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Real Men Die of Heart Disease

by: Jill Richardson

Fri May 29, 2009 at 17:45:09 PM PDT


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I often tell people the story of how I got interested in food. It began in a cardiac ICU in Hawai'i back in 2006. I wasn't sick, nor did I know any of the patients. I was there to help the doctors and nurses use a new software application that was made by my employer. Normally I worked in outpatient clinics, but who turns down a free trip to Hawai'i? So it was my first time in an inpatient environment (with the exception of a trip to a children's hospital) and I was rather shocked by it. Life as a cardiac ICU is miserable.
Jill Richardson :: Real Men Die of Heart Disease
At the time I was a relatively new vegetarian. I'd read Fast Food Nation a few months before. But I wasn't much of a foodie. At night, after working a 14 hour shift in the ICU, coworkers and I would go out to eat in Waikiki. The vegetarian options were minimal. This was vacation! Who wants to eat vegetables? The American diet, I realized, is a cult of meat. (While other tourist destinations like San Francisco or even San Diego feature plenty of vegetarian food, Waikiki seemed to be a few decades behind the rest of the U.S., kind of like some of the older casinos in Vegas that boast of all-you-can-eat steak buffets.)

That was the first time I noticed how much Americans define their meal by the meat. As a meat eater it never occurred to me, but now I watched as people ordered "the chicken" or "the lamb" - no matter what else was on the plate along with the meat (although often it was very little besides the meat), the entire meal was defined as whatever meat came with it. I realized for the first time the lack of balance in the American diet. While I, as a vegetarian, tried to eat from each of the various food groups, my co-workers thought nothing of ordering a plate full of meat.

Back in the ICU, I saw a nurse printing out a 4-page "Healthy Heart Diet" handout to give to a patient being discharged. I asked for a copy. I can't remember exactly what it said but I can tell you, if you were trying to follow such a diet, you'd starve in Waikiki. The basic gist of the diet was Michael Pollan's "Eat food, not too much, mostly plants." Real food, that is. You could hardly even follow such a diet in the hospital cafeteria! How did they expect their cardiac patients to get back out into the real world and continue to follow such a diet?

There are a few reasons why I bring this story up today. One is something a friend said to me yesterday, the other is a book I'm reading (The China Study by T. Colin Campbell). Yesterday I went for a nice long hike, slightly longer than the usual 3 miles I like to do. I came home and a friend told me he worried about me eating just vegetables. I needed some protein. I told him what I'd eaten - oatmeal, coffee with milk, an orange, a few pieces of whole wheat toast with homemade strawberry jam, and half a cantaloupe. He freaked out, begging me to eat something. PLEASE, he said, eat some protein! I told him I'd eat when I was hungry, as I had eaten quite a bit after the hike and I was still feeling pretty full.

I've talked to this same friend about reducing meat consumption when he's asked me how he could lose weight and reduce his carbon footprint. He replied that he's a big guy and needs his protein. He thinks he can't get it without meat. I commented that gorillas are pretty big and they are vegetarians.

What The China Study makes clear is that our attitudes about protein are very much assumed. They are not necessarily founded in science. For millennia, meat was a luxury in the human diet. When you produce it sustainably, it still is quite a luxury. And as such, we assumed it must be good for us. It probably makes sense that somebody who has enough money to eat meat is also somebody who has enough money to eat period, and they will not suffer from diseases of poverty and malnutrition like those who historically did not have the money to afford meat.

And then there's the manliness aspect. Remember those Foster's commercials where they show a steak with a garnish of parsley and they say that it's Australian for "salad"? Plus, traditionally, some cultures have the idea that if you eat the meat of a strong animal, you will gain that animal's strength. The China Study quotes a "satirical" passage that mockingly describes vegetarian men as weak and even castrated!

In China, where The China Study was obviously done, meat is also considered a luxury. Naturally, as the Chinese become more affluent, they are eating more meat. It was a landmark in China when they achieved a higher population of pigs (the most popular meat) than people. Those who can't afford meat eat vegetables and rice. Rice is considered a food to fill empty tummies when you can't afford better food (vegetables, fruit, nuts, meat). If you are ever lucky enough to score an invitation to a Chinese banquets (one of the best culinary experiences in the world), you won't see a single grain of rice. There will be some vegetables, and an awful lot of meat from every species of animal the Chinese could figure out how to cook. That is because your hosts want to honor you by serving the most expensive foods, not something cheap like rice.

