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cross-posted from: https://lemmy.ml/post/24943429

Human ancestors like Australopithecus – which lived around 3.5 million years ago in southern Africa – ate very little to no meat, according to new research published in the scientific journal Science. This conclusion comes from an analysis of nitrogen isotope isotopes in the fossilized tooth enamel of seven Australopithecus individuals. The data revealed that these early hominins primarily relied on plant-based diets, with little to no evidence of meat consumption.

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[–] [email protected] 17 points 3 days ago (1 children)

They also had no science, no literature, no music, 85 % child mortality, and died of old age at 35. Coincidence?

[–] [email protected] 13 points 3 days ago

Yeah man vegetarianism is dangerous!

[–] [email protected] 18 points 3 days ago (2 children)

Three million years ago we ate what we could find and plants do not run away or bite. What will the next great finding be, homeless people don't eat steak?

[–] [email protected] 8 points 3 days ago

Even many herbivores eat meat when given the chance. Plenty of videos on youtube of horses/cows eating birds for example.

[–] [email protected] 21 points 3 days ago* (last edited 3 days ago)

Not really surprising as we had recently evolved to stand on two legs and probably lacked the brain power to hunt effectively. We only started using fire sometime during the following two million years as a we transitioned into "modern" humans. Fire was likely a huge motivator to begin consuming meat once the maillard reaction was "discovered". The last ice age probably kicked out hunting skills into high gear due to sparse vegetation and the need to consume more fats and proteins.

[–] [email protected] -3 points 3 days ago (1 children)

Someone tell the carnists!

[–] [email protected] 8 points 3 days ago (2 children)

We know! Look at that hockey stick in the last 2 million years!

[–] [email protected] 3 points 3 days ago (1 children)
  1. Learning to use fire also opened up a lot more nutrients from plants including legumes and tubers that are inedible or less nutritious without cooking.
  2. Increased brain size is beneficial for many things other than hunting, including cooperating to outcompete rival clans and other hominids like neanderthals.
  3. The carnist argument in question, when applied to argue against the efficacy of plant-based diets, is essentially an appeal to nature fallacy. Learning what happened in history is interesting, but does not tell us what is beneficial to do now. If what we care about is empirical health outcomes, we should look at health outcomes data rather than trying to replicate what our ancestors did in situations that were vastly different to the ones that we find ourselves in now. And the preponderance of evidence supports equal if not better outcomes for diets that are mostly if not completely whole foods plant-based, and shows increased risk of heart disease and cancer with increased red meat and processed meat consumption.
[–] [email protected] 3 points 3 days ago (1 children)

1,2 totally agreed

when applied to argue against the efficacy of plant-based diets

I'm not making that claim

If what we care about is empirical health outcomes, we should look at health outcomes data rather than trying to replicate what our ancestors did in situations that were vastly different to the ones that we find ourselves in now.

100%

shows increased risk of heart disease and cancer with increased red meat and processed meat consumption.

https://www.dietdoctor.com/low-carb/skeptical-doctors#cancer

The science against meat is inconclusive

Personally I don't have a opinion about what a adult should eat. Every person is navigating their own journey through health and life and needs to find what works for them. I only take issue with trying to limit people's options on none causal observational data.

[–] [email protected] 3 points 3 days ago* (last edited 3 days ago) (1 children)

When consumed in moderation it doesn't always make the hugest difference, but the the claim that "science against meat is inconclusive" is overselling it. Decades of studies show that reducing meat, particularly red and processed meat, in favor of plant-based proteins consistently leads to better health outcomes.

Health Outcomes: Cohort studies like Zhong et al. (2018) found that diets lower in red meat significantly reduce cardiovascular and mortality risks (DOI), while Kim et al. (2016)*linked animal protein to increased cardiovascular mortality and plant protein to lower all-cause mortality. (DOI) Similarly, the BMJ (2020) systematic review showed plant protein is associated with reduced all-cause and cardiovascular mortality. (DOI)

Cancer and Cardiovascular Disease: An umbrella review in PLOS ONE found plant-based diets are systematically linked to lower risks of heart disease and cancer. (DOI)

RCT Support: Controlled trials also confirm these findings. For example, Zeraatkar et al. (2023) found replacing animal protein with plant-based protein improves cardiovascular markers. (DOI) Twin-pair studies further showed improved metabolic health with plant-based diets. (DOI)

Nutritional Adequacy: Plant-based diets provide complete nutrition when planned well. Protein blends match whey in muscle synthesis (pubmed), while legumes and grains promote longevity (DOI, DOI).

