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Is Low Fat, Plant-based Diet the Optimal Diet for Heart Health? | The Proof Clips EP  

The Proof with Simon Hill
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The low fat, plant-based community is quite known for their stand that reducing fat intake while eating more plants is the way to go when it comes to preventing or reversing cardiovascular disease. The idea is that every time we consume oil, dairy, or meat, we subject the protective shield of our vascular health, known as the endothelial cells, to damage. These cells, which form a single layer lining our blood vessels produce a remarkable substance called nitric oxide that keeps our blood vessels relaxed, prevents the stickiness of white blood cells and platelets, and hinders the formation of plaque, a.k.a. the dreaded 'hardening of the arteries.'
Interestingly, we've all heard about that non-strictly vegan diet that has had its share of headlines reporting how it can lower the risk of cardiovascular disease.
What gives? Is going low fat with a vegan diet the optimal diet for the heart? Find out in this conversation with Dr. Matthew Nagra.
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2 окт 2024

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Комментарии : 104   
@rolandovelasquez135
@rolandovelasquez135 Год назад
Dang! Eating has become so complicated. 😳
@RXP91
@RXP91 Год назад
One blueberry has more polythonols than a tablespoon of olive oil. Olive oil isn’t a good source of polys
@sleazycakes
@sleazycakes Год назад
Not all polyphenols are created equal, so simply comparing foods by weight of total polyphenols doesn't make much sense. Since they have different effects, having a range of polyphenols is probably best.
@AnneAlready
@AnneAlready Год назад
This is an extremely reductionist way of comparing polyphenols!
@Swameh
@Swameh Год назад
​@@sleazycakesthank you, we forget that there are different polythenols. Most people are probably not taught that - I didn't know there were different types of magnesium till a few months ago 😅
@Lieutenant-Dan
@Lieutenant-Dan Год назад
​​​@@AnneAlreadyfocusing in on polyphenols alone is also reductionist. A lot of nutrition science and analysis is reductionist. He was responding to Simon mentioning polyphenols in olive oil and he's right, it's really not a great source.
@RXP91
@RXP91 Год назад
@@Lieutenant-Dan Thank you - that's exactly what I was referring to, obviously overall eating pattern is the most useful gauge. But it's a nutrition podcast - we can be reductionist!. I can't see the mechanism of action for benefits of olive oil being from polys. Outside of a carnivore diet where there's 0 poly's - there it might be useful.
@Mimulus2717
@Mimulus2717 Год назад
I think it is also important to point out that weight reduction is critical for cardiovascular health and for many people genetically prone to being heavier eating a no oil/low fat diet/low calorie density diet helps make that possible. Oil plus bread may not be crippling to arteries but it sure can pack on the pounds if you are eating too much of it.
@ThingsYoudontwanttohear
@ThingsYoudontwanttohear Год назад
Yes exactly, and being in an energy surplus/deficit can change the effect saturated fat (palmitate specifically) and PUFAs have on NAFLD. Plaque build-up in the arteries might possibly also be influenced by calorie balance in a similar way. Or at least we could say that the negative effect on insulin sensitivity by high saturated fat intake is more pronounced when the subject is in a energy surplus, which in turn influences a cascade of other bodily processes to a greater extent.
@skippy6462
@skippy6462 Год назад
I was on holiday in Spain with relatives eating wfpb but the relative used extra virgin olive oil in their kitchen and my goodness I gained too much weight especially for only 1 week holiday. In Spain they say there's health benefits for evoo but the weight gained isn't worth it.
@samieramohamed2467
@samieramohamed2467 Год назад
@@skippy6462 oil is high density calories macro one has to be very careful. Healthy food doesn’t mean is a license to eat as we please . One has to be mindful. Healthy foods amount, quality and timing if not with circadian rhythm becoming junk foods. A consultant friend of mine busy missed her time to eat, did not eat because she wrote to me her healthy food will become junk food. So disciplined asked if ok to eat breakfast after 36 hours fasting answered her yes but eat not all the time shorten eating window. Biology is complicated need deeper knowledge.
