Do High Protein Diets Cause Cancer?

Written by Dr. Steve Chaney on . Posted in Food and Health, Issues

How Much Protein Should We Eat?

Author: Dr. Stephen Chaney

Animal Protein FoodsThe recent headlines suggesting that high protein diets may cause cancer, diabetes and premature death in middle aged Americans are downright scary. You are probably asking yourself:

  • “Is this new information?”
  • “Does this apply to me?”
  • “Should I radically change what I eat?”

In this issue of “Health Tips From the Professor” I will address each of these questions.

Do High Protein Diets Cause Cancer?

The study in question (Levine et al., Cell Metabolism, 19: 407-417, 2014) suggested that high protein diets were associated with increased risk of cancer, diabetes and premature death in Americans in the 50-65 age range. I will touch on all three of these observations, but it is the increased risk of cancer that generated the most headlines – and the most concern (The consequences of diabetes take years to manifest, and death seem to be a more distant concern for most people. Cancer is immediate and personal).

The study looked at 6,381 adults aged 50 and older (average age 65) from the NHANES III data base. (NHANES is a comprehensive database collected by the Centers for Disease Control and Prevention that consists of surveys and physical examinations and is designed to be representative of the health and nutritional status of the US population.)

The data collected consisted of a single diet questionnaire conducted when the subjects were enrolled in the study. Based on the diet questionnaire the authors of the study divided the group into those with low protein intake (<10% of calories), those with moderate protein intake (10-19% of calories) and those with high protein intake (>20% of calories). Overall death and mortality from various diseases over the next 18 years was obtained by linking the NHANES data with the National Death Index.

Based on preliminary data suggesting that the age of the population might influence the results (I won’t go into details here) the authors of the study decided to subdivide the dataset into people aged 50-65 and people over 65. When they did that, they came to the following conclusions:

1)     In the 50-65 age group diets high in animal protein were associated with a:

  • 45% increase in overall mortality
  • 4-fold increase in cancer death risk
  • 4-fold increase in diabetes death risk.

Diets with moderate protein intake were associated with intermediate increases in risk. Surprisingly, there was no increase in cardiovascular disease risk.

Protein Shakes2)     When they looked at people in the 50-65 age group consuming diets high in vegetable protein:

  • the increased overall mortality and increased in cancer mortality disappeared
  • the increased diabetes mortality was still seen.

3)     In the 65+ age group high protein diets were associated with a:

  • 28% decrease in overall mortality
  • 60% decrease in cancer mortality.

The increased risk of diabetes related deaths was still observed. The authors did not distinguish between animal and vegetable protein in the over 65 age group.

All of that may seem to be a bit too complicated. At the risk of gross oversimplification I would summarize their message as follows:

  • Diets high in animal protein may be bad for you if you are in the 50-65 age range, but might actually be good for you if you are over 65.
  • Diets high in vegetable protein appear to be good for anyone over age 50 (The study didn’t look at younger age groups).

Is This New Information?

Let’s start by assuming that the conclusions of the authors are correct (more about that below).

When you boil their message down to its simplest components, the information isn’t particularly novel.

  • The idea that vegetable proteins may be better for you than animal proteins has been around for decades. There are a number of studies suggesting that diets high in animal protein increase the risk of cancer, heart disease, diabetes and overall death – although it is still not clear whether it is the animal protein itself or some other characteristic of populations consuming mostly animal protein that is the culprit.
  • Evidence has been accumulating over the past decade or so that protein needs increase as we age, so it is not surprising that this study found high protein diets to be beneficial for those of us over age 65.

What Do Other Experts Say?

ScientistSince this study has been released it has been roundly criticized by other experts in the field. Let me sum up their four main criticisms and add one of my own.

1)     The protein intake data were based on a single dietary survey taken at the beginning of an 18 year study. The authors stated that a single dietary survey has been shown to be a pretty accurate indicator of what an individual is eating at the time of the survey. However, it is problematic to assume that everyone’s diet remained the same over an 18 year period.

2)     The choice of less than 10% of calories from protein is also problematic. According to the Institute of Medicine standards anything below 10% is defined as inadequate protein intake, which can have long term health consequences of its own.

More importantly, only 7% of the population being studied (437 individuals) fell into this group. This is the baseline group (or put another way, the denominator for all of the comparisons). The conclusions of this study were based on comparing the other two groups to this baseline, and there were too few individuals in this group to be confident that the baseline is accurate.

