plant-based diet Archives - Amazing Health Advances

Studying Finds: Most Plant-Based Restaurant Meals are Unhealthy

The AHA! Team — Fri, 18 Apr 2025 05:10:19 +0000

Priyanjana Pramanik, MSc. via News-Medical – Many “vegan” meals aren’t as healthy as you think—new research reveals that refined grains, fried foods, and saturated fats are widespread in plant-based restaurant dishes. Are your plant-based choices really good for you? A recent study In a recent study published in the journal Nutrients, researchers examined the menus of restaurants around the world to see whether plant-based offerings at both omnivore (OMNI) and vegan or vegetarian (VEG) eateries are ‘healthful’ in terms of avoiding saturated fats, refined grains, and deep-fried foods. They found that many restaurants (with OMNI establishments being more limited than VEG) did not offer patrons enough choices of plant-based main courses and that 14-27% of restaurants had no healthful plant-based offerings at all. The research team hopes that these findings, combined with the established links between poor diets, chronic illnesses, and increased mortality rates, will encourage restaurants to make nutrition details of their dishes more readily available. Background Only 2% of restaurants earned a perfect health score—meaning nearly all plant-based menus included at least one unhealthy component like refined grains, fried foods, or saturated fats. An increasing number of people in the U.S. and worldwide are choosing to increase their intake of plant-based foods, and projections suggest that the American vegan market will grow 12% annually until 2030. Dairy and meat alternatives are more accessible than ever, with more groceries and OMNI restaurants offering plant-based options; there are also more dedicated VEG eateries. Dairy and meat alternatives are more accessible than ever People who choose to limit or eliminate their intake of animal-based foods are often motivated by environmental causes, animal welfare, religious beliefs, or health concerns, though it appears that 63% of the increase in plant-based consumption is driven by OMNI consumers. An estimated less than 2% of a national survey’s respondents said that they had adopted an entirely vegan or vegetarian diet for their health. However, certain plant-based foods, including sweets, sweetened beverages, fried foods, and refined grains, can have negative health impacts, such as increasing the risk of coronary heart disease, diabetes, or hypertension. Researchers caution that some unhealthy plant-based foods may pose even greater health risks In fact, researchers caution that some unhealthy plant-based foods may pose even greater health risks than a standard American diet due to their high sodium content, refined grains, and excessive saturated fats. The Guideline on the Primary Prevention of Cardiovascular Disease from the American College of Cardiology and the American Heart Association recommends reducing or avoiding these foods and animal-based products rich in saturated fat and cholesterol. Individuals looking to make healthier dietary decisions when eating out should be offered an adequate number of choices that are free of fried foods, saturated fats, and refined grains while also having access to nutritional information to help identify high-risk menu items. About the Study U.S. restaurants offered slightly more healthful options than international ones, but the difference was small, showing that unhealthy plant-based meals are a global issue. Over three years, the research team visited a convenience sample of 561 eateries offering vegan options in 196 cities across 37 countries and six continents. Most of these were located in the U.S. (373), followed by Australia and several European countries. The restaurants included in the study had Internet listings on commercially available proprietary resources and search engines. Their menus were also available online and explicitly listed their vegan offerings. Some, including American franchises with 20 or more locations, provided nutritional information about their dishes, following a Food and Drug Administration (FDA) mandate. Restaurants were classified as having a full menu if they offered at least 10 plant-based main courses. They were then scored based on the number of healthful dishes in this group, receiving one point per healthful entrée, up to a maximum of 10. Healthy dishes were those that did not contain deep-fried ingredients (such as battered or crispy items, which can be carcinogenic), saturated fats (including coconut milk, coconut oil, palm oil, and cocoa butter), or refined grains (such as white rice, white flour, and refined pasta, which have a high glycemic index but little fiber). Findings The 561 restaurants included in the analysis consisted of 283 OMNI and 278 VEG eateries. Researchers noted that two restaurants mistakenly labeled dishes containing animal products as vegan; these were excluded. Refined grains were the biggest health concern, with 40% of OMNI and 38% of VEG meals containing ingredients like white rice, white flour buns, and refined pasta, which have been linked to increased mortality. American restaurants vs. Other countries On average, American restaurants offered 6.6 plant-based main courses while non-U.S.-based ones offered 6.2, a statistically insignificant difference. However, American restaurants offered slightly more healthy dishes than those in other countries (3.4 compared to 2.9, though this was not statistically significant). Only 33 restaurants (28 OMNI and 5 VEG, or 10% and 2%, respectively) provided full nutrition facts online, including caloric, sodium, sugar, and saturated fat content. Only 33 restaurants provided full nutrition facts online OMNI restaurants had an average of 4.5 vegan main courses on their menus, compared to 8.4 for VEG restaurants. Approximately 59% of VEG eateries and only 16% of OMNI eateries had a full vegan menu. On average, the restaurants scored 3.2 out of 10, with VEG restaurants having significantly more healthy options (4.0/10) than OMNI restaurants (2.4/10). Only 2% of eateries included in the analysis received a score of 10, indicating that the main courses analyzed had no deep-fried ingredients, saturated fats, or refined grains. Conversely, 26% of OMNI and 14% of VEG restaurants received a score of 0. Score reductions happened most often due to the presence of refined grains (40% in OMNI and 38% in VEG cases). OMNI restaurants were more likely to be penalized for saturated fat content (12%), while VEG restaurants contained fried items more frequently (28%). Conclusions The researchers found that many options labeled as ‘vegan’ contain unhealthy ingredients, with dedicated VEG restaurants offering a greater proportion of healthy options than OMNI restaurants. However, refined grains, which are linked to increased mortality and chronic disease, were the most common reason for dishes being classified as unhealthy. Notably, U.S.-based restaurants were slightly more likely to offer healthy options. The study also highlights that nutritional transparency remains a challenge. Only a small fraction of restaurants provided detailed nutritional content, with disclosure being more common in OMNI restaurants—largely due to U.S. regulations requiring franchises with 20 or more locations to share this information. Restaurants respond to the preferences of their target consumers to be financially viable; often, the things that make food taste ‘good’ are what make it unhealthy. Additionally, several challenges keep individuals from forming healthy eating habits, including traditional and cultural norms, familiarity, aversion to change, affordability, accessibility, concerns about nutritional adequacy, emotional attachment, peer pressure, social norms, poor education, time constraints, and convenience. While the study provides valuable insights, it does have limitations. The sample was a convenience sample, primarily drawn from the U.S. and Westernized countries, meaning the findings may not be generalizable to all global regions. Additionally, assessments were based on online menu descriptions, which may not fully capture all nutritional details. Cardiovascular disease continues to be a leading driver of mortality in the U.S., and poor diet leads to other chronic diseases that increase healthcare costs and lives lost while reducing personal and economic productivity. Though this study’s findings are based on a convenience sample of restaurants and a select number of menu offerings, its results highlight clear policy implications. Restaurants should be encouraged to provide nutritional information More restaurants should be encouraged to provide nutritional information about the food they serve so that patrons can make informed decisions. Though eateries are businesses and not responsible for the health of their customers, they have the ability to reduce health risks by limiting the use of refined grains, excessive sodium, saturated fats, added sugar, and fried foods in their dishes. Given the well-established links between unhealthful diets, chronic disease, and mortality, the researchers suggest that regulatory bodies such as the FDA expand nutritional disclosure requirements beyond large franchises to include a broader range of restaurants. Journal reference: Healthful vs. Unhealthful Plant-Based Restaurant Meals. Williams, K.A., Horton, A.M., Baldridge, R.D., Ikram, M. Nutrients (2025). DOI: 10.3390/nu17050742, https://www.mdpi.com/2072-6643/17/5/742 To read the original article click here.

