Why the Egg-Cancer Link?

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Why the Egg-Cancer Link?

August 21, 2014 by Michael Greger M.D. in News with 0 Comments

Why the Egg Cancer-link?

Two million men in the U.S. are living with prostate cancer — but that’s better than dying from prostate cancer. Catch it when it’s localized and the five-year survival is practically guaranteed, but once it really starts spreading, chances drop to one in three. “Thus, identification of modifiable factors that affect the progression of prostate cancer is something that deserves study,” noted Dr. Erin Richard and colleagues at Harvard. So, they took more than a thousand men with early stage prostate cancer and followed them for a couple years to see if there was anything in their diet associated with a resurgence of the cancer, such as spreading to the bone.

Compared to men who hardly ate any eggs, men who ate even less than a single egg a day had a significant 2-fold increased risk of prostate cancer progression. The only thing worse was poultry consumption, with up to four times the risk of progression among high-risk men. They think it might be the cooked meat carcinogens that for some reason build up more in chicken and turkey muscle than in other meats. For more on these so-called heterocyclic amines, see my videos: Heterocyclic Amines in Eggs, Cheese, and Creatine?, Estrogenic Cooked Meat Carcinogens, and PhIP: The Three Strikes Breast Carcinogen.

But what about the eggs? Why would less than once-a-day egg consumption double the risk of cancer progression? “A plausible mechanism that may explain the association between eggs and prostate cancer progression is high dietary choline,” the researchers suggested.  Egg consumption is a determinant of how much choline you have in your blood, and higher blood choline has been associated with a greater risk of getting prostate cancer in the first place. So the choline in eggs may both increase one’s risk of getting it and having it spread.

Studies have associated choline consumption not just with getting cancer and spreading cancer, but also with significantly increased risk of dying from it. Those who ate the most had a 70% increased risk of lethal prostate cancer. Another recent study found that men who consumed two and a half or more eggs per week — that’s just like one egg every three days — had an 81 percent increased risk of lethal prostate cancer.

Maybe that’s why meat, milk, and eggs have all been associated with advanced prostate cancer—because of the choline. Choline is so concentrated in cancer cells that doctors can follow choline uptake to track the spread of cancer throughout the body. But why may dietary choline increase the risk of lethal prostate cancer? Dietary choline is converted in the gut to trimethylamine (see my video Carnitine, Choline, Cancer and Cholesterol: The TMAO Connection), so the Harvard researchers speculated that the TMAO from the high dietary choline intake may increase inflammation, which may promote progression of prostate cancer to a lethal disease.

In one of my videos, Eggs and Choline: Something Fishy, I talked about what trimethylamine might do to one’s body odor.

In the New England Journal of Medicine, the same Cleveland Clinic research team that did the famous study on carnitine repeated the study, but instead of feeding people a steak, they fed people some hard-boiled eggs. Just as they suspected, a similar spike in that toxic TMAO. So it’s not just red meat. And the link between TMAO levels in the blood and strokes, heart attacks, and death was seen even in low-risk groups like those with low-risk cholesterol levels. Thus, because of the choline, eating eggs may increase our risk regardless of what our cholesterol is.

It’s ironic that the choline content of eggs is something the egg industry actually boasts about. And the industry is aware of the cancer data. Through the Freedom of Information Act, I was able to get my hands on an email (which you can view in my video, Eggs, Choline, and Cancer) from the executive director of the industry’s Egg Nutrition Center to an American Egg Board executive talking about how choline may be a culprit in promoting cancer progression. “Certainly worth keeping in mind,” he said, “as we continue to promote choline as another good reason to consume eggs.”

 

With regard to the prevention of prostate cancer progression, chicken and eggs may be the worst foods to eat, but what might be the best? See my video Prostate Cancer Survival: The A/V Ratio.

To prevent prostate cancer in the first place, see videos such as:

What about reversing cancer progression? See Dr. Ornish’s work Cancer Reversal Through Diet?, followed up by the Pritikin Foundation: Ex Vivo Cancer Proliferation Bioassay. Flax may help as well (Flaxseed vs. Prostate Cancer).

-Michael Greger, M.D.

