The Physicians Committee

Dietary Guidelines: Scientific Evidence for Nina Teicholz

  September 29, 2015    

Take note, Nina Teicholz: A new Harvard School of Public Health study in the Journal of American College of Cardiology again confirms that saturated fat—found mostly in meat and dairy products—increases heart disease risk. The study also finds that replacing saturated fat with vegetable oils, nuts, seeds, and whole grains reduces the risk of heart disease.

But if Teicholz gets her way, the 2015 Dietary Guidelines for Americans will soon recommend that Americans start gorging on butter, meat, and cheese. And despite what she says in her recent BMJ commentary, that means more obesity, diabetes, and heart disease.


Teicholz—who wrote The Big Fat Surprise: Why Butter, Meat & Cheese Belong in a Healthy Diet—makes the assertion that the Scientific Report of the 2015 Dietary Guidelines Advisory Committee (DGAC) makes recommendations based on limited evidence. So when Congress holds its hearing on the guidelines on Oct. 7, I have some additional scientific evidence for consideration.

Take red meat, for example. Teicholz says that “to support the idea that red meat harms health, the committee repeatedly cites one large randomized trial conducted in Spain.” That’s easy to remedy. There are many more studies showing that red meat causes harm.

A meta-analysis of nine studies with a combined 1,330,352 participants that was published in the American Journal of Epidemiology found that consumption of red and processed meat products is associated with increased risk of early death from all causes. A Harvard School of Public Health study that followed 121,342 individuals followed for up to 28 years came to the same conclusion.

On the health benefits of fruits and vegetables, Teicholz says that of the “eight reviews on fruits and vegetables, none found strong (grade 1) evidence to support the assertion that these foods can provide health benefits.” Well, there are dozens of studies proving the lifesaving benefits of fruits and vegetables.

In a meta-analysis published in BMJ, researchers analyzed 16 separate studies, including one with 833,234 participants, and found that each serving of fruit and vegetables decreased the risk of dying. Another study with 65,226 participants found that those who consumed seven or more servings of fruits and vegetables per day saw a 42 percent decreased risk of death due to any cause, compared with those who consumed the least amount.

What about low-carbohydrate diets? Teicholz notes that “another important topic that was insufficiently reviewed is the efficacy of low carbohydrate diets.” More importantly, the DGAC didn’t do enough to warn of the dangers of low-carbohydrate diets.

A 2014 study published by the American Heart Association found that a low-carbohydrate diet high in animal products is associated with an increased risk for dying for people with heart disease. A study published in BMJ that tracked the diets of nearly 44,000 Swedish women for 16 years found that a low-carbohydrate, high-protein diet boosts risk of heart disease.

The DGAC could also do more to show the benefits of carbohydrates. A recent Harvard study found that more whole-grain intake was associated with lower death rates and that every whole-grain serving was associated with a 5 percent lower risk for death in general and a 9 percent lower risk for death from heart disease. Reducing dietary fat while increasing carbohydrate intake is also good for type 2 diabetes.

Teicholz concludes by calling for “an unbiased and balanced panel of scientists to undertake a comprehensive review, in order to ensure that selection of the dietary guidelines committee becomes more transparent, with better disclosure of the conflicts of interest, and that the most rigorous scientific evidence is reliably used to produce the best possible nutrition policy.”

Here’s my plan: When the House Agriculture Committee convenes its Oct. 7 hearing on the 2015 Dietary Guidelines for Americans, it needs to make sure there are no conflicts of interest from the Cattlemen’s Beef Board, the American Egg Board, the National Pork Board, and other meat- and dairy-product industry groups that want to profit from recommendations that will keep America’s health in ruins.




You go, Dr. Barnard! As a nutritionist and personal trainer I'm always trying to get my clients to eat more fruits and veggies and less animal products. Not only do they lose weight, but their health improves dramatically! Any advice to the contrary is just irresponsible.


Teicholz's recommendations defy all common sense and reality. It's sad that some people are so enmeshed with the industries that profit from this nonsense.


Teicholz's recommendations defy all common sense and reality. It's sad that some people are so enmeshed with the industries that profit from this nonsense.

Absolutely horrifying

The plans to include more meat and dairy in the American diet is sure to boost the obesity epidemic and the unbelievable number of Americans with heart disease, cancers and age related degenerative diseases. What can be done to break through this intractable belief that human health is not exactly related to diet?

meat not healthy for humans

Humans are the only animals that eat meat and get heart and obesity related diseases from it. Carnivores do not get these diseases. We are not intended to eat the foods that this crazy diet suggests

Dietary guidelines

Wow just wow! I cannot believe that with all the evidence available in public domain someone would actually
- question the efficacy of fruits
- promote butter, cheese and meat, not for their taste which would be understandable, but for their nutritional value

Thank you Dr. Barnard for having our back.

Hard to believe anyone could buy into this.

With the absolute mountain of evidence to the contrary, it's shocking that anyone even bothers to write a book like that, much less go on to sell copies. But I suppose nothing can surprise us anymore.

Her book

The reason for writing such misinforming books is financial.


It’s not helpful to compare someone who cycles the Tour de France or runs a marathon to someone who sits at a computer all day, then watches TV all evening. Cutting down healthy real foods like meat, vegetables, fruit or wholegrains to replace them with processed rubbish with loads of added sugar is the real problem, rather than the keto vs low fat whole-grains debate.

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