August 19th, 2011
11:48 AM ET

These changes will make you live longer, Tweets Dean Ornish

Dr. Dean Ornish, founder and president of Preventive Medicine Research Institute and a clinical professor of medicine and the University of California in San Francisco,  designed a program to reverse heart disease.  Rather than pills or surgery, he supports using lifestyle and diet modifications to undo damage related to cardiovascular health.

In a 45-minute chat hosted by CNNHealth, he answered a series of questions about diet, lifestyle and heart health from @cnnhealth's Twitter audience, using #LastHeartAttack. Here are some of the questions he answered.

satya33: Is it important to have Omega 3 + 6 everyday? How much & which food sources would you suggest?
: Omega-3 fatty acids are remarkable– they can reduce sudden cardiac death by up to 80%, reduce risk of cancer... even raise your baby's IQ! Take 3-4 grams/day of fish oil or plankton-based omega-3's, ones that take out bad stuff.

Ornish: Asking the right questions about health care

debsmith211: Does beef really put a strain on your heart?
: Beef increases your risk of heart disease as well as colon, breast, & prostate cancers. And increases global warming.

The 'heart attack proof' diet?

ChanchalSHayr: Is there a vegetarian option for omega-3, instead of fish oil?
DeanOrnishMD: Yes, several brands of vegan omega-3's including Martek. Fish get omega'3's from eating plankton.

NWAngel: Heart disease is #1 killer of women. Are the risks & or treatments different than for men?
:  Even more women die from heart disease than men. Lifestyle choices to prevent & reverse heart disease are about the same.

Learn more from the American Heart Association

reidiculous1: Will flax-based omega-3 supplements do the trick?
: Flax provides DHA but not ALA, so it's good but not as beneficial as fish oil which provides both.

Docosahexaenoic acid (DHA) is an omega-3 fatty acid found in fish oil supplements.  Alphalinolenic acid (ALA) is a type of omega-3 fatty acid found in plants.

kenleebow: What are your thoughts on being heart attack proof by having a total cholesterol of 150 or less?
DeanOrnishMD: It's a good start but not enough to be heart attack proof. Also need moderate exercise, meditation, and love/support.

What causes a heart attack?

spinningvitamin: What do you think about soy protein supplement powder?
: Soy is good in diet but you can get too much using the soy supplement powders, so I don't recommend them.

RPG80 asked: Eating like a vegan takes planning. Where can i get good tasting recipes to eat like this every day?
: “Everyday Cooking with Dr. Dean Ornish" has hundreds of easy-and-quick-to-make delicious vegan & vegetarian recipes.

DrFinke: Are there risks of too much soy for women?
:  You can get too much soy from powders/supplements but not in a normal whole foods diet. Soy reduces breast cancer risk.

RecoveringFoody: Dr. O's view on olive oil contradicts what we hear. Is olive oil really terrible for you?
: The Lyon study showed that a Mediterranean diet high in canola oil (not olive oil) & low in meat reduced heart attacks.
What your cholesterol number really says

SuzZenCrow asked: Can I keep my iron up & go vegan? I have chronic anemia, high cholesterol, ulcer.
: An ulcer will cause you to lose microscopic blood & iron, so most important is to treat that (more). You can take iron supplements if needed, but most people have no problems getting enough iron in their diet.

Viartist_23 asked: Is it true that cholesterol can cause blind spots in eye?
: Amaurosis fugax is temporary blindness in 1 caused by reduced blood flow, which too much cholesterol can promote.

goodskinla asked: Are avocados really OUT?
: Avocados are high in fat so they're high in calories; if you don't have heart disease, they're fine in moderation. If you don't have heart disease, you have a spectrum of choices– check out www.ornish.com for more info.

DrFinke asked: Vegan assumes no fish. Is it better to supplement DHA/ALA or eat fish? Is there a difference?
”  Fish oil supplements are better if they remove the bad stuff (mercury, dioxin, PCB) that are found in almost all fish.

Will you have a heart attack? These tests might tell

spinningvitamin asked: Are there some non-soy protein powders that u feel are beneficial & safe? Feel protein deficient.
:  Most people aren't protein deficient; eat more high-protein foods (soy, rice & beans, etc.) Whey powder not soy.