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Is All Vegan Food Healthy?

The AHA! Team — Mon, 30 Sep 2024 08:03:40 +0000

Michael Greger M.D. FACLM via Nutrition Facts – How do healthier plant-based diets compare to unhealthy plant foods and animal foods when it comes to diabetes risk? In my video on flexitarians, I discuss how the benefits of eating a plant-based diet are not all-or-nothing. “Simple advice to increase the consumption of plant-derived foods with compensatory [parallel] reductions in the consumption of foods from animal sources confers a survival advantage”— a live-longer advantage. The researchers call it a “pro-vegetarian” eating pattern, one that’s moving in the direction of vegetarianism, “a more gradual and gentle approach.” The benefits of eating a plant-based diet are not all-or-nothing. If you’re dealing with a serious disease, though, like diabetes, completely “avoiding some problem foods is easier than attempting to moderate their intake. Clinicians would never tell an alcoholic to try to simply cut down on alcohol. Avoiding alcohol entirely is more effective and, in fact, easier for a problem drinker… Paradoxically, asking patients to make a large change may be more effective than making a slow transition. Diet studies show that recommending more significant changes increases the chances that patients can accomplish [them]. It may help to replace the common advice, ‘all things in moderation’ with ‘big changes beget big results.’ Success breeds success. After a few days or weeks of major dietary changes, patients are likely to see improvements in weight and blood glucose [sugar] levels—improvements that reinforce the dietary changes that elicited them. Furthermore, they may enjoy other health benefits of a plant-based diet” that may give them further motivation. As you can see below and at 1:43 in my video Friday Favorites: Is Vegan Food Always Healthy?, those who choose to eat plant-based for their health say it’s mostly for “general wellness or general disease prevention” or to improve their energy levels or immune function, for example. They felt it gives them a sense of control over their health, helps them feel better emotionally, improves their overall health, makes them feel better, and more, as shown below and at 1:48. Most felt it was very important for maintaining their health and well-being. For the minority who used it for a specific health problem, mostly high cholesterol or weight loss, followed by high blood pressure and diabetes, most reported they felt it helped a great deal, as you can see below and at 2:14. Some choose plant-based diets for other reasons, such as animal welfare or global warming, and it looks like “ethical vegans” are more likely to eat sugary and fatty foods, like vegan donuts, compared to those eating plant-based because of religious or health concerns, as you can see below and at 2:26 in my video. The veganest vegan could make an egg- and dairy-free cake, covered with frosting, marshmallow fluff, and chocolate syrup, topped with Oreos, and served with a side of Doritos. Or, they may want fruit for dessert, but in the form of Pop-Tarts and Krispy Kreme pies. Vegan, yes. Healthy, no. “Plant-based diets have been recommended to reduce the risk of type 2 diabetes (T2D). However, not all plant foods are necessarily beneficial.” In the pro-vegetarian scoring system I mentioned above, you get points for eating potato chips and French fries because they are technically plant-based, as you can see below and at 3:07 in my video, but Harvard researchers wanted to examine the association of not only an overall plant-based diet, but healthy and unhealthy versions. So, they created the same kind of pro-vegetarian scoring system, but it was weighted towards any sort of plant-based foods and against animal foods; then, they created a healthful plant-based diet index, where at least some whole plant foods took precedence and Coca-Cola and other sweetened beverages were no longer considered plants. Lastly, they created an unhealthful plant-based diet index by assigning positive scores to processed plant-based junk and negative scores for healthier plant foods and animal foods. Their findings? As you can see below and at 3:51 in my video, a more plant-based diet, in general, was good for reducing diabetes risk, but eating especially healthy plant-based foods did better, nearly cutting risk in half, while those eating more unhealthy plant foods did worse, as shown in the graph below and at 4:03. Now, is that because they were also eating more animal foods? People often eat burgers with their fries, so the researchers separated the effects of healthy plant foods, less healthy plant foods, and animal foods on diabetes risk. And, they found that healthy plant foods were protectively associated, animal foods were detrimentally associated, and less healthy plant foods were more neutral when it came to diabetes risk. Below and at 4:32 in my video, you can see the graph that shows higher diabetes risk with more and more animal foods, no protection whatsoever with junky plant foods, and lower and lower diabetes risk associated with more and more healthy whole plant foods in the diet. So, they concluded that, yes, “plant-based diets…are associated with substantially lower risk of developing T2D.” However, it may not be enough to just lower the intake of animal foods; consumption of less healthy plant foods may need to decrease, too. As a physician, labels like vegetarian and vegan just tell me what you don’t eat, but there are a lot of unhealthy vegetarian fare like French fries, potato chips, and soda pop. That’s why I prefer the term whole food and plant-based nutrition. That tells me what you do eat—a diet centered around the healthiest foods out there. The video I mentioned is Do Flexitarians Live Longer?. You may also be interested in some of my past popular videos and blogs on plant-based diets. Check related posts below. Key Takeaways Adopting a “pro-vegetarian” eating pattern is associated with a survival advantage and may contribute to a longer, healthier life. That means gradually increasing the consumption of plant-derived foods while reducing animal-based foods. In cases of serious diseases like diabetes, completely avoiding problematic foods may be more effective than attempting moderation. Making significant dietary changes can lead to rapid improvements in weight, blood glucose levels, and overall health, and reinforce positive habits. Individuals choosing a plant-based diet for health reasons often do so for general wellness, disease prevention, improved energy levels, and immune function. The sense of control over health, emotional well-being, and overall health improvements are common motivations. People may choose plant-based diets for various reasons, including health concerns, animal welfare, or environmental reasons. A study suggests that “ethical vegans” might be more inclined to consume sugary and fatty foods compared to those motivated by religious or health concerns. While plant-based diets are recommended to reduce the risk of type 2 diabetes, not all plant foods offer the same benefits. A diet emphasizing healthy plant-based foods significantly reduces diabetes risk, while an intake of unhealthy plant-based foods may be associated with higher risk. Researchers suggest that reducing animal foods and choosing healthy plant-based options are crucial for diabetes prevention. To read the original article click here.