Curcumin in Parkinson’s Disease

 
Curr Pharm Des. 2012;18(1):91-9.

Curcumin: a potential neuroprotective agent in Parkinson’s disease.

Author information

 Abstract

Parkinson’s disease (PD) is an age-associated neurodegenerative disease clinically characterized as a movement disorder. The motor symptoms in PD arise due to selective degeneration of dopaminergic neurons in the substantia nigra of the ventral midbrain thereby depleting the dopamine levels in the striatum. Most of the current pharmacotherapeutic approaches in PD are aimed at replenishing the striatal dopamine. Although these drugs provide symptomatic relief during early PD, many patients develop motor complications with long-term treatment. Further, PD medications do not effectively tackle tremor, postural instability and cognitive deficits. Most importantly, most of these drugs do not exhibit neuroprotective effects in patients. Consequently, novel therapies involving natural antioxidants and plant products/molecules with neuroprotective properties are being exploited for adjunctive therapy. Curcumin is a polyphenol and an active component of turmeric (Curcuma longa), a dietary spice used in Indian cuisine and medicine. Curcumin exhibits antioxidant, anti-inflammatory and anti-cancer properties, crosses the blood-brain barrier and is neuroprotective in neurological disorders. Several studies in different experimental models of PD strongly support the clinical application of curcumin in PD. The current review explores the therapeutic potential of curcumin in PD.

Please Pass the Turmeric

Turmeric, a member of the ginger family, is often found in curries and other spicy dishes from India, Asia, and the Middle East. The spice contains a compound called curcumin that has been used by Ayurveda practitioners for centuries to treat a variety of ailments.

SampliSuper Food: Let's Talk Tumericng of Studies

In 2012, a study published in AYU, An International Quarterly Journal of Research in Ayurveda, reported on three Alzheimer’s patients exhibiting irritability, anxiety, and agitation among other symptoms. Findings indicated that behavioral issues had improved significantly after being treated with less than a gram of turmeric daily for a period of three months. The study concluded turmeric, when combined with routine therapy, increased quality of life and improved performance of activities of daily living in patients studied.

Several years ago, ethnobotanist James A. Duke, Ph.D., published a comprehensive summary of over 700 turmeric studies that support the Ayurveda research. This herbal antidote was found to counteract symptoms of Alzheimer’s by blocking formation of beta-amyloid, the sticky protein substance believed to have a hand in cell and tissue loss indicative of an Alzheimer’s brain. In addition, turmeric reduced inflammation of neural tissue associated with the disease.

The Journal of Neuroscience had also previously published a study that supports the AYU findings, calling the alternative treatment promising. Tests conducted on mice suggested that the herb did indeed reduce plaques in the brain.

Please Pass the Turmeric

So the logical question is, how do we get turmeric into our diet? The most obvious way, of course, is to enjoy curry dishes as often as possible. Also consider adding a bit to your smoothie or whipping up some turmeric tea. We found the following recipe on Dr. Andrew Weil’s website. He suggests experimenting with ingredients until you find a pleasing balance of flavors:

Dr. Weil’s Turmeric Tea:

  1. Bring four cups of water to a boil.
  2. Add one teaspoon of ground turmeric and reduce to a simmer for 10 minutes.
  3. Strain the tea through a fine sieve into a cup. Add honey, ginger, and/or lemon to taste.

Ground turmeric is commonly used, but Weil suggests experimenting with freshly grated turmeric for a little added zing. Supplements are also available in tablet and soft gel form and can typically be found wherever vitamins are purchased.

The Debate on Alternative Treatments

Efficacy of natural treatments is a hot topic, and no matter which side you’re on, this discussion often results in intense debate. As with coconut oil, for everything you read that touts its effectiveness, you’ll likely find something that disputes that claim.

One statistic that bodes well for this herbal treatment is that India has one of the world’s lowest rates of Alzheimer’s. Could that be directly correlated to the country’s high consumption of turmeric? No one knows, but there are ongoing trials studying this very subject, and it’s likely we’ll be hearing more. Until then, always discuss any potential treatments with your physician. Even natural, alternative treatments can cause negative interactions with prescribed medications.

Problems with going vegan.

