The prestigious Mayo Clinic regularly gets itself into hot water across evidence-based medicine and skeptics circles (see here) for its heavy promotion of questionable science; Mayo is particularly entrenched in the complementary/alternative/integrative/functional medicine (CAM/IFM) movement that is taking academic medical centers by storm (it even has a peer reviewed publication about its CAM use). Mayo, like other famous clinics, seems more than happy to promote its clinic with low-to-no evidence modalities that have been re-branded under the CAM/IFM movement.
There's a nutrition video that Mayo has produced and is circulating around the social media spheres. I've seen it before but today it made me particularly annoyed so here we are. The video covers the role of a whole foods plant-based diet as 'powerful medicine' with a focus on cancer. You can see the video embedded below. A link to their tweet with the video can be found here and its also up on their YouTube. The video is absurdly unethical and the fact that it's coming from the 'doctors, nurses, and specialists for cancer care' at the Mayo Clinic only worsens this fact.
The video starts off with 'How Plant Based Power Foods Help Fight Cancer'. We could stop there and rage about how unethical this is but let's explore further. Other claims made in the video:
There's a nutrition video that Mayo has produced and is circulating around the social media spheres. I've seen it before but today it made me particularly annoyed so here we are. The video covers the role of a whole foods plant-based diet as 'powerful medicine' with a focus on cancer. You can see the video embedded below. A link to their tweet with the video can be found here and its also up on their YouTube. The video is absurdly unethical and the fact that it's coming from the 'doctors, nurses, and specialists for cancer care' at the Mayo Clinic only worsens this fact.
A whole-food diet rich in fruits, vegetables is powerful medicine. Download Mayo Clinic app for #healthyliving tips. https://t.co/Gcaoe7fL0z pic.twitter.com/ojdPFyQeAa— Mayo Clinic (@MayoClinic) September 14, 2017
The video starts off with 'How Plant Based Power Foods Help Fight Cancer'. We could stop there and rage about how unethical this is but let's explore further. Other claims made in the video:
- 'Eat more power foods for their phytochemicals that protect against inflammation and cancer'
- Cruciferous Vegetables have phytochemicals that protect cells from damage
- The polyphenols in berries have an anti-cancer effect
- Nuts and seeds help reduce inflammation in the body
- Whole grains contain bran and phytochemicals that keep cells healthy
- Mushrooms contain polysaccharides which promote health
- Carrots contain carotenoids that activate important enzymes.
- Allyl compounds in garlic and onions have 'healing properties'
There is no strong clinical evidence to support these claims.
Where are these claims coming from? The evidence cited for this video is often what gets discussed within academic quarters about potential mechanisms by which food components might help prevent cancer; these mechanisms are proposed to underlie the reason why there is an association between consumption of plant-based foods generally and lower risks of certain cancers (AICR regularly updates this evidence-base). These mechanisms are hypotheses; indeed, there are no controlled trials showing that plant-based diets prevent diseases, including cancer. These mechanisms largely draw on cell culture work, with a bit of animal work in highly penetrant cancer models (read: likely not modeling cancer phenotypes in a human). At best, they provide biological plausibility to support associations seen in cohort studies that strengthen the thinking that, at a population level, consuming more of these foods may be beneficial. Even in this arena, calling any food a medicine is disingenuous.
Where are these claims coming from? The evidence cited for this video is often what gets discussed within academic quarters about potential mechanisms by which food components might help prevent cancer; these mechanisms are proposed to underlie the reason why there is an association between consumption of plant-based foods generally and lower risks of certain cancers (AICR regularly updates this evidence-base). These mechanisms are hypotheses; indeed, there are no controlled trials showing that plant-based diets prevent diseases, including cancer. These mechanisms largely draw on cell culture work, with a bit of animal work in highly penetrant cancer models (read: likely not modeling cancer phenotypes in a human). At best, they provide biological plausibility to support associations seen in cohort studies that strengthen the thinking that, at a population level, consuming more of these foods may be beneficial. Even in this arena, calling any food a medicine is disingenuous.
The fact that these hypothetical mechanisms are being put forth stating that they help treat cancer is particularly absurd and unethical. To date, there have been 9 randomized controlled trials of antioxidant supplementation which have not shown an effect on cancer incidence, with some showing a signal of further harm in those at risk of cancer. Why are we promoting this mechanism of action-based treatment for people with cancer? To repeat catchy Netflix documentary quotables and get folks to come to your clinic?
Not that it matters much, but Mayo is even making a mockery of preclinical evidence here. Carotenoids activate important enzymes? Mushrooms contain polysaccharides? This is pseudoscience-y word vomit at best and complete ignorance at worst. For any who don't know, foods either directly or indirectly activate important enzymes and any food with carbohydrate (nearly all foods to some degree) contain polysaccharides.
Mayo is making a mockery of nutrition science and clinical dietetics with this sort of video. Most registered dietitians working in the realm of clinical oncology focus their time monitoring a patient's weight status, and attempt to manage the symptoms of cancer. Cancer and its treatment can impact food intake and promote dangerous weight loss/wasting through a variety of mechanisms, so food/nutrient intake is a real concern. There are a few more promising areas of nutrition/cancer that are up and coming, such as the role of omega 3 fatty acids in cancer cachexia. To be clear, the role of food/nutrition in cancer that is supported by strong clinical evidence focuses on mitigating the negative impacts of the cancer/treatment, not the treatment of the cancer itself. Mayo misrepresenting what good nutrition care looks like when someone has cancer does little but sell false hope and add to the anxieties of what someone undergoing cancer treatment has to cope with. This video should be taken down.
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