[–] [email protected] 2 points 2 days ago* (last edited 2 days ago) (1 children)

claim that “science against meat is inconclusive” is overselling it.

https://www.dietdoctor.com/low-carb/skeptical-doctors#cancer

In brief, the data linking fat to cancer risk are inconsistent, incomplete, and unreliable.

The most consistent (albeit weak) associations between cancer risk and fat have been found over the years in observational studies looking at red meat and the risk of colorectal cancer. However, two more recent, important papers published in Annals of Internal Medicine make the case that available evidence from randomized controlled trials and observational studies does not support recommendations to lower red meat intake for prevention of cancer or heart disease.

Strong Evidence - Effect of Lower Versus Higher Red Meat Intake on Cardiometabolic and Cancer Outcomes: A Systematic Review of Randomized Trials

Weak Observational - Patterns of Red and Processed Meat Consumption and Risk for Cardiometabolic and Cancer Outcomes: A Systematic Review and Meta-analysis of Cohort Studies

https://www.dietdoctor.com/low-carb/red-meat#cancer

While the epidemiological studies reviewed by the committee suggest an association, other studies question the strength of the association.

large reviews and meta-analyses of observational studies, researchers have found inconsistent results. One very large meta-analysis found that the absolute effects of red meat on cancer risk are extremely low, with the certainty of evidence being low to very low.While some have shown no association of red meat and cancer risk, others have shown a positive association with gastric, esophageal, breast, and prostate cancer. Weak Protective 1 Weak Protective 2 Weak Positive 3 Weak Protective 4 Weak Protective 5

For those that did show an association, the hazard ratios were quite small, in the range of 1.06 to 1.4. In comparison, cigarette smoking has a hazard ratio greater than 20 for being associated with cancer. Therefore, although these observational studies can suggest an association between red meat and cancer, the very low hazard ratios weaken the assertion that red meat causes cancer.

I'm happy you have found a diet that works for you, I have not seen compelling non-observational evidence that ASF is dangerous, ESPECIALLY in the context of a low carbohydrate diet. I'm not trying to change your mind, but I wanted to illustrate that different reasonable people reading the literature can come to different conclusions.

[–] [email protected] 2 points 2 days ago (1 children)

Good prospective cohort studies and meta-analyses of them are some of the best evidence we can possibly get for diet, because doing lifespan-scale human RCTs is completely impractical, especially for diet. The meta analyses you shared still showed an association between reduced meat consumption and reduction of CVD risk, just with low effect size and low statistical confidence, so this is really not strongly contrary to the conclusion that red meat is better to eliminate or reduce.

I hear the “correlation is not causation” argument loud and clear, but meat is expensive, meat consumption correlates with wealth, and wealth correlates strongly with health and longevity. Diets like the Atkins diet and the Paleo diet have also been relatively popular among health-conscious people since the 70’s. The animal agriculture industry also has enormous incentive to fund studies which show animal products in a positive light. So I really don’t see any strong reason to think that confounding factors/biases would systematically favor low-meat diets rather than high-meat diets. If meat were truly neutral in terms of CVD risk, we would expect to see a near equal number of studies showing that it is protective for CVD as we see studies showing it increases CVD risk, but this is not what we see in practice.

RCTs measuring CVD biomarkers also pretty consistently show that reducing meat consumption, especially red meat, decreases well-established CVD biomarkers, so, if these results combined don’t convince you, what results would convince you?

And yes, the evidence for cancer with unprocessed red meat is weaker, but the evidence for CVD risk and CVD biomarkers is pretty consistent across both RCTs and observational studies. The small effect size you mention is consistent with the expected heterogeneous results of some studies, and the fact that the effect size is weaker than something like smoking does not mean the effect does not exist.

The CVD hazard ratio may be close to 1.11 for red meat, which means just 100g a day increases your risk for CVD by 11% (Red meat consumption, cardiovascular diseases, and diabetes: a systematic review and meta-analysis). In an animal based low carb/carnivore diet you would need to be eating 10x that much (whether or not youre incorporating other animal foods also high in saturated fat), and there's no compelling reason to expect the results to be better by consuming more of something with demonstrable long term cardiovascular system-damaging effects, whether in the context of an extremely low carbohydrate diet or not. Studies like Dietary carbohydrate intake and mortality: a prospective cohort study and meta-analysis also show us that a moderate level of carbohydrate consumption give better results than either extreme high carbohydrate or extreme low carbohydrate diets. “There was a U-shaped relationship between carbohydrate intake and mortality in the Atherosclerosis Risk in Communities cohort, a finding that was consistent in the meta-analysis combining these data with those from the other cohorts. When assessing total carbohydrate without regard to specific food source, diets with high (>70%) or low (<40%) percentage of energy from carbohydrates were associated with increased mortality, with minimal risk observed between 50–55%. Low carbohydrate dietary patterns that replaced carbohydrate with animal-derived protein or fat were associated with greater mortality risk, whereas this association was inverse when energy from carbohydrate was replaced with plant-derived protein or fat.“

