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Diet Equal to Drugs
in Lowering Cholesterol

NEW YORK (Reuters Health) - A diet rich in fruits, vegetables and nuts may reduce cholesterol levels and consequently lower the risk of heart disease as effectively as state-of-the-art drug therapy, results of a recent study reveal.

However, the diet contains three to four times more fiber--mostly from leafy vegetables--than the traditional Western diet and may be difficult to adhere to.

``A significant percentage of adults in the Western world are candidates for cholesterol-lowering drugs,'' according to lead study author Dr. David J. A. Jenkins of the University of Toronto in Canada. ``Possibly a better way forward, nutritionally and environmentally, is to retrace our steps to the original diet of humans and incorporate more plant foods in today's diets,'' he said in a statement.

The researchers investigated the effects of three diets on 10 healthy individuals. Each person followed a vegetarian diet rich in fruits, vegetables and nuts containing 100 grams of fiber; a diet of mostly cereals and legumes, containing 40 grams of fiber; and a low-fat diet that contained 25 grams of fiber, for 2 weeks.

Nutrition guidelines recommend that most people consume 25 to 35 grams of fiber daily. Each diet was separated by 9 months and contained about 2,500 calories a day, according to the report in the April issue of Metabolism.

After just 1 week, individuals on the high-fiber diet lowered total cholesterol by about 20% and reduced LDL (''bad'') cholesterol by about 30%.

``The magnitude of this reduction is equivalent to the effects of a statin--the standard drug therapy for high cholesterol,'' Jenkins stated.

The other diets led to more modest reductions in cholesterol, possibly because they contained fewer nuts than the high-fiber diet, he said. This diet contained an average of 67 grams of nuts daily.

``The diet of our early ancestors may not be considered compatible with contemporary lifestyles, but our results show that substituting some of its components in the common low-fibre, high-fat diet can have a long-term impact on cardiovascular health,'' Jenkins stated.

SOURCE: Metabolism April 2001.

Reference Source 89

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