Neal56 asked: In a vegan diet, where do you get your protein and fat? Both are necessary for rebuilding your body.
: If you eat a variety of vegetables, whole grains, and soy, you'll get enough protein on a vegan diet. And legumes (beans, etc.). If you're not ready to be a vegan, eat a few vegan or vegetarian meals each week.

DeanOrnishMD: Thank you so much– these lifestyle changes make you feel better as well as live longer, which makes them sustainable.

soundoff (77 Responses)
  1. D Novak

    2 errors in this report: 1. Flaxseed is a source of ALA, not DHA; 2. The subjects on the LYON Heart trial were allowed both olive oil and canola oil, so Dr. Ornish does not really answer the question as to whether olive oil is a problem. The Meditteranean diet traditionally is more olive oil. The French people who participated in the LYON Heart trial wanted an alternative to butter, so a canola oil based margarine was allowed and olive oil was used for dressings and cooking. Olive oil is high in monounsaturated fats which is associated with a lower risk of heart disease.

    August 19, 2011 at 14:16 | Report abuse | Reply
    • D

      Honestly, you sound more knowledgeable than Ornish did in this "chat".

      August 20, 2011 at 15:23 | Report abuse |
    • Jim

      Thank you for correcting those points, which immediately jumped out at me while browsing this piece. I can't believe they haven't been corrected by now, or an addendum made.

      I also can't believe we're recommending that people don't eat avocados. Guacamole, maybe, but avocados? We truly are a fat-phobic society & medical establishment.

      August 21, 2011 at 17:42 | Report abuse |
    • Hunter P

      Butter is also high in those same monounsaturated fats which are associated with a lower risk of heart disease. Avocado too.

      Dear CNN, please stop promoting veganism as if it's the only way to good health. The theory that dietary saturated fat and cholesterol contribute to heart disease has never been proven and there is at least just as much evidence on the other side showing that it may actually be protective against disease. At least report the whole truth.

      August 21, 2011 at 23:50 | Report abuse |
    • Mike

      Regarding the Canola verses Olive oil issue (D Novak) readers should note that Canola Oil has a superior Omega 3 to Omega 6 ratio. Excess Omega 6 in the diet results in increased inflamation (blood vessels).

      August 22, 2011 at 12:55 | Report abuse |
  2. Mjh

    Professional standpoint view i personally love olive oil for every thing and real butter i think packaged foods and fast foods and your family dna along with moderation are the key elements to balancing this heart issue out BET BACK DURING DINASOUR AGE GLOBAL WARMING OCCURRED BECAUSE OF THE LARGE AMMOUNTS OF WASTE MATERIAL LEFT CONSTANT BY THESE PREDITERS CAN I HAVE YOUR TAKE

    August 19, 2011 at 15:15 | Report abuse | Reply
    • pound

      None of your posts make sense. Calm down, put on your glasses, and try again.

      August 23, 2011 at 01:27 | Report abuse |
  3. Fred Hahn

    Ornish is incorrect on almost every aspect of health and nutrition. There is absolutely no evidence that eating meat ALONE increases heart attack risk. Many studies that claim an adverse health effect from eating fat are looking at meals where carbohydrate is the predominant macronutrient along with fat. There are no studies showing that fat alone is harmful. And so much more. Follow his advice if you want to but you will accelerate your aging process.

    Bill Clinton looks really robust, doesn't he?

    August 19, 2011 at 16:08 | Report abuse | Reply
    • The_Mick

      The ARE studies that show saturated and trans fats are harmful. See "The Harvard Medical School Guide to Healthy Eating," pp. 65-79 which begins with the following introduction: "I'll briefly describe the consistent evidence from several kinds of studies showing the harmful effects of saturated fats and trans fats and the benefits that can come from replacing these harmful fats with unsaturated fat." That book is outstanding for rejecting any claim that has no deep research behind it – it says the USDA's "food pyramid" should have carried its own warning label for bad nutrition advice since it was based on agriculture's need to promote its products rather than science – so it's noteworthy that it says cutting saturated and trans fats cuts the risk of heart disease by 80% and cancer by 70%.