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This Modern Fad Is Making You Sick

The AHA! Team — Mon, 22 Jul 2024 08:26:47 +0000

Al Sears, MD, CNS – The government declared war on fat almost 50 years ago. And as a result, we got slower, sicker, and fatter. In fact, the results of this big fat lie “led to some pretty disastrous consequences…that caused Americans to get fatter.” Those are the words of one of the most famous nutritionists in the world. Dr. Walter Willett, Chair of the Department of Nutrition at the Harvard T.H. Chan School of Public Health, was one of the first mainstream physicians to admit that the campaign to eliminate fat in the diet was a big mistake. But lately, he’s shifted gears. And today, he’s declared war on meat. I couldn’t disagree more… We come from hunter-gatherers who evolved over millennia to thrive on meat. We have canine fangs like dogs and wolves. These teeth are meant to rip and tear flesh from animals. Being a vegetarian is a modern fad. It was the brainchild of Reverend Sylvester Graham. He believed that all of America’s moral failings could be traced back to an “unholy diet.” So he created a strict meat-free meal plan that would “cure” the country of its “immoral urger.” He preached a gospel of fruits, vegetables, and whole-wheat crackers that would eventually bear his name. But Graham and his followers got it wrong. Big time. They didn’t understand that humans are born meat eaters. And that being vegetarian takes a real toll on your health. When vegetarians give up meat, they force themselves to get the bulk of their calories from wheat or other grain products. So they wind up eating more bread, pasta, cereals, and other processed foods. Being vegetarian takes a real toll on your health In other words, they eat a lot of junk. Sound familiar? It’s the same thing that happened with the war on fat. For more than 20 years, I’ve seen firsthand the health problems of vegetarians in my practice. I’ve found that vegetarians: Have low energy and feel frail Get sick more often and age faster Have poor digestion and weaker bones Can’t produce growth hormones, testosterone, and thyroid hormone Have low sperm counts and more fertility problems And despite what Dr. Walter Willett declares, vegetarians don’t live longer… An important study in the American Journal of Clinical Nutrition looked at data from two studies of more than 60,000 people in the U.K. It found no difference in mortality rates between vegetarians and meat eaters.1 And despite what you hear from the mainstream media, studies show vegetarian diets don’t lower the risk of heart disease2 or cancer.3 But a plant-only vegan diet does cause genetic mutations that increase the risks for both heart disease and cancer.4 The latest research shows that eating a plant-based diet also makes you depressed,5 increases your risk of broken bones,6 and decreases phospholipids.7 Phospholipids are vital for a healthy brain. You see when you don’t eat meat, it’s impossible to get many of the essential nutrients you need every day. If you were – or still are – eating a plant-based diet, you’re missing out on a number of key nutrients. Here’s how to get a few of them back: Supplement with B12. This vitamin, so vital to humans, is only found in meat. While some vegetarians claim that B12 can be found in algae, tempeh (a soy product sometimes used as a meat substitute), or even brewer’s yeast, these are false assumptions. I recommend at least 100 mcg per day. But I advise many of my patients to take as much as 2,000 mcg, especially if they are vegetarians. Replenish your zinc. Most vegetarians have a zinc deficiency. This is a problem. You can’t have a well-functioning immune system without this antioxidant. It also reduces your risk of metabolic syndrome, age-related macular degeneration, osteoporosis, and memory loss. I recommend taking 30 mg a day. CoQ10: CoQ10 is only found in animal products. You’ll find high concentrations of this heart- and brain-critical nutrient in organ meats. But you’ll also get it from the meat itself. CoQ10 supplies your cells with ATP, the energy required by every cell in your body for metabolism, energy production, and life itself. I recommend at least 50 mg of ubiquinol CoQ10 every day. This form is eight times more absorbable than conventional CoQ10. To Your Good Health, Al Sears, MD, CNS References: 1. Appleby P, et al. “Mortality in vegetarians and comparable nonvegetarians in the United Kingdom.” Am J Clin Nutr. 2016 Jan;103(1):218-30. 2. Kaiser J, et al. “A systematic review of the association between vegan diets and risk of cardiovascular disease.” J Nutr. 2021 Jun 1;151(6):1539-1552. 3. “Does being a vegetarian lower your risk of cancer?” https://www.wcrf.org. 2020. Accessed on May 24, 2023. 4. Caspermeyer J. “Are we what we eat? Evidence of a vegetarian diet permanently shaping the human genome to change individual risk of cancer and heart disease.” Mol Biol Evol. 2016 Jul;33(7):1887-8. 5. Kohl I, et al. “Association between meatless diet and depressive episodes: A cross-sectional analysis of baseline data from the longitudinal study of adult health.” J Affect Disord. 2023 Jan 1;320:48-56. 6. Webster J, et al. “Risk of hip fracture in meat-eaters, pescatarians, and vegetarians: results from the UK Women’s Cohort Study .” BMC Med. 2022 Aug 11;20(1):275. 7. Menzel J, et al. “Dietary and plasma phospholipid profiles in vegans and omnivores—results from the RBVD study.” Nutrients. 2022 Jul; 14(14):2900. To read the original article click here.

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Does a Macrobiotic Diet Help with Diabetes?

