June 21, 2017 Dr. Neal Barnard
Did you know that 80 percent of heart attacks could be prevented if we overhauled our diets and lifestyle?
Studies show that people who follow a plant-based diet based on fruits, vegetables, whole grains, and legumes have lower blood pressure, lower cholesterol levels, and the lowest rates of heart disease. One study showed that 81 percent of patients with heart disease who switched to a plant-based diet experienced fewer symptoms and complications, while nearly a quarter reversed the disease entirely.
To put it in perspective, adopting a healthy lifestyle could prevent up to 80 percent of heart attacks, while statins—the most commonly prescribed cholesterol lowering drug—prevent up to 36 percent.
But cardiologists—the doctors tasked with treating, managing, and protecting us from America’s No. 1 killer—probably won’t tell you that and might not even know it themselves.
According to a new study, 9 in 10 surveyed cardiologists reported that they received little to no nutrition education during their cardiology fellowship training.
On top of that, the majority of cardiologists have very little time with their patients to discuss lifesaving nutrition interventions.
So what can we do? To truly begin tackling heart disease and the other lifestyle-related diseases that now account for 7 in 10 U.S. deaths, we have to start prioritizing prevention. It’s time for doctors to start leading the way in acknowledging the underlying causes of food-related illnesses. The Physicians Committee offers free resources for establishing nutrition education curriculum in medical schools, continuing medical education courses for current doctors, and hosts the International Conference on Nutrition in Medicine each year for health care providers.
Patients in hospitals and economically disadvantaged people need greater access to healthy foods. The American Medical Association agrees and just passed two important nutrition resolutions that will make this possible. One encourages hospitals to add more plant-based options and remove processed meats. The other calls on the federal government to improve the healthfulness of the Supplemental Nutrition Assistance Program, formerly known as Food Stamps. Below, I explain why it’s so important that the AMA is calling for more healthy foods and less junk food:
June 1, 2017 Dr. Neal Barnard
The United States pulled out of the Paris Climate Accord today. But we can continue to help fight climate change and protect the environment in other ways, including eating a plant-based diet. Did you know that eating beans instead of beef is beneficial for the environment? Or that it takes 660 gallons to make one single burger?
Share these five graphics to let the world know that no matter what happens with the #ParisAgreement, you are committed to fighting climate change with a plant-based diet.
— Physicians Committee (@PCRM) April 22, 2017
— Physicians Committee (@PCRM) May 24, 2017
— Neal Barnard, MD (@DrNealBarnard) April 22, 2017
— Neal Barnard, MD (@DrNealBarnard) April 21, 2017
— Neal Barnard, MD (@DrNealBarnard) April 22, 2017
“I don’t think I can deny a paying patient the right to smoke a cigarette. As a service to the patient I will have to insist we have cigarette machines in the hospital,” said a hospital administrator quoted in 1964 New York Times article.
On Jan. 11, 1964, the first Surgeon General’s Report on Smoking and Health was issued to controversy and acclaim—but, in many cases, not much change. Surgeon General Dr. Luther Terry’s landmark report was the first federal government report linking smoking and illness, including lung cancer and heart disease. Change was a long time coming, however.
I’m sure many of you remember, as I do, the days when many doctors smoked and hospitals debated whether they should infringe on patients’ “right to smoke” in the hospital. Another hospital administrator quoted in the 1964 New York Times noted that, despite the recent Surgeon General’s report, “some of the employees here…have quit smoking, but I noticed that most of the doctors who smoked still do.”
In 1985, the Journal of the American Medical Association printed a call to action by Andrew Ho, M.D. Describing the human costs of tobacco use, Dr. Ho warned, “Meanwhile, in hospitals, heroic efforts are mounted constantly to save lives, while billions of dollars are spent and countless numbers of laboratory animals are sacrificed each year to fight diseases, a large proportion of which are related to smoking. It is paradoxical that the hospital, an institution created solely for health care, tolerates widespread smoking.”
Ho urged that hospitals take a leading role to free society from the scourge of tobacco, proposing a list of steps hospitals should take, starting with “1. Tobacco products should not be sold in the hospital.” Common sense, right?
