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1. A New Approach to
Food and Health
Neal Barnard, MD
President, Physicians Committee for
Responsible Medicine
Adjunct Associate Professor of Medicine
George Washington University School of
Medicine
4. Diabetes Prevalence in Japan
In adults over age 40:
Prior to 1980:
1-5%
Kuzuya T. Prevalence of diabetes mellitus in Japan compiled from
literature. Diab Res Clin Practice. 1994;24 Suppl:S15-S21.
5.
6.
7.
8. Rising Fat Intake in Japan
Fat (grams/day)
60
50
40
30
20
10
0
1955
1965
Murata M. Am J Clin Nutr 2000;72(suppl):1379S-83S.
1975
1985
1994
9. Falling Carbohydrate Intake in Japan
Carbohydrate (grams/day)
430
400
370
340
310
280
250
1955
1965
Murata M. Am J Clin Nutr 2000;72(suppl):1379S-83S.
1975
1985
1994
10. Overweight and Obesity in Japan
Prevalence in Men
%
%
%
%
BMI 25-29.9
BMI ≥ 30
%
%
Yoshiike N. Obes Rev 2002;3:183-90.
Yoshiike N. Asia Pac J Clin Nutr 2002;11(Suppl 8):S727-31.
%
11. Diabetes Prevalence in Japan
In adults over age 40:
Prior to 1980:
By 1990:
1-5%
11-12%
Kuzuya T. Prevalence of diabetes mellitus in Japan compiled from
literature. Diab Res Clin Practice. 1994;24 Suppl:S15-S21.
32. Adventist Health Study – 2
60,903 participants, aged ≥30, enrolled 2002-2006
Tonstad S, et al. Type of vegetarian diet, body weight and prevalence of type 2
diabetes. Diabetes Care 2009;32:791-6.
33. European Prospective Investigation
into Cancer and Nutrition (EPIC)
N = 37,875; aged 20 – 97; enrolled 1993 - 1999
Spencer EA, et al. Diet and body mass index in 38,000 EPIC-Oxford meat-eaters,
fish-eaters, vegetarians, and vegans. Int J Obesity 2003;27:728-34.
37. Typical Day’s Meals
Breakfast
Blueberry pancakes
or Oatmeal with cinnamon and raisins
Half cantaloupe
Rye toast with jam
Lunch
Chunky vegetable chili
Garden salad with sesame dressing
Snack
Banana
Dinner
Lentil soup with crackers
Linguine with artichoke hearts and seared oyster mushrooms
Steamed broccoli
Age-Adjusted Prevalence of Diagnosed Diabetes per 100 Adult Population, by State, United States
We saw no change in body weight in control group participants, but an average of 11 pound weight loss in participants in the vegan group.
16 control-group participants began the optional program initiated at their site. These participants attended an average of 46% of meetings and lost a mean of 9 lb. Attendance was significantly correlated with weight loss (r = -0.61, P = 0.01). Of participants who attended >50% of meetings (n = 8), mean weight loss was 13 lbs.
As you would expect, waist circumference also decreased in the vegan group – about two inches smaller (or X cm).