AHA Publisher — Fri, 16 Dec 2022 08:00:31 +0000

Michael Greger M.D. FACLM via Nutrition Facts – What happens when you add massive amounts of carbohydrates in the form of whole grains to the daily diet of people with type 2 diabetes? Why are macrobiotic diets apparently so effective at reducing blood sugar levels in diabetics within just a few weeks’ time? The diet is centered around whole grains—brown rice, barley, and millet—so might the high fiber intake improve the gut microbiome, the friendly flora in our colon, which then leads to a reduction in insulin resistance? Or, perhaps it’s because the diet is also rich in vegetables, so that corrects some kind of low-grade acidosis from the high levels of animal protein in their regular (non-macrobiotic) diets. Regardless of the reason, researchers found a significant difference after just 21 days. Can macrobiotic diets also help with longer term blood sugar control? I examine this in my video Flashback Friday: Benefits of a Macrobiotic Diet for Diabetes. How about a six-month dietary intervention with wildly out-of-control blood sugars? As you can see at 0:51 in my video, hemoglobin A1c offers a sense of one’s average blood sugars over the previous few months. An A1c level of 5, for example, would mean that your blood sugars have been in the double digits most of the time over the last few months, indicating that your sugars have been at a normal, healthy, non diabetic level. But, an A1c of 6 is prediabetes territory and 6.5 can be a sign of full-blown diabetes; an A1c under 7 is considered controlled diabetes—what diabetics are striving towards with pills and insulin injections—and a level over 7 is considered out-of-control diabetes. In the macrobiotic diet study, the average A1c level started out off-the-charts at 12.6. The subjects had been averaging blood sugars in the 300s for months, despite all having been on insulin injections. What happened when the study participants were placed on the so-called Ma-Pi 2 diet, a strictly plant-based macrobiotic-style diet centered around whole grains, vegetables, and beans, with some sesame seeds and green tea? After just six months on the diet, their A1c levels dropped from a wildly out-of-control diabetic 12.6 to averaging a non diabetic 5.7. What’s more, although the subjects were getting daily insulin injections when their A1c was an astronomical 12.6, they achieved non diabetic 5.7 on the diet after they had all been able to eliminate their insulin. Within only six months, 100 percent of the study participants started out on insulin with out-of-control diabetes and ended with 0 percent on insulin and averaging non diabetic blood sugars. That’s the power of plants. Also within those six months, three-quarters were off all of their diabetes medications completely. Any side effects? Their bad LDL cholesterol dropped by 20 percent and their triglycerides dropped by nearly 40 percent. (And, of course, let’s not forget that anyone starting a strictly plant-based diet must ensure a regular, reliable source of vitamin B12.) All we needed was a randomized, controlled trial, and we got one: Type 2 diabetics were randomized to the macrobiotic diet versus the recommended American Diabetes Association-type diet. You can see an example of a typical day on the macrobiotic diet below and at 2:59 in my video, which includes a savory whole-grain cake for breakfast; brown rice sesame balls for a snack; a vegetable millet soup with a brown rice salad, a lot of vegetable sides, and adzuki beans for lunch; more whole grain snacks; and, similar to lunch, a dinner of vegetable barley soup with a lot of vegetables and chickpeas; and green tea throughout the day. On the more standard diabetic diet, participants might have low-fat milk and whole-wheat bread for breakfast; a Mediterranean lunch with vegetables and beans; fruit for a snack; and a bean and vegetable soup, whole-grain bread, agretti (a green leafy vegetable), and baked fish for dinner. I have to say, that’s a pretty healthy control diet. The researchers could have compared the macrobiotic diet to a trashy one, but they wanted to stack it up against the diet diabetes groups recommend. So, what happened? The macrobiotic diet won out on every measure of blood sugar control. You can view the numbers in the graph below and at 4:00 in my video. At the start of the study, participants had fasting blood sugars in the 120s. That’s bad, but they were diabetics, after all. Normal fasting blood sugars, like when you wake up in the morning before having breakfast, should be at least in the double digits and under 100. When subjects were put on the relatively healthy, more standard diabetic diet, their blood sugars got better over the three-week study, dropping from the 120s down into the 110s. (That’s the best the American Diabetes Association-type diet can do.) Compare that to an isocaloric macrobiotic diet, meaning with the same number of calories. On the macrobiotic diet, subjects improved within days and achieved normal fasting blood sugars within a week. A full 100 percent of those on the macrobiotic diet got their fasting blood sugars under 110, whereas less than half of those on the diabetes diet did. And, that was achieved while on fewer drugs. In the control group, one participant was able to reduce their oral hypoglycemic medications, whereas five of the seven on such drugs in the macrobiotic group had to stop taking them. Otherwise, if they had continued taking the drugs, their blood sugars would have fallen toolow. So, the macrobiotic diet gave better results on fewer drugs. That’s the power of a reallyhealthy diet. As an aside, what a poke in the eye with a sharp stick this study was to the low-carb crowd! Researchers took diabetics and put them on a 73 percent carbohydrate diet, adding 100 grams of carbs—in the form of grains, no less—to their daily diet. And what happened? Did their blood sugars skyrocket out of control? No, they got significantly better in a matter of days, with average fasting blood sugars starting out at 129 and falling to 95. And, in just three weeks, their bad LDL cholesterol plummeted down to 62, a nearly 48 percent drop. Is the macrobiotic diet perfect? No, but I offer some suggestions for improving it in my video Flashback Friday: Pros and Cons of a Macrobiotic Diet. Key Takeaways Macrobiotic diets have been shown to effectively reduce blood sugar levels in diabetics in just three weeks, perhaps due to its high fiber content or being rich in vegetables. A six-month dietary intervention showed that participants placed on the so-called Ma-Pi 2 diet, a strictly plant-based macrobiotic-style eating regimen with green tea, experienced significant improvements in their A1c levels, dropping from a wildly out-of-control diabetic 12.6 to averaging a non diabetic 5.7. As well, the subjects achieved non diabetic 5.7 on the diet after they had eliminated their insulin. Additionally, their bad LDL cholesterol dropped by 20 percent and their triglycerides dropped by nearly 40 percent. When type 2 diabetics were randomized to the macrobiotic diet versus the recommended American Diabetes Association-type diet, the macrobiotic diet won out on every measure of blood sugar control. And, although only one subject in the control group was able to reduce their oral hypoglycemic medications, five of the seven on such drugs in the macrobiotic group had to stop taking them lest their blood sugars fall too low. The study was likely very eye-opening to low-carb followers since the diabetics were put on a 73 percent carbohydrate diet, adding 100 g of carbs to their daily diet, and not only did their blood sugars improve, but their bad LDL cholesterol also plummeted. To read the original article click here.

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Reduce Hot Flashes with THIS Dietary Intervention

AHA Publisher — Mon, 14 Nov 2022 07:15:19 +0000

News Staff via NaturalHealth365 – Menopause is a natural part of getting older, signaling the end of a woman’s menstrual cycle. It usually starts when a woman is in her 40’s or 50’s. Unfortunately, menopause can have several uncomfortable side effects, including hot flashes, sleep problems, low energy, and emotional symptoms. However, a recent study indicates that a simple dietary change may significantly reduce aggravating hot flashes. Could This Straightforward Dietary Change Ease Menopausal Hot Flashes? What if you could reduce hot flashes just by changing your diet? A recent study, led by Dr. Neal Barnard and published in Menopause: The Journal of the North American Menopause Society, sought to find out. The trial was the Women’s Study for the Alleviation of Vasomotor Symptoms. To assess the link between diet and hot flashes, researchers evaluated postmenopausal women over a 12-week trial period. Some study participants implemented a vegan diet low in fats and a half cup of soybeans daily, while the control group did not change their diets. All participants then recorded the severity and frequency of hot flash symptoms over the course of the study. The group that consumed a vegan, plant-based diet rich in soy experienced a whopping 88% reduction in their hot flashes. Also, those eating a plant-based diet lost an average of 8 pounds and reported improved quality of life. These results indicate that hot flashes can be reduced by simply cutting out toxic animal foods, lowering fat intake, and adding soy to the diet. Of course, we would encourage our readers to eat only non-GMO soy products. Hormone Replacement or Diet Changes? Hormone replacement therapy, or HRT, has long been the treatment of choice for perimenopause symptoms. This is because many symptoms of menopause stem from changes within the hypothalamic-pituitary-ovarian axis and disrupted hormone levels. However, HRT can cause its own set of unwanted side effects, if done incorrectly. The key here is to find a qualified healthcare provider to help you with the process to avoid health issues. If menopause symptoms can be mitigated through healthy diet changes, these dangerous side effects can be avoided. And besides possibly reducing hot flashes, plant-based diets have been shown to reduce depression and other chronic health issues. Thus, the new dietary study presents an exciting new direction for researchers to investigate further. Ways to Ease Menopause Symptoms Naturally Changing to a low (healthy) fat, plant-based diet and eating more soy might help reduce your hot flashes. But there are also other ways to ease menopause symptoms without pharmaceuticals. Black cohosh supplements, adequate sleep, regular exercise, and stress reduction practices like yoga can all help. There’s a possibility that plant phytoestrogens could improve menopause symptoms. Phytoestrogens are naturally occurring estrogens in several foods, including flax, soybeans, and legumes. Acupuncture and hypnosis are two more therapies that may benefit women in menopause. Menopause is an important and natural phase of life. However, if you’re dealing with uncomfortable menopause symptoms, it’s worth looking into dietary changes and complementary therapies to help ease the transition. Sources for this article include: Medicalnewstoday.com Mayoclinic.org Clinicaltrials.gov To read the original article click here.

