Episode Transcript
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0:07
here's what my or anyone
0:09
else's opinion is, always
0:12
you care about is , the science
0:15
says what does the best available
0:17
of evidence published? in the peer-reviewed medical literature
0:20
have to say right now, welcome
0:22
to the nutrition facts were on
0:25
your host dr michael greger,
0:27
there
0:28
has been a history of enthusiasm
0:30
for protein and nutrition
0:33
world protein
0:36
recommendations more than twice with you
0:38
no
0:40
one a public health case for
0:42
modernizing the definition
0:47
and twenty ninety doctor david
0:49
cats and colleagues including one of my favorite
0:51
researchers david jenkins publisher public
0:53
health case for modernizing the definition
0:56
of protein quality of the prevailing
0:58
definition seems to have more to do with
1:00
bio chemistry than the net a sex
1:02
on human health the , the concept
1:05
of protein is good and the more the better
1:07
coupled with a protein called a definition that favors
1:09
animal protein protein the
1:11
impression that eating more meat eggs and
1:13
dairy is desirable prefer will
1:15
split this is directly opposed
1:17
to nutrition guidelines that are said trying to push
1:19
more push are the protein
1:22
malnutrition still prevalent in many areas
1:24
of the world is exceedingly rare
1:26
and the industrialized world where the most
1:28
formidable public health threat is not something like
1:30
kwashiorkor and protein calorie malnutrition
1:33
but from chronic diseases
1:35
in 2016, a landmark
1:37
study published at a harvard involving more than
1:41
people replacing animal
1:43
protein with plant was
1:45
associated with lower risk of dying prematurely
1:48
the worst seem to
1:50
be processed meat, like bacon as well
1:52
as egg protein the egg butt
1:54
slapping and even just cent
1:57
protein for any of the animal protein meat
1:59
on process
1:59
me chicken fish eggs or dairy
2:02
associate with a significantly lower risk
2:04
of arguably the most important
2:06
and point of all yeah,
2:08
but do we know the protein? the
2:11
researchers adjusted for factors such as saturated
2:13
fat intake, which suggested it wasn't just,
2:15
the animal fat, okay?
2:17
but i'm your body even know the difference between protein
2:20
and protein from an animal isn't
2:22
protein protein? no, unlike
2:24
animal protein, plant proteins, gym low
2:27
branched chain, amino acids for example, and
2:29
decrease consumption of of branched chain, amino acids,
2:31
improve metabolic health, could
2:35
be the a cancer promoting growth
2:38
that is boosted by so-called high quality
2:40
animal protein intake though, we suspect,
2:42
the igf-1 connection is and effect
2:44
since people are born, they have
2:46
higher igf-1 levels, regardless of
2:48
what they appear, december, high rates of killers
2:51
like type two diabetes and heart
2:53
disease the
2:55
harvard researchers didn't control for such
2:57
as toxic pollutants like that oxens and pcbs
3:00
since they tend to accumulate up the food
3:02
chain in cattle, pigs chickens and
3:04
fish in there for end up on a plate
3:07
supply based protein also stance
3:09
is important step to lower the body burden
3:11
of harmful pollutants if
3:14
you don't think one hundred thousand people are
3:16
enough how about four hundred thousand people
3:18
the nih a thousand people p study is
3:20
the largest diet cohort study
3:22
in history and again simply
3:25
swapping three percent of calories from various
3:27
animal protein sources with plant protein
3:29
was associated with ten percent decrease
3:31
overall mortality and you get even
3:33
twice that benefit if you get rid of eggs
3:36
to i'm that's
3:38
not a surprise since egg consumption
3:40
is associate with a higher risk of
3:43
developing cardiovascular disease how
3:46
it all the studies together on dietary
3:48
protein intake and mortality and people
3:50
who eat more protein tend to live shorter
3:53
lives but this is mainly driven
3:55
by the harmful association of animal
3:57
protein plant protein intake is in
3:59
grossly associate with mortality meaning those
4:02
