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4

The soybean is one of the cornerstones of

vegetarianism and comes in many forms,

including edamame (fresh soybean),

mature dried soybean, tofu (see page

4·102), soy milk (see page 4·56), yuba (see

page 4·115), and soy protein flour. Soy can

be an important source of protein, which is

often scarce in vegetarian diets. Soy also

contains lecithin, an important emulsifier

(see page 4·214).

Vegetarianism

All vegetarians avoid eating the flesh of animals,

but some restrict their diets further. Vegans do not

consume any animal products at all. They obtain

protein primarily from legumes. Lacto-ovo

vegetarians eat dairy products and eggs. Ovo

vegetarians eat eggs but not dairy products. Lacto

vegetarians eat dairy products but not eggs. Then

there are semivegetarians, who eat only certain

kinds of animal flesh and avoid all other kinds.

Some people, for example, eat poultry and fish, but

not red meat.

It is difficult to determine scientifically whether

excluding animal products from one’s diet conveys

health benefits because the people who choose

vegetarianism generally are more health- conscious

than their meat-eating peers, as illustrated by their

choice to restrict what they eat. For a study to

demonstrate convincingly that vegetarianism is

a healthier choice, it must also account for the

lower rates of smoking and drinking and higher

rates of exercise among vegetarians than among

their peers.

As of this writing, no randomized, controlled

clinical trials have investigated the effects of

vegetarianism on healthy people in the long term.

But some small trials have tried to gauge such

a diet’s effect on heart disease and diabetes. Dean

Ornish, M.D., developed an extremely low-fat,

vegetarian diet and lifestyle intervention to treat

heart artery blockages. Patients who followed his

plan enjoyed less-clogged arteries and fewer heart

attacks than patients in the control group, who

suffered more than twice as many heart-related

ailments.

In another study, people with diabetes who ate

a vegan diet experienced fewer peaks and dips in

blood sugar concentrations than did those who ate

the traditional diet recommended for diabetics.

Unfortunately, as we have seen, it can be problematic

to generalize from small-scale studies.

Whether these results would hold up in large prospective

randomized studies is anybody’s guess.

One thing that is certain about vegetarian diets

is that they are high in fiber and low in saturated

fats, two characteristics that studies have associated

with a lower body mass index (BMI). Moderate

BMIs are, in turn, associated with lower rates of

heart disease and diabetes. But as we have also

seen, saturated fat seems uncorrelated with

cardiovascular disease.

On the other hand, vegetarians sometimes

suffer from a lack of protein in their diets, which

one study has associated with a higher incidence

of wrist fractures in menopausal women. Another

study of more than 9,000 vegetarian women found

that semivegetarian and vegetarian women reported

more menstrual problems, anemia, iron

deficiency, depression, and anxiety than their

nonvegetarian counterparts.

That correlation does not necessarily indicate

that a vegetarian diet is to blame for these troubles.

It may be that people with physical and

mental health issues turn to restrictive dietary

systems like vegetarianism as part of their search

for relief from their ailments. Until a carefully

designed, large-scale, long-term intervention

study is completed, there is no sure way to know

whether health issues lead to vegetarianism or

vice versa.

Organic Food

Many devotees of organic foods have the perception

that these foods are healthier because they are

all-natural, grown without chemical fertilizers,

pesticides, or herbicides. And yet we are aware of

no scientific study that has proven that man-made

agricultural chemicals result in harm to people

who buy and consume nonorganic fruits, vegetables,

meats, or prepared foods.

Exposure to large amounts of agricultural

chemicals can be dangerous, to be sure (and

environmental consequences are outside the scope

of this discussion), but there is a notable lack of

scientific evidence that consumers are suffering

deleterious health effects from any exposure they

might get to agricultural chemicals from the usual

methods of food preparation and ingestion.

In fact, sometimes it is the plants themselves

that cause harm because they have evolved a series

of toxic responses to being eaten by pestspests

that agricultural chemicals would have eliminated.

If organically grown plants are stressed by insect

infestation, for example, they may produce higher

amounts of toxins (see Natural Toxins on page

249). These toxins repel pests naturally, but they

are not necessarily safe for ingestion by humans.

Organic farmers have made ingenious use of

such “natural” pesticidesfor example, using

tobacco to make a sort of nicotine-laced infusion

that is sprayed on plants to kill aphids. The irony

here is that nicotine has been well studied and

shown to be poisonous to humans. Yet it is allowed

for treating organic foods because it is

“natural,” whereas pesticides that are actually

much safer and less toxic to humans are not

allowed. This doesn’t make much sense.

There are other examples. Legal loopholes in

the definition of “organic” mean that organic

farmers are allowed to use other powerfully toxic

pesticides such as pyrethrum and rotenone, which

has been linked to Parkinson’s disease in humans.

These compounds meet the criterion for organic

labeling because they are extracted from plants

but that doesn’t make them any less potentially

harmful to humans than other pesticides are.

Billions of dollars in revenue ride on the ability

of manufacturers to claim their food is “organic.”

One of the fastest-growing sectors in the food

business in recent years has been the manufacture

of organic versions of most food ingredients. A

so-called organic muffin is leavened with baking

soda, which is, scientifically speaking, an inorganic

substance (not a product of a living thing).

Baking soda is purified by a process that surely is

chemical in nature, and frankly you don’t want to

forgo that step because it eliminates potentially

hazardous contaminants.

The definition of organic also affords loopholes

for table salt, nigari (magnesium salts used in

making tofu), and other ingredients that have

manifestly chemical origins or purification steps.

Even novel-sounding ingredients used in

Modernist cuisine, many of which have been used

in industrial-scale food production for decades,

are available in certified organic form (see Modernist

Ingredients, page 250). Most organic

proponents would consider some of these ingredientshydrocolloid

gums, modified starches,

For more on natural toxins produced by edible

plants themselves, see Plants as Food, page

3·262.

Organic food has moved from the farmer’s

market to big business. Processing plants

such as this one in Arizona are a symbol

of the organic food movement’s explosive

growth in recent years.

244 VOLUME 1 · HISTORY AND FUNDAMENTALS

FOOD AND HEALTH 245

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