And yet, in the article When Nurses Smoked in Hospitals, a registered nurse (and former smoker) remembers that in state psychiatric hospitals as late as the mid-80s, “the patients were allowed to smoke in the common areas—in fact, we provided ‘state tobacco’ for those that did not have money to buy their own. We even rolled cigarettes with one of those little machines for those who couldn’t roll their own.” The article notes that nonsmokers were “chastised as troublemakers,” and some nurses mocked patients who asked for a nonsmoking room, describing them as “finicky” or “difficult.” In fact, “peer pressure probably contributed to the high percentage of nurses who smoked.”
In 1991, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) announced tobacco control standards for accredited American hospitals which mandated that they go smoke-free by the end of 1993. In a study conducted the next year, more than 96 percent of surveyed hospitals were found to have complied with the smoking ban standard.
And that brought to an end the days when hospitals sold, supplied, and supported known carcinogens for patients and staff in hospitals…
…except, no it didn’t.
Since 2007, the American Institute for Cancer Research and World Cancer Research Fund have warned us that processed meats are carcinogenic. In 2015, the World Health Organization released a report based on an examination of more than 800 studies. The authors highlighted a 2011 meta-analysis that found that colorectal cancer risk increased by 17 percent for every 100 grams of red meat consumed per day and by 18 percent for every 50 grams of processed meat consumed per day. The report classified consumption of red meat as “probably carcinogenic to humans” and consumption of processed meat—hot dogs, salami, bacon, sausage, and the like—as “carcinogenic to humans.”
And yet, many hospitals and cancer centers continue to offer processed meat on inpatient menus and in cafeterias. Some say that they don’t feel they have the right to dictate what a patient eats. Just like the hospital administrator in 1964 who couldn’t justify infringing on a patient’s “right to smoke.” Others say that especially sick patients shouldn’t be bothered with healthful nutrition.
What is the message to the patients’ family and friends, and to other hospital staff? That unhealthful foods are just part of life, that nutrition isn’t part of good health care, and that there’s no role for prevention in places dedicated to treatment and cure.
But some hospitals are getting the message, and we’re going to profile a number of them over the coming months. We need to draw attention to these hospitals and dedicated staff who are fighting to be role models.
In the Physicians Committee’s outreach to hospitals, we have successfully urged Mississippi Medical Center to remove hot dogs from its menus. And in our recent survey of states with the highest death rates from colorectal cancer, 30 of 102 hospitals don’t serve hot dogs, although many of those still serve other processed meats. There’s plenty of room for improvement.
In an ideal world, all hospitals would serve healthy, vegan menus—and we’re working on that. But as a first step, I’m asking health care professionals and family and friends of patients (past, current, and potential) to help us get carcinogenic processed meats out of hospitals.
Contact the Physicians Committee’s senior corporate liaison, Elizabeth Mader, to get more information and find out how you can improve the food at your hospital. We are also encouraging hospitals to do simple pilot studies of patient reactions to removal of processed meats from inpatient menus. Help us show hospital leaders that providing healthful food—minus the carcinogens—can win patient loyalty and public acclaim, and support progress in the way Americans view nutrition and health.
Milk can wreck your health. But the winner of this weekend’s Indianapolis 500—a 500-mile race around the Indianapolis Motor Speedway—will likely down a bottle of milk. It’s a dairy industry tactic meant to market milk to the event’s nearly 7 million fans.
When did things go off track? It started when Indy 500 winner Louis Meyer drank buttermilk after winning in 1936. That’s when the dairy industry raced in.
“An executive with what was then the Milk Foundation was so elated … he vowed to make sure it would be repeated in coming years,” according to the Indianapolis Motor Speedway.
It mostly has—with a break from 1947 to 1955. But in 1956, the American Dairy Foundation offered the winner $400 for drinking a bottle of milk. Today the bonus is $10,000, according to the Daily Express.
But nobody wins when they drink milk, despite American Dairy Association Indiana’s campaign asking fans to follow this year’s winner by exclaiming “Winners Drink Milk!” as they drink their own glass of milk.
Instead, this year’s winner and fans should follow the lead of 1993 winner Emerson Fittipaldi who turned down milk and opted for orange juice. Or stick to simple hydration, because “Winners Drink Water!”
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Does Your Doctor Discuss Nutrition with You? - June 21, 2017
American Medical Association Passes Healthy Food Resolutions - June 15, 2017
Hospitals Should Treat Processed Meats Like Cigarettes - May 30, 2017
Indy 500 Fans: Milk Can Wreck Your Health - May 26, 2017