What you define as “dangerous,” is somewhat subjective, but if you care about things like minimizing all-cause mortality and heart disease risk (which you probably should, given that CVD is the number 1 killer), then it's pretty clear that eating ASF in large amounts is suboptimal.

[–] [email protected] 1 points 2 days ago* (last edited 2 days ago) (1 children)

RCTs measuring CVD biomarkers also pretty consistently show that reducing meat consumption, especially red meat, decreases well-established CVD biomarkers, so, if these results combined don’t convince you, what results would convince you?

May I see these RCTs please? What do you consider a CVD biomarker? Not LDL hopefully. CAC scores, insulin resistance, or all cause mortality please.

then it’s pretty clear that eating ASF in large amounts is suboptimal.

I do not agree with this, a abundance of weak observational studies do not make causation. But the point of this discussion isn't to get us to agree, just to indicate that people well versed in the literature and looking at the evidence strength would not agree that the evidence is overwhelming.. which is to say there has not been a casual link established.

[–] [email protected] 2 points 2 days ago* (last edited 2 days ago) (1 children)

The study Meta-Analysis of Randomized Controlled Trials of Red Meat Consumption in Comparison With Various Comparison Diets on Cardiovascular Risk Factors analyzed 6 RCT's that compared red meat to plant-based protein sources and finds that the plant-based protein sources consistently result in better blood lipids and lipoproteins compared with red meat:

  1. Wiebe SL, 1984 - https://doi.org/10.1093/ajcn/40.5.982
  2. Sinclair AJ, 1987 - https://doi.org/10.1007/BF02540369
  3. Prescott DA, 1988 - https://doi.org/10.1042/cs0740665
  4. Wolmarans P, 1991 - https://doi.org/10.1093/ajcn/53.5.1171
  5. Haub MD, 2005 - https://doi.org/10.1016/j.metabol.2005.01.019
  6. Hosseinpour-Niazi S, 2014 - https://doi.org/10.1038/ejcn.2014.228

As to your comments about CVD markers, there are of course contrarians, but the evidence linking both LDL-C and apoB with CVD risk is strong. Look at mendelian randomization studies for both.

https://link.springer.com/article/10.1186/s12916-020-01792-7

https://www.neurology.org/doi/full/10.1212/WNL.0000000000007091

https://journals.plos.org/plosmedicine/article?id=10.1371%2Fjournal.pmed.1003062

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2814089

Substitution of animal with plant protein lowers apo-B https://www.ahajournals.org/doi/full/10.1161/JAHA.117.006659

In comparison with control diets, plant-based diets improved Homeostatic Model Assessment for Insulin Resistance https://www.mdpi.com/2072-6643/16/13/2110

All cause mortality was reduced by plant-based diet in the meta-analyses of prospective cohort studies I shared earlier, nobody tries to measure that for dietary RCT’s…

Low carb diets high in animal products result in increased CAC scores and the animal-based but not plant-based LCD score is significantly associated with a higher risk of CAC progression (animal-based LCD score: hazard ratio, 1.456 [95% CI, 1.015–2.089]; P=0.041; plant-based LCD score: hazard ratio, 1.016 [95% CI, 0.821–1.257]; P=0.884 https://www.ahajournals.org/doi/full/10.1161/ATVBAHA.120.314838 (observational)

[–] [email protected] 1 points 20 hours ago* (last edited 20 hours ago) (1 children)

The study Meta-Analysis of Randomized Controlled Trials of Red Meat Consumption in Comparison With Various Comparison Diets on Cardiovascular Risk Factors analyzed 6 RCT’s that compared red meat to plant-based protein sources and finds that the plant-based protein sources consistently result in better blood lipids and lipoproteins compared with red meat

Thats a interesting paper, unfortunately the endpoints they used where lipoproteins and not all cause mortality. LDL is not the villain it has been made out to be. https://hackertalks.com/post/6054186

I agree if you want to lower your LDL PBF and Seed oils are a great way to do it. I don't agree that lowering your LDL as the only goal is healthy.

