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Dear Mark: Ornish Strikes Again, Vitamin D from Light Boxes, and Kimchi and Cancer
Posted By Mark Sisson On October 2, 2012 @ 8:00 am In Dear Mark,Nutrition | 60 Comments
Ah, it’s good to be back in the saddle again. The challenge  was a lot of fun – don’t get me wrong – but ultimately both you guys and I come here for the dispensation of musings and information and writings and discussion on health, fitness, and any other number of lifestyle topics. So, let’s get to it, shall we?
Today, we’re doing a roundup of three Dear Mark  questions and answers. First, I address the latest insinuation from Dean Ornish that we’re all killing ourselves despite our weight loss, our fitness gains, our prescription reductions, our improved outlooks on life, and our elevated levels of general happiness and satisfaction. Next, I discuss whether or not those light therapy boxes designed to combat seasonal disaffective disorder and reset circadian rhythms will also help us generate vitamin D . And finally, I explore the research linking the intake of pickled vegetables like kimchi to gastric cancer. Let’s go:
Could you please comment on the article at the link above?
Also, did you have a chance to research overmineralization theory of aging?
This isn’t the first time I’ve mentioned Ornish. Way back in 2007, I wrote  about a study comparing the Ornish diet, the Atkins diet, the Zone diet, and the LEARN diet. I won’t get too deep into his criticisms of low-carb, high-fat (or should I say “high-protein”) diets, because they’re based on the very same studies that have been thoroughly ravaged across this and other blogs for the past few years. Like my piece on the connection between red meat and type 2 diabetes here , and Denise Minger’s piece on the connection between low-carb diets and heart disease in Swedish women here .
Instead, my main focus will be on Ornish’s claim that his diet is optimal, that his magic diet program can reverse atherosclerosis and result in weight loss that obliterates the cheeseburger-and-buttered-bacon-fueled opposition. He makes this claim a lot, and you hear about it all the time from other sources. What’s he talking about? Where is this coming from? Why, he must have an impressive personal archive of statistics from diet study after diet study in which patients were placed on the Ornish plan and didn’t just thrive, but became supernatural beacons of health. Right?
Not really. It all comes from a single study  done on 35 people published back in 1998. Twenty people were randomly selected to receive the Ornish diet – a low-fat, vegetarian diet rich in fruits, vegetables, legumes, grains, and soybean products. They were also placed on a lifestyle modification program which had them exercise regularly, go to stress management training, stop smoking, and do psychosocial support group meetings. That was the experimental group. The other fifteen – the control group – were not counseled in this manner, instead being told to merely “keep listening to their physicians.” How did this all play out?
The experimental group was exercising five hours a week; the control group was exercising two and a half hours a week.
The experimental group was spending 87 minutes per week performing stress management techniques like meditation; the control group was spending less than five minutes a week doing it.
The experimental group lost almost 24 pounds after a year and managed to keep 12 of them off after five years. The control group lost little to no weight.
Sure enough, by the end of the study, the experimental group had reduced atherosclerosis. After five years, the experimental group had experienced 0.89 cardiac events per patient, while the control group had experienced 2.25 events per patient. Things definitely improved.
So, what was it? Was it the diet alone that improved the experimental group’s health, as Ornish loves to emphasize? Or could it be that the weight loss, the meditation, the stress reduction, the exercise, and the lack of smoking also played a role in improving their heart health?
We already know that weight loss improves health, and a recent study  even suggests that the type of diet isn’t very important for improving the function of blood vessels so long as you’re losing belly fat on it. We know that meditation and stress reduction can lower hypertension and reduce mortality from heart disease  (and it can even increase telomerase , which Ornish again says his diet is responsible for). We know that regular exercise fights heart disease . And everyone knows that smoking tobacco is a terrible choice (PDF ) for patients with heart disease (and anyone else, really).
So why does Ornish feel the need to reduce the benefits of his program to the composition of the diet while deemphasizing and often failing to mention the other aspects of the lifestyle modification program he recommends?
