Physicians Committee for Responsible Medicine, 5100 Wisconsin Ave, N.W. Ste.400, Washington, DC 20016, USA.
George Washington University School of Medicine and Health Sciences, Washington, DC 20052, USA.
Nutrients. 2017 Aug 9;9(8):848. doi: 10.3390/nu9080848.
Cardio-metabolic disease, namely ischemic heart disease, stroke, obesity, and type 2 diabetes, represent substantial health and economic burdens. Almost one half of cardio-metabolic deaths in the U.S. might be prevented through proper nutrition. Plant-based (vegetarian and vegan) diets are an effective strategy for improving nutrient intake. At the same time, they are associated with decreased all-cause mortality and decreased risk of obesity, type 2 diabetes, and coronary heart disease. Evidence suggests that plant-based diets may reduce the risk of coronary heart disease events by an estimated 40% and the risk of cerebral vascular disease events by 29%. These diets also reduce the risk of developing metabolic syndrome and type 2 diabetes by about one half. Properly planned vegetarian diets are healthful, effective for weight and glycemic control, and provide metabolic and cardiovascular benefits, including reversing atherosclerosis and decreasing blood lipids and blood pressure. The use of plant-based diets as a means of prevention and treatment of cardio-metabolic disease should be promoted through dietary guidelines and recommendations.
心血管代谢疾病,即缺血性心脏病、中风、肥胖和 2 型糖尿病,给健康和经济带来了巨大负担。通过适当的营养,近一半的美国心血管代谢疾病死亡可能是可以预防的。植物性(素食和纯素)饮食是改善营养摄入的有效策略。与此同时,它们与全因死亡率降低以及肥胖、2 型糖尿病和冠心病风险降低有关。有证据表明,植物性饮食可使冠心病事件的风险降低约 40%,脑血管疾病事件的风险降低 29%。这些饮食还可将代谢综合征和 2 型糖尿病的发病风险降低约一半。合理计划的素食饮食是健康的,对体重和血糖控制有效,并提供代谢和心血管益处,包括逆转动脉粥样硬化以及降低血脂和血压。应通过饮食指南和建议来推广植物性饮食作为预防和治疗心血管代谢疾病的手段。