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Updated: Jan 29, 2026

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Short-Term Mediterranean Diet Improves Endurance Exercise Performance: A Randomized-Sequence Crossover Trial.

Michelle E Baker1, Kristen N DeCesare1, Abby Johnson1

  • 1Department of Nutrition and Dietetics, Saint Louis University , Saint Louis , Missouri , USA.

Journal of the American College of Nutrition
|February 14, 2019
PubMed
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A short-term Mediterranean diet significantly improved endurance exercise performance in women and men. This healthy eating pattern enhanced 5-km run times compared to a Western diet, suggesting benefits for athletic performance.

Keywords:
Exercisedietsfatiguephysical performancesports nutrition

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Area of Science:

  • Sports Science
  • Nutritional Science
  • Human Physiology

Background:

  • Healthful dietary patterns, rich in antioxidants and nitrates, are known to enhance exercise performance.
  • The ergogenic effects of specific diets, like the Mediterranean diet, require further investigation.
  • This study aimed to evaluate the impact of a short-term Mediterranean diet on exercise performance compared to a Western diet.

Purpose of the Study:

  • To test the hypothesis that a 4-day Mediterranean diet improves exercise performance more than a 4-day Western diet.
  • To assess the effects of these diets on both endurance and anaerobic exercise capacity.
  • To provide evidence for the ergogenic potential of the Mediterranean diet.

Main Methods:

  • A randomized-sequence crossover study involving 11 recreationally active adults (7 women, 4 men).
  • Participants completed a 5-km treadmill time trial and anaerobic tests (Wingate test, vertical jump, hand grip) after 4 days on a Mediterranean diet and 4 days on a Western diet.
  • A 9- to 16-day washout period was implemented between the dietary interventions.

Main Results:

  • The Mediterranean diet resulted in a 6% faster 5-km run time compared to the Western diet (p=0.030), with no significant differences in heart rate or perceived exertion.
  • No significant differences were observed in anaerobic performance tests, including peak/mean power (Wingate), vertical jump height, or hand grip strength between the two diets.
  • These findings indicate a specific benefit for endurance performance with the short-term Mediterranean diet.

Conclusions:

  • A 4-day Mediterranean diet can enhance endurance exercise performance.
  • The Mediterranean diet's benefits extend to athletic performance, supporting its health advantages.
  • Further research is needed to explore long-term effects and potential benefits for anaerobic performance and muscle strength.