Before the rise of added sugars and fast food, family tables more commonly saw fresh, homemade, healthy dishes. Drs. Sandra Cammarata and Giovanni Campanile aimed to revive this with the Sicilian Secret Diet—a return to our roots without the fuss of modern trends. These wholesome dishes have been clinically proven to help people nourish themselves both inside and out.
Research from theworldobesity.org shows that the United States has an obesity rate of 42.74%, one of the highest in the world, which comes as no surprise given the fast food culture that is now at its peak. This is compounded by marketing strategies that blur the line between what's considered healthy in supermarket-ready products like muesli, juices, and others. It's often left to consumers to read the fine print. So how can we, as consumers, healthily nourish ourselves and our children?
For Dr. Sandra, it all begins in the womb. She challenges the old notion of "eating for two," stating, "Pregnant women are often told they can eat whatever they want, but this isn't true. Calorie requirements only increase slightly in the third trimester by about 250 extra calories per day." She emphasizes the importance of food quality during pregnancy, as nourishing oneself well benefits both the mother and the baby—a fact that many still aren't aware of.
As a psychiatrist, Dr. Sandra highlights the importance of proper nutrition in utero, saying, "What a mother eats while pregnant significantly impacts her child's future preferences and health. Studies suggest that if a woman consumes a lot of junk food during pregnancy, her child may be predisposed to seek out those types of foods. Conversely, if she eats whole, nutritious foods, the child is more likely to gravitate toward a healthier diet after birth."
This isn't limited to pregnancy; it applies to caring for our health, families, communities, and the environment. Dr. Sandra and her husband, Giovanni, a cardiologist best known for treating former presidents, work together, combining their knowledge of nutrition and lifestyle changes into a philosophy that embraces a simple yet holistic approach to a wholesome life.
The couple spent significant time in Sicily, where Sandra grew up. There, they observed how people in small villages naturally live longer. Dr. Giovanni explains that this isn't because they do something extraordinary:
"These people don't do high-intensity training, CrossFit, or follow the latest health trends. They don't eat 'superfoods.' What they do eat are the foods they grew up with."
This inspired them to write The Sicilian Secret Diet, which records the best health practices from our ancestors. This raises the question: how does the Sicilian Secret Diet differ from the world-acclaimed Mediterranean diet?
While the founding principles of the Sicilian Secret Diet are similar to the Mediterranean diet, Sicily's unique history as a central location in Italy sets it apart. For centuries, it has been influenced by various cultures through invasions and occupations—from the Greeks, Carthaginians, and Romans, to the Goths, the Byzantine Empire, and up until the 20th century. As a result, Sicily's food culture has become one of the most fascinating and rich versions of the Mediterranean diet, which has been repeatedly proven to benefit cardiovascular health, prevent cancer, and protect against dementia.
Giovanni explains, "It's a very practical and balanced approach to eating—it is essentially an omnivore's diet, but heavily plant-forward. You consume small amounts of saturated fats and carbohydrates while emphasizing vegetables, olive oil, garlic, nuts, and other nutrient-rich foods. These elements provide essential polyphenols, phytonutrients, and fiber."
One of the key messages in their book is "live well, deliciously." The couple notes, "If you don't enjoy your food, it's difficult to maintain any diet or lifestyle." But with a base of olive oil, garlic, and onions, almost any dish can taste fantastic, allowing you to enjoy a healthy lifestyle that promotes longevity.
In addition, both doctors stress the importance of gut flora, or the microbiome, which plays a critical role in our health by producing hormones, regulating immune responses, and controlling enzyme functions. It's now widely understood that the diversity of our gut bacteria is directly linked to our mental and physical health. The more diverse the microbiome, the healthier we are.
Dr. Giovanni takes this a step further by asking his patients about their microbiome, saying, "I often ask my patients about their gut health, and they're surprised because I'm a cardiologist. But the gut is connected to everything—if it's not functioning well, inflammation can spread to the heart, brain, and other organs. That's why diet and lifestyle are so crucial. Eating fiber-rich and fermented foods, limiting alcohol, not smoking, and staying active are all essential to protecting the gut, which in turn protects the entire body."
Cultures with the longest lifespans, such as the Japanese, Koreans, and some Southeast Asians, typically include fermented foods in their daily diets, helping to replenish and maintain a healthy gut microbiome. The doctors always recommend yogurt as a great source of probiotics. Historically, fermented foods helped communities maintain gut health year-round, while today, ultra-processed foods make up 60% of adult diets and 75% of children's diets in the U.S., depleting the gut and filling it with harmful chemicals that damage the microbiome.
The unfortunate reality, however, brings us back to America's perspective on food. According to the couple, "Many people prioritize work and other activities, rarely using their kitchens. Some even order every meal. Our goal is to show people how simple it can be to prepare healthy meals. In our book, we've included easy recipes that anyone can follow, even without cooking experience."
Overall, The Sicilian Secret Diet by Drs. Cammarata and Campanile advocate for a healthier, more fulfilling lifestyle, particularly for younger generations embarking on their health journeys. For more on the Sicilian Secret Diet, follow their website and podcast for additional insights.