As noted in The China Study, the Chinese get a lot more physical exercise than the average American. When I visited, my Chinese friends (college students in Beijing) got around by bike and, sometimes, by bus. It was only us lazy foreigners taking cabs all over the city. Also, what is not mentioned in the book, is that dairy is not traditional in China. Now the Chinese government (which seems to be stupidly looking to America for nutrition advice) is advocating that the Chinese drink milk, but if it's catching on at all, it's catching on slowly.

The decades of research done by The China Study author, T. Colin Campbell, points to reducing animal product consumption (including eggs and dairy) as a means of reducing risk of cancer and heart disease. He does not necessarily call for veganism, but makes it clear that the standard American diet is a recipe for certain death due to the same preventable illnesses I saw in the cardiac ICU. Granted, all people will die of something, sometime, but if I can preserve my health and stave off heart disease and cancer by healthier eating, I'll gladly do it.

It seems to me that, while the exact findings of The China Study may not be absolute truths (nor does the author claim they are), a reduction in consuming animal products is necessary if we want to reduce heart disease and several kinds of cancers and reduce our carbon footprint at the same time. But in order to do that, I think we need to bust the myths about the necessity of consuming meat and the manliness of doing so.

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Heh... (4.00 / 5)
Re: the "big guy" thing - I think I qualify as one myself (6'2"), and I've had no problem maintaining a healthy-ish weight (even if I could probably stand to lose about 10 or 12 pounds these days...) on a vegetarian diet for the past 2-plus years.  Don't have any energy problems, either - as my friggin' 3 hour hike around almost every path at Powell Butte on Tuesday, and then walking all the way back home from there (about 7 or 8 miles above and beyond the hike itself, I think?), attests...

For that matter, I can honestly say I've never felt better than I do now; and as I've mentioned before, I'm almost freakishly healthy these days.  I just don't get sick, ever.  Which was definitely not the case when I was eating a more "typical" American diet up until a few years ago.

My base meals are rice & beans and oatmeal; and beyond there, my philosophy is largely that I don't have one.  Just eat as wide a mix as possible of fresh whole foods, and try to work in as many 'colors' of food as possible.

Is it the way to go for everybody?  I don't know, but it certainly works for me.  I don't preach, but I definitely have experienced attempts from friends and family to "come back" to their way.  I honestly have to wonder sometimes why they put so much effort into it?

The China Study quotes a "satirical" passage that mockingly describes vegetarian men as weak and even castrated!

Pfffftttt.  Lol, I'm sorry if the person who wrote that is somehow threatened by me, and feels the need to qualify his own "manliness" to me.  Even if I did care, that would be a pretty poor way to go about it, eh?

:)


LOL, you're a threatening guy, Jay. (4.00 / 4)
Clearly. It's a stupid stereotype.

"I can understand someone from Iowa promoting corn and soy, but we are not feeding the world, we are feeding animals and soft drink companies." - Jim Goodman

[ Parent ]
most Americans (4.00 / 6)
get way more protein than they need. For years I ate almost no meat with no problems.

I will say that in the later months of pregnancy, it is a lot harder for women to get the amount of protein midwives recommend (90-100 grams a day) on a vegetarian diet. On a vegan diet, I think it would be almost impossible, because your stomach is so much smaller you don't have room for an enormous helpings of tofu, beans and rice. I know plenty of women who have stayed vegetarian during pregnancy--not as many vegans. I did feel more fatigued on the days I didn't get at least 80 grams of protein. It's easier to hit that mark if you're eating eggs and dairy at least.


Brings up a good point... (4.00 / 5)
and I don't know how true this is (?) - but I've heard a few times that it's actually much easier for men to eat healthier on a vegetarian diet, than it is for women to do so.  Am I remembering that correctly?

Psychology plays a role there too, though - as Jill mentioned above.  The whole "steak = salad" thing.

If a man is threatened by vegetables, well then there isn't really much to say for that man.  You're not a tiger, dude.  Eat some f'ing greens...


[ Parent ]
ha! (4.00 / 4)
You're not a tiger, dude.  Eat some f'ing greens...

Funny.

"I can understand someone from Iowa promoting corn and soy, but we are not feeding the world, we are feeding animals and soft drink companies." - Jim Goodman


[ Parent ]
Most Americans. (4.00 / 4)
I wonder how true your first statement is. "We" eat too much carbohydrate, too much fat, and too much protein. On average, we eat too much of everything. That's important to know, from a public health policy perspective. It isn't a relevant statement for me personally, however, nor you as an individual - what you and I want to know is, am I eating too much protein, or too little? What is true for us on average isn't necessarily true for us as individuals.