      August 19, 2011 at 23:34 | Report abuse |
    • robert

      I don't know if you are in denial or you are simply unaware: check "The China Study" by Dr. Campbell, and the hundreds of scholar references in the book "Eat to Live" by Dr. Fuhrman. Good luck.

      August 20, 2011 at 19:07 | Report abuse |
    • budgie girl

      there's a difference between eating red meat and white meat..
      red meat is definitely worse.
      lean white meat has got alot of protein, very little animal fat.
      we go for chicken and turkey at our house...
      i'll let you know how that works out for us...

      August 20, 2011 at 22:21 | Report abuse |
    • Hunter P

      @robert, The China Study showed no evidence beyond a reasonable doubt. Dr. Cambell has a hypothesis, drawn from associations in data, not hard scientific proof. It doesn't make his word fact just because he wrote a book about it. Taking a look at the actual data from the china study research, the healthy-hearted regions almost universally had higher intakes of animal fat, animal protein, dietary cholesterol, and saturated fat than the heart-disease-prone regions of China. The healthier regions generally had lower intakes of fiber, light-colored vegetables, plant protein, vegetable oil, and wheat flour. And consumption of green vegetables didn’t differ significantly between the high and low heart disease regions. Neither did smoking rates, total cholesterol, or non-HDL cholesterol, although HDL cholesterol looks slightly higher in the regions with excellent heart health. You know, the ones that ate more animal foods. The only people in denial are the ones who close their eyes to all possibilities.

      August 22, 2011 at 00:03 | Report abuse |
  4. My opinion

    During the past ten years I have read tons of articles and books on what is the best way to eat and live longer. My conclusion? People were meant to eat meat. We have teeth that can rip into meat and a digestive system that can metabolize it. How much meat we should be or not eat I have not been able to figure out. My guess is an amount the size of a card deck each day. I believe when we eat meat it should be with lots of fiber and liquid. Stay away from vegetable oils, too much sugar, junk food and minimize alcohol use. Do not smoke. There is no such thing as 'the best diet.' Stay physically active and keep ones weight on the low side. Get some sunlight all year. Constant stress kills people as does long term depression. Have goals and keep learning. Stay away from negative people including family. Your genetics does matter. If your parents lived long you have a good chance of living long if you take care of yourself, what ever killed them will probably kill you. The belief that clogged arteries is what kills people is only partially correct, it is more complex and there is a lot more to discover. Supplements and alternative medical treatments can and does help people but there is a lot quackery being peddled as legitimate information. Stay away from prescription and over the counter drug use as much as possible. Always get a second or third opinion when you are told you need surgery. Doctors are not that open minded. Stealth viruses and infections might be the cause of many diseases and illnesses as is long term vitamin and mineral deficiencies. Sleep is very important. Love prolongs life, hate shortens it. That is it.

    August 19, 2011 at 21:04 | Report abuse | Reply
    • robert

      I don't know if you are in denial or you are simply unaware: check "The China Study" by Dr. Campbell, and the hundreds of scholar references in the book "Eat to Live" by Dr. Fuhrman. If you do periodical fasting or control your caloric intake daily you can probably get away with more animal products.

      August 20, 2011 at 19:09 | Report abuse |
    • JEANNE


      August 21, 2011 at 09:04 | Report abuse |
    • K

      Also, in regards to the China Study, people need to learn that one research study finding "groundbreaking evidence" means NOTHING...not until a study shows has been repeated and the findings match can it be taken with more than a grain of salt.

      August 22, 2011 at 15:40 | Report abuse |
  5. pacman357

    If beef causes all of those cancers, how come cows don't die of those cancers? Hmmm? Hmmm? Can't answer that, can you? It's because it's all hoopla and hype! I'm going to go eat a 16 oz. ribeye now, but I'll clear out my veins with a nice, big Nicaraguan cigar.

    August 19, 2011 at 21:54 | Report abuse | Reply
    • VeggieLove

      Dude...Cows are vegetarians. They don't eat beef. Anyway they don't live long enough to develop many cancers because humans are too busy consuming them. ^^

      August 20, 2011 at 08:57 | Report abuse |
    • D

      Quite possibly the dumbest question ever.

