What constitutes "Women's Health" issues? All too often this category is hijacked with conversations related exclusively to sex and breast care. In this revealing conversation we review other topics related to women's health and the relationship to "plant based nutrition" and general preventive strategies
4. What Matters
• Health
– Breast/Ovarian/Uterine
– Heart
– Stress
– Osteoporosis Other: Amazing things
• Image:
– Clothes/Skin/Image
– Body Type/Shape
– Exercise Types
5. Goals
• What Kills Women
• What Sickness affects Women
• What Stresses Women
• What do Women Prioritize
How Plant Based
Nutrition is Part of the
How Plant Based
Nutrition is Part of the
Answer
Answer
6. 1 in 4 Women will die of Heart
1 in 4 Women will die of Heart
Disease
Disease
14. Plants and Risk of……
• Obesity
– Health aspects of vegetarian diets JT Dwyer 1988
– Diet and body mass index in 38 000 EPIC-Oxford
meat-eaters, fish-eaters, vegetarians and vegans
International Journal of Obesity (2003) 27, 728–734.
•Vegans had the lowest weight gain per year
•Least weight gain was in those who adopted
more plant based eating during the time
•Vegans had the lowest weight gain per year
•Least weight gain was in those who adopted
more plant based eating during the time
18. Diabetes
• Does a vegetarian diet reduce the occurrence of
diabetes? American Journal of Public Health, Vol. 75, Issue 5 507-512
– 25,698 adult White Seventh-day Adventists identified in 1960 followed for 21 years
– vegetarians had a substantially lower risk than non-vegetarians of diabetes as an
underlying or contributing cause of death
• Fruit and Vegetable Consumption and Diabetes
Mellitus Incidence among U.S. Adults Preventive Medicine Vol 32 Iss
1 January 2001. Pages 33-39
– Appr. 10, 000 participants, highest fruit and vegetable consumption = lowest risk of
T2D
• Dietary Patterns and the Incidence of Type 2
Diabetes Am. J. Epidemiol. (2005) 161 (3): 219-227.
– 4,000 Finnish en and women, followed 23 years
– Highest consumption of fruits/vegetables in prudent diet resulted in decreased risk
19. A Low-Fat Vegan Diet Improves Glycemic Control
and Cardiovascular Risk Factors in a Randomized
Clinical Trial in Individuals With Type 2 Diabetes
Diabetes Care August 2006 vol. 29 no. 8 1777-1783
– 100 people randomized vegan vs ADA diet 22 weeks
– 43% VG 26% ADA reduced diabetes medications.
– HbA1c (A1C) 0.96 points VG 0.56 points in the ADA group
– Excluding those who changed medications, A1C fell 1.23
points in the vegan group compared with 0.38 points in the
ADA group
– Body weight 6.5 kg VG and 3.1 kg ADA
– LDL cholesterol 21.2% in the vegan group and 10.7% in
the ADA group (P = 0.02).
– urinary albumin reductions 15.9 mg/24h VG than in the ADA
group 10.9 mg/24 h
20. A low-fat vegan diet and a conventional diabetes
diet in the treatment of type 2 diabetes: a
randomized, controlled, 74-wk clinical trial
Clin Nutr May 2009 vol. 89 no. 5 1588S-1596S
Weight loss was significant within each diet group but not significantly different between groups
(−4.4 kg in the vegan group and −3.0 kg in the conventional diet group, P = 0.25) and related
significantly to Hb A1c changes (r = 0.50, P = 0.001). Hb A1c changes from baseline to 74 wk
or last available values were −0.34 and −0.14 for vegan and conventional diets, respectively
(P = 0.43). Hb A1c changes from baseline to last available value or last value before any
medication adjustment were −0.40 and 0.01 for vegan and conventional diets,
respectively (P = 0.03). In analyses before alterations in lipid-lowering medications, total
cholesterol decreased by 20.4 and 6.8 mg/dL in the vegan and conventional diet
groups, respectively (P = 0.01); LDL cholesterol decreased by 13.5 and 3.4
mg/dL in the vegan and conventional groups, respectively (P = 0.03).Conclusions: Both diets
were associated with sustained reductions in weight and plasma lipid concentrations. In an
analysis controlling for medication changes, a low-fat vegan diet appeared to improve
glycemia and plasma lipids more than did conventional diabetes diet recommendations.
