Diets and risk of all-cause mortality

[pca2004]

New study [1].

Population: 117,673 participants from the Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial cohort study.

"By diet group, there were 116,894 omnivores (whose diet does not exclude animal products), 329 lacto- and/or ovo-vegetarians (whose diet excludes meat, but includes dairy and/or eggs), 310 pesco-vegetarians (whose diet excludes meat except for fish and seafood) and 140 vegans (whose diet excludes all animal products)."

"After an average follow-up of 18 years, 39,763 participants were deceased."

All-cause mortality risk compared to the omnivore group:

19% less for the pesco-vegetarian group

1% less for the lacto- and/or ovo-vegetarian group

27% greater for the vegan group.

I would have liked to see the vegan group split into low/high fat.

-Patrick

[1] pubmed.ncbi.nlm.nih.gov/379...

[softwaremom00]

Yikes. Don't tell Dr. Michael Gregor. Worse for vegan. It sounds like the fish eaters won. I do wonder if the vegans lost because of the processed vegan foods and vegan meats.

[MateoBeach]

Yipes! I had vowed not to post on dietary threads but this is too good to miss. Thanks. Paul (omnivore)

[Graham49]

Thanks Patrick, I would have liked to have seen the results for a pesco-vegan group. I guess there might not be many of those.

[Benkaymel in reply to Graham49]

Isn't a pesco-vegan a contradiction in terms? Vegan means no animal (including fish) products at all. If you add fish back, doesn't it become a pesco-vegetarian?

[Graham49 in reply to Benkaymel]

Its just a term I use to describe plant based plus fish. It does not iclude milk based foods or eggs which vegetarian includes.

[cigafred in reply to Graham49]

Thanks, now I know what to call my diet.

[NPfisherman]

Thanks for posting, Patrick...

I do try and eat more fruits and veggies, but give up barbeque... my legs go weak at the thought... lol...

Fish (omnivore)

[PCaWarrior]

I settled on a pesco-vegetarian diet. Best evidence. Mediterraneanish, AHAish.

[Nusch]

Hi Patrick! After switching to a complete plant based diet in 2018 I’ve changed my diet again couple of months ago and added fish. This decision was on one hand based on a couple of studies showing that vegans miss more than B12 and I didn’t want to add tons of supplements. On the other hand on a study which I read here in this forum about the positive influence of fish for the prevention / slow down of metastasis growth of PC. And last but not least I always enjoyed eating fish.

The abstract of the study you posted today fuels my decision. Taking into account that the different groups differ enormously in size, the result for the „vegan + fish“ group is quite promising. And as you said, there are so many ways of being vegan, that this vegan group looks more homogeneous than it actually might me. I use to say: drinking a bottle of vodka and eating white baguette plus tons of chocolate is also vegan, but far away from healthy. So a subgroup of people following a more healthy vegan diet plus fish and sea fruits might perform even better. Thx for posting and enjoy your Sunday.