Because if he didn’t, he’d have to acknowledge that other diets can work alongside “lifestyle modification,” even – or especially – diets that include ample amounts of animal fat  and protein .
To sum up, Ornish’s program – the diet that leads to weight loss, the exercise, the stress reduction, and the cessation of smoking – clearly seems to work for improving heart health. But he hasn’t proven that the specifics of his vegetarian low-fat diet are the main reason, nor has he shown that a high-fat, low-carb diet would somehow negate the proven benefits of the non-diet lifestyle modifications.
And sorry, haven’t had time to look into the overmineralization theory yet. Thanks for the reminder, though!
Thank you for your website, I am starting out with the program and I have a question about sunlight and “wake lights,” specifically the Philips GoLITE Blu.
I work in theatre, a profession that is known for fast food and no sunlight, and I was recently diagnosed with narcolepsy. I have been using the GoLITE Blu to help try and regulate my sleep cycles and I was curious if you knew to what extent it helps with vitamin D production, particularly for days (or weeks) where I don’t get a lot of sun.
I like the wake lights. They’re great for normalizing your circadian rhythms  and getting you more in tune with the ebb and pulse of the day. And while actual natural light is probably best and perhaps irreplaceable, the GoLITE Blu is a fantastic option for when you just can’t get outside to let your eyes perceive the real stuff. However, the wake light unfortunately does not help with vitamin D production. For vitamin D, you absolutely need to expose your skin to UVB rays, the kind generated by the sun.
There is a lamp  that generates enough UVB to stimulate vitamin D production, designed by Dr. Holick, author of The Vitamin D Solution . If anything will work, that should. At $425, it’s a little steep, but if you want to generate vitamin D the natural way without sun, that’ll do it.
Let me know how it goes.
I love your blog and your book. I learn something new every time I drop by on MDA! Keep up the good work!
Since you promote fermented foods a lot on MDA, I wanted to ask you: is there such a thing as too much fermented food?
When my South Korean friend immigrated to my city, she introduced me to spicy cabbage kimchi. Since I share your love of all things fermented, I liked it from the start, although it was a bit spicy at first. Recently I discovered that it is incredibly delicious when fried in butter as a side dish or as a topping for a good chunk of meat. The butter mellows the spices and rounds out the tangy flavor.
My friend cautioned me, however, to exercise restraint. Apparently it is common knowledge in Korea that while a bit of kimchi every day keeps the doctor away, it is addictive, and too much kimchi increases one’s risk of colorectal cancer. I totally agree that kimchi can be addictive (especially with butter!), but I wonder about the cancer part. Kimchi refers to all fermented vegetables, not just the spicy cabbage westerners are familiar with, so it is not only about the spices. Some kinds of kimchi are traditionally prepared pretty mild, and most kinds of kimchi are prepared with or without spices according to the family tradition. For exemple, in my friend’s family, cabbage, green onion and bitter gourd are prepared spicy, while daikon, pumpkin and cucumber kimchi are prepared mild.
Do you think there is such a thing as too much fermented foods? Should I cut back if I find myself eating something fermented at almost every meal? Are the abundant spices of the Korean cuisine to blame rather than the kimchi? Or do you think this is all Korean Conventional Wisdom, full of good intentions but full of flaws?
Thank you for your insight!
Thanks for the compliments!
It’s true that kimchi has been linked in several observational studies to cancer, but not colorectal cancer. It’s actually stomach, or gastric, cancer that’s primarily associated with kimchi intake. To get an idea of what they’re talking about, take a look at one of the latest of these studies, a 2009 meta-analysis  entitled “Fresh and pickled vegetable consumption and gastric cancer in Japanese and Korean populations: A meta-analysis of observational studies.”
I think there are a few possible explanations for this:
But that’s not the entire picture:
Confusing, huh? If any lesson can be gleaned from this, it’s to treat fermented vegetables, including kimchi, as a condiment. Also, you’ll want to make sure that your fermented vegetable intake does not replace your fresh vegetable intake. Fresh veggies should provide bulk and volume to your meals, while fermented vegetables should act as adornments and meal enhancers. Treat fermented and fresh vegetables like you treat cured meats and fresh meats; as delicious as bacon is, you don’t want it to comprise the majority of your meat intake.