My husband and I have been quasi-vegetarians for the past four years. We don’t eat chicken or red meat (including pork) but we do consume eggs, dairy and fish. We’ve had many conversations about the possibility of going full vegan but there was always something prohibiting us from taking the 100-percent animal-free plunge. Then my husband Andy (a marathon runner) read a book about a vegan ultra-marathoner and his mind was set. For Andy, it was now vegan — or bust.

His inspiration and gradual transformation to the sole plant world has inspired me to do some serious soul searching on the reasons why many of my chicken — and beef-free patients have not been able to achieve their vegan dreams. What holds each and every one of us back differs but throughout my years as a dietitian at the Cleveland Clinic, I do see some common themes (and excuses) on why going vegan is, according to my patients, “simply not worth the effort,” “crazy,” “impossible” or “something I don’t have the willpower to do.”

Fact is, people do it every day, and guess what, the ones that do, they may live longer and have less disease than the ones who don’t. New evidence shows that a vegan diet may even help in decreasing neuropathy pain in diabetics.

If you do vegan the right way there may be no good reason not to do it. Here are five things that may be holding you back — and practical tips to overcome them.

1. Cheese:

Perhaps the number one reason why my patients don’t go vegan is because they don’t think they can give up cheese. Cheese does taste great after all, and it’s included in some serious favorite foods (pizza, sandwiches, burritos, nachos), but giving up cheese is actually easier than you think — it all boils down to what I call “taste bud training.”

Our brains work against us when it comes to food and addictions, making us crave certain foods (often high in sugar and fat) over others (like broccoli and Brussels sprouts). In order to get around this, you need to start weaning off the foods that make you stray from any resemblance of veganism. My most successful patients have started by avoidance of cheese purchases at the grocery store on the theory that if it’s not in the house, it won’t be a temptation.

After several weeks of simply avoiding cheese in the home, they found it easier to avoid it outside of the home as well (such as on a sandwich or a pizza). After a few months, many of my patients didn’t even think about it anymore. They had, in fact, trained their taste buds to simply not prefer it. Everyone has one food that they swear they could never give up but the truth is, you can change any habit.

The key is to take it slow, to replace one habit for another (when you crave cheese, have a spoonful of natural almond butter instead for example) , and be repetitive in your behavior (such as, don’t eat cheese at home, and then stop eating cheese at restaurants as well). Each day will be easier than the last until one day, you have made no effort at all, it just happens — you don’t want it. There is also research that shows that actually making a plan (in this case, to be vegan) and subsequently carrying out that plan can lead to success as well. Be courageous enough to train your taste buds and know that you are not the only person in the world to eliminate something you once loved.

2. Society:

Let’s face it — the meat houses of the world far outnumber the vegan restaurants. Even restaurants that do make an effort to provide vegan entrees differ in their variety. Restaurants can range from having full vegan menus to having a “veggie” plate option (that’s literally what they are — a plate of vegetables, with nothing on them). Here’s how to get around this. First, seek out restaurants most likely to offer vegetarian dishes. Indian restaurants will offer the most variety while Japanese, Chinese and Thai will offer great solutions as well. Then it’s just a matter of substitutions.

For example, you can substitute any meat dish for tofu, tempeh or beans, or you can eliminate the main protein source all together and choose dishes that focus on whole grains and vegetables. Worried that your sauce may not be animal-free friendly? Make your own and bring it with you or ask for simple sauces that are void of dairy cream. Many of the chefs who I have worked in the Midwest with tell me they love the challenge of a vegan request from a customer. That means, don’t be afraid to at least ask if you don’t see.

Finally, you can find fabulous resource lists that provide vegan-friendly restaurants and even fast-food eatery options as well. If you’re concerned about a dinner party or planned event where you have less control over food options, you can always bring your own dish (think hummus and brown rice crackers, a beautiful platter of vegetables or a bean salad) as a gift for the host (that really is a meal for you of course).