This does not necessarily invalidate the study, but it does decrease confidence in the size of the reported effect – so forget the reported numbers like 45% increase in mortality and 4-fold increase in cancer deaths. They probably aren’t accurate.

3)     The number of people in this study who died from diabetes was exceedingly small (68 total) and most of them already had diabetes when the study began. The experts concluded that the numbers were simply too low to draw any conclusions about protein intake and diabetes related deaths, and I agree with them.

4)     While the study controlled for fat intake and carbohydrate intake, it did not control for weight. That is a huge omission. Overweight is associated with increased risk of cancer, diabetes and death, and vegetarians tend to weigh less than non-vegetarians.

5)     I would add that there are many other differences between vegetarians and non- vegetarians that could account for most of the differences reported between diets high in animal and vegetable protein. For example:

  • Vegetarians tend to be more health conscious and thus they tend to exercise more, consume more fiber, consume more fruits and vegetables, consume less fried food, and consume less processed and convenience foods – all of which are associated with decreased risk of cancer, diabetes and death.

The Bottom Line:

This is not a particularly strong study. Nor is it particularly novel. In fact, when you strip away the scary headlines and focus on what the data really show, the conclusions aren’t that different from what nutrition experts have been saying for years.

1)     This study suggests that if you are in the 50-65 age range, diets high in animal protein may not be good for you (this study focused on increased risk of cancer death and overall mortality. Other studies have suggested that diets high in animal protein may increase the risk of cardiovascular death).

This is not a new idea. These data are consistent with a number of other studies. However, none of these studies adequately assess whether the increased risk is from the animal protein alone or from other characteristics of populations that consume a lot of animal protein.

2)     This study also suggests that diets high in vegetable protein do not increase either cancer risk or all cause mortality. That’s also not new information. We’ve known for years that people who consume primarily vegetable protein appear to be healthier. Once again, it is not clear whether it is the vegetable protein itself that is beneficial or whether the benefit is due to other characteristics of populations who consume a lot of vegetable protein.

3)     Does that mean that you need to become a vegetarian? It probably reflects my personal bias, but I am reminded of a Woody Allen Quote: “Vegetarians don’t live longer. It just seems that way”. I am also encouraged by studies suggesting that most of the health benefits of vegetarianism can be achieved by diets that consist of around 50% vegetable protein.

I would never discourage anyone from becoming a vegetarian, but if you aren’t ready for that, I would highly recommend that you aim for at least 50% vegetable protein in your diet.

4)     Finally, this study suggests that a high protein diet is beneficial for people over 65. This is also not a completely novel idea. It is consistent with a lot of recent research.

My advice to those of you who, like me, are over 65 is to pay attention to high protein foods and make sure that they are an important part of your diet. I’m not suggesting that you go for the double bacon cheeseburger just because you are over 65. I would still aim for a significant percentage of vegetable protein as a part of a healthy diet at any age.

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure or prevent any disease.

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Comments (2)

  • Robert D. Munson, Ph.D., St. Paul, MN

    |

    Have you seen the documentary video, Forks Over Knives? In one part of it, as I recall, in a cancer study,dietary protein from milk was consumed at 5% and at 20%. Under the 5% cancer tumors shrunk, but grew under the 20% level. Have you reviewed Dr. Joel Fuhrman’s video, 3 Steps to Incredible Health , or Immunity Solutions? He leans heavily on various vegetables, especially salads (as a main meal).

    I believe that in many cases we do not pay enough attention to the cation make up of our diet. In general, potassium or magnesium are often neglected. Various elements activate enzymes, and influence cellular structures, such as the endoplasmic rheticulum, where cellular proteins are programmed. K/Na relationships are important in that regard. Cations also influence cytoplasmic streaming which influence rates of reaction within cells. Most of our diets in the U.S. are way to high in Na, especially in process and fast food operations.

    I really appreciate your analyses of various subjects. Thank you so much for all you do. I appreciate your discussion of on Cancer last evening.

    Reply

    • Dr. Steve Chaney

      |

      Dear Dr. Munson,
      I have seen “forks Over Knives”. There is a lot of good information in there. I think we could all benefit from a diet that included more fresh fruits and vegetables. I also believe in eating all things in moderation. For example, in the study you referred to 20% of protein from milk would be a lot of milk. It would be an unbalanced diet.

      You are also right on about mineral imbalances, We get far too much sodium in our diets and far too little potassium, magnesium and essential trace minerals.