@NewEnglandInSeattle
@NewEnglandInSeattle Год назад
I'm with you on that. I know how good almonds and walnuts and cashews are for you, but I can't have them in the house. I love them too much and can't control myself; I'd eat a 5 pound bag if there was one around. I'll grab some of them in the to-go packets if I'm at a convenience store, but I just can't have nuts and seeds around the house.
@kevinf2021
@kevinf2021 Год назад
What does he think about the Nathan Pritikin autopsy showing clean arteries from low fat plant based diet ?
@golaoi
@golaoi Год назад
If you want to see REALLY clean arteries, do a post mortem on someone who's died of a wasting cancer. I've done 3000 postmortems in my time.
@JWB671
@JWB671 Год назад
I bought an old Pritikin diet book and have reduced my LDL cholesterol from 238 to 77 in 3 months.
@Lieutenant-Dan
@Lieutenant-Dan Год назад
It's hard navigating all this. You've got super experienced vegan doctors who have had a lot of experience reversing disease like Esselstyn, Ornish, McDougall, Goldner preaching no oil, low fat and/or keeping omega 6 low but then you have other vegans like yourselves who are super versed in reading the science saying oils, nuts and seeds are fine and even beneficial to replace carbs with. Goldner says to keep flax and chia high for imega 3 and that too much omega 6 is inflammatory. She's reversing all kinds of diseases in people, including Lupus in herself with her protocols. Nutritional science is a circus, im so confused on what to eat.
@fitnesse1288
@fitnesse1288 Год назад
Goldner is low oil but she is not low fat.
@Lieutenant-Dan
@Lieutenant-Dan Год назад
@@fitnesse1288 yeah she's all for avocado, flax and chia but other nuts and seeds can be very high in omega 6. Walnuts are the highest even though are generally considered one of the healthiest nuts. I'm honestly so confused about the whole fat debate. Some of these other nuts have a lot of other good nutrients. Right now I'm loosely following McDougall and Goldner's advice. I eat starches plus a lot of raw food and greens, I eat flax, chia and avocados but keep all other nuts, seeds and oils to a minimum. Vegsource has some good videos about how sketchy some of the nut and oil studies are, a lot of which are industry funded.
@patangel1652
@patangel1652 Год назад
Yes I’m also so confused. The more I research and listen to different podcasts from people who specialise in this field the more confused I get. I’m doing my own thing now and no longer following any one longevity modality.
@radoslavkristin9830
@radoslavkristin9830 Год назад
You are making a good point.. should you trust someone who is a picture of health in their 70s or 80s or someone in their 30s regardless what papers say.. because we know that younger person can get away with more "harming" foods.. I like nuts and other fat sources but my money is on Esselstyn, their whole family is incredibly healthy and he has fantastic results with patients.. I am pritikin's fan though which is similar approach
@k.h.6991
@k.h.6991 Год назад
Any of these WFPB diets are healthy. Assuming proper B12 supplementation. If you want to limit oils, for weight management issues or some other reason: go ahead. The debate here is only that the evidence isn't strong that you need to limit oils for heart disease prevention, assuming weight is at reasonable levels.
@smilebot484
@smilebot484 Год назад
i think we need to make a distinction between fat and oil. we can eat low oil but not low fat.
@InspiriumESOO
@InspiriumESOO 9 месяцев назад
Define low fat. Humans are absolutely capable going as low as 4% calories from fat without a problem. In fact the minimum seems to be about 2%. 5-10% is easily achievable.
@samieramohamed2467
@samieramohamed2467 Год назад
Thanks, points please, no drama, no stress.This answer makes me lost although I am a medical professional deeply in health. God helps those who wants clear answer .
@advertiserfriendlyusername5362
A low-fat plant-based diet is improved with the addition of unsaturated fat sources, e.g. tofu, tempeh, natto, soy nuts, tree nuts, peanuts, oils, etc.