3. Your friends and family:

Perhaps the biggest social hurdle to becoming vegan is the reaction you may elicit from your friends and family. A vegan lifestyle may seem downright “weird” to those around you who would never consider it in their own diet, making you “weird” as well. Don’t let this stand in your way. If your mom reminds you every chance she gets that “animals were put on this earth for us to eat them” or your friend tells you that “you’re missing out on key nutrients” remember that these comments probably have more to do with their misunderstanding of the diet that a genuine care for your health. Choosing to go vegan can sometimes go well beyond the nutritional benefits.

Many of my patients have gone vegan to reduce environmental impact or simply because they love animals. Determine your motivation for going vegan and, if you’re comfortable, shares these personal goals with your family. You may be surprised how much you actually impact their diet over time. Finally, get comfortable with the fact that people will joke about your diet, talk about your diet in excess, criticize your diet and ask you questions about your diet. Remember that what you choose to eat is your business, and you don’t owe anyone an explanation.

4.Your love of cookies, ice cream and chocolate:

Let’s start with a fact — cookies, ice cream and chocolate (with less than 70-percent cocoa content) are generally not good for you, vegan or non-vegan, due to their massive amount of sugar. That means no matter what your diet looks like, these things should be consumed infrequently. If you do plan to dabble in dessert though, there are several vegan options for individuals to choose from. Several new ice cream varieties made from either coconut or almonds dominate the vegan frozen aisle treats, and they’re good!

For chocolate substitutions, look for products made with carob, a plant (specifically a legume) that comes from a tree and lacks the dairy component that is added to cocoa during processing. It tastes similar to chocolate and works well in most recipes calling for chocolate. You can also try chocolate chips made with non-dairy cocoa butter and chocolate liquor as another chocolate alternative. If you really want to improve your health, remember the best desserts have never had an ounce of animal product in them — they’re called fruit and they come in a variety of different flavors.

5. Your fear of soy:

The final reason most of my patients avoid going full vegan is because they have a dire fear of soy and assume that if you’re vegan, you must eat lots and lots of soy. There are two myths to dispel here: first, that soy is “bad” for you and second, that going vegan will turn you into an edamame pod. Let’s start with the first.

Soy, as it’s consumed in the Japanese culture in its whole form is actually very good for you. Soy consumption has been linked to a reduced risk of cardiovascular disease, lowering blood pressure, and protection from recurrence of certain cancers.

Second, vegan diets don’t have to be chock full of soy. In fact, vegans can get protein from a variety of other plant-based foods including nuts, nut butters and seeds, beans and lentils, and whole grains such as quinoa, in addition to soy sources such as tofu, tempeh or edamame. Even endurance athletes have thrived on vegan diets.

If you’ve made the choice (or goal) of going completely meat-free, don’t allow your surroundings and your own fears to stop you. Hopefully, these tips can be one step towards helping you achieve the changes in your diet that are important to you.

Seniors College Prince Edward Island

Seniors College of PEI 
Courses : Details
Nutrition, Whole Food Plant Based (Queens County)
Course Locations and Times
Term Location Offering Period Offering Day Offering Time Status
Fall UPEI Oct. 1- Nov. 19 Wednesday 1:30 PM – 4:00 PM Closed
Winter
Spring
Course Details
Description This course introduces students to a new way of thinking about nutrition and explores the benefits of a whole food, plant-based diet. Students will learn how the risk for degenerative diseases is linked to dietary practice. Students will be more confident and better able to evaluate the conflicting messages about alternative diets so prevalent today.
Requirements An interest in becoming happier and healthier. Learn how to avoid both acute and chronic disease and even reverse the diseases if already chronic
Objectives To make the student aware of the differences between plant-based and animal nutrition. To understand the role of nutrition in the development of multiple chronic degenerative diseases. To provide the student with evidence based information to support substantive change in lifestyles and health.
Teaching Process Lectures and power point presentations with supporting quizzes and discussions. Special video presentations featuring the most prominent researchers and dedicated doctors who espouse the new plant based nutritional concept. Special guests with real life saving dramatic outcomes will also make presentations.
UPEI Parking Pass Required? Yes
Additional Costs or Information None
Course Facilitator

Name Ian Barrett
Background
The facilitator has a certificate in Plant Based Nutrition offered by eCornell U sponsored by the T. Colin Campbell Foundation.
REGIONS
QUEENS COUNTY
KINGS COUNTY
PRINCE COUNTY
CONTACT
QUEENS COUNTY:
Martha Ellis
(902) 894-2867
seniorscollege@upei.ca
 