      Dr. Chaney

      Reply

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Latest Article

Yoga Pain Relief From Tight Muscles

Posted July 17, 2018 by Dr. Steve Chaney

Yoga Shouldn’t Cause You Pain

Author: Julie Donnelly, LMT – The Pain Relief Expert

Editor: Dr. Steve Chaney

yoga pain relief

Do you love to practice yoga?  Do you feel energized after stretching your muscles?  Or do you have yoga pain that prevents you from moving easily after your session is complete.  You probably would like to know how to achieve yoga pain relief from tight muscles.

Why Tight Muscles Cause Yoga Pain

A muscle originates on a bone, merges into a tendon, crosses over a joint, and inserts into another bone. When the muscle contracts it pulls on the tendon, and the joint moves.  However, if the muscle is strained either by repetitive use, or trauma, it becomes too short.  Now you will feel pain when you try to lengthen it to its normal length.  If you try to stretch it you’ll feel even worse pain, and you won’t be able to move properly.

yoga pain relief stretchHere is an analogy to help you better understand the concept. If you tied a rope between two trees and knotted the rope, the flexible tree would bend. If you then tried to force the flexible tree to stand up straight, the knots would get tighter. Also, the fibers outside of the knots would over-stretch.

This is what happens in your body when a muscle is shortened by spasms (knots).  And in your body, the two ends are attached to a bone. As a result, when you try to stretch the knotted muscles, they put a strain on your joint.  You feel pain, and you may have even injured your muscles.

It makes sense to untie the spasms before you stretch.  This would help prevent the need for yoga pain relief.

How To Prevent Yoga Pain By Releasing Muscle Spasms First

yoga pain relief bookFor over 15 years I have been helping people around the world via email and Zoom consultations.  A person orders a consultation, sends me an email explaining the problem, and I send back some treatment ideas. Along with the consultation they get a copy of Treat Yourself To Pain-Free Living  so they can do the treatments I suggest.

An amazing yoga instructor in Texas, named Ana, was having pain in her calf muscles. She was accustomed to yoga eliminating all pains, so she was frustrated that the pain didn’t disappear.  She found me by doing an internet search and decided to have a telephone consultation.

Ana sent an email to me describing her problem.  I told her to order the Treat Yourself To Pain-Free Living book and described the self-treatment for her calf pain.  We then made an appointment to talk in two weeks.

yoga pain relief calfThe treatment for the pain in her calf muscles is shown on the left. You lie on your back and put your calf over top of your opposite bent knee.  Press down and slowly move your leg up toward your head so your knee moves down your calf.  If you find a sore point, that’s a spasm. Hold your pressure on the point for about 30 seconds, then release the pressure for about 30 seconds.  Then repeat 1-2 more times.  It will hurt, but since it’s releasing the spasm, you’ll find it will hurt less each time you do it.

It took Ana just two days to resolve her calf issue and get yoga pain relief. By then, her book had arrived. Since she still had 12 days before we talked, she decided to use the information in the book and work on her hips.  She was shocked to find her hips actually had a lot of spasms.  She treated them as the book showed, and her yoga improved.  Then she took a look at her shoulders that were also “fine.”  Again, she was shocked to find they also had multiple spasms. She treated them as shown in the book, and again her yoga improved.  She was thrilled!

Yoga Pain Relief

yoga pain relief dvdWhen we finally spoke, Ana had made the decision that this was information that needed to come out to yoga instructors everywhere.  That was the beginning of Trigger Point Yoga.  Ana and I worked together to create a product to teach how to release tight muscles before stretching.

Ultimately the product name was changed to Focused Flexibility Training so athletes would also release muscles before stretching.

It’s important to release the spasms that tie your muscles into knots before you stretch.  Focused Flexibility Training shows you where to press, and how to best treat the knot.  And the yoga stretching DVDs are truly first-class.

 

Wishing you well,

Julie Donnelly

About The Author

julie donnelly

Julie Donnelly is a Deep Muscle Massage Therapist with 20 years of experience specializing in the treatment of chronic joint pain and sports injuries. She has worked extensively with elite athletes and patients who have been unsuccessful at finding relief through the more conventional therapies.

She has been widely published, both on – and off – line, in magazines, newsletters, and newspapers around the country. She is also often chosen to speak at national conventions, medical schools, and health facilities nationwide.

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure or prevent any disease.

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