we more plant protein tend to live longer
4:04
lot more , protein
4:06
maiming more mortality where's more plant
4:09
proteins correlate with less mortality so
4:11
the best of both worlds would be to increase
4:14
seems like a plant protein in place
4:16
of animal protein in other words as
4:18
another twenty twenty med analysis concluded
4:21
person should be encouraged to increase their plant
4:24
protein intake to potentially decrease the
4:26
risk of death
4:28
do vegetarians and vegans
4:31
get enough protein ah let's
4:33
find out
4:35
the largest study in history of
4:37
those eating plant based diets recently
4:40
compare the nutrient profiles of
4:42
about thirty thousand non vegetarians
4:44
to twenty thousand vegetarians about
4:46
five thousand v against flex utterance
4:48
and know we'd except fish eaters
4:51
a long as the finally put to rest the perennial
4:53
question do vegetarians get enough
4:56
protein the average requirements
4:59
is forty two grams
5:01
of protein a day non vegetarians
5:03
get way more than they need and
5:06
so does everyone
5:08
else on average vegetarians
5:10
and vegans get seventy percent more protein
5:13
than they need everyday surprising
5:16
, are so much fuss about protein in
5:18
this country when less than three percent
5:21
of adults don't make the caught caught
5:24
folks on extreme calorie restricted
5:26
diet who just aren't eating enough food
5:28
period but ninety seven
5:30
percent of americans get enough
5:32
protein there isn't nutrients
5:35
though for which ninety seven
5:37
percent of americans are deficient
5:40
now that's a problem nutrient
5:42
that's something we really have to work on
5:44
less than three percent of americans
5:46
get even the recommended minimum
5:49
adequate intake old fiber
5:53
so the question isn't where do you get
5:55
your protein but where'd you get your fiber
5:58
we only get about team grams
6:00
a day the minimum daily requirement
6:03
is thirty one point five so we get less than
6:05
half the minimum to
6:07
, down by age and gender after
6:09
studying the dice of four thousand seven hundred and
6:11
sixty one americans the percentage
6:13
of men between ages fourteen
6:16
and fifty getting the minimum adequate intake
6:19
zero this deficit
6:22
is stunning in that dietary
6:24
fiber has burnt protectively associate
6:26
with the risk of diabetes or metabolic
6:28
syndrome cardiovascular disease obesity and various
6:30
cancers as well side
6:32
cluster of blood pressure and blood sugars therefore
6:35
it is not surprising the fiber is now
6:38
listens as a nutrient of concern
6:40
in the dietary guidelines protein
6:42
is not one problem is that
6:44
most people have no idea
6:46
what's in their food more than
6:48
half of americans think state
6:51
is state significant cybersource hi
6:54
definition fiber
6:56
is only found in plants
6:59
know fiber and meat dairy
7:02
or eggs and little or no fiber
7:04
in junk food therein
7:07
lies the problem americans
7:10
should be eating more beans vegetables fruits
7:12
whole grains how we doing on that well
7:14
ninety six percent of americans
7:17
don't eat a recommended minimum daily
7:20
intake of beans ninety
7:22
, percent only the measly minimum
7:25
for greens ninety nine percent
7:27
don't get enough whole grains look at these numbers
7:29
nearly the entire us population
7:32
fails to eat enough whole
7:34
plant foods and it's
7:36
not getting any
7:38
better the lack of progress
7:41
that's disappointing even
7:45
some are vegetarians though make
7:47
the minimum for fiber those
7:49
even completely plant based diets triple
7:52
the average american into now
7:55
when closing the fiber gap
7:57
do you want to do it gradually no
7:59
more than above image two grams of fiber
8:01
day each week until you
8:03
can work your way up but
8:05
it's worth it's my
8:07
derived guys tend to contribute significantly
8:10
less fat surgery fat cholesterol food borne
8:12
pathogens while st i'm offering
8:14
more fiber full a vitamin c final
8:16
chemicals all essential factors
8:18
for disease prevention and optimal
8:20
health and wellbeing and
8:22
a more plant foods the
8:25
better whole plant foods better if you
8:27