KINGS COUNTY:
Martha Ellis
(902) 894-2867
seniorscollege@upei.ca
 
PRINCE COUNTY:
Tim Harris
(902) 836-4743
tharris887@gmail.com

He’s still a clown hawking junk food

Ronald McDonald just got a makeover. He’s still a clown hawking junk food, but now he’s dressed up in a blazer and bow tie instead of a jumpsuit. As McDonald’s sales and share values keep going down, it’s pulling out every trick in the book to pump up sales. Rather than improve its product, McDonald’s has kept its menu as stale and deadly as ever.  McDonald’s cheeseburger Happy Meal comes with 20 grams of fat, 50 milligrams of cholesterol, and a whopping 880 milligrams of sodium. Worst of all, it is marketed to children. Instead of an updated Happy Meal mascot, McDonald’s should get with the times and offer a veggie burger kids meal.   McDonald’s new mascot. (Screenshot from Twitter.)  More and more fast food outlets are offering vegetarian and vegan options because that is what customers are asking for. Chipotle launched the vegan Sofritas nationwide earlier this year, and profits during its first quarter skyrocketed 24 percent. Subway released a falafel sandwich in select locations and is now rolling out a hummus spread for its sandwiches. TCBY has added coconut- and almond-based vegan fro-yo flavors to its menu. Plant-based fast food outlets are also expanding nationwide. Native Foods Café, a fast-casual plant-based chain, has received a $15 million investment toward its goal of reaching 200 restaurants coast-to-coast in the next five years.  Hopefully McDonald’s gives consumers a little credit. A healthful menu overhaul is the way to bring back business. But a clown in a bow tie taking selfies? That’s just silly.  Last updated by Dr. Neal Barnard at June 18, 2014.Ronald McDonald just got a makeover. He’s still a clown hawking junk food, but now he’s dressed up in a blazer and bow tie instead of a jumpsuit. As McDonald’s sales and share values keep going down, it’s pulling out every trick in the book to pump up sales. Rather than improve its product, McDonald’s has kept its menu as stale and deadly as ever.  McDonald’s cheeseburger Happy Meal comes with 20 grams of fat, 50 milligrams of cholesterol, and a whopping 880 milligrams of sodium. Worst of all, it is marketed to children. Instead of an updated Happy Meal mascot, McDonald’s should get with the times and offer a veggie burger kids meal.   McDonald’s new mascot. (Screenshot from Twitter.)  More and more fast food outlets are offering vegetarian and vegan options because that is what customers are asking for. Chipotle launched the vegan Sofritas nationwide earlier this year, and profits during its first quarter skyrocketed 24 percent. Subway released a falafel sandwich in select locations and is now rolling out a hummus spread for its sandwiches. TCBY has added coconut- and almond-based vegan fro-yo flavors to its menu. Plant-based fast food outlets are also expanding nationwide. Native Foods Café, a fast-casual plant-based chain, has received a $15 million investment toward its goal of reaching 200 restaurants coast-to-coast in the next five years.  Hopefully McDonald’s gives consumers a little credit. A healthful menu overhaul is the way to bring back business. But a clown in a bow tie taking selfies? That’s just silly.  Last updated by Dr. Neal Barnard at June 18, 2014.

Olive Oil Shown To Promote Atherosclerosis

Olive OilThe following studies provide evidence for the atherosclerosis-promoting effect of olive oil, in monkeys, mice, and humans:1. Hepatic Origin of Cholesteryl Oleate in Coronary Artery Atherosclerosis In African Green Monkeys, Enrichment By Dietary Monounsaturated Fat, Journal of Clinical Investigation, 1997

“[We observed in monkeys] that the amount of coronary artery atherosclerosis was similar in the monounsaturated and saturated fat groups, in spite of the significantly improved LDL cholesterol concentration and LDL/HDL cholesterol ratio in the former.”

