16% http://www.diabetes.org OECD 2015 We are not only sicker , but - - PDF document

10/25/2018 1

Benefits of Plant-Based Nutrition

Payam Fallahi, MD, FACC, FSCAI

Interventional Cardiology, Hagerstown Heart Certificate in Plant-Based Nutrition Center for Nutrition Studies, eCornell

American Heart Association Meeting

November, 2017

American Heart Association Meeting

November, 2017 the inconvenient truth US Deaths

https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6208a8.htm http://www.who.int/en/

Worldwide Deaths

https://www.oecd.org/els/health-systems/Obesity-Update-2017.pdf

Obesity rates by country Overweight or Obese

70% of US

adults are obese or

• verweight

https://www.cdc.gov/obesity/data/adult.html

Kids

17% are

• bese

https://www.cdc.gov/obesity/data/childhood.html

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http://www.diabetes.org http://www.diabetes.org Source: OECD

Healthcare Expenditure

OECD 2015

16%

“Surely, if we are spending so much, we MUST be living longer….RIGHT??”

#34

“We are not only sicker, but we are also exporting our sickness to other countries”

• John Mackey

CEO, Whole Foods Market

Dubai

10/25/2018 3 China (1.3 bn people)

Every treatment has a risk

Harm

Benefit

Chart adapted from: T Colin Campbell, The China Study, 2006

Leading Causes of US Deaths

https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6208a8.htm

#3 killer is “Medical Error” Flawed Paradigm?

Cardiologist Endocrinologist Primary Care doctor

Chronic Disease in 2018:

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Risk factors for Heart Disease

• Hypertension
• High cholesterol
• Smoking
• Diabetes
• Overweight/Obesity
• Family History
• Inactivity
• Poor diet

50% of

adults have at least

• ne

National Health and Nutrition Examination Surveys; Fryar et al 2012 NCHS Data Brief

Poor diet

“The food you eat is so profoundly instrumental to your health that breakfast, lunch, and dinner are in fact exercises in medical decision- making.”

• -Thomas Campbell, MD

(co-author of the China Study)

30

minutes per day cooking

The average American spends…

50

minutes per day on Facebook

Slide adapted from Neal Barnard, MD Slide adapted from Neal Barnard, MD Slide adapted from Neal Barnard, MD

Calorie Rich Nutrient Poor

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Chronic Diseases directly linked to diet:

• Heart Disease
• Cancer
• Stroke
• Diabetes

“Your body is always trying to heal itself.”

“Simply stop the ‘food poisoning’ and many diseases will improve

• r go away.”
• - John McDougall, MD

Whole Food Plant Based Nutrition

300 B.C.

Whole-Food, Plant-Based Diet

• Vegetables
• Fruits
• Whole grains
• Legumes

(beans,peas,lentils)

• Nuts, seeds

90%-100% Whole Plant Foods

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How do we know a plant-based diet is

• ptimal for health?
• 300 US soldier autopsies
• Average age=22
• Over 70% had coronary

atherosclerosis

Lowered his

• wn

cholesterol from 300 to 100 by diet

1960s Africa, 1960s

64 autopsies (unexplained death)

– 22 Europeans: ALL had extensive atherosclerosis (even a 15 year old) – 42 Bantus: only 1 had atherosclerosis

• 35 had no trace of fatty streaks
• 10% fat diet

(Avg cholesterol 100 mg/dL)

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New Guinea

10% fat, 7% protein diet 600 autopsies

–Only 1 case of heart disease

BLUE ZONES

Buettner, The Blue Zones Solution, 2015

• 50% less fat intake
• 3x higher fiber intake
• Very low animal protein
• Avg cholesterol=127

(vs 203 in US)

• Heart disease 16x less
• Heart disease mortality

inversely correlated to plant food intake

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In 7 days:

• Lost 4 pounds
• Cholesterol dropped 22 points
• 90% decreased or stopped medications
• BP dropped 18 points

FAQs

Can I just take a Vitamin?

VS

Will I get enough PROTEIN?

“Kwashiorkor”: protein deficiency and malnourishment

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Vitamin B-12

Why doesn’t my doctor know about plant based nutrition?

Mrs W

• 46 yo female
• Both parents heart disease age 65, hypertension
• “What’s my risk of heart disease”
• Overweight (BMI=26)
• Total cholesterol 197
• LDL 124
• Triglyceride 185
• HDL 36
• Risk score=3%

1 year later…

• Gained 45 lbs (BMI=30; “obese”)
• Diagnosed with “pre-diabetes”
• Mild shortness of breath with exertion
• Stress test: normal

6 months later…

• Has not lost any weight or made diet changes
• Shortness of breath is worse

90% blockage

• Mrs. D
• 67 year old female office manager
• Pre-diabetes, hypertension, hyperlipidemia
• Chest pain with vacuuming the house
• Brother had heart attack age 58
• Weight: 227 lbs
• BMI=40 (“morbidly obese”)
• Stress test: abnormal

Normal

• Mrs. D

She took control

• f her life

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After 4 months of plant diet:

• Total cholesterol 264 → 129
• LDL (bad cholesterol) 187 → 64
• HbA1c is normal.
• Weight 227 → 186
• Exercises on the treadmill
• “I FEEL GREAT!!”

(Meat-eater)

My Cardiologist says I can eat MEAT !

(Plant-eater)

I don’t need a Cardiologist !

THANK YOU