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A very-low-fat vegan diet increases intake of protective dietary factors and decreases intake of pathogenic dietary factors.

Journal of the American Dietetic Association
February 1, 2008
Antonella Dewell et al. (5 authors)
Journal ArticleRandomized Controlled TrialResearch Support, U.S. Gov't, Non-P.H.S.Human StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether a very-low-fat vegan diet supplemented with soy protein and lifestyle changes could increase protective dietary factors and decrease pathogenic dietary factors in early-stage prostate cancer patients.

Results Summary

The study found that the vegan diet significantly increased intake of protective nutrients (e.g., fiber, lycopene) and significantly decreased intake of pathogenic factors (e.g., saturated fatty acids, cholesterol) compared to usual care. These changes suggest the diet may help mitigate chronic disease risk factors.

Population

Early-stage prostate cancer patients (n=93).

Effective Dosage

Very-low-fat (10% fat) vegan diet supplemented with soy protein (specific dosage not detailed).

Duration

1 year.

Interactions

None mentioned.

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
very-low-fat (10% fat) vegan diet supplemented with soy protein and lifestyle changes
increase
fiber
early-stage prostate cancer patients
from a mean of 31 to 59 g/day
significantly increased intake
#1
very-low-fat (10% fat) vegan diet supplemented with soy protein and lifestyle changes
increase
lycopene
early-stage prostate cancer patients
from 8,693 to 34,464 mug/day
significantly increased intake
#2
very-low-fat (10% fat) vegan diet supplemented with soy protein and lifestyle changes
decrease
saturated fatty acids
early-stage prostate cancer patients
from 20 to 5 g/day
significantly decreased intake
#3
very-low-fat (10% fat) vegan diet supplemented with soy protein and lifestyle changes
decrease
cholesterol
early-stage prostate cancer patients
from 200 to 10 mg/day
significantly decreased intake
#4
very-low-fat (10% fat) vegan diet supplemented with soy protein and lifestyle changes
increase
most protective dietary factors
early-stage prostate cancer patients
-
significantly increased intake
#5
very-low-fat (10% fat) vegan diet supplemented with soy protein and lifestyle changes
decrease
most pathogenic dietary factors
early-stage prostate cancer patients
-
significantly decreased intake
#6
Abstract

There is increasing evidence that dietary factors in plant-based diets are important in the prevention of chronic disease. This study examined protective (eg, antioxidant vitamins, carotenoids, and fiber) and pathogenic (eg, saturated fatty acids and cholesterol) dietary factors in a very-low-fat vegan diet. Ninety-three early-stage prostate cancer patients participated in a randomized controlled trial and were assigned to a very-low-fat (10% fat) vegan diet supplemented with soy protein and lifestyle changes or to usual care. Three-day food records were collected at baseline (n=42 intervention, n=43 control) and after 1 year (n=37 in each group). Analyses of changes in dietary intake of macronutrients, vitamins, minerals, carotenoids, and isoflavones from baseline to 1 year showed significantly increased intake of most protective dietary factors (eg, fiber increased from a mean of 31 to 59 g/day, lycopene increased from 8,693 to 34,464 mug/day) and significantly decreased intake of most pathogenic dietary factors (eg, saturated fatty acids decreased from 20 to 5 g/day, cholesterol decreased from 200 to 10 mg/day) in the intervention group compared to controls. These results suggest that a very-low-fat vegan diet can be useful in increasing intake of protective nutrients and phytochemicals and minimizing intake of dietary factors implicated in several chronic diseases.

Medical Subject Headings (MeSH)
AgedAntioxidantsCarotenoidsChronic DiseaseDiet RecordsDiet, Fat-RestrictedDiet, VegetarianDietary FatsDietary FiberDisease ProgressionHumansIsoflavonesMaleMineralsNutritive ValueProstatic NeoplasmsTreatment OutcomeVitamins
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations34
Citations/Year2.0
Relative Citation Ratio1.01
NIH Percentile50.6%
Research Impact Scores
APT Score0.75
Weight Score1.13
Normalized Score0.70
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