2. Dietary Monounsaturated Fatty Acids Promote Aortic Atherosclerosis In LDL Receptor–Null, Human ApoB100–Overexpressing Transgenic Mice, Arteriosclerosis, Thrombosis, and Vascular Biology, 1998

Mice were fed one of 6 diets with different fatty acid content: saturated, monounsaturated (cis and trans), polyunsaturated (n-3 and n-6), and a control diet.

“The reduction in aortic atherosclerosis was not found when either cis or trans monounsaturated fatty acids were fed. Rather, just as much atherosclerosis was seen when cis monounsaturated fat diets were fed as when saturated fat was fed, and significantly more atherosclerosis was seen when the trans monounsaturated fatty acids were fed.”

This is an important outcome when one considers that monounsaturated fats, often in the form of olive oil, are widely promoted as being healthful and effective for protection against heart disease.

3. Effect Of Fat And Carbohydrate Consumption On Endothelial Function, Lancet, December, 1999

“Consumption of a meal high in monounsaturated fat was associated with acute impairment of endothelial function when compared with a [low-fat] carbohydrate-rich meal.”

4. The Postprandial Effect Of Components Of The Mediterranean Diet On Endothelial Function, Journal of the American College of Cardiology, November 2000

“Contrary to part of our hypothesis, our study found that omega-9 (oleic acid)-rich olive oil impairs endothelial function postprandially.

The mechanism appears to be oxidative stress because the decrease in FMD was reduced (71%) by the concomitant administration of vitamins C and E. Balsamic vinegar (red wine product) and salad reduced the postprandial impairment in endothelial function to a similar extent (65%).

In a clinical study, olive oil was shown to activate coagulation factor VII to the same extent as does butter (44). Thus, olive oil does not have a clearly beneficial effect on vascular function.”

The major unsaturated fatty acids in olive oil are oleic acid (18:1n-9) and linoleic acid (18:2n-6) (42). A high-oleic and linoleic acid meal has recently been shown to impair FMD in comparison with a low-fat meal(28). (That’s the study above by Ong et al.)

In terms of their effects on postprandial endothelial function, the beneficial components of the Mediterranean and Lyon Diet Heart Study diets appear to be the antioxidant-rich foods—vegetables, fruits … not olive oil. Dietary fruits, vegetables, and their products appear to provide some protection against the direct impairment in endothelial function produced by high-fat foods, including olive oil.”

Clearly, olive oil is not the heart-healthy food it’s made out to be. It truly is a feat of marketing that a food which has been shown over and over to impair artery function exists in peoples’ minds as an elixir. The Mediterranean diet, with its generous portions of fruits, vegetables, and whole grains, improves health not because of olive oil, but in spite of it.

“If All You Ate Were Potatoes, You’d Get All Your Amino Acids”

The sentence above is haunting me.

Doug asked:

“I still don’t understand why more care isn’t necessary to avoid deficiencies of the essential amino acids. Is it the case that these amino acids are present in all fruits and vegetables? (I didn’t think this was so, but you mentioned on that other thread that thinking has changed in this regard.) Or is it simply that easy to avoid a deficiency of an essential amino acid by consuming any mixture of fruits and vegetables?”

Doug, I would answer “Yes.” to your last question. I thought it summed up the facts well.

Plants are capable of manufacturing all 20 amino acids, which include the essential amino acids (EAAs), although amounts vary. I checked a number of foods (potatoes, broccoli, tomatoes, asparagus, corn, rice, oatmeal, beans, and others) and found all EAAs in each of these foods. Even an apple which is listed as having 0 grams of protein has all the EAAs, albeit it small amounts.

Since I said in an earlier comment, “No mixing of foods is necessary. If all you ate were potatoes, you’d get all your amino acids,” I felt obliged to back it up. Below is my back-up.

  • The first column lists all 8 EAAs for adults.
  • The second column lists the World Health Organization’s recommended intake per body weight.
  • The third column lists the specific RDI for a 120 lb adult.
  • The fourth column lists the amount of each AA in a medium potato, with skin.
  • The fifth column lists the amount of each AA in 5 medium potatoes.
  • The last column lists the % of recommended intake (for a 120 lb adult) for each AA when 5 potatoes are consumed.


