Detoxification: It gives the body a break from digesting heavy animal proteins and saturated fats.

  • Lipid Lowering: Studies have shown that during fasting periods, total cholesterol and LDL levels in Greek populations drop significantly.

This unintentional "intermittent fasting" has been keeping Greek hearts healthy for centuries.

 

The Role of Wine

Alcohol is a controversial topic in health, but in the context of the Greek diet and heart health, it has a place.

Moderation is Key

Greeks enjoy wine, typically red wine, with meals. It is rarely consumed alone; it is almost always accompanied by food and company.

  • Antioxidants: Red wine contains resveratrol and other polyphenols that support blood vessel health.

  • Relaxation: A small amount of wine can help reduce stress and aid digestion.

The key is moderation—usually one or two small glasses—and the context. Binge drinking is culturally frowned upon.

 

The Omega-3 Connection: Fresh Seafood

While meat is limited, seafood is abundant, especially on the islands and coastal regions. Small fatty fish like sardines, anchovies, and mackerel are staples.

Heart Protection

These fish are rich in long-chain Omega-3 fatty acids (EPA and DHA). These fats are crucial for:

  • Lowering triglycerides.

  • Reducing blood clotting.

  • Preventing dangerous heart arrhythmias.

  • Reducing systemic inflammation.

When you combine the Omega-3s from fish with the monounsaturated fats from olive oil, you create a powerful anti-inflammatory environment in the body.

 

Bringing Greek Heart Health Home

You don't need to move to a Greek island to reap these benefits. You can adopt the principles of the Mediterranean lifestyle wherever you are.

1. Upgrade Your Oil

This is the single most impactful change you can make. Replace butter, margarine, and seed oils (like soybean and canola) with high-quality extra virgin olive oil. Use it for cooking, for dressing salads, and for finishing dishes.

  • Tip: Look for high-phenolic oil to get the maximum antioxidant benefit. Explore our premium selection at Shop Now.

2. Eat More Plants

Make vegetables the star of your plate, not the side dish. Aim to eat legumes (beans, lentils) at least twice a week. Try cooking them the Greek way: stewed with tomatoes, onions, garlic, and plenty of olive oil.

3. Slow Down

Try to eat at least one meal a day without screens, ideally with family or friends. Chew slowly and enjoy the food. Prioritize sleep and rest.

4. Move Naturally

Incorporate more walking into your day. Park further away, take the stairs, or do some gardening. Aim for consistent movement rather than sporadic intense bursts.

 

The Science of Prevention

The statistics don't lie. The low rates of heart disease in Greece are not an accident; they are the result of a synergistic lifestyle where diet, movement, and community work together.

The centerpiece of this protection is olive oil. It is the vehicle that delivers antioxidants to the cells, soothes inflammation in the arteries, and makes healthy food taste delicious enough to eat every day.

By understanding the olive oil benefits for the heart and adopting the wisdom of the Greek diet, you can take proactive steps to protect your cardiovascular system.

For those looking to ensure they are getting the specific heart-protective compounds found in Greek olive oil, supplementation can be a powerful tool. Learn more about the science behind our products at See the Research.

 

Conclusion

The secret of the Greek heart isn't a miracle pill. It is a bowl of wild greens, a piece of fresh fish, a walk in the sun, a laugh with friends, and a generous pour of liquid gold.

It is a reminder that health is holistic. By embracing the principles of the Greek diet and heart health, we can fight back against the modern epidemic of heart disease.

Start your journey to a healthier heart today. Prioritize quality, embrace simplicity, and let the power of the olive tree nourish you.

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