compare the nutritional claudia a
8:30
median vs vegetarian semi
8:32
vegetarian pascoe beds turn and on never
8:34
dies traditional
8:36
healthy diet indexing systems
8:39
like compliance of dietary guidelines consistently
8:41
indicate the most plant based
8:43
diet as the most
8:46
healthy one for
8:49
me today we examined the miss that
8:51
plant proteins are incomplete
8:55
all nutrients come from the sun
8:57
or the soy vitamin d
8:59
the sunshine vitamin is created when
9:01
skin is exposed to sunlight everything else
9:04
comes from the ground minerals
9:06
originally from the earth and vitamins from
9:08
the plants and microorganisms that grow from
9:10
it the calcium and a cow's
9:13
milk and or two hundred pounds skeleton
9:15
a came from all the plants she ate which
9:18
drew it up from the soil we
9:20
can cut out the middle move though
9:22
and get calcium from the plants directly
9:25
where do you get your protein protein
9:28
contains essential amino acids meaning
9:30
our bodies can't make them so are essential
9:33
to get from our diet but other
9:35
animals don't make them either the
9:37
all essential amino acids originate from
9:40
plants and microbes and
9:42
all plant proteins have all essential
9:44
amino acids the only truly incomplete
9:47
protein food supply is
9:49
gelatin which is missing the amino
9:52
acid trip defense so the only
9:54
protein source protein couldn't live on
9:56
his
9:57
yeah
9:59
previously those eating plant based
10:02
diet the average about twice
10:04
the average requirement for protein
10:07
those who don't know where to get protein
10:09
and protein and based diet don't know been
10:12
get it
10:13
that's prompting quantity that
10:16
what about protein quality as
10:18
a concept of plant protein was inferior
10:20
to animal protein rose from studies performed
10:23
on rodents more than
10:25
a century ago scientists
10:27
found that instant rats don't
10:29
grow as well on plants but
10:32
infant rach don't grow as well on
10:34
human breast milk either of soon
10:37
as i mean we shouldn't breast feed our babies
10:39
ridiculous there are rats rat
10:42
milk has ten times
10:44
more protein then human
10:47
milk because rats grow
10:49
back ten times faster than
10:52
human and student
10:54
some plant proteins are relatively low in
10:56
certain essential amino acids so
10:59
about forty years ago the myth
11:01
of protein combining came
11:03
into vogue literally
11:06
the february seventy five issue of vogue
11:08
magazine the concept was
11:10
that we needed to eat complimentary proteins
11:13
together for example rice and beans
11:15
to make up for their relatives shortfalls
11:18
this , was refuted
11:20
decades ago the myth that
11:23
plant proteins are incomplete the plant proteins aren't
11:25
as good as one has to combine proteins
11:27
and meals these have all been dismissed
11:30
by the nutrition community as myths
11:32
decades ago ago
11:34
many and medicine evidently didn't get
11:36
the memo doctor john
11:38
mcdougall cold out the american heart association
11:41
for two thousand association for publication that question
11:43
that completeness of plant protein thankfully
11:46
though they changed and
11:48
acknowledged now that plan proteins can
11:51
provide all the essential amino acids no
11:53
need to combine complimentary proteins
11:56
turns out our body is not stupid
11:59
it maintain pools of free amino
12:01
acids i can be used to do all the complimenting
12:04
for us not to mention the massive
12:06
protein recycling program our
12:08
body has some ninety grams
12:11
of protein is dumped him as him just attract
12:13
every day from our own body to
12:15
get broken back down and reassembled
12:18
sore body can mix and match amino acids
12:20
to whatever proportions we need whatever
12:23
we'd making it practically
12:25
impossible to even design and died
12:27
of whole plant foods that sufficient
12:29
in calories but deficient in protein
12:32
the my base consumers
12:34
do not need to be at
12:36
all concerned about
12:38
amino acid imbalances from the plant proteins
12:40
that make up our usual die
12:44
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