The People's Perspective on Medicine

Is Your Diet Putting You at Risk for Heart Disease?

Vegetarians have a lower risk for heart disease than meat eaters. However, they have a slightly higher chance of suffering a stroke.
Heart, high cholesterol, heart disease,

By now, it should come as no surprise that dietary choices can affect health. But do you know how your diet affects your risk for heart disease and stroke?

Meat Eaters vs. Vegetarians vs. Pescatarians:

A British study of more than 48,000 people compared meat eaters, vegetarians and fish eaters (The BMJ, Sept 4, 2019). People who include fish but not meat in their diets are also termed pescatarians (spelled pescetarians in British English). This epidemiological study was a British branch of the European Prospective Investigation into Cancer and Nutrition, aka EPIC-Oxford. Over the course of 18 years, some of the people in the study experienced coronary heart disease or stroke.

Meat Eaters Have a Higher Risk for Heart Disease:

Analysis showed that meat eaters had a higher risk for heart disease. Vegetarians had approximately 10 fewer cases per 1000 people over 10 years. Perhaps this is because vegetarians tend to have lower blood pressure and cholesterol levels. Scientists have known for years that including fish in the diet  might reduce the risk for heart disease. In fact, advocates believe this works approximately as well as taking a statin drug to control cholesterol.

Vegetarians Are at Higher Risk for Stroke:

On the other hand, vegetarians and vegans were more likely to suffer strokes, with roughly 3 more cases per 1000 people over 10 years. This increased risk was primarily due to bleeding strokes. Such hemorrhagic strokes are much less common than strokes caused by blood clots in the brain, but they can be even more devastating. Fish eaters also had a higher risk of stroke than meat eaters, but the difference was not significant.

The authors conclude:

“Overall, the present study has shown that UK adults who were fish eaters or vegetarians had lower risks of ischaemic heart disease than meat eaters, but that vegetarians had higher risks of stroke.”

An accompanying editorial warns that these findings from British vegetarians may not apply to most of the world’s vegetarians who live primarily in low-income countries. Moreover, the editorialists point out, the increase in the possibility of stroke was quite small. 

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About the Author
Terry Graedon, PhD, is a medical anthropologist and co-host of The People’s Pharmacy radio show, co-author of The People’s Pharmacy syndicated newspaper columns and numerous books, and co-founder of The People’s Pharmacy website. Terry taught in the Duke University School of Nursing and was an adjunct assistant professor in the Department of Anthropology. She is a Fellow of the Society of Applied Anthropology. Terry is one of the country's leading authorities on the science behind folk remedies. .
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  • Tong TYN et al, "Risks of ischaemic heart disease and stroke in meat eaters, fish eaters, and vegetarians over 18 years of follow-up: Results from the prospective EPIC-Oxford study." The BMJ, Sept 4, 2019. doi:
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This article omits the risk of stroke for meat-eaters and fish-eaters — how many per thousand people? Just saying that vegetarians’ risk is higher, without providing the stats for comparison, is disingenuous.

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