THE PROOF IS IN THE PLANTS
A Plant-Based Diet Vs Keto Diet
Given the tremendous amount of publicity that the Atkins diet 2.0, a.k.a Keto diet, has been getting, I thought it would be helpful to do a review of how this diet stacks up against a whole food plant-based or vegan diet.
What is a Keto diet?
A Ketogenic or Keto diet is one that consists of high fat (70-80% of calories), relatively high protein (20-25% of calories) and low carbohydrates (5-10% of calories). It is typically made up of animal-based foods – below is a dot point summary.
Usually includes:
- Meat: Beef, Pork, Fish, Chicken
- Eggs
- Cheese
- Milk
- Nuts & Seeds
- Oils & Fats (mainly avocado, coconut oil, ghee, butter and olive oil)
- Vegetables (typically limited to dark green leafy vegetables & mushrooms)
- Fruit (berries in moderation)
Does not include:
- Starchy vegetables (sweet potato, pumpkin, legumes, etc.)
- Grains (oats, rice, quinoa, corn, buckwheat, rye, barley)
- Fruits such as banana, mango, pineapple, apples, oranges
What is the theory behind the Keto diet?
The Keto diet is just another name for a LCHF (low carb high fat) diet and the basic premise of this diet is that by removing carbohydrates, the body will not absorb glucose into the blood stream. In doing this, you deprive the brain, and the body in general, of it’s primary fuel source and it begins to breakdown fats (fatty acids) and produce ‘ketones’ in the liver for the body to use as an alternative fuel source. The idea here is that by starving the body of glucose, you will initiate fat metabolism, which proponents of this diet suggest results in weight loss and greater mental performance.
It’s important to note this diet was originally designed back in the 1920’s as a way of controlling epilepsy symptoms in children. It is not well understood, but it is theorised that the shift in metabolism from carbohydrates to fatty acids and resultant use of ketones for energy has an anticonvulsant effect (1).
What macronutrients and foods is a typical whole food plant-based diet made up of?
A well balanced whole food vegan or plant-based diet is typically made up of 55-60% of calories from carbohydrates, 20-25% of calories from protein and 15-25% of calories from fat.
Usually includes:
- Whole grains (brown rice, wild rice, black rice, oats, quinoa, amaranth, buckwheat, corn)
- Legumes (chickpeas, lentils, black beans, fava beans, pinto beans, kidney beans, soy beans etc)
- Starchy and non-starchy whole vegetables (potato, sweet potato, carrot, broccoli, eggplant, pumpkin, zucchini, dark leafy greens)
- Whole fruits (all)
- Plant milk (almond, soy, hemp, macadamia, pea, etc.)
- Nuts & seeds in moderation
- Oils in moderation (olive, coconut, avocado)
Does not include
- Animal products (butter, ghee, meat, fish, eggs, cheese, cow milk, etc.)
- Many saturated fats
- Processed oils (or if it does, minimal)
Keto Diet vs Whole Food Plant Based Diet:
Now that we understand the high level difference between the two diets (macronutrients and types of foods), let’s discuss the two diets in terms of your health, because ultimately that’s what matters most. I have tried to simplify things and create a dot point summary. It’s important to note I am comparing the traditional animal-based ketogenic diet to a whole food plant-based diet.
1. A Keto diet has no doubt gained momentum because of the ‘end result’ that it is claiming… ‘weight loss‘. We can all agree that as a society, ‘weight loss’ is a buzz word that has been responsible for a number of fad diets, fad products and is ultimately a word used to manipulate consumer behaviour. Combine that with reinforcement of perhaps what we thought were ‘naughty’ behaviours (eating high fats, bacon, cheese, etc.), and you have the ultimate diet to promote (a WIN-WIN).
It’s no wonder this diet has gained traction when it sells us with ‘weight loss’ and at the same time promotes an eating behaviour that people historically thought was probably unhealthy. “Now you eat bacon, eggs, butter and lose weight…and forget your vegetables!”. Let’s take a deep breath, too good to be true?
The mechanisms of weight loss as a result of a Ketogenic diet are poorly understood. With many studies being performed on mice, however, it is theorised that it most likely due to not consuming carbohydrates and falling into a calorie deficit because it is simply a hard task to eat enough calories in FAT per day to equal the calories you are burning. So, it is more than likely a diet that simply results in weight loss by depriving your body of it’s primary fuel. We will come back to this point. Just because you see a skinny guy (or girl) post a photo of their abs with a plate of bacon and eggs does not mean it is the fat in the bacon or the fat in eggs that is to be credited. It’s not magic!
2. There is no living population that displays longevity having consumed a ketogenic diet. In stark contrast, the Blue Zones (Okinawa’s as an example) are clear examples of populations that consume a largely plant-based (high carbohydrate diet) diet and display longevity. These blue zone populations have the most number of centenarians (people aged over 100) and are not keeping people alive with medications, rather are seeing their centenarians thrive without medications and enjoying a high quality of life.
Another blue zone group, The Adventist’s, have been studied in great detail. Of 8,401 Adventist’s studied, in one segment of the research they found that by eating meