Joan Z. Borysenko Ph.D.
Most people I talk to are downright confused and frustrated about what
to eat and why. Is whole grain the staff of life, or can it damage the
brain or the gut? Is wheat a particularly scary bogeyman or not? Is
eating an egg really as bad as smoking a cigarette? What about meat?
Dairy? Fish? Soy? My intention is to give you the information you need
to decide which of these foods are right for you.
Before I tell you who I am and why I’ve spent three years researching and writing my new book, The Plant-Plus Diet Solution,
let me tell you who I’m not. I’m not a physician, nutritionist, or
chef. I have no supplements to sell, nor any ax to grind. I’m a regular
person who got a diagnosis of hypertension at about the same time my
husband, Gordon, discovered that he had plaque in his arteries, putting
him at risk for heart attack and stroke. We decided to see if changing
our diet might help.
That was the beginning of several years of concentrated diet
sleuthing. First we tried a low-fat, high-carb, mostly vegan diet. After
14 months of sticking resolutely to that heart-approved program,
unfortunately, we continued to lose ground. My hypertension worsened,
and while some of Gordon’s cardiac indicators improved, others got
worse. To add insult to injury, we both gained weight. While many other
people, including President Bill Clinton, thrive on a high-carb, low-fat
diet—and there is solid research to support it for people with heart
disease—for us it wasn’t the hoped-for panacea.
It was frustrating to try so hard, and to believe in a diet with such
evangelistic fervor, only to lose ground. So, using my Harvard Medical
School doctorate in cell biology to good advantage, I dove into the
literature on nutrition and got better acquainted with some of the
disastrous national policies that shaped our health, and our approach to
heart disease, over the past half century.
The Low-Fat Wrong Turn
Ever since President Dwight D. Eisenhower was diagnosed with heart
disease in 1961 and put on a low-fat diet, lowering dietary fat while
increasing carbohydrates became nutritional dogma in spite of some
mighty sketchy research. Yes, the rates of heart disease have gone down,
but the experts don’t think that diet was involved. Less smoking,
better emergency medicine, more long-term care, fewer cases of rheumatic
fever, and healthier moms who bore higher-birth-weight babies are the
likely causes of the decrease in heart disease over the past 60 years.
Ironically the very dietary changes that were put in place
specifically to reduce the incidence of heart disease, which still
claims the lives of one in four Americans, ignited an epidemic of
obesity, diabetes, metabolic derangement, and Alzheimer’s disease
instead.
In 1960 the United States was 16th in life expectancy compared to 191
other countries worldwide. The most recent data I could find, for the
year 2012, was published in The World Factbook compiled by the CIA. The
United States ranked 51st in life expectancy, behind Bosnia and
Herzegovina, barely nosing out Guam.
We’re at a turning point where children now being born in the United
States are the first generation whose life span is on track to be
shorter than that of their parents. They are slated to live, on average,
an alarmingly short 69 years. One single medical recommendation—to eat
low-fat foods—spawned a high-carb feeding frenzy that may be the single
most expensive mistake, in terms of both human suffering and economics,
ever made in the name of evidence-based medicine.
3 things have to happen to reverse the health trends that are
fast eroding both quality of life and our economy, both personally and
as a nation:
1. Minimize refined carbs. It’s time to call off our
national love affair with what some nutritionists call “crap carbs,”
high-glycemic-index carbohydrates, devoid of fiber, which come from
refined grains and sugar that send your blood glucose soaring. As you’ll
read about in my book,
these carbs are a major culprit in the health epidemic. Even whole
grains can turn into sugar more quickly than some people’s metabolism
can handle.
2. Eat a carb-reasonable amount of low-glycemic-index good carbs— the
kind found in high-fiber whole vegetables and fruits. The most basic
practical consideration that governs how to eat for your metabolic type
is simple: Given the environment in which we live, does the combination
of our genetics, our gut microbes, and the food we eat (plus other
factors that have yet to be discovered) lead us to be (1) exquisitely
insulin sensitive, (2) moderately insulin sensitive, or (3) insulin
resistant? Simple blood tests can tell you. The more insulin resistant
you are, the fewer carbs you can eat without deranging your metabolism
and setting yourself up for chronic disease.
3. Personalize your diet for your unique physiology.
Beyond eating a diet composed largely of vegetables and fruits, some
people will thrive on whole grains and legumes. Other people less so.
Some people can eat gluten, whereas others cannot. Certain folks can eat
more fats than others, and fats of differing composition. Some people
do well with dairy, and others not so much. And while meat is what I
call a Plus food for many of us, it’s less suitable for others.
Why Is the Plant-Plus Diet a Solution?
What’s true for us in terms of our personal health and the health of
our economy is also true for our planet. It’s in crisis. I’m not an
alarmist, but it’s ostrich-like to dispute the facts. Earth truly is at a
tipping point. Global warming, increasing pollution, and agricultural
practices that deplete the soil, poison the water, and kill our
beneficial bacterial allies (and eventually us) are hard to ignore. What
we do to the Earth, we do to ourselves. Our elders, who are succumbing
to an epidemic of Alzheimer’s disease, are like canaries in the mine. So
are the increased number of autistic children. Are you overweight?
Diabetic? Depressed? Anxious? You’re a canary in the mine as well.
Something has gone terribly wrong with our national health and well-being, and it’s high time for the tide to turn. The Plant-Plus Diet—a
scientific, metabolically personalized, whole-foods approach to
health—is also a solution to some of these pressing problems. If we as
consumers refuse to eat junk foods, genetically modified foods,
pesticide-riddled produce, and products made from factory-farmed
animals, we’ll be healthier and so will our precious children.
Furthermore, eating the Plant-Plus way— personalized for your own unique
metabolism—is empowering. It’s a step you can take to ensure that you,
your children, your children’s children, and the Earth herself endure
and prosper for the good of us all.

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