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Are You Hooked on America’s Deadly Diet? Heal Your Body with These Life-Saving Foods

AHA Publisher — Fri, 09 Sep 2022 07:00:59 +0000

Lorie Johnson via CBN News – The pandemic consumed most health news for two years, but underneath it all there’s been a deeper issue – a majority of the fatalities and serious cases involved patients with significant underlying health problems. Medical issues like diabetes, heart disease, and obesity were already a serious health risk for millions of Americans, and the outbreak only made matters worse. Even before COVID, scientists were pointing out that the Standard American Diet (SAD) causes even more deaths than smoking. This diet largely consists of ultra-processed foods loaded with chemicals, added sugars, and industrial oils. A growing number of doctors and other health experts recommend replacing the SAD diet with one that’s full of whole, plant-based foods. Whole foods are ones that are as close to their original state as possible, and plant-based foods, as the name suggests, are those that grew out of the ground. A Grandmother’s Testimony As a young boy, Michael Greger saw how food can be medicine. When doctors couldn’t treat his 65-year-old grandmother’s heart disease, they sent her home to die. However, at that time she started eating a plant-based diet, reversed her heart disease, and lived to the ripe old age of 96! Astounded by what he saw in his grandmother’s life, Michael decided to help others achieve the same results. Now as a physician, Dr. Greger offers free nutrition advice, including hundreds of healthy recipes on his non-profit website, nutritionfacts.org. Dr. Greger points to an increasing number of scientific studies showing a plant-based diet proves to be the healthiest of all diets for people like his grandmother who deal with heart problems. “Not only can heart disease be prevented and arrested with a plant-based diet,” he told CBN News, “It’s the only diet ever proven to reverse heart disease in the majority of patients, opening up arteries without drugs, without surgery.” Every Small Change Can Make a Difference Every 37 seconds someone in America dies from heart disease. Cardiologists like Dr. Deepak Talreja urge their patients to switch to a whole-food, plant-based diet before it’s too late. For some patients, particularly those who’ve been eating processed foods for many years, they’re encouraged to do the best they can. “We try to push people towards as optimal a diet as they can really stick with,” Dr. Talreja told CBN News. In short, he tells them to eat as many plants and as few animals as possible. He also recommends eating foods as close to their natural state as possible. For example, instead of highly processed breakfast cereal, Dr. Talreja recommends whole-grain oatmeal. He says every small change can make a difference. “Some people are very committed and they’ll fall into a program where they do 100 percent the right thing,” he explained, “Some people can’t do that, but if they can do the right thing 70 or 80 percent of the time that moves them closer to where they’re either going to get more committed or at least get some benefits from that diet.” Prevents Other Causes of Death Heart disease is just one of many chronic diseases a plant-based diet has been shown to prevent or reverse. The list includes other leading causes of death including cancer, diabetes, and obesity. Case in point: Loma Linda, California, is the American city with the highest percentage of centenarians per capita. It’s also home to the highest concentration of Seventh Day Adventists, a denomination which advocates a plant-based diet. Dr. Larry Beeson, a researcher at the Loma Linda School of Public Health, analyzed over 50 years of studies done by himself and others. “Adventists have approximately the same proportion of people who die of cancer, heart disease or stroke,” he told CBN News, “But the age that they get diagnosed is much later.” Beeson said within the Seventh Day Adventist community, people follow various plant-based diets, but noted the ones who ate more plants and fewer animal products lived longer, healthier lives in general. Different Plant-Based Diets Here are the four major plant-based diets. 1. Vegan: 100% plant food. No animal products whatsoever 2. Vegetarian: Mostly plants but some eggs and dairy foods 3. Pescatarian: Mostly plants but some eggs, dairy and seafood 4. Flexitarian: Mostly plants but some eggs, dairy, seafood, poultry, and meat For the last 15 years, dietician Julieanna Hever has been teaching people how to switch to a more plant-based diet, which she says can reverse Type 2 Diabetes, high blood pressure, and more. “It reduces obesity and extra weight,” she said. “It reduces medication requirements. I love to say decreasing your medication results are normal. My clients get off their medications.” In her cookbook, The Healthspan Solution, she offers recipes and tips for newcomers to this lifestyle, adding there’s a bit of a learning curve. “I liken it to learning a new language,” she said, “Anything, when you’re transitioning to something major, like the way you’ve eaten your whole life, you just have to learn a few new words, a few new ingredients, tie them together in sentences and paragraphs and some recipes and then if you keep doing it over and over again you become fluent.” Hooked for Life Dr. Greger says if he can get his patients to try a plant-based diet for three weeks, they’re usually hooked for life. “They’re going to sleep so much better, their digestion’s better, their periods {are} less painful, they have more energy,” he said, “In fact, some people say ‘Oh, I felt fine, Doc,’ but then they didn’t realize they had chronic indigestion. They just thought it was normal to feel like this after a meal. But no, you don’t know how good you’re going to feel until you give it a try.” Dr. Greger tells his patients to consume the following plant-based foods each day: 3 Servings of Beans (such as hummus, lentils or tofu) 1 Serving of Berries 3 Servings of Other Fruit 1 Serving of Cruciferous Vegetables (such as broccoli, cauliflower or Brussels sprouts) 2 Servings of Greens (such as kale, romaine or collards) 2 Servings of Other Vegetables (such as mushrooms) 1 Tablespoon of Ground Flaxseed 1 Serving of Nuts 1/4 Teaspoon of Turmeric 3 Servings of Whole Grains (such as 100% whole grain bread, oatmeal or pasta) ***** HEALTHY RECIPES ***** Recipe for Pat Robertson’s Minestrone Soup: Ingredients: 1 can (14.5 oz.) chicken broth, low sodium, NO MSG 1 can (approx. 15 oz.) chickpeas, drained 2 cans (15 oz. each) diced tomatoes 1 can (11-15 oz.) corn, drained 2 large red potatoes (with skins), diced 1 zucchini, diced 1 large onion, diced 3 large stalks celery, diced 1 package (10 oz.) frozen spinach 2 cups chopped kale 2 cups chopped cabbage (outer leaves preferred) Half a 16-oz. package frozen peas 2 tablespoons extra virgin olive oil Worcestershire sauce, sea salt, and pepper to taste Directions: Place all ingredients into a large pot and mix well. Bring soup to a boil, then reduce heat, cover, and simmer for four or five hours, adding a small amount of water as needed. For a hearty meal, serve with your favorite whole-grain bread. Leftover soup can be kept in the refrigerator for up to three days. Use it as a quick heat-and-eat meal or savory first course. • Optional: For extra spice, try one can of regular chopped or diced tomatoes and one can (10 oz.) of diced tomatoes with green chiles Recipe for Butternut Squash, Ginger, Turmeric Soup Courtesy of Elizabeth Lindemann Ingredients: 1 large butternut squash cooked (see notes) 2 tablespoons fresh ginger peeled and chopped 1 onion diced 1 tablespoon coconut oil or olive oil, or butter 2 cups chicken stock/broth or vegetable broth, for vegetarian/vegan 15 oz. canned coconut milk kosher salt to taste black pepper to taste 1 teaspoon ground turmeric roasted squash or pumpkin seeds and fresh cilantro for serving (optional) Directions: In a large pot, sauté the ginger (2 tablespoons) and diced onion in oil (1 tablespoon) over medium heat until softened (about 3 minutes). Add the stock (2 cups), bring to a boil. Add the cooked butternut squash. Stir in the can of coconut milk. Season with salt, pepper, and turmeric (1 teaspoon). Use an immersion blender to blend to a smooth puree (alternatively, you can use a standing blender in batches). Taste and adjust seasonings as needed. Serve topped with roasted seeds and/or fresh cilantro, if desired. Notes: To cook the butternut squash, place it whole in your slow cooker for 3 hours on high or 6 hours on low. Remove, let cool, halve, deseed, and remove flesh from the peel. Or, purchase about 4 ½ cups cubed, raw squash and roast on an oiled pan in your oven at 425 degrees for 25 minutes or until fork-tender. To read the original article click here.