@billdublewhopper3064
@billdublewhopper3064 3 месяца назад
Not if you have Coronary artery disease
@seangreen8262
@seangreen8262 Год назад
Its important to point out that cordio trial published in lancet, that was referred to in this vidio WAS SPONSORED BY OLIVE OIL COMPANIES
@jeffreywp
@jeffreywp Год назад
Ouch, braving the lion’s den! (Though, I suppose that’s not the best vegan analogy. 😂 ) Seriously, I appreciate you touching on this sensitive topic which sadly vegans frequently make out to be an attack on the forefathers of the WFPB lifestyle: Drs. Esselstyn, Ornish, McDougall. That’s not always the case. Sadly, vegans should be open to critique and refinement. It only makes our dietary choice stronger from a health standpoint (versus only ethics and environmental) to be pushing for the best science!
@leeduli
@leeduli Год назад
Simon and Matt have cured me of my fear of oils. Now I cook with canola or olive oil without fear!
@mollynicoledart
@mollynicoledart Год назад
I would love for you to have a conversation with Freelee! She is a low fat fruit based vegan who doesn’t get much of a chance to explain her position, very well educated and can hold a great debate. She’s also Australian and lives in New Queens Land. Thanks for your research and videos :)
@mjs28s
@mjs28s Год назад
Eh. After a few years of eating about 80% to 85% calories from whole plant foods and the other 15% from plant foods (processed like pastas, soy milk, etc), my weight was stable. I was still making gains with working out (adding a rep here and there or adding weight) so everything was pretty consistent and slightly improving. My body-weight was in about a 2lb range over a week long period. I decide to try cutting my fat back. I went from right at 60g per average day to 29 per average day. I also replaced those lost calories with carbs and fat. My body found a new weight set-point that was 2.5lbs lighter and that is where it pretty much stays, within a narrow range as my diet is pretty consistent. Still making exercise gains here and there like before. Right now, according to cronometer, I am sitting at 12% to 13% calories from fats - the healthy ones of course, and feel great like I did before and I look a tiny bit more toned. Maybe my results are because of having such a high intake of whole plant foods. Likely, if I just ate like a "normal" person and just cut the fat by going to low-fat processed products my results would be not there or not. But, eating a diet very high in whole plants sure has made me feel WAY better than in the past, and I was never obese either and was still always exercising. I thought I felt great because my 'normal' back then was a much lower bar. Today I feel great, look better, and am healthier than I have ever been. Dropped my cholesterol by over 130 points so far. I hope it comes down a bit more, but even going back to being a pre-teen it was never this low. If anyone wants to keep eating garbage because taste pleasure, at least cut it back and get your diet to at least 50% calories from whole plant foods. I'd try to push it to 75% if I were you. The 80% to 85% is still pretty easy finding foods to fit the bit....although it took awhile to get used to the volume since I only eat twice per day.
@golaoi
@golaoi Год назад
Relaxation was part of the Ornish regime... Esselsteyn's trial ripped apart by cardiologists. If IHD lowest in vegans, how about France, Hong Kong?
@imhassane
@imhassane Год назад
France doesn't have a low IHD (CVD is the 2nd killer in France) and Hong Kong is mostly plant based, only the new generation seems to be eating a lot of meat (even that, they are mostly plant based) so we have to wait like 20 to 30 years to see how heart disease progress among the new generation but it seems to be on the rise as even their health department has warned their population about rising IHD if they keep eating the western diet that is becoming more and more popular.
@doddsalfa
@doddsalfa Год назад
Conventional doctors hate dr Esselstyn especially cardiologists because he’s taking their livelihood’s from them ‘French people gets coronary disease just like the nation around them and in Hong Kong the big meat eaters ,are the young newly rich but the old people still stick to their mostly plant based diet and live relatively long life
@golaoi
@golaoi Год назад
@@imhassane France doesn't have low IHD?? Check Eurostats. It has lowest MI rates in Europe every year. Very old people have to die od something.
