Cardiovascular

CARDIOVASCULAR HEALTH – BLOOD PRESSURE

Plant-Based Foods Should Replace Animal-Based Foods for Better Health

Substituting red and processed meat, dairy, eggs, and poultry with nuts, legumes, and whole grains improve heart health and reduce the risk of type 2 diabetes and death, according to a new systematic review. The 37 studies analyzed showed decisively that these plant-based foods were beneficial for human health, especially when replacing animal-based foods. Replacing 50g of processed meat per day with legumes was associated with a 23% lower risk of dying from heart disease, while replacement with whole grains was associated with a 36% lower risk.

References

Neuenschwander M, Stadelmaier J, Eble J, et al. Substitution of animal-based with plant-based foods on cardiometabolic health and all-cause mortality: a systematic review and meta-analysis of prospective studies. BMC Med. 2023;21:404. doi:10.1186/s12916-023-03093-1

Review of Studies Confirms Plant-Based Diets Improve Cardiovascular Health.

Plant-based diets improve markers of cardiovascular health among people at highest risk of developing heart disease, according to a meta-analysis published in JAMA Network Open. A comprehensive review of 29 randomized control trials found that cholesterol, blood sugar, and body weight all improved more on vegetarian/vegan diets than they did simply by using standard therapy for cardiovascular disease.1

Numerous Physicians Committee studies were included in the analysis, including a recent study that found a low-fat vegan diet outperformed a Mediterranean diet in improving multiple cardiometabolic risk factors.2

References

1. Wang T, Kroeger CM, Cassidy S, et al. Vegetarian dietary patterns and cardiometabolic risk in people with or at high risk of cardiovascular disease: a systematic review and meta-analysis. JAMA Netw Open. 2023;6(7):e2325658. doi:10.1001/jamanetworkopen.2023.25658

2. Barnard ND, Alwarith J, Rembert E, et al. A Mediterranean diet and low-fat vegan diet to improve body weight and cardiometabolic risk factors: a randomized, cross-over trial. J Am Nutr Assoc. 2022;41(2):127-139. doi:10.1080/07315724.2020.1869625

 

Phytochemicals in Plant Foods Reduce Risk of Frailty and Heart Disease

Special chemicals found in plants called phytochemicals may explain many benefits of a plant-based diet. A meta-analysis of studies on frailty found that phytochemicals are likely why plant-based diets reduce older adults’ risk of falling and other injuries.1 Another study also found that phytochemicals improve cholesterol and reduce the risk of obesity, diabetes, and high blood pressure.2 Citrus fruits, colorful berries, leafy vegetables, and soybeans are especially high in phytochemicals.

References

1. Dominguez LJ, Donat-Vargas C, Sayon-Orea C, et al. Rationale of the association between Mediterranean diet and the risk of frailty in older adults and systematic review and meta-analysis. Exp Gerontol. 2023;177:112180. doi:10.1016/j.exger.2023.112180

2. Li Y, Xu Y, Ma X, et al. (Poly)phenol intake, plant-rich dietary patterns and cardiometabolic health: a cross-sectional study. Food Funct. Published online April 17, 2023. doi:10.1039/d3fo00019b

Statins May Contribute to Diabetes Risk

Statins, drugs which are used to lower cholesterol, appear to contribute to diabetes risk, according to a review paper published in the European Journal of Pharmacology.1 The authors analyzed 67 studies representing over 25,000 individuals and found that statins negatively impacted blood sugar control. This happened regardless of the dose and whether or not a person had normal or altered glycemic control. Rosuvastatin and atorvastatin had the worst effect. This is consistent with previous research that has shown that statin therapy worsens glycemic control2 and increases the risk of developing diabetes.3

Both cardiovascular disease and high cholesterol levels are lifestyle-related diseases that can be prevented and even reversed by a whole food, plant-based diet.

References

1. Alvarez-Jimenez L, Morales-Palomo F, Moreno-Cabañas A, et al. Effects of statin therapy on glycemic control and insulin resistance: a systematic review and meta-analysis. Eur J Pharmacol. 2023;947:175672. doi:10.1016/j.ejphar.2023.175672

2. Cai R, Yuan Y, Sun J, et al. Statins worsen glycemic control of T2DM in target LDL-c level and LDL-c reduction dependent manners: a meta-analysis. Expert Opin Pharmacother. 2016;17(14):1839-1849. doi:10.1080/14656566.2016.1220539

3. Thakker D, Nair S, Pagada A, et al. Statin use and the risk of developing diabetes: a network meta-analysis. Pharmacoepidemiol and Drug Saf. 2016;25(10):1131-1149. doi:10.1002/pds.4020

Consuming More Protein from Plants Associated With Longer Life

Consuming plant-based protein reduces the risk of early death from any cause and from heart disease, according to a meta-analysis published in The British Medical Journal. Researchers from Harvard University and Tehran University of Medical Sciences compared animal versus plant-based protein intake and mortality from cancer, cardiovascular disease, and all causes among 32 studies and 715,128 participants. For each additional 3% of calories from plant protein, such as legumes, grains, and soy products, the risk of dying lowers by 5%. Consuming animal proteins did not lower the risk of death from heart disease or cancer. The authors suggest replacing animal protein with plant protein for its association with longevity.

Reference: Naghshi S, Sadeghi O, Willett WC, Esmaillzadeh A. Dietary intake of total, animal, and plant proteins and risk of all-cause, cardiovascular, and cancer mortality: a systematic review and dose-response meta-analysis of prospective cohort studies. BMJ. 2020;370:m2412-m2429.

Adherence to a healthful plant-based diet reduces the risk for cardiovascular disease in women, according to a presentation at the American College of Cardiology Scientific Session. Researchers compared heart disease events with diet records of participants in three levels of adherence to a plant-based diet. Those with the highest adherence to a diet rich in fruits, vegetables, whole grains, nuts, and legumes were protected the most from heart disease. Reference Panagiotakos D, Kouvari M, Chrysohoou C, et al. The association between healthful and unhealthful plant based dietary patterns and 10-year cardiovascular disease incidence in apparently healthy men and women: Highlights from the Attica Prospective (2002-2012) Study. Abstract presented at: American College of Cardiology Scientific Session; March 28-30, 2020 (virtual meeting).
Replacing red and processed meat with plant sources of protein reduces risk for heart disease and early death, according to findings presented by the Harvard T.H. Chan School of Public Health at the American Heart Association’s. Haslam DE, Rehm CD, Song M, Hu FB, Zhang FF, Bhupathiraju SN. American Heart Association EPI | LIFESTYLE 2020 Scientific Sessions – Abstracts P510 and P512. March 5, 2020: Phoenix, AZ.