Perhaps I'm quibbling, but the fact that Americans eat too much protein on average doesn't automatically equate to "most Americands get way more protein than they need." I've paid close attention to this specific question for eleven years. The people I know aren't necessarily a representative sample of all Americans. Actually, they have more income that "most" Americans, and they have better health care and access to better health advice than "most" Americans. Nevertheless, I'm convinced that among my acquaintances and relatives, women do not eat as much protein as they should. The men I know probably do eat at least as much as they should, and probably more than they need.

Your observations about pregnancy are very thoughtful.


[ Parent ]
"Most Americans" includes (4.00 / 4)
The Palate(tm) and I can't figure out how to get her to buy and cook less meat. Well, that is, short of not eating it.

Yankee Frugality: use it up, wear it out, make it last, or do without.

[ Parent ]
You should meet Dr. Terry Shintani of Hawai`i (4.00 / 4)
He's right with you and Campbell on all of these points.

Pollan again (4.00 / 3)
Marc Steiner interviewed Michael Pollan this week. The difficulty that concerns Jill is condensed and expressed beginning about 33 minutes into the discussion, when they talk about "Meatless Mondays." Jill's friend is like Pollan's 16-year-old son. Listen here.

Jill, did you read "The Men Who Live Forever," to which I linked in this comment? Do you agree with me about the power of pages 5-6 as a statement about veganism (and vegetarianism)? I would sit your friend down and have him read that article, at least the last part. When he's finished, lay your hand upon his shoulder and gently murmer "I'm all right."


Mind you, it is just as possible to eat a bad, (4.00 / 3)
poorly planned vegetarian diet as it is to eat a bad, poorly planned omnivore diet. Nobody should pretend that going vegetarian automatically eliminates all problems. Jill should point out to her friend that being vegetarian does not imply being restricted to white rice, pasta, bananas, and Tater Tots. (Eeeww.)

[ Parent ]
just read it (4.00 / 3)
wow. And I agree that it's possible to eat a junk food vegetarian diet. And tempting, I might add.

"I can understand someone from Iowa promoting corn and soy, but we are not feeding the world, we are feeding animals and soft drink companies." - Jim Goodman

[ Parent ]
meat and meals (4.00 / 5)
For pretty much my whole life, people I have eaten with do care what's on the plate besides meat. When we order, we may say "I'll have the chicken", but that doesn't necessarily mean it's a meat-centric meal. It could be preparation, sauces, flavors and yes, side dishes. More of a palette desire.  I grew up with "square meals" as did most people I've encountered in my life. To many of us, it's an absolute waste to order a meal and only like one thing on the plate. And for me, I don't generally eat places (sit down restaurants that is) where there is just a piece of meat and a drop of parsley on the plate. Other places I don't eat are places that give you massive amounts of food. I've found that disgusting since I was a child. It's rather overwhelming and tends to make me full just looking at it. And I don't particularly eat like a bird for my size, I just prefer adding a bit more when I'm done if still hungry. Through my adult life, I can't think of many friends that didn't share my general food habits. Some do eat more processed or more volume, but meat isn't a requirement as the center of the meal. And we are also aware of what we can eat and sharing is common to avoid having too much food.

I think advertising and industry is the problem. I'm all for reducing meat in diets of people that over eat it, but I think the problem is super-sized, both in advertising and industrial food production. They need a new diet also. Your looking at a generation or 2 that has been totally brainwashed.  

It may be generational also. My generation had a lot more whole foods at each meal and our mothers tended to cook from scratch. Eating out was in a restaurant (before they all went completely to hell on the less expensive end) or the local pizza parlor. And it certainly wasn't several meals a week. Eating out was an event, something fun and more special, not convenience as the main motivation. On the nights my parents went to the movies, we sometimes got a pizza other times, my mom cooked a quick meal. This was common in the neighborhoods I grew up in and it seems true with others I've met as an adult. All this processed food, super size it, eat more, more, more, fast food rules, center aisle are convenient, etc stuff exploded somewhere along the line. Now we are starting to see a reversal of that. If things keep going, another generation down the line could look totally different at the dinner table. It could very well look more like the China diet and China's diet could very well look like what we are eating now as they start getting brainwashed by our industry taking over there.

It was only us lazy foreigners taking cabs all over the city
.

That's a pretty broad generalization there. Many people do a heck of a lot of walking on vacations. Some don't for various reasons. Young children can't keep up or get overtired, sometimes cabs and PT are the best ways to familiarize yourself with the lay of the land before you wander too far on foot/bike where your grasp of the place/language could be iffy (yeah, I kinda learned that the hard way), etc. Taking a cab does not equal  lazy foreigner :)


re: the lazy foreigner remark (4.00 / 2)
I just meant the 30 or so people I was there with for 2 mos. We took cabs a lot more than the Chinese did. We took buses some too, and biked a little. But the Chinese biked everywhere.