@citizenjournalist2533
@citizenjournalist2533 Год назад
@@doddsalfa The subjects in Essy's "landmark" study, were ALL put on cholesterol lowering drugs in the second year of his five year study and there were only 22 subjects not 198. Esselstyn CB Jr, Ellis SG, Medendorp SV, et al. *A strategy to arrest and reverse coronary artery disease: a 5-year longitudinal study of a single physician’s practice.* J Fam Pract. 1995;41:560-568. "In a 1985 program initiated at the Cleveland Clinic, we examined whether plant-based nutrition could arrest or reverse advanced coronary artery disease...in *22 patients.* One patient with restricted myocardial blood flow documented by positron emission tomography...showed reperfusion on a repeat scan just 3 weeks after starting our nutritional intervention (FIGURE 1). Within 10 months of the start of treatment, another patient with severe right calf claudication and a quantifiably diminished pulse volume experienced total pain relief and exhibited a measurably increased pulse volume amplitude. *Thus encouraged, we followed the small cohort of patients (adding cholesterol-lowering drugs in 1987)* and reported results after 5 and 12 years of follow-up. Of the 22 patients, 17 were adherent to the protocol, and their disease progression halted. In 4 of the 12, we angiographically confirmed disease reversal, which can be striking." *Also, I think if you read the original paper, eggs, skim milk and fat free yoghurt were NOT on the foods prohibited list.*
@scispiracy
@scispiracy Год назад
It's worth noting that the notion that a vegan diet is inherently superior is not entirely accurate. Hill frequently references veganism in the context of a healthier eating approach, but this is not always the case. For instance, items like Oreos and french fries can be considered "vegan" under his definition, but they are not necessarily healthy. Additionally, it's important to recognize that veganism is not simply a dietary choice - it's a philosophy rooted in the belief that minimizing harm to animals and reducing their suffering is a moral imperative. This often involves avoiding animal products in all aspects of life, not just in food.
@dbmittens
@dbmittens 4 месяца назад
I recently participated in the Ornish intensive cardiac rehab program and I want to note that the Ornish diet now excludes egg whites and low fat dairy. It's essentially the same as Esselstyn, except Ornish allows an ounce of nuts/day for their beneficial fats. There are years of articles and recipes around that cite egg whites and low fat dairy, but the diet is fully vegan now.
@sammavitae114
@sammavitae114 Год назад
It would be interesting if comparative carotid scans were done on long term low fat followers vs Mediterranean followers vs vegetarian.
@Mrm1985100
@Mrm1985100 11 месяцев назад
The lower risk in the Esselstyn study was dramatically lower.
@Yasqo
@Yasqo Год назад
Thoughts on advanced glycation end products (AGEs) in relation to dietary variation patterns (i.e., low fat vs moderate fat vs high protein etc)? Or is it just a case of not combining foods that cause AGEs and just eat carbs, fats, and proteins separately as far as it is practical?
@Yasqo
@Yasqo Год назад
@@Vscustomprinting I understand more or less what you’re saying. AGEs are naturally formed as a result of glycation between the molecules (sugars, proteins, and fats), which is a normal part of the metabolic process. I think the issue is with excessive accumulation of AGEs and that’s what I trying to get at, and it is formed in the bloodstream and within tissue. Having a strong immune system, whichever way that is achieved, could mitigate some of the detrimental effects of AGEs. Caloric restriction, time-restricted eating, physical exercise, and other interventions could potentially also help. I’m not trying to make it harder, I’m just trying to understand how a specific dietary composition affects longevity.
@sparkythesolocruiser6375
@sparkythesolocruiser6375 Год назад
Next month will be my sixth anniversary of doing a whole food plant-based low sugar, oil, salt, lifestyle. And sure, I'm not always perfect. I eat some vegan junk food once in a while and I even have off days. Sometimes for seafood or cheese. So maybe some days I'm a Mediterranean diet person .... But I have to tell you it is working for me. I just had my welcome to medicare Physical and my Blood Pressure is Perfect and the other numbers were great. But the best thing is, I wake up every morning with so much energy. I use a little Olive oil Once in a while for flavor but no longer use lots of it..... And even though I'm a borderline alcoholic. I drink way too much .... but my health is Doing pretty good.....👨‍🦰🏜
@k.h.6991
@k.h.6991 Год назад
It's great that you are doing so well.
@jaym9846
@jaym9846 8 дней назад
Maybe oils help transport more of the magical polyphenols into circulation.