In comparison with control diets, plant-based diets improved Homeostatic Model Assessment for Insulin Resistance https://www.mdpi.com/2072-6643/16/13/2110

Yes! Reducing sugar and carbs is great for metabolic health. Totally agreed

https://www.ahajournals.org/doi/full/10.1161/ATVBAHA.120.314838 (observational)

Right, Observational and FFQs.

interviewers asked the participants open-ended questions about dietary consumption of 100 food categories that referenced 1609 separate food items within the past month. Foods consumed were assigned to 1 of 166 food groups devised by the Minnesota Nutrition Coordinating Center.

In this study Low Carbohydrate group was defined as 43% carbs, or 161 Carbs per day. Which is well above a ketogenic metabolism, so does not apply to LCHF/Keto or Carnivore.

Thanks for all the links and papers, its a little overwhelming when you throw so many at once. One paper at a time will make discussion easier. I've look at the data and I'm still comfortable with my choices, and stand behind my statements that ASF is being incorrectly vilified.

[–] [email protected] 1 points 11 hours ago (1 children)

You're setting up impossible criteria for what studies you will accept as evidence against your position by saying you will only accept RCT's with all-cause mortality as the end point as evidence. Like I said, nobody does this for studying diet...

You seem to have a double standard for what qualifies as sufficient evidence against your view vs. for your view, as evidenced by the fact you think that the context of a keto or carnivore diet would completely reverse clearly evident trends despite a complete lack of evidence. Where are your RCT's with all-cause mortality as an end point studying the keto diet? Where are your RCT's showing that increasing LDL-C and apo-B does not increase CVD risk over lifespan-scale experiments?

You conveniently chose to ignore the Mendelian randomization studies on LDL-C and apo-B.

Your view on ldl-c and apo-b goes against expert consensus (https://www.lipidjournal.com/article/S1933-2874(24)00240-X/fulltext, https://www.jacc.org/doi/10.1016/j.jacc.2022.07.006, https://pubmed.ncbi.nlm.nih.gov/28444290/), there is very compelling evidence that both, especially apo-b, have a causal role in long-term CVD progression.

While the conversation has been interesting, I feel that continued exchange will not be particularly productive.

[–] [email protected] 1 points 11 hours ago* (last edited 11 hours ago) (1 children)

Again, I'm not trying to change your mind. I frankly am happy you have chosen a different path.

Where are your RCT's showing that increasing LDL-C and apo-B does not increase CVD risk over lifespan-scale experiments?

I literally linked you a RCT in the above post showing LDL being protective for all cause mortality

Mendelian randomization

I do not consider this any more serious evidence than observational. Randomizing observational studies is an interesting way to determine where your next research should be, but not to draw conclusions.

evidence pyramid

While the conversation has been interesting, I feel that continued exchange will not be particularly productive.

Agreed. I don't think either of us are making progress with the other. And that's okay. We can both exist taking separate choices.

keto or carnivore diet would completely reverse clearly evident trends despite a complete lack of evidence.

This is unfair, because I have provided that information above, I've read all of your links. I don't think you've read any of mine. To be quite frank, I think you've already decided what the right outcome is, you're going through the motions to overwhelm me, but not to engage in an actual intellectual discovery. We're not having a conversation, you're throwing papers at me. That's why we're not progressing

[–] [email protected] 1 points 9 hours ago* (last edited 8 hours ago)

I did read your links, I think it is very interesting but doesn't really move the needle much when we have so much evidence to the contrary

Some Commentary on the linked RCT: https://nutritionsource.hsph.harvard.edu/2016/04/13/diet-heart-ramsden-mce-bmj-comments/. https://ebm.bmj.com/content/21/5/185.full

The study design, in mental health patients, of creating so many artificial foods with corn oil/ omega 6 and no omega 3 as well as the limited monitoring of cholesterol levels and limited length of the study also limits the interpretation of the results. The potential correlation of sudden cholesterol drop with mortality can also be confounded by sudden weight loss, which correlates with diseases like cancer.

Meta analysis of 60 RCT’s linking LDL-C lowering therapies with reduced CVD events:

https://www.atherosclerosis-journal.com/article/S0021-9150(24)01108-0/fulltext

How do you explain how statins reduce risk of CVD events or why those with familial hypercholesterolemia have such high rates of CVD?

It also still does nothing to address apo-b…

[–] [email protected] -2 points 3 days ago (1 children)

Does the "us" in the graph imply that carnists lost a significant amt of brain size?

[–] [email protected] 3 points 3 days ago

Better graph. The only data I've seen on modern brain size differences would be due to vitamin deficiencies.