The findings were based on the first major clinical trial to measure the diet's effect on heart risks.
The diet helped those following it even though they did not lose weight and most of them were already taking statins, or blood pressure or diabetes drugs to lower their heart disease risk, the 'New York Times' reported.
"Really impressive," said Rachel Johnson, a professor of nutrition at the University of Vermont and a spokeswoman for the American Heart Association.
Until now, evidence that Mediterranean diet reduced the risk of heart disease was weak, based mostly on studies showing that people from Mediterranean countries seemed to have lower rates of heart disease - a pattern that could have been attributed to factors other than diet.
Heart disease experts said the study was a triumph because it showed that a diet is powerful in reducing heart disease risk, and it did so using the most rigorous methods.
The study was published on the New England Journal of Medicine's Web site.
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