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A Plant-Based Workplace Wellness Program Put to the Test

AHA Publisher — Fri, 02 Sep 2022 07:00:10 +0000

Michael Greger M.D. FACLM via Nutrition Facts – What is the return on investment for educating employees about healthy eating and living? “How do you wipe out the nation’s heart disease epidemic?” Those were the opening words to an editorial by Dr. Michael Jacobson, co-founder of Center for Science in the Public Interest, in the October 2005 issue of the charity’s Nutrition Action publication. Wrote Jacobson, “The best approach I’ve seen is the Coronary Health Improvement Project (CHIP),” which was renamed the Complete Health Improvement Program and then most recently, Pivio. CHIP tells people to eat more whole plant foods and less meat, dairy, eggs, and processed junk. It is considered to be “a premier lifestyle intervention targeting chronic disease that has been offered for more than 25 years.” More than 60,000 individuals have completed the program, which I discuss in my video A Workplace Wellness Program That Works. More than 60,000 individuals have completed the program Most CHIP classes are “facilitated by volunteer directors, sourced primarily through the Seventh-Day Adventist Church, who had an interest in positively influencing the health of their local community.” Why the Adventists? Their “health philosophy is built around the holistic biblical notion” that the human body should be treated as a temple. What’s more, many CHIP participants are Adventists, too. Is that why the program works so well? Because they have faith? You don’t know until you put it to the test. Researchers looked at the influence of religious affiliation on responsiveness to CHIP, studying 7,000 participants. Even though Seventh-Day Adventists (SDAs) make up less than 1 percent of the U.S. population, about one in five CHIP-goers were Adventists. How did they do, compared with the non-Adventists (non-SDAs)? “Substantial reductions in selected risk factors were achieved…for both SDA and non-SDA,” but some of the reductions were greater among the non-Adventists. “This indicates that SDA do not have a monopoly on good health…” Middle-class, educated individuals also disproportionally make up CHIP classes. Would the program work as well in poverty-stricken populations? Researchers tried to reduce chronic disease risk factors among individuals living in rural Appalachia, one of the poorest parts of the country. “Conventional wisdom has been that each participant needs financial ‘skin in the game’ to ensure their attentiveness and commitment” to lifestyle change programs. So, if offered for free to impoverished communities, the results might not be as good. In this case, however, the “overall clinical changes in this pilot study [were] similar to those found in other 4-week CHIP classes throughout the United States,” suggesting CHIP may have benefits that “cross socioeconomic lines” and are “independent of payment source.” So, why don’t employers offer it free to employees to save on health care costs? CHIP is “described…as ‘achieving some of the most impressive clinical outcomes published in the literature,’” including “clinical benefits of the intervention, as well as its cost-effectiveness…” Lee Memorial, a health care network in Florida, offered CHIP to some of its employees as a pilot program. (Sadly, health care workers can be as unhealthy as everyone else.) As you can see below and at 3:05 in my video, they reported an average 17-pound weight loss, a 20-point drop in bad LDL cholesterol, and blood pressure normalization in most participants. Lee Memorial initially invested about $38,000 to make the program happen, but then saved $70,000 in reduced health care costs in just that next year. How? Because the employees became so much healthier. They got a financial return on investment of 1.8 times what they put in. There hadn’t been a return on investment (ROI) study in the peer-reviewed medical literature until Dexter Shurney stepped up to the plate and published a workplace study out of Vanderbilt. “There was a high degree of skepticism at the planning stage of this study that active engagement could be realized in a sizable portion of the study group around a lifestyle program that had as its main tenets exercise and a plant-based diet.” Vanderbilt is, after all, in Tennessee, smack dab in the middle of the Stroke Belt, known for its Memphis ribs. (You can see a graphic of “Stroke Death Rates…by County” by the Centers for Disease Control and Prevention below and at 3:55 in my video.) Nevertheless, the subjects got on board enough to improve their blood sugar control and cholesterol. They also reported “positive changes in self-reported physical health and well-being.” Health care costs were substantially reduced for study participants compared to the non-participant group. For example, nearly a quarter of the participants were able to eliminate one or more of their medications, so they got about a two-to-one return on investment within just six months, providing evidence that just “educating a member population about the benefits of a plant-based, whole-foods diet is feasible and can reduce associated health care costs.” The largest workplace CHIP study done to date involved six employee populations, including, ironically, a drug company. The study included a mix of white-collar and blue-collar workers. As you can see below and at 4:40 in my video, there were dramatic changes experienced by the worst off. Those starting with blood pressures up around 170 over 100 saw their numbers fall to around 140 over 85. Those with the highest LDL cholesterol dropped 60 points and had a 300-point drop in triglycerides, as well as a 46-point drop in fasting blood sugars. Theoretically, someone coming into the program with both high blood pressure and high cholesterol might “experience a 64% to 96% reduction in overall risk of myocardial infarction,” a heart attack, our number one killer. As Dr. Jacobson concluded in his editorial in Nutrition Action, “For the cost of a Humvee, any town could have a CHIP of its own. For the cost of a submarine or a farm subsidy, the entire country could get a CHIP on its shoulder.” Key Takeaways More than 60,000 people have completed the Complete Health Improvement Program (CHIP), formerly known as the Coronary Health Improvement Project, an approach lauded by Dr. Michael Jacobson, co-founder of Center for Science in the Public Interest, for its effectiveness in battling the heart disease epidemic. A lifestyle intervention program, CHIP encourages its participants to eat more whole plant foods and less animal products and processed junk. Most classes are led by trained volunteer facilitators, many of whom are Seventh-Day Adventists, whose “health philosophy is built around the holistic biblical notion” that our body should be treated as a temple. About one in five CHIP participants is Adventist, but when researchers investigated the influence of religious affiliation on responsiveness to the program, they found that both Adventists and non-Adventists achieved reduced risk factors and some were even greater among the non-Adventists. When CHIP was offered for free to impoverished communities, the overall results were similar to those from other four-week programs in the United States, which suggests that CHIP’s benefits may “cross socioeconomic lines.” Health care network Lee Memorial and Vanderbilt University offered CHIP to some of their employees, and participants experienced improvements in their health, such as better cholesterol. Lee Memorial invested about $38,000 to offer CHIP and got a financial return on investment (ROI) of 1.8, saving $70,000 in reduced health care costs the following year. At Vanderbilt, health care costs were substantially lowered for CHIP participants compared to non-participants. Nearly 25 percent were able to eliminate one or more medications, for example, getting about a two-to-one ROI in just six months. The largest workplace study on CHIP involved six employee populations, including white- and blue-collar workers. Those starting in the worst physical condition experienced dramatic changes, with significant improvements in their blood pressures, LDL cholesterol levels, triglycerides, and fasting blood sugars. Theoretically, someone coming into the program with both high blood pressure and high cholesterol might “experience a 64% to 96% reduction in overall risk of myocardial infarction,” a heart attack, our number one killer. To read the original article click here.

