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Library Home > Special Diets > The Dean Ornish Diet

THE DEAN ORNISH DIET

In his best-selling book titled, Dr. Dean Ornish’s Program for Reversing Heart Disease, initially published in 1990, Dean Ornish, M.D., outlines a diet scientifically proven to reverse heart disease. In this book, Dr. Ornish presents two diets: the Reversal Diet and the Prevention Diet. The Reversal Diet is for people with known heart disease who want to reverse its effects and lower their heart attack risk. The Prevention Diet is recommended for people who do not have heart disease, but whose cholesterol levels are above 150, or for people with a ratio of total cholesterol to high-density lipoprotein (HDL or “good” cholesterol) that is less than 3.0.

In practical terms, the Reversal and Prevention Diets differ very little. Both diets are vegetarian and contain only 10% of calories as fat. They exclude all cooking oils and animal products, except nonfat milk and nonfat yogurt; they exclude plant foods high in fat, such as avocados, nuts, and seeds; they are high in fiber; they allow the moderate use of salt, sugar, and alcohol; neither diet restricts calories; and both diets include moderate exercise, stress reduction, and smoking-cessation techniques.

The Dean Ornish Life Choice Program, made famous by the best-selling book Eat More, Weigh Less, is built upon Dr. Ornish’s dietary recommendations for preventing and reversing heart disease, but is marketed as a weight-loss diet. Like the Reversal and Prevention Diets, the Life Choice Program is vegetarian and very low in fat. Unlike other weight-loss diets, the Life Choice Program does not limit the amount of food you can eat. The diet advocates “grazing” throughout the day rather than eating three big meals.

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Why do people follow this diet?

Research has shown Dr. Ornish’s Prevention and Reversal Diets can help improve health by lowering blood pressure and cholesterol levels. People with heart disease who have gone on this diet have reported a reduction in the frequency of angina (chest pain due to atherosclerosis). Many people follow Dr. Ornish’s Life Choice Program because they have heard that it promotes weight loss. Despite the fact that this diet does not restrict calories, Dr. Ornish states that most people on this diet consume fewer calories than the average person residing in the United States.

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What do the advocates say?

Research has shown that high dietary intakes of cholesterol and saturated fat lead to elevated blood cholesterol levels and high blood pressure. Elevated cholesterol levels and high blood pressure are risk factors for heart disease. Research has shown that the low-fat, low-cholesterol Ornish diets can actually reverse coronary artery disease by lowering patients’ cholesterol levels and reducing their blood pressure. The program saves money over traditional therapies, such as angioplasty, and appears to be even more effective.

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What do the critics say?

Dr. Ornish’s diets have been criticized by some experts for being hard for people to follow, as these diets are unlike what most Americans are used to eating. Other critics argue that Dr. Ornish’s diets are too low in fat, and do not provide a sufficient amount of essential fatty acids. The Ornish diets exclude fish, despite a significant body of research that demonstrates a protective effect of fish (and fish oil) consumption against heart disease.

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Are there any groups or books associated with this diet?

Dr. Ornish has written several books, including:

Dr. Dean Ornish’s Program for Reversing Heart Disease: The Only System Scientifically Proven to Reverse Heart Disease Without Drugs or Surgery. New York: Ivy Books, 1996.

Everyday Cooking With Dr. Dean Ornish: 150 Easy, Low-fat, High-flavor Recipes. New York: HarperCollins Publishers, 1996.

Eat More, Weigh Less: Dr. Dean Ornish’s Advantage Ten Program for Losing Weight Safely While Eating Abundantly. New York: Quill, 2001.

Love and Survival: 8 Pathways to Intimacy and Health. New York: Harper Perennial, 1999.

Stress, Diet and Your Heart. Chicago, IL: Nightingale-Conant, 1986.

Ornish diet website
http://www.fatfree.com/diets/ornish.html

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Bibliography

Ornish lifestyle modification program continues to produce impressive outcomes for CHD. Healthc Demand Dis Manag 1997;3:59–61.

Ornish D. Dr. Dean Ornish’s Program for Reversing Heart Disease: The Only System Scientifically Proven to Reverse Heart Disease Without Drugs or Surgery. New York: Ivy Books, 1996.

Ornish, D. Eat More, Weigh Less: Dr. Dean Ornish’s Life Choice Program for Losing Weight Safely While Eating Abundantly. New York: HarperCollins Publishers, 1993.

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