Whether the observed differences provide clinical benefit for the macro- or microvascular
complications of diabetes remains to be established.
21. Toward Improved Management of NIDDM: A
Randomized, Controlled, Pilot Intervention
Using a Low-fat, Vegetarian Diet
Preventive Medicine, Volume 29, Number 2, August 1999 , pp. 87-91(5)
28% mean reduction in fasting serum glucose of the
experimental group, from 10.7 to 7.75 mmol/L (195
to 141 mg/dl), was significantly greater than the 12%
decrease, from 9.86 to 8.64 mmol/L (179 to 157
mg/dl), for the control group (P < 0.05). The mean
weight loss was 7.2 kg in the experimental group,
compared to 3.8 kg for the control group (P < 0.005).
23. Plants and Risk of……
• Cancers
– Vegans have a lower risk of Cancer Vegetarian Diets and the Incidence of
Cancer in a Low-risk Population Cancer Epidemiol Biomarkers Prev February 2013 22; 286
– Red and Processed Meat Intake increase risk of:
• Colon Cancer: Meat consumption and risk of colorectal cancer: A meta-analysis of prospective studies
International Journal of Cancer 2006
• Breast Cancer: Meat consumption and risk of breast cancer in the UK Women's Cohort Study British
Journal of Cancer (2007) 96, 1139–1146
• Lung Cancer: Meat consumption and risk of lung cancer; a case-control study from Uruguay Lung
Cancer 1996
• Uterine Cancer: Diet, Body Size, Physical Activity, and the Risk of Endometrial Cancer1Cancer Res
November 15, 1997 57; 507
25. Plant Based Nutrition and…
• Athletic Performance
• Accelerate Recovery/Reduce Muscle
Damage/Fatigue/Oxidative Stress and Pain
– Blueberries: Effect of NewZealand blueberry consumption.Journal of the International Society of Sports Nutrition 2012
– Tart Cherries: The role of cherries in exercise and health Scandinavian Journal of Medicine &
Science in Sports 2014
– Purple Sweet Potato Leaves: Effect of purple sweet potato leaves consumption on
exercise-induced oxidative stress and IL-6 and HSP72 levels Journal of Applied Physiology 2010
– Ginger: Effects of ginger (Zingiber officinale Roscoe) supplementation and resistance training on
some blood oxidative stress markers in obese men Journal of Exercise Science & Fitness 2014
• Plants appear to have a positive affect
26. Plant Based Nutrition and….
• Premenstrual Symptoms
Arachidonic Acid
• Water retention, weight gain, Moodiness,
Dysmennorhea
– Diet and Sex-Hormone Binding Globulin, Dysmenorrhea, and Premenstrual Symptoms
Obstetrics & Gynecology 2000
– Soy, fat and other dietary factors in relation to premenstrual symptoms in Japanese
women BJOG 2004
– Anecdote
Arachidonic Acid
Prostaglandins
Prostaglandins
PGf2α
PGf2α
CCooxx 1 1-2-2
27. Plant Based Nutrition and…..
• Menopause
• Average Age: 51
– Reduction in Hot Flashes/Vaginal Dryness
• Short-term Effects of Phytoestrogen-rich Diet on Postmenopausal Women Menopause 1997
28. Plant Based Nutrition and…
• Gallstones
– Fruit and Vegetable Consumption and Risk of Cholecystectomy
in Women The American Journal of Medicine 2006
– ½ of the risk
• Dietary factors in the aetiology of gall stones: a case
control study. Gut 1988
– No benefit
• The effect of alcohol, tobacco and caffeine
consumption and vegetarian diet on gallstone
prevalence European Journal of Gastroenterology &
Hepatology 2010
Unfortunately 1 million plus American’s die from cancer every year as well. And of these you can see the break down on the side. Notice the distribution. Although breast cancer was far more common than Lung cancer, lung cancer tends to be much more aggressive cancer and causes greater mortality as a result.
Probability of Developing Invasive Cancers Within Selected Age Intervals by Gender, United States, 1996-1998a