To answer your questions:
Oh, and avoid radish kimchi at all costs or risk certain death!
Just kidding. Thanks for reading, folks.
Article printed from Mark's Daily Apple: http://www.marksdailyapple.com
URL to article: http://www.marksdailyapple.com/dear-mark-ornish-strikes-again-vitamin-d-from-light-boxes-and-kimchi-and-cancer/
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 Dear Mark: http://www.marksdailyapple.com/category/dear-mark/
 vitamin D: http://www.marksdailyapple.com/vitamin-d-sun-exposure-supplementation-and-doses/
 wrote: http://www.marksdailyapple.com/fat-phobia/#axzz2844kq0gt
 here: http://www.marksdailyapple.com/does-eating-red-meat-increase-type-2-diabetes-risk/#axzz2844kq0gt
 here: http://rawfoodsos.com/2012/07/01/bad-science-strikes-again/
 single study: http://jama.jamanetwork.com/article.aspx?articleid=188274
 study: http://www.ncbi.nlm.nih.gov/pubmed/22838037
 lower hypertension and reduce mortality from heart disease: http://www.sciencedirect.com/science/article/pii/S0002914905001839
 increase telomerase: http://www.marksdailyapple.com/meditation-for-life-extension-and-the-twinkie-guy/#axzz2844kq0gt
 regular exercise fights heart disease: http://circ.ahajournals.org/content/107/1/e2.full
 PDF: http://benthamscience.com/cdtia/sample/iadt8-5/0003L.pdf
 animal fat: http://www.marksdailyapple.com/yet-another-primal-primer-animal-fats/#axzz1t4UHVJDc
 protein: http://www.marksdailyapple.com/category/protein/
 circadian rhythms: http://www.marksdailyapple.com/sound-cues-and-circadian-rhythms/
 lamp: http://www.vitaminduv.com/
 author of The Vitamin D Solution: http://drholick.com/
 2009 meta-analysis: http://onlinelibrary.wiley.com/doi/10.1111/j.1349-7006.2009.01374.x/full
 cabbage and other cruciferous vegetables: http://www.ncbi.nlm.nih.gov/pubmed/14690789
 garlic: http://www.ncbi.nlm.nih.gov/pubmed/11010950
 allium vegetables: http://www.ncbi.nlm.nih.gov/pubmed/21473867
 simulated human stomach conditions: http://www.ncbi.nlm.nih.gov/pubmed/7813983
 nitrosamines: http://www.marksdailyapple.com/sodium-nitrite-meat/#axzz2844kq0gt
 gastric: http://www.ncbi.nlm.nih.gov/pubmed/17577615?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DiscoveryPanel.Pubmed_Discovery_RA&linkpos=5&log$=relatedreviews&logdbfrom=pubmed%20bladder%20cancer,%20http://www.ncbi.nlm.nih.gov/pubmed/17093172?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DiscoveryPanel.Pubmed_Discovery_RA&linkpos=3&log$=relatedarticles&logdbfrom=pubmed
 increase the risk of developing stomach cancer: http://hwmaint.pnas.org/cgi/content/full/105/11/4358
 linked to an increase in the virulence of h. pylori: http://www.sciencedaily.com/releases/2007/05/070522091147.htm
 more common in Korea: http://www.ncbi.nlm.nih.gov/pubmed/11595059
 fermentation process actually increases the antioxidant activity of kimchi: http://www.ncbi.nlm.nih.gov/pubmed/21742551
 higher levels of anti-carcinogenic compounds called isothiocyanates: http://www.ncbi.nlm.nih.gov/pubmed/12405778
 reduce the ability of h. pylori to cause gastritis: http://kmbase.medric.or.kr/Main.aspx?d=KMBASE&m=VIEW&i=1234420080360020106
 study: http://www.ncbi.nlm.nih.gov/pubmed/11802218
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