      August 20, 2011 at 15:26 | Report abuse |
    • bks

      it's because we kill the cows before they have a chance to develop anything ;P

      August 22, 2011 at 18:58 | Report abuse |
  6. Mjh

    Moderation and make sure your watching news in ex Calgill had so many millions of pork products being called back as far as March 2011 had been shipped all over and we werent informed till a couple a weeks ago in the meantime the publicts trust has been violated by fda standards not being followed

    August 19, 2011 at 23:36 | Report abuse | Reply
  7. Mjh

    Moderation and make sure your watching news in ex Calgill had so many millions of pork products being called back as far as March 2011 had been shipped all over and we werent informed till a couple a weeks ago in the meantime the publicts trust has been violated by fda standards not being followed now thats to worry about because tainted with ecoli

    August 19, 2011 at 23:42 | Report abuse | Reply
  8. Naomi

    Too late. The planet is too polluted by mankind. And Planet Earth does not want any humans to live longer. Stop endorsing killing unborn humans if one wants to live longer. Baby-killing monsterous species can not live long – don't deserve longer life in God's sight.

    August 20, 2011 at 00:34 | Report abuse | Reply
    • wayne

      There is no god so please keep your nonsense to yourself.

      August 22, 2011 at 10:04 | Report abuse |
  9. Naomi

    Earthlings are really funny and pathetic. They destroy and exploit the creation world all they want and kill unborn babies with no remourse and think they deserve long life and wealth. Planet Earth hates mankind. It's only God who has undeserving mercy on the pest-like humans. But the time is running out.

    August 20, 2011 at 00:39 | Report abuse | Reply
  10. Naomi

    Americans should worry over the fate of the unwanted unborn babies and human slaves all around the world instead of their weight, wealth or health. America is going down as a nation because of selfishness and godless immorality.

    August 20, 2011 at 00:42 | Report abuse | Reply
  11. Naomi

    Those who worry over the over-population must not strive for long life. The planet is better with less humans, right? Hypocrites. Decry against the massacre of unborn humans instead of planning a long life, for the good of the planet.

    August 20, 2011 at 00:45 | Report abuse | Reply
    • VeggieLove

      Chill, Naomi. Have you taken your medication today?

      August 20, 2011 at 09:00 | Report abuse |
    • Sanity

      Off-topic much?

      August 20, 2011 at 10:31 | Report abuse |
    • Trisha

      Get a grip there Naomi. This is an article about healthy diets, not about abortion. I agree with VeggieLove – get off the internet and go take your medication.

      August 20, 2011 at 13:10 | Report abuse |
    • D

      Naomi, have a cheeseburger and some ice cream.

      August 20, 2011 at 15:28 | Report abuse |

      Who put a nickel in you, Naomi? Take your crackpot gabble out to the bus stop. By all means, lets overpopulate the Earth with unwanted and unloved children.

      August 22, 2011 at 00:08 | Report abuse |
    • Ankit

      In some ways it is terrible to think of more job losess, but on the plus side there would be a lot of job creation, in terms of the opening of healthy restaurants, exercise facilities, farmer's markets, and small produce shops where the beer-cigarette-junk food convenience stores used to be. Small farms growing a variety of fruits and vegetables in a sustainable way could become viable in large numbers if demand for vegetables rose. The medical industry could focus on what it does well in treating acute illness and trauma. The researchers could dedicate themselves to the genetic disorders and infectious diseases instead of trying to find ways to medicate the morbidly obese into longer life. During the transition, doctors, nurses, registered dieticians, and other medical professionals could lead mini-med schools in which they taught truly preventive medicine to their patients. It could be beautiful.

      October 12, 2012 at 09:05 | Report abuse |
  12. trixie

    Neither Bill Clinton nor Dr. Ormish look to be a "picture of good health"–looks like they're aging as much as the rest of us. I still like the "all things in moderation" approach to good health.

