Sunday, May 13, 2012

Forks over Knives: How a Whole Foods Plant Based Diet can Cure You

In a country where 40% of the population is obese and 50% takes some form of prescription drug, how do we go about fueling a healthy lifestyle? Lee Fulkerson offers an answer in “Forks over Knives”.
 
 
In a 2011 American documentary directed by Fulkerson, the "profound claim that most, if not all, of the degenerative diseases that afflict us can be controlled, or even reversed, by rejecting our present menu of animal-based and processed foods" is explored. In the film, Fulkerson himself changes his lifestyle to consume a “Whole Foods Plant Based Diet” while simultaneously reviewing the works of American physician Caldwell Esselstyn and professor of nutritional biochemistry T. Colin Campbell, two of the most prominent advocates for the diet in America.

Both Campbell and Esselstyn grew up on farms, raising cattle for milk and valuable proteins for human consumption. When both started their work, they were in agreement with the popular belief of the time that milk was nature’s most perfect food and that the consumption of animal products was necessary for receiving the necessary proteins in the American diet. While visiting the Philippines, however, Campbell came across some surprising information. The children of the more affluent families were at a greater risk for liver cancer than the poorer children (whose diets were composed of non-animal proteins in order to reduce cost). This was particularly surprising because liver cancer at the time was only typical in adult patients. Campell then came across an article in an Indian medical journal which detailed an experiment in which lab rates were exposed to a carcinogen, aflatoxin, and then given a diet of either 20% (experimental) or 5% (control) of casein, the protein found prominently in milk. In the article, it was observed that the experimental group which consumed more casein had a much higher rate of cancerous tumor growth than the control. Intrigued, but still unconvinced, Campbell came back to America and replicated the procedure.

Campbell stared his experiment in the same way he saw detailed in the Indian journal. He gave half of the lab rats he tested a diet of 20% casein, and he gave the remaining half a diet of 5% casein (after exposure to a carcinogen). His results concluded that the rats consuming greater amounts of casein had greatly enhanced liver cancer tumor growth while the rats consuming less of the animal-based protein showed no incidence of tumor growth at all.  

After confirming his findings, Campbell took the experiment a step further. With a new group of lab rats exposed to the same carcinogen he had used previously, Campbell put all the experimental rats on a diet of 20% casein and after three weeks switched the rats to the 5% casein diet. He continued this alteration of the lab rat diet for 12 weeks. His results suggested that the cancerous growths could be stimulated and halted by the amounts of protein as tumor growth slowed dramatically in the presence of less animal-based protien and shot up on the introduction of higher levels of the protein.


Campbell repeated his experiments with soy and other plant-based proteins, but he found no correlations between those proteins and tumor growth.

Around the same time that Campbell was doing his experiments, the Chinese Premier Zhou Enlai was diagnosed with a terminal cancer, and in 1976 he authorized one of the largest research endeavors ever conceived. 650,000 were commissioned to catalog the mortality patterns of every county in China from 1973-1975, nearly 880 million people. Campbell saw this as his opportunity to apply his findings in the lab to a large scale human population.

The findings of this massive study revealed that there was a 400 fold difference in the highest and lowest counties for disease mortality, a statistic especially significant due to the consistency in genetics throughout the observed populations as all were native Chinese. (In America, it is an estimated 2-3 fold difference from areas of highest to lowest mortality rates of specific diseases). In this study, for each type of cancer there appeared to be “hot spots” distributed throughout the country. Again intrigued, Campbell organized a new study to further explore the correlations between disease and diet.

Campbell organized what is now known as the China Study (note: Campbell released a book of the same name in 2005 The China Study) in which 65 counties, in rural and semi-rural areas, were surveyed. Blood and urine samples, as well as questionnaires and observations, were taken from 6,500 people in an experiment with 367 variables. The end result named no less than 94,000 correlations between diet and disease. There are problems with the study, however, which were overlooked in the film, including the limited age range of the study participants (all were between the ages of 35 and 64). This limit in the pool of study participants, in my opinion, diminishes the credibility of the study as it is cited that those over 64 were not included simply because their causes of death were “unreliable.”   

But what about the benefits of animal based proteins? When we think of milk, we often refer to calcium as one of its most beneficial components, necessary for bone development and strength. So if the calcium in milk was so essential for bone strength, it would be expected that countries consuming more milk would have lower rates of osteoporosis, but in reality countries like the United States which are among the biggest consumers of milk products have the highest incidence of hip fracture, an early indicator of osteoporosis.

So what are we to think now? Should we all adopt a whole foods plant based diet in order to stay healthy and continue the war on cancer? Is our diet really what’s killing us? The documentary presented many testimonials of people who adopted this lifestyle of plant-based nutrition and no longer required their medications for conditions like hypertension, type II diabetes, or even cancer. One woman profiled had been diagnosed with breast cancer which metastasized to her lungs while she was in her 50s. The woman is today in her 70s, eating a plat-based diet, forgoing western medicine for her cancers, and winning triathlons (seriously). The documentary presents a strong case, but I for one do not know if I am willing to give up my steak and eggs just yet.   

Thoughts?