Vegan Diet and Fracture Risk (I’m confused too)

If you’ve been anywhere near the internet I’m sure the headlines caught your eye. But a 43% higher risk of fractures just seemed really high to me with a meat free diet as the cause. I found the following article online. Since most people nowadays can’t get past the headlines you’ll find the second paragraph completely ignored by the media.

Compared with people who ate meat, vegans with lower calcium and protein intakes on average, had a 43% higher risk of fractures anywhere in the body (total fractures), as well as higher risks of site-specific fractures of the hips, legs and vertebrae, according to a study published in the open access journal BMC Medicine. Vegetarians and people who ate fish but not meat had a higher risk of hip fractures, compared to people who ate meat. However, the risk of fractures was partly reduced once body mass index (BMI), dietary calcium and dietary protein intake were taken into account.

The authors caution that they were unable to differentiate between fractures that were caused by poorer bone health (such as fractures due to a fall from standing height or less) and those that were caused by accidents because data on the causes of the fractures were not available. No data were available on differences in calcium supplement use between the different diet groups, and as in all dietary studies the estimates of nutrients such as dietary calcium or dietary protein are subject to measurement error. As the study predominantly included white European participants, generalisability to other populations or ethnicities may be limited, which could be important considering previously observed differences in bone mineral density and fracture risks by ethnicity, according to the authors.

Vegans, vegetarians and pescetarians may be at higher risk of bone fractures — https://www.eurekalert.org/pub_releases/2020-11/bc-vva111820.php

As I was gathering my thoughts the algorithms started doing what they do and this popped up in YouTube.

Let’s discuss the latest paper from the EPIC database. Excuse me eating while working. Not enough hours in day. Short version: this is a database from 90’s. Average fiber intake is 20 gm so not healthiest plant based eaters. Meat eaters got more vitamin D. Also (forgot to mention in video) used hormone replacement therapy up to 50% more. Both associated with stronger bones. Other studies have shown that plant based eaters have great bone health BUT you have to be healthy. Get dark greens. Drink or eat soy (studies show as good dairy for bones). Exercise and use resistance training. And take supplements if needed. I like multivitamins that have K2 as that may be a nutrient vegans are deficient in unless you eat natto 🤮. Definitely vitamin D if deficient. The EPIC Oxford cohort are not the healthiest vegans and vegetarians BUT have less ischemic stroke, weight less, generally better heart and less of certain cancers despite poor supplementation and diet habits.

Dr. Garth Davis YouTube post 11.23.20

I love it when someone else does the work for me. If you have eleven minutes listen to Dr. Davis’ analysis. I am now less confused.

Lower fracture risk with higher BMI because you have more padding when you fall!

Ultrasound of the Week | UOTW #36

Ultrasound of the Week | UOTW #36.

Emergency physicians can be trained to identify these lesions with good accuracy. A study by Kerwin et al found that after a brief,  30 minute training module, median percentages correct improved from 67% to 87% when reviewing pre-recorded clips.

I’m at a loss to explain why I like looking at ultrasounds.  I guess I’m simply fascinated that some people can actually know and understand what they’ looking at.  My physician in the family says it’s a matter of numbers.  The more you look at, the better you get.

Underwriters will find the answer and pearl section more useful.