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

10/25/2018 Obesity rates by country Benefits of Plant-Based Nutrition the inconvenient truth Payam Fallahi, MD, FACC, FSCAI Interventional Cardiology, Hagerstown Heart Certificate in Plant-Based Nutrition Center for Nutrition Studies, eCornell https://www.oecd.org/els/health-systems/Obesity-Update-2017.pdf American Heart Association Meeting US Deaths Overweight or Obese 70% of US adults are obese or overweight November, 2017 https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6208a8.htm https://www.cdc.gov/obesity/data/adult.html Worldwide Deaths American Heart Association Meeting Kids 17% are obese November, 2017 http://www.who.int/en/ https://www.cdc.gov/obesity/data/childhood.html 1

10/25/2018 Healthcare Expenditure 16% http://www.diabetes.org OECD 2015 “We are not only sicker , but we are also exporting our sickness “Surely, if we are spending so much, we to other countries” MUST be living longer….RIGHT??” -John Mackey CEO, Whole Foods Market http://www.diabetes.org Dubai #34 Source: OECD 2

10/25/2018 Every treatment has a risk Harm Benefit China (1.3 bn people) Flawed Paradigm? Chart adapted from: T Colin Campbell, The China Study , 2006 Leading Causes of US Deaths Chronic Disease in 2018: #3 killer is “Medical Error” Cardiologist Endocrinologist Primary Care doctor https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6208a8.htm 3

10/25/2018 The average American spends… 30 50 minutes per day cooking minutes per day on Facebook Slide adapted from Neal Barnard, MD Risk factors for Heart Disease • Hypertension 50% of • High cholesterol • Smoking Poor diet • Diabetes adults have at least • Overweight/Obesity one • Family History • Inactivity • Poor diet National Health and Nutrition Examination Surveys; Fryar et al 2012 NCHS Data Brief Slide adapted from Neal Barnard, MD “The food you eat is so profoundly instrumental to your health that Calorie Rich breakfast, lunch, and dinner are in fact exercises in medical decision- Nutrient Poor making.” --Thomas Campbell, MD (co-author of the China Study) Slide adapted from Neal Barnard, MD 4

10/25/2018 90%-100% Whole Plant Foods Chronic Diseases directly linked to Whole Food diet: • Heart Disease Plant Based • Cancer • Stroke Nutrition • Diabetes 300 B.C. “ Your body is always trying to heal itself . ” “ Simply stop the ‘food poisoning’ and many diseases will improve or go away.” -- John McDougall, MD Whole-Food, Plant-Based Diet • Vegetables • Fruits • Whole grains • Legumes (beans,peas,lentils) • Nuts, seeds 5

10/25/2018 1960s How do we know a plant-based diet is Lowered his own optimal for health? cholesterol from 300 to 100 by diet Africa , 1960s • 300 US soldier autopsies 64 autopsies (unexplained death) • Average age=22 – 22 Europeans: ALL had extensive atherosclerosis (even a 15 year old) • Over 70% had coronary – 42 Bantus: only 1 had atherosclerosis atherosclerosis • 35 had no trace of fatty streaks • 10% fat diet (Avg cholesterol 100 mg/dL) 6

10/25/2018 New Guinea 10% fat, 7% protein diet 600 autopsies – Only 1 case of heart disease BLUE ZONES • 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 Buettner, The Blue Zones Solution , 2015 Slide from Neal Barnard, MD 7

10/25/2018 Can I just take a Vitamin? VS In 7 days : • Lost 4 pounds • Cholesterol dropped 22 points Will I get enough PROTEIN ? • 90% decreased or stopped medications • BP dropped 18 points “Kwashiorkor”: protein deficiency and malnourishment FAQs 8

10/25/2018 1 year later… Mrs. D Vitamin B-12 • 67 year old female office manager • Gained 45 lbs (BMI=30; “obese”) • Pre-diabetes, hypertension, hyperlipidemia • Diagnosed with “pre-diabetes” • Chest pain with vacuuming the house • Mild shortness of breath with exertion • Brother had heart attack age 58 • Stress test: normal • Weight: 227 lbs • BMI=40 (“morbidly obese”) • Stress test: abnormal Mrs. D Normal Why doesn’t my 6 months later… • Has not lost any weight or made diet changes doctor know • Shortness of breath is worse about plant based nutrition? 90% blockage Mrs W • 46 yo female • Both parents heart disease age 65, hypertension She took control • “What’s my risk of heart disease” • Overweight (BMI=26) of her life • Total cholesterol 197 • LDL 124 • Triglyceride 185 • HDL 36 • Risk score=3% 9

10/25/2018 (Meat-eater) After 4 months of plant diet: My Cardiologist • Total cholesterol 264 → 129 says I can eat MEAT ! • LDL (bad cholesterol) 187 → 64 • HbA1c is normal. (Plant-eater) • Weight 227 → 186 • Exercises on the treadmill I don’t need a • “I FEEL GREAT!!” Cardiologist ! THANK YOU 10