Ah, it’s good to be back in the saddle again. The challenge was a lot of fun – don’t get me wrong – but ultimately both you guys and I come here for the dispensation of musings and information and writings and discussion on health, fitness, and any other number of lifestyle topics. So, let’s get to it, shall we?
Today, we’re doing a roundup of three questions and answers. First, I address the latest insinuation from Dean Ornish that we’re all killing ourselves despite our weight loss, our fitness gains, our prescription reductions, our improved outlooks on life, and our elevated levels of general happiness and satisfaction. Next, I discuss whether or not those light therapy boxes designed to combat seasonal disaffective disorder and reset circadian rhythms will also help us generate vitamin D . And finally, I explore the research linking the intake of pickled vegetables like kimchi to gastric cancer. Let’s go:
This isn’t the first time I’ve mentioned Ornish. Way back in 2007, I wrote about a study comparing the Ornish diet, the Atkins diet, the Zone diet, and the LEARN diet. I won’t get too deep into his criticisms of low-carb, high-fat (or should I say “high-protein”) diets, because they’re based on the very same studies that have been thoroughly ravaged across this and other blogs for the past few years. Like my piece on the connection between red meat and type 2 diabetes here , and Denise Minger’s piece on the connection between low-carb diets and heart disease in Swedish women here .
Instead, my main focus will be on Ornish’s claim that his diet is optimal, that his magic diet program can reverse atherosclerosis and result in weight loss that obliterates the cheeseburger-and-buttered-bacon-fueled opposition. He makes this claim a lot, and you hear about it all the time from other sources. What’s he talking about? Where is this coming from? Why, he must have an impressive personal archive of statistics from diet study after diet study in which patients were placed on the Ornish plan and didn’t just thrive, but became supernatural beacons of health. Right?
Not really. It all comes from a single study done on 35 people published back in 1998. Twenty people were randomly selected to receive the Ornish diet – a low-fat, vegetarian diet rich in fruits, vegetables, legumes, grains, and soybean products. They were also placed on a lifestyle modification program which had them exercise regularly, go to stress management training, stop smoking, and do psychosocial support group meetings. That was the experimental group. The other fifteen – the control group – were not counseled in this manner, instead being told to merely “keep listening to their physicians.” How did this all play out?
The experimental group was exercising five hours a week; the control group was exercising two and a half hours a week.
The experimental group was spending 87 minutes per week performing stress management techniques like meditation; the control group was spending less than five minutes a week doing it.
The experimental group lost almost 24 pounds after a year and managed to keep 12 of them off after five years. The control group lost little to no weight.
Sure enough, by the end of the study, the experimental group had reduced atherosclerosis. After five years, the experimental group had experienced 0.89 cardiac events per patient, while the control group had experienced 2.25 events per patient. Things definitely improved.
So, what was it? Was it the diet alone that improved the experimental group’s health, as Ornish loves to emphasize? Or could it be that the weight loss, the meditation, the stress reduction, the exercise, and the lack of smoking also played a role in improving their heart health?
We already know that weight loss improves health, and a recent study even suggests that the type of diet isn’t very important for improving the function of blood vessels so long as you’re losing belly fat on it. We know that meditation and stress reduction can lower hypertension and reduce mortality from heart disease (and it can even increase telomerase , which Ornish again says his diet is responsible for). We know that regular exercise fights heart disease . And everyone knows that smoking tobacco is a terrible choice ( PDF ) for patients with heart disease (and anyone else, really).
So why does Ornish feel the need to reduce the benefits of his program to the composition of the diet while deemphasizing and often failing to mention the other aspects of the lifestyle modification program he recommends?
Because if he didn’t, he’d have to acknowledge that other diets can work alongside “lifestyle modification,” even – or especially – diets that include ample amounts of animal fat and .
To sum up, Ornish’s program – the diet that leads to weight loss, the exercise, the stress reduction, and the cessation of smoking – clearly seems to work for improving heart health. But he hasn’t proven that the specifics of his vegetarian low-fat diet are the main reason, nor has he shown that a high-fat, low-carb diet would somehow negate the proven benefits of the non-diet lifestyle modifications.
And sorry, haven’t had time to look into the overmineralization theory yet. Thanks for the reminder, though!
I like the wake lights. They’re great for normalizing your circadian rhythms and getting you more in tune with the ebb and pulse of the day. And while actual natural light is probably best and perhaps irreplaceable, the GoLITE Blu is a fantastic option for when you just can’t get outside to let your eyes perceive the real stuff. However, the wake light unfortunately does not help with vitamin D production. For vitamin D, you absolutely need to expose your skin to UVB rays, the kind generated by the sun.
There is a lamp that generates enough UVB to stimulate vitamin D production, designed by Dr. Holick, author of The Vitamin D Solution . If anything will work, that should. At $425, it’s a little steep, but if you want to generate vitamin D the natural way without sun, that’ll do it.
Let me know how it goes.
Thanks for the compliments!
It’s true that kimchi has been linked in several observational studies to cancer, but not colorectal cancer. It’s actually stomach, or gastric, cancer that’s primarily associated with kimchi intake. To get an idea of what they’re talking about, take a look at one of the latest of these studies, a 2009 meta-analysis entitled “Fresh and pickled vegetable consumption and gastric cancer in Japanese and Korean populations: A meta-analysis of observational studies.”
I think there are a few possible explanations for this:
But that’s not the entire picture:
Confusing, huh? If any lesson can be gleaned from this, it’s to treat fermented vegetables, including kimchi, as a condiment. Also, you’ll want to make sure that your fermented vegetable intake does not replace your fresh vegetable intake. Fresh veggies should provide bulk and volume to your meals, while fermented vegetables should act as adornments and meal enhancers. Treat fermented and fresh vegetables like you treat cured meats and fresh meats; as delicious as bacon is, you don’t want it to comprise the majority of your meat intake.
To answer your questions:
Oh, and avoid radish kimchi at all costs or risk certain death!
Just kidding. Thanks for reading, folks.