@doddsalfa
@doddsalfa Год назад
"If the truth be known coronary artery disease is a toothless paper tiger that need never, ever exist and if it does exist it need never, ever progress." Dr.Caldwell Esselstyn
@Amanda_downunder
@Amanda_downunder Год назад
I think Prof Cousens would be good to interview; he was just on MsFitVegan's channel ! for some, plenty of fruit is not possible ! still, plants only is the way !
@frankiefernandez5252
@frankiefernandez5252 Год назад
"Essential" fatty acids and "essential " amino acids are necessary. There's no such thing as an "essential " carbohydrate. Your liver will make all the glucose your body needs (Gluconeogenesis).
@davidhogg1216
@davidhogg1216 Год назад
What is the definition here of “low fat”. Is it 10 or 15 or 20% of calories? Further, does the 👆🏼calculation include invert fat of the food or only added or overt fat ?
@citizenjournalist2533
@citizenjournalist2533 Год назад
10%
@citizenjournalist2533
@citizenjournalist2533 Год назад
@@gb7168 I don't know about Si's opinion, I only know 10% is what Essy and Ornish recommend and includes total fat-invert and added.
@JWB671
@JWB671 Год назад
I eat avocado, chicken breast, macadamia nuts, and lean ground beef at EVERY meal and still consume no more than 10% of my calories from fat. You don’t have to be vegan to achieve this, you just have to own a very accurate scale.
@JWB671
@JWB671 Год назад
@@gb7168 No,I eat 10% of my total calories from fat and still eat all those foods plus Salmon every day also which I forgot to mention. I just use a VERY accurate small scale,as well as a regular food scale, and eat some of them in micro amounts. Yesterday I ate 7% of my total calories from fat which was 24 grams of fat. I ate 570 grams of carbs and 124 grams of protein. Avocados 84g, chicken breast 179g, 93% ground beef 35g, Pink Salmon 26g, macadamia nuts 4g were the totals for the day. Every 2 weeks I mix cooked steel cut oats 420g in a bowl with 1lb of cooked ground beef and a large can of pink salmon. I divide the mix into 14 ziploc bags and freeze them, then I add 1 bag per day to my mix of food as I prep it (I eat the same meal 4 times per day btw). Every day is slightly different but the main other foods I eat every day are white potatoes, red potatoes, sweet potatoes, white rice, carrots, cauliflower, zucchini, mushrooms and apples. When I was low carb, higher fat my LDL cholesterol was 238, now it is 77 at the exact same calorie level and body weight.
@modo1896
@modo1896 Год назад
I think "low fat" in a lot of these studies is around 30% of calories.
@StephenMarkTurner
@StephenMarkTurner Год назад
"Low fat" is just too vague. Mastering diabetes often mention a meta analysis of 'low fat' diets where most of the diets included were 25-30% fat.
@aaronash58
@aaronash58 Год назад
the longest lived countries in the world average a fat in the diet of around 40% so a 25% diet IS low.
@StephenMarkTurner
@StephenMarkTurner Год назад
@@aaronash58 Blue Zone diets are not 40% fat, more like 20
@JWB671
@JWB671 Год назад
The magic happens at 10% fat imho. Plus you can eat a shitload of food if you only eat 10% of your calories from fat. I eat 2900 calories a day but get to eat around 7lbs of food by weight and that is after cooking.
@fitnesse1288
@fitnesse1288 Год назад
@@aaronash58 That kind of data is not good to draw conclusions from. 1. That's only the average for the country. It's possible that within the country people who eat less fat still have better outcomes. 2. You're comparing the current diet to outcomes based on past health actions. If everyone in those countries suddenly decided to smoke, it would not make smoking healthy.
@aaronash58
@aaronash58 Год назад
@@fitnesse1288 there are plenty of countries that eat less fat on average, they dont tend to do better, the smoking analogy makes little sense.
@veganpundit1
@veganpundit1 Год назад
💚🎯
@isa-manuelaalbrecht2951
@isa-manuelaalbrecht2951 Год назад
Fine for bloodtype A and AB, not working for bloodtype 0 nor B= low fat diet..