"I can understand someone from Iowa promoting corn and soy, but we are not feeding the world, we are feeding animals and soft drink companies." - Jim Goodman

[ Parent ]
Isn't biking there a bit hairy for (4.00 / 4)
the new in town? Seems they did a piece on it during the Olympics and it looked a tad dangerous in some areas. I wanted to bike when I moved to where I live now as the 'hood looked perfect for it. Quickly learned people drove like a-holes and there wasn't enough traffic signs/lights to really control it. Now there is years later (traffic control) and they just started marking off bike lanes because it's the bike riders that are acting like a-holes and causing problems, lol!~  

[ Parent ]
The biking? It was OK (4.00 / 3)
The entire traffic system was crazy. It was like a chicken fight. When crossing the street, if you run like you're afraid they'll hit you, they won't stop. If you just cross and take your sweet time, they'll slow down.

"I can understand someone from Iowa promoting corn and soy, but we are not feeding the world, we are feeding animals and soft drink companies." - Jim Goodman

[ Parent ]
That sounds about like what they showed (4.00 / 2)
Riding a bike or walking to work looked like it should be considered a days work :) I know you can get into the groove in those types of situations, it's sometimes getting up the guts and surviving the learning experience that's the real challenge. I had the worst time trying to cross the streets in London the first day or two. Reversing "look both ways" is a tad more challenging than it sounds! :)

[ Parent ]
meat and heart disease (4.00 / 1)
Far be it from me to dispute Dr. Campbell's convictions, but there are dangers in placing too much reliance on these sorts of associative studies of foreign populations. One could easily site studies by Weston Price showing that other populations, such as Swiss farmers or Eskimos or African tribesman, enjoyed perfect health by consuming copious amounts of meat and fat. Asians traditionally did not suffer obesity because they lived on a subsistence diet. In other words, they barely had enough food to survive. But it's also been shown that obesity can coexist with extreme poverty where the diet is composed primarily of starchy carbohydrates. And in China today, the same diseases of modern civilization are on the rise.

In truth, the overwhelming body of nutritional science, where it exists, does not support the hypothesis that meat or protein or fat is responsible for obesity or heart disease or cancer. Rather, science has rediscovered what was well known before the "fat hypothesis" arose in the 1960s, that the culprit behind a growing epidemic of related diseases--obesity, hypertension, diabetes, atherosclerosis--is overconsumption of carbohydrates and the insulin response--insulin being one of the body's most powerful hormone and the instrument of fat storage--that carbohydrates provoke. In each case, the mechanisms of insulin's involvement have been identified. And despite the health care establishment's investment in meat and fat as the villain--indeed, the entire federal government's investment in this faulty hypothesis--I think anyone with common everyday experience knows that it's not at the meat counter that American's are gorging, but rather in the great center aisles of the supermarket where an astounding glut of cheap carbs are always on display.

I respect your experiences in the ICU. But my father-in-law was a thoracic surgeon for 40 years--chief of thoracic surgery at Walter Reed Army Medical Center--and he now swears by a carbohydrate restricted diet. He is firmly convinced of the effects and dangers of too much insulin.

I could go on. In fact, responding fully would require a book. Fortunately, there is such a book by a distinguished science writer, Gary Taubes, called "Good Carbs, Bad Carbs." It is the only book of its kind. a thorough analysis of all the science behind meat, fat and carbohydrates that shows just how we came to embrace the faulty low-fat hypothesis. Here's a link: http://www.amazon.com/Good-Cal...

Ed Bruske aka The Slow Cook


Nice comment here euclidarms n/t (0.00 / 0)


[ Parent ]
Great discussion! (4.00 / 2)
I agree with many of the commenters that vegetarian and veganism is not necessarily the healthiest diet (generally it takes extra work to be a health vegetarian than to be a healthy omnivore). But I absolutely think you are right about the warped view of meat most American's hold and the amount we should really be eating.

I cannot go to dinner with a group of people familiar with my writing without having to explain (again) that no, I'm not vegetarian. No, I don't eat meat every day. Yes, I love a good steak. Yes, I love vegetables most of all. Is it all really so confusing?


Red Meat (0.00 / 0)
The real discussion of red meat needs some caveats: are we talking grain fed or pastured, grass feed beef? If you want to increase your body's inflammation eat commercial grain fed beef. If you want to eat red meat without the issues surrounding grain feed, feed lot beef, then eat grass fed, pastured beef. Simple. Reason is very simple, Omega 3 versus Omega 6 ratio. The higher the ratio of 6 to 3 the greater the risk of systemic inflammation.

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