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Which Diet Works Even Better the Longer You Do It?

AHA Publisher — Wed, 24 Aug 2022 07:00:32 +0000

Michael Greger M.D. FACLM via Nutrition Facts – The most well-published community-based lifestyle intervention in the medical literature is also one of the most effective. CHIP, the Complete Health Improvement Program—now known as Pivio, may be “the most well-published community-based lifestyle interventions in the [medical] literature.” It is also one of the most effective, with clinical changes “approaching those outcomes achieved in [live-in] residential lifestyle programs.” As I discuss in my video The Weight Loss Program That Got Better with Time, CHIP encourages people to transition toward a more whole food, plant-based diet, and the “average reductions in blood pressure were greater than those reported with the DASH [Dietary Approaches to Stop Hypertension] study and comparable with the results” of blood pressure-lowering drug trials. If we’re going to reverse the worldwide chronic disease epidemic, though, we’ve got to scale this up. To make CHIP more accessible to a wider audience, each of Hans Diehl’s live presentations was videotaped. Then, a “trained and certified” volunteer facilitator got people in a room to watch the videos and helped foster discussion. When it comes to safe, simple, side effect–free solutions, such as a healthier diet and lifestyle, you don’t need to wait for a doctor to show up and give a lecture. Sounds great, but does it work? Those individuals who were the worst of the worst and participated in the program, finishing all the videos, had a 20-point drop in blood pressure, a 40-point drop in bad LDL cholesterol, and more than a 500-point drop in triglycerides, as you can see below and at 1:08 in my video. Of those who came in with diabetic-level fasting blood sugars, about one in three left with nondiabetic-level fasting blood sugars. Remember, all of this was achieved simply by empowering people with knowledge. Just encouraging people “to move toward a whole-food, plant-based diet” led to these remarkable benefits. What was the effectiveness of this volunteer-delivered lifestyle modification program on 5,000 participants? The same kind of significant reductions in weight, blood pressure, cholesterol, triglycerides, and blood sugars were found. Most studies giving “dietary advice to free-living subjects can be expected to reduce blood total cholesterol by only 3-6%…[but a] sustained reduction in blood total cholesterol concentration of 1% is associated with a 2-3% reduction in the incidence of heart disease.” So, on a population scale, even small differences matter. Put thousands of people through just one month of CHIP, however, and you get an 11 percent drop on average and up to a nearly 20 percent drop among those who need it most, as you can see below and at 2:12 in my video. Do the participants maintain their healthy habits, though? Doctors can’t even get most people to take a single pill once a day. How effective can a volunteer-led video series be at getting people to maintain a change of eating habits? Researchers looked at the CHIP data to find out. How were participants doing 18 months after completing the program? Most were able to maintain their reductions of meat, dairy, and eggs, though some of the junk food had started to slip back in. Their fruit and veggie consumption dipped, though not back to baseline. Ready for the huge shocker? Even though the participants had been told explicitly to eat as much as they wanted without any calorie- or carb-counting and without any portion control, just by being informed about the benefits of centering their diets more on whole plant foods, by the end of the six-week program, they were eating, on average, about 339 fewer calories a day without even trying. Instead of eating less food, they were just eating healthier food. But that was right at the end of the six-week program when they were all jazzed up. Where were they 18 months later? Anyone familiar with weight-loss studies knows how it works: You can excite anyone in the short term to lose weight using practically any kind of diet, but then after six months or a year, they tend to gain it all back—or even more. The CHIP participants were eating about 300 fewer calories a day during the program, but 18 months later, they were eating about 400 fewer calories. What kind of diet can work even better the longer you do it? A whole food, plant-based diet. “Many weight loss programs restrict energy [calorie] intake by limiting portion sizes, which often results in hunger and dissatisfaction with the eating regime, thus contributing to low compliance and weight regain,” but the satiety-promoting all-you-care-to-eat plant-based, whole-food dietary approach may be the secret weapon of sustainable weight loss. Key Takeaways The Complete Health Improvement Program (CHIP) encourages transitioning to a more whole food, plant-based diet and may not only be the most well-published community-based lifestyle intervention in the medical literature, but also one of the most effective. Its clinical changes may be on par with outcomes achieved in live-in lifestyle programs, and the average drop in blood pressure achieved with CHIP exceeded reports by the Dietary Approaches to Stop Hypertension (DASH) study and was comparable to results from trials with blood pressure–lowering drugs. To make CHIP more widely accessible, each live presentation delivered by Hans Diehl, the developer of the program, was videotaped so volunteer facilitators, each trained and certified, could screen the lectures and foster discussion among participants. Participants who completed the facilitated video program had a 20-point drop in blood pressure, a 40-point drop in bad LDL cholesterol, and more than a 500-point drop in triglycerides. Most of those who started CHIP with diabetic-level fasting blood sugars left with nondiabetic levels. Typically, studies giving dietary advice to participants not in a live-in setting may get cholesterol reductions of 3 to 6 percent, and sustained reduction of 1 percent is associated with a 2 to 3 percent drop in heart disease incidence. Just one month of CHIP achieved an 11 percent drop on average and up to a nearly 20 percent drop among those participants most in need of intervention. Eighteen months after completing the volunteer-led video series, most CHIP participants maintained their reductions of animal products, though some began eating more junk food and less fruits and vegetables (though not back to baseline quantities). Importantly, they were eating about 400 fewer calories a day than before they started CHIP. (At the end of the six-week video program, they were down only 300 daily calories.) Unlike many weight-loss programs that count calories and limit portion sizes, an all-you-care-to-eat plant-based, whole food dietary approach appears to be more sustainable. To read the original article click here.