    August 21, 2011 at 07:36 | Report abuse | Reply
  13. baschi

    Well, I'm 59 years old,never been ill, no medications, no high blood pressure or cholesterol, maybe 5 lbs overweight all my life, moderately active,regular check-ups, eaten "right" for over 30 years...no red meat, olive & canola oil, whole grains and whole foods..cook, don't eat out...yack, yack, yack.......I had a massive heart attack last Jan.-ended up with triple bypass ..No one including by doctors could believe it. .btw: both Dad and brother had coronary disease......What can you say?!?

    August 21, 2011 at 09:21 | Report abuse | Reply
    • RN

      How about animal fat? Milk, eggs, butter, cheese? ... or hydrogenated oils, peanut butter, margerine? If your DNA is working against you, animal fat is a killer as well as hydrogenated oils.

      August 21, 2011 at 20:24 | Report abuse |
    • wayne

      Animal fat is needed for health. Don't believe me. Web search rabbit starvation.

      August 22, 2011 at 10:09 | Report abuse |
  14. Kim

    CNN promoting veganism much?

    August 21, 2011 at 10:03 | Report abuse | Reply

    "live longer" for what? To become invisible? To look at a stranger in the mirror? If you were supposed to live forever, you would. And no, I'm not in some dark room somewhere, staring sadly out the window. I'm a 65 year old man, reasonably happy, with a 19 year-old daughter in her first year of college. But c'mon. Who do you think you're kidding? There are no "magic pills" or ointments that stop the March of Time. As we used to say in 'Nam; "if it's your day to go, you're going." And gallons of fish-oil or pounds of soy protein will not stop it. It's like rabbit's feet for "good luck"; it didn't do the rabbit much good, did it? I'm off to yoga!

    August 21, 2011 at 17:09 | Report abuse | Reply
    • Vegan for Life

      I'm confused...I thought Dr Ornish was Bill Clinton's Dr at the time he had his heart attack? I also thought Dr Ornish designed his diet at the time....I also thought The Spectrum Diet is not vegan, or even close and its covered by Medicare...I feel better following the advice of Dr Esselstyn, hopefully he wont flip/flop for money like Ornish!

      August 22, 2011 at 20:22 | Report abuse |
  16. Moon

    Anybody that is saying Bill Clinton doesn't look any better is ignorant. It's looking past exterior appearances and realizing that his internal organs and the rest of his body are functioning better than they have in probably 30 years. Being vegan isn't about finding the "fountain of youth" and reversing aging, it's about giving your body the right tools to do what it's supposed to do, rather than throwing a bunch of stuff at it to hinder it.

    To all the meat eaters out there, continue to consume your cholesterol-loaded foods and live your happy life. Everyone wants to get so defensive when offered any sort of healthy alternative to how they eat. Guilty consciences much?

    August 22, 2011 at 09:21 | Report abuse | Reply
  17. K

    I was going to call him out on getting the sources of omega-3 wrong as well...I am a freshly graduated nutrition major and feel like I know more than he does. Also, one's body needs cholesterol in order for certain things to function...it isn't entirely bad so saying that TC should be <150 seems pointless to me as that is already lower than the standard of <200. I feel like this is just a way to advocate something that is already popular and he is working off the China Study and how eating a plant based diet basically eliminates a ton of diseases. Vegan is trendy right now, it's the "it" diet/way of life. I don't think it is bad, I just think this man is biased in his views. He lost all credibility to me with those mistakes he made in the pod cast.