Click for larger.- The WHO’s recommended intakes represent the minimum amount for an individual with the highest need, multiplied by a factor of 2 for safety.
– Methionine + Cysteine = Total Sulfur Amino Acids
– Phenylalanine + Tyrosine = Total Aromatic Amino Acids
– WHO: World Health Organization
– EAA: Essential Amino Acid

For a 120 pound adult, five potatoes (960 calories) supply over 100% of the recommended intake for all essential amino acids. They also supply 25 grams of total protein.
________
It’s pretty difficult for an adult to eat a plant-based, vegetarian diet that doesn’t provide all EAAs, as long as caloric needs are met.

Finally – The pool of AAs that our body uses to manufacture its own proteins isn’t limited by what we eat. Normal daily turnover of our cells provides a substantial pool from which to draw amino acids. Bacteria that line our colon also manufacture AAs, including EAAs, that we can utilize.

It is a misconception that plants provide “incomplete protein”, regardless of what Ms. Lappe advanced in her 1971 book, “Diet For A Small Planet.”

CardioBuzz: Vegan Diet, Healthy Heart?

Published: Jul 21, 2014 | Updated: Jul 21, 2014

 

In this guest blog, Kim A. Williams, MD, a cardiologist at Rush University in Chicago and the next president of the American College of Cardiology, explains why he went vegan and now recommends it to patients.

Physicians want to influence their patients to make lifestyle changes that will improve their health, but sometimes the roles are reversed and we are inspired by patients. It was a patient’s success reversing an alarming condition that motivated me to investigate a vegan diet.

Just before the American College of Cardiology’s (ACC) annual meeting in 2003 I learned that my LDL cholesterol level was 170. It was clear that I needed to change something. Six months earlier, I had read a nuclear scan on a patient with very-high-risk findings — a severe three-vessel disease pattern of reversible ischemia.

The patient came back to the nuclear lab just before that 2003 ACC meeting. She had been following Dean Ornish, MD’s program for “Reversing Heart Disease,” which includes a plant-based diet, exercise, and meditation. She said that her chest pain had resolved in about 6 weeks, and her scan had become essentially normalized on this program.

When I got that LDL result, I looked up the details of the plant-based diet in Ornish’s publications — 1- and 5-year angiographic outcomes and marked improvement on PET perfusion scanning — small numbers of patients, but outcomes that reached statistical significance.

I thought I had a healthy diet — no red meat, no fried foods, little dairy, just chicken breast and fish. But a simple Web search informed me that my chicken-breast meals had more cholesterol content (84 mg/100 g) than pork (62 mg/100 g). So I changed that day to a cholesterol-free diet, using “meat substitutes” commonly available in stores and restaurants for protein. Within 6 weeks my LDL cholesterol level was down to 90.

I often discuss the benefits of adopting a plant-based diet with patients who have high cholesterol, diabetes, hypertension, or coronary artery disease. I encourage these patients to go to the grocery store and sample different plant-based versions of many of the basic foods they eat. For me, some of the items, such as chicken and egg substitutes, were actually better-tasting.

There are dozens of products to sample and there will obviously be some that you like and some that you don’t. One of my favorite sampling venues was the new Tiger Stadium (Comerica Park) in Detroit, where there are five vegan items, including an Italian sausage that is hard to distinguish from real meat until you check your blood pressure — vegan protein makes blood pressures fall.

In some parts of country and some parts of world, finding vegan restaurants can be a challenge. But in most places, it is pretty easy to find vegan-friendly options with a little local Web searching. Web searching can also help with the patients who are concerned about taste or missing their favorite foods. I typically search with the patient and quickly email suggestions.

Interestingly, our ACC/American Heart Association (AHA) prevention guidelines do not specifically recommend a vegan diet, as the studies are very large and observational or small and randomized, such as those on Ornish’s whole food, plant-based diet intervention reversing coronary artery stenosis. The data are very compelling, but larger randomized trials are needed to pass muster with our rigorous guideline methodology.

Wouldn’t it be a laudable goal of the American College of Cardiology to put ourselves out of business within a generation or two? We have come a long way in prevention of cardiovascular disease, but we still have a long way to go. Improving our lifestyles with improved diet and exercise will help us get there.