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Yes, We Have Long-Term Data on Diets—Here’s the Proof You Need To Know
Coral Red: Mostly False
Orange: Misleading
Yellow: Mostly True
Green: True
"We really don’t have any long-term data on any dietary pattern."
— Dr. Georgia Ede, The Diary of a CEO podcast with Steven Bartlett
In a recent episode of The Diary of a CEO podcast, Dr Georgia Ede claimed that no long-term data exists on any dietary pattern. This statement was made in response to a discussion about the carnivore diet and whether it is possible to follow it long-term without supplementation.
Long-running studies, such as the Nurses' Health Study and Health Professionals Follow-Up Study, provide valuable insights into the long-term impact of different dietary patterns on health. Additionally, randomized controlled trials (RCTs) provide more evidence for the health benefits of well-researched diets like the Mediterranean diet.
Misinformation about nutrition research can lead people to distrust well-established dietary guidelines and adopt extreme or unproven diets.
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When evaluating nutrition claims, look for large cohort studies and systematic reviews from reputable sources. Single opinions, particularly from influencers, should not outweigh decades of peer-reviewed research.
So… Do We Really Have No Long-Term Data on Diets?
Claim: “We really don’t have any long-term data on any dietary pattern”
In response to Steven Bartlett's question about whether it’s possible to live a long time on the carnivore diet without supplementation, Ede responds with this claim that we don’t have long-term data on any dietary pattern.
This claim is misleading and incorrect. While no studies have followed an individual for their entire lifetime, several major long-term studies record and track dietary patterns and health outcomes over decades.
In fact, several cohort studies were designed to provide long-term information on dietary patterns. These include the Nurses Health Study and the Health Professionals Follow-Up Study, which began in the 1970s and 1980s and have been running ever since, tracking dietary habits and their associations with health outcomes such as heart disease, type 2 diabetes, and cancer risk. This data gets analyzed by very talented and experienced researchers, especially epidemiologists, to provide us with a wealth of information on what dietary patterns can support human health and longevity.
A study published in Nature Food in 2023 used data from the UK Biobank, a large prospective cohort, to analyze the impact of sustained dietary changes on life expectancy. The researchers found that changing from unhealthy dietary patterns to healthier ones, such as those recommended by the Eatwell Guide, could increase life expectancy by up to 8.9 years for 40-year-old males and 8.6 years for females.
But Is This Data Good Quality at All?
Ede, like others, may argue that these types of studies are unreliable and don’t provide long-term quality data, because they mostly use food frequency questionnaires to measure what people eat over time. These questionnaires ask what people ate over a specified time frame, which could be up to a year, so people claim they might not be accurate as it relies of memory.
But it’s not that simple. These methods are widely validated and refined by top nutrition scientists, hence why they are widely used in research, as Dr Matthew Nagra covers in his recent video:
We also have randomised controlled trials, which are a higher-quality type of evidence, that have examined dietary patterns over 4 to 7 years. One of these studies, which looks at the Mediterranean diet, found it to lower cardiovascular risk. “And cardiovascular disease is a chronic disease that develops over a very long period of time” explains Dr Nagra.
While we don’t have long-term data on the carnivore diet, we do have data on the different elements long term, such as excessive processed and red meat consumption increasing the risk of certain cancers, and increased risk of mortality without adequate fruit and vegetable consumption.
🔗 Want to understand this in more depth?
Chris from Viva Longevity explains the reliability of nutrition science in this
We have contacted Steven Bartlett and are awaiting a response.
📚 Sources
Shan, Z. et al. (2023) Healthy Eating Patterns and Risk of Total and Cause-Specific Mortality. 10.1001/jamainternmed.2022.6117.
Harvard T.H. Chan, School of Public Health. Health Professionals Follow-Up Study. https://hsph.harvard.edu/research/health-professionals/
Zhong, V et al., (2021). Diet Quality and Long-Term Absolute Risks for Incident Cardiovascular Disease and Mortality. 10.1016/j.amjmed.2020.08.012.
Hujibregts, P et al., (1997). Dietary pattern and 20 year mortality in elderly men in Finland, Italy, and The Netherlands: longitudinal cohort study. 10.1136/bmj.315.7099.13.
Fadnes, T L et al., (2023). Life expectancy can increase by up to 10 years following sustained shifts towards healthier diets in the United Kingdom. https://doi.org/10.1038/s43016-023-00868-w.
Delgado-Lista et al., (2022). Long-term secondary prevention of cardiovascular disease with a Mediterranean diet and a low-fat diet (CORDIOPREV): a randomised controlled trial. DOI: 10.1016/S0140-6736(22)00122-2.
Zhu, H et al., (2013). Red and Processed Meat Intake Is Associated with Higher Gastric Cancer Risk: A Meta-Analysis of Epidemiological Observational Studies. https://doi.org/10.1371/journal.pone.0070955.
Bellavia et al., (2013). Fruit and vegetable consumption and all-cause mortality: a dose-response analysis. https://doi.org/10.3945/ajcn.112.056119.
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