And yet, people on the paleo side of the divide also believe their moving in a clear direction to prevent disease. They also have studies to back their belief. Their studies, and the gurus interpreting them for mass understanding, also suffer from having an agenda.
You've chosen your path, and I ain't here to debate it or fling poo at you. There's legitimate data leaning towards veganism. But there is also legitimate data leaning towards being an omnivore. The science of nutrition is young, and we're ALL flailing around in the dark, relying on assumptions, anecdata, and heuristics. You just kinda have to choose, and if it makes you feel good then stick with it. Then attempt to avoid thinking you've found the exact solution for everyone.
The last step is hard. I struggle with it, across many different life choices. It's just super tempting to think we've found the One True Path. It seems to be part of being human. Someone should conduct a study...!
I'm an open-minded person. It may not be immediately apparent after reading my posts vehemently defending a whole foods plant-based diet. But, for a majority of my life I've been an omnivore, so it takes an open-minded person to put their lifestyle through a drastic change like that. I suspect most people on this board are open-minded individuals seeing as how we're all mustachians living in a consumerist society.
I'm an analytical person and as such, I enjoy analyzing what different studies say about different things regardless of what conclusions they draw. As much as I am defending Dr. Greger's work, I don't just seclude myself to only reading studies that he promotes. I read books on nutrition regardless of their apparent aim.
As such, I do stay up to date on studies that others publish, even Loren Corain (Paleo Diet founder). Taking some of the studies directly off his website (
http://ajcn.nutrition.org/content/early/2015/08/12/ajcn.115.113613.long), they show the benefits of the paleo diet in comparison to other diets. However, the diets they compare it to are not anywhere close to a whole foods plant-based diet. As I said previously, until we get to a point where our null hypothesis is that the optimal diet for health is a whole foods plant-based diet, we will always have fad diets that grab media's attention. We will always have studies that show the "benefits" of any particular diet because the diets they are comparing to are far from health promoting diets themselves. Nutritional studies are often designed relative to control groups that fail to create a baseline appropriate for guiding public health toward optimal disease prevention. That's why we end up having discussions like this in the first place. The Taiwanese study I linked to earlier was a good example of the comparison of diets very close to a "paleo" diet, yet when compared to a whole foods plant-based diet, they didn't fair as well. I think more studies that directly compare some diets of all kinds a certainly needed such as this study (
http://www.annualreviews.org/doi/full/10.1146/annurev-publhealth-032013-182351). Even this study concluded the fact that "If Paleolithic eating is loosely interpreted to mean a diet based mostly on meat, no meaningful interpretation of health effects is possible."
If everyone adopted a paleo diet that consumed more whole plant foods, we'd have drastically lower outcomes of disease in our country. That's absolutely a good thing. Instead of having over 600,000 heart disease deaths a year, we could have say 300,000 with the adoption of such a paleo diet. But I happen to think we can do better. After all, the only diet to ever be shown to actually reverse heart disease is a whole foods plant-based one.
There are some things that I really think we need more studies on and where there may be some cross-over between the paleo groups and whole plant food groups. For example, some petri dish studies suggest permeability of the intestine when introduced to gluten (
http://www.mdpi.com/2072-6643/7/3/1565/htm#fig_body_display_nutrients-07-01565-f002). This study was taken from the paleo website as well. However, the cohort they used for the study were all individuals that had originally gone in for intestinal biopsies related to potential IBS issues. As such, even their control group of individuals that was said to not have any gluten sensitivities could simply have contained a skewed number of individuals that were undiagnosed. Afterall, they had gastrointestinal problems that led them to get biopsies in the first place. Furthermore, testing for intestinal permeability in a petri dish is vastly different from the permeability that might be experienced within or bodies among the presence of a great number of gut flora and other bodily responses such as IL-10 secretion. I'd like to see more studies involving proper control groups consisting of people without any prior gastrointestinal symptoms. Additionally, there are studies like this that are released that indicate a possible connection between gluten intolerance and glyphosate herbicide (
http://www.motherearthnews.com/real-food/food-policy/gluten-intolerance-from-roundup-herbicide-zw0z1402zkin#axzz2wvVu0Oy7). That could indicate that a large number of individuals who are gluten sensitive could likely be so simply because of herbicide usage. Finally, there are epidemiological studies that show that eating whole grains are protective against disease (
https://www.ncbi.nlm.nih.gov/pubmed/19079919). Until we see a greater number of epidemiological studies that show the opposite, then the best advice is likely to avoid whole grains if you're diagnosed with an intolerance to it and to stick with organic sources of whole grains to avoid potentially dangerous chemicals. This demonstrates fairly that the choice must be made by the individual, but at the same time we can give guidelines to the general public that are appropriately informative. This is exactly what I am advocating.
I don't mean to get into long debates (essentially with myself, lol) such as that, but I do so merely to point out that I do conduct a fair thought process.
I find it funny that you criticize the analytical discussion up to this point regarding the nutritional studies and yet conclude your post with the idea that we should conduct a study. I understand it was tongue-in-cheek, but what good does it do for public health if our nutritional sciences aren't analyzed properly? That is all I've done up to this point. As long as things don't get personal, I'm all for a good analytical discussion. Finally, I just want to make it clear that while my constant defense may seem like I have an agenda, my only agenda is to treat all information fairly and analytically. As such, if information is presented, regardless of its conclusion, I will read it, understand it, and in the end weigh it appropriately against all other information available.
What you won't see me do is use anecdotal information as justification for informing the general public that "moderation" is ultimately best course of action. Moderation is not a good guideline. It only leads to confusion since we all have our own ideas on what moderation is.