by Michael Greger: A Nutritional Update for Physicians was published in the official journal of Kaiser Permanente…
the largest managed care organization in the United States. It told physicians that healthy eating may best be achieved with a plant-based diet, defined as a regimen that “encourages whole, plant-based foods and discourages meats, dairy and eggs as well as all refined and processed junk.”
The Update notes:
“too often, physicians ignore the potential benefits of good nutrition and quickly prescribe medications instead of giving patients a chance to correct their disease through healthy eating and active living. Physicians should therefore consider recommending a plant-based diet to all their patients, especially those with high blood pressure, diabetes, cardiovascular disease, or obesity.”
The major downside described is that it may work a little too well. If people are on medications, their blood pressure or blood sugar could actually drop too low, so physicians may need to adjust medications or eliminate them altogether.
The report continues that “despite the strong body of evidence favoring plant-based diets, many physicians are not stressing the importance of plant-based diets as a first-line treatment for chronic illnesses. This could be because of a lack of physician awareness or a lack of patient education resources.” So Kaiser sought to change that. “Want to lose weight, feel better, improve, stabilize, or even reverse chronic disease, and get off some of your medications?” a Kaiser Permanente leaflet (which you can see in my video, What Diet Should Physicians Recommend?) asks. “If you answered ‘yes’ to any of these questions, then a plant-based eating plan may be for you.” Side-effects include: lower cholesterol, blood pressure, and blood sugar; reversal or prevention of heart disease, our number one killer; a longer life; a healthier weight; lower risk of diabetes; improvement of inflammatory conditions like rheumatoid arthritis; and a slowed progression of certain types of cancer.
Kaiser offers tips to get started, such as meal plan ideas, and a list of online resources (including NutritionFacts.org!). The paper ends with a familiar refrain: “further research is needed.” In this case, though, further research is necessary, they explained, to “find ways to make plant-based diets the new normal for our patients and employees.”
So exciting to see lifestyle medicine supported.
-Michael Greger, M.D.