    August 22, 2011 at 15:29 | Report abuse | Reply
  18. stephen thomas

    12 years ago, I had a heart vessel blockage as seen in two nuclear stress test exams (using a treadmill). I was in good shape (Bruce Protocol fitness level of 5 or 6 based on 13 minutes on the treadmill) but had ichemia (low levels of oxygen to a part of the heart. I have a family history of heart problems (my younger brother had already had a heart attack. My paternal uncle died at 63 after a major heart attack and bypass surgery at 59). I began the Ornish diet of eating "nothing with a face," though I still ate olive oil. Within about 6 months, I redid the nuclear stress test on the treadmill and the ichemia was gone. The interesting thing at that time, in addition to the very good news for me, was that the reader of the stress test reported "no change." That is, he/she did not look at the earlier test and assumed that since I was ok on the later test, I had to have been ok all the time. He/she had no profile for heart disease reversal. Since then I have continued to be a vegetarian though not a vegan (I eat egg whites, and olive oil but no meat or milk products), and I am still blockage free though I do have a remaining high calcium load, probably from my years of eating meat. I have all; the nuclear stress test results if anyone is interested. Dr. Ornish and Dr. Esselstyn are both correct, at least for me. Heart disease can be reversed and kept away. I am currently 66 and began the Ornish diet at about 54. Best wishes to those who follow Dr. Ornish and Dr. Esselstyn. I believe they will achieve excellent results.

    August 23, 2011 at 12:31 | Report abuse | Reply
  19. Areader

    Very interesting how there are posts that decry the CNN "push" for veganism. We have become such a narrow focus society of 'feed me only the info I believe in"

    August 23, 2011 at 12:53 | Report abuse | Reply
  20. Athelda

    It is important to stay active for as long as you live. The habits that you practice (fitness, eating well) will follow you. Committing to good health is essential. http://speedoflife-times.blogspot.com/2011/08/get-up-get-moving.html

    August 23, 2011 at 16:30 | Report abuse | Reply
  21. ken

    Now the vegans can also enjoy the benefits of Omega3. I have been using this product for the last couple of months with grt results. The product is called as V-Mega3. You can also buy it on amazon

    August 26, 2011 at 06:21 | Report abuse | Reply
  22. Duh

    I have gone to eating cardboard and raw cane sugar....good fiber....sweet taste. Crazy...I try to get post consumer cardboard to decrease impact on global warming...sometimes I admit I splurge and put on bacon bits. Eat less, exercise more, stop worrying about all this crap and LIVE LIFE!

    August 26, 2011 at 10:08 | Report abuse | Reply
  23. reads

    Dr. Ornish started his research to treat patients with heart disease and proved that you can reverse heart disease through diet and lifestlye, something that costs us nothing while the pharmaceutical companies continue to create medications that cost us fortunes. It's unfortunate to read comments of outrage against Ornish; someone who has dedicated his whole life to finding a cure for something. I have been fortunate to not have any major illness in my life but I know if I did have something like heart disease I'd be reading any and every bit of advise that research and doctors have to offer, especially if it costs nothing but a change of food and exercise. Dr. Ornish isn't promoting the world to be vegan but simply stating if you need and want to help yourself or prevent HD (especially if you have a hisory of it in your family), to please look into his research.

    August 29, 2011 at 12:48 | Report abuse | Reply
  24. marlon sanders

    To say that there is no proof the Ornish diet reduces heart attacks isn't correct. He has conducted multiple research studies over 20 years including randomized ones. In addition, Dr. Caldwell Esselstyn has a 12-year study showing similar results. The point on OLIVE OIL is that it DOES contain fat. On the REVERSAL diet, you eliminate that. There is a BIG difference between a prevention diet and a reversal diet. Both Dr. Esselstyn and Dr. Ornish have long term research studies showing reversal of heart disease in patients who were in very poor condition. There are no studies I'm aware of that show REVERSAL of heart disease from a diet that includes animal protein. There are studies that show prevention. These are two different issues.

    August 30, 2011 at 21:29 | Report abuse | Reply
  25. marlon sanders

    The other thing I'd point out is this: Dr. Ornish says many people can REVERSE angina pain in as LITTLE as 2 weeks of being on his diet. Now, if you've had angina pain and gone to a doctor, you know this is quite exceptional. Your doctor will tell you that diet will not remove plaque and, therefore, you're either taking a beta blocker or you're getting an angio. One of the two. Dr. Esselstyn has similar studies showing reduction and sometimes elimination of angina pains in 2-6 weeks on his diet.

    August 30, 2011 at 21:36 | Report abuse | Reply
  26. james

    Does your diet plan with excercise stress reduction and fish oil supplements and eating your diet like a vegan can you actually reverse all the sypthoms and maybe cure yourself from it.

    November 11, 2012 at 03:16 | Report abuse | Reply
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