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The Effect of Avocados on Small, Dense, LDL Cholesterol

AHA Publisher — Thu, 19 Aug 2021 07:00:34 +0000

Michael Greger M.D. FACLM via Nutrition Facts – What are the effects of oatmeal, walnuts, extra virgin olive oil, and avocados on LDL cholesterol size? When a headline reads “Avocados could improve your cholesterol—and more,” the article and others like it are largely talking about substitution experiments, where avocado is added to the diet as a replacement for animal fats. In that case, it’s no wonder cholesterol goes down. Dairy and poultry are the two greatest contributors of cholesterol-raising saturated fat intake, so if you take people eating a standard North American diet including animal fats, they may start out with an LDL cholesterol level up around 95mg/dl. If you add avocado to their diet without doing anything else, their cholesterol does not go down; instead, it may go up to around 105mg/dl. If you add avocado while reducing saturated fat intake, though, cholesterol falls to about 90mg/dl—but that drop isn’t very different from what you’d get by just reducing saturated fat and adding nothing, which was shown to give an LDL under 90mg/dl, as you can see at 0:34 in my video Avocados Lower Small Dense LDL Cholesterol. What if you compared the effects of eating no meat at all with a meat-free diet that included avocado? Researchers took people with sky-high cholesterol levels up around 300mg/dl and switched them to either a relatively low-fat vegetarian diet with about 20 percent of calories from fat or a vegetarian diet with added avocado that took it up about 30 percent of calories from fat, which is a more typical fat content. As you can see at 1:22 in my video, the study participants started out with LDLs through the roof, and, while cutting out meat may have helped, cutting out meat and adding avocado seemed to help even more—and it may help best with the worst type of LDL. As I’ve touched on before, all LDL cholesterol is bad cholesterol. However, large, fluffy LDL may only increase the odds of cardiac events such as heart attacks by 31 percent, whereas small, dense LDL is even worse and increases the odds by 44 percent. If you feed people a lot of oatmeal and oat bran, not only does that cause their LDL to go down overall, but it specifically brings down the small LDL, the worst of the worst. What happens if you add walnuts to a low-fat diet? As you can see at 2:04 in my video, LDL goes down and, at the same time, the size distribution of the LDL shifts to be a little more benign. What if you put people on a plant-based diet with lots of fiber and nuts? As shown as 2:15 in my video, you can get a massive 30 percent drop in LDL, a drop that is comparable to a cholesterol-lowering statin drug. What’s more, this includes a drop in the small, dense LDL, which is the most dangerous. This does not happen with extra-virgin olive oil, however, so it’s not just a monounsaturated fat effect. In the famous PREDIMED study, which you can see at 2:35 in my video, those randomized to the extra nuts group got a significant drop in the smallest, densest LDL, but those randomized to the extra-virgin olive oil group did not. So, there appears to be some special components in nuts that lowers the worst of the worst LDL cholesterol. Do avocados offer similar benefits? We didn’t know until the first randomized controlled feeding trial to look at avocados and LDL size. The researchers removed animal fat from people’s diet and replaced it with either carbohydrates, avocado, or vegetable oils that had a similar fat profile to the avocados. In this way, the avocado group and the vegetable oil group were put on very similar diets, except one had the nutrients unique to avocados and the other did not. What happened? Any time you lower intake of saturated fat, such as replacing animal fat with plant fat (vegetable oil in this case) or carbohydrates, you’re going to bring down LDL. Okay, but does replacing animal fat with the whole plant food avocado make a difference? Yes. That resulted in an even better effect. To see why, the researchers broke the LDL down into large versus small. All three treatments brought down the dangerous large LDL, but the avocado had the additional effect of also bringing down the super dangerous small LDL. That’s where that extra drop came from. You can see a graph depicting these findings at 3:27 in my video. So, it’s not just a matter of replacing animal fat with plant fat. There are additional benefits to the fiber and phytonutrients of whole plant foods like avocados. If there’s something good in avocados, should we just add avocado extracts to meat? Well, incorporating avocado extracts into pork patties evidently reduces the meat’s cholesterol oxidation products that “have been well documented” to be toxic, carcinogenic, and atherosclerotic, but it doesn’t eliminate them. KEY TAKEAWAYS Dairy and poultry are two of the most significant contributors of cholesterol-raising saturated fat in the diet. Simply adding avocado to the diet without also reducing saturated fat intake does not appear to lower cholesterol and, in fact, may cause it to rise. Substitution experiments, where avocado replaces animal fats in the diet, have shown improvements in cholesterol, however, the drop does not appear to differ much from just reducing saturated fat consumption without adding anything else. Comparing the effects of a meat-free diet to a meat-free diet with added avocado, researchers found that eschewing meat while also adding avocado helped even more than merely skipping meat, and it may help more effectively with the worst type of bad LDL cholesterol, small, dense LDL. Oatmeal, oat bran, walnuts, and a plant-based diet rich in fiber and nuts have all been shown to cause LDL to lower overall and the more dangerous, small LDL, specifically, but this was not seen with extra-virgin olive oil, suggesting it is not only a monounsaturated fat effect. Researchers removed animal fat from subjects’ diets and replaced it with either carbohydrates, avocado, or vegetable oils with similar fat profiles to avocados and found that replacing the animal fat with the whole plant food avocado had the best results in reducing LDL. All three treatments lowered large LDL, but avocado had the added effect of also lowering the more dangerous small LDL. To read the original article click here.

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