@alxdava2004
@alxdava2004 Год назад
Simple answer: NO. Exactly the contrary is true.
@catzel1ps452
@catzel1ps452 Год назад
Ah yes that's why Americans are so healthy lel
@catzel1ps452
@catzel1ps452 Год назад
You people cope so unbelievably hard. Just like this new wave of sudden cholesterol deniers. You can literally test this at home easier than ever with an spo2 finger test. Or maybe just don't ignore the literal global blue zones around the world where people live longest.
@catherinekasmer9905
@catherinekasmer9905 Год назад
I disagree. The Ornish Cardiac Rehsb, Esselstyn’s program, Dr. McDougall have had tremendous results in real life.
@lenguyenngoc479
@lenguyenngoc479 10 месяцев назад
I disagree. He mentioned the Lyon trial. In that trial, after 10 years 25% of their patients have a heart attack or stroke. After 12 years on Esselstyn diet, only 0.6% have a stroke. 1 stroke. Both trial only have around 180-300 people. If that "25%" happen to you, u won't like it. I like the number 0.6% better
@LisaCulton
@LisaCulton Год назад
Fat is where it's at. I'm talking about real fat, not industrial seed oils.
@fitnesse1288
@fitnesse1288 Год назад
One very funny thing that anti-seed oil folks won't admit is that canola has the best omega 3 to 6 ratio of any common oil. And olive oil's production is just as "industrial".
@LisaCulton
@LisaCulton Год назад
@@fitnesse1288 I don't use canola oil and the olive oil that I use (never for cooking) is the best extra-virgin oil, which means that the olives are simply pressed one time and the oil collected. That's not industrial, that's simply how it's been done for millennia. Other than that, I'm using animal fats.
@chiyerano
@chiyerano Год назад
​@@LisaCultonI hope you know that animal fat is the natural source of trans fats, the very same kind of fats found in hydrogenated vegetable oils or seed oils. Feel free to look it up.
@LisaCulton
@LisaCulton Год назад
@@chiyerano The hydrogenation is what creates trans fats. I'm well aware. Therefore, I do not consume hydrogenated anything. Just natural animal fats. Thanks for your concern.
@chiyerano
@chiyerano Год назад
​@@LisaCultonDo a Google scholar search on the types of fats contained in animal fats and see for yourself. This is why lean meats are often recommended for diet instead of fatty meats. Animal fats contain trans fats. Look it up.
@citizenjournalist2533
@citizenjournalist2533 Год назад
The subjects in Essy's "landmark" study, were ALL put on cholesterol lowering drugs in the second year of his five year study and there were only 22 subjects not 198. Esselstyn CB Jr, Ellis SG, Medendorp SV, et al. *A strategy to arrest and reverse coronary artery disease: a 5-year longitudinal study of a single physician’s practice.* J Fam Pract. 1995;41:560-568. "In a 1985 program initiated at the Cleveland Clinic, we examined whether plant-based nutrition could arrest or reverse advanced coronary artery disease...in *22 patients.* One patient with restricted myocardial blood flow documented by positron emission tomography...showed reperfusion on a repeat scan just 3 weeks after starting our nutritional intervention (FIGURE 1). Within 10 months of the start of treatment, another patient with severe right calf claudication and a quantifiably diminished pulse volume experienced total pain relief and exhibited a measurably increased pulse volume amplitude. *Thus encouraged, we followed the small cohort of patients (adding cholesterol-lowering drugs in 1987)* and reported results after 5 and 12 years of follow-up. Of the 22 patients, 17 were adherent to the protocol, and their disease progression halted. In 4 of the 12, we angiographically confirmed disease reversal, which can be striking." *Also, I think if you read the original paper, eggs, skim milk and fat free yoghurt were NOT on the foods prohibited list.*
@sammavitae114
@sammavitae114 Год назад
I thought that the naturopath was clear that the study that had the egg whites and low fat dairy was the Ornish study not Esselstyn’s.
@citizenjournalist2533
@citizenjournalist2533 Год назад
@@sammavitae114 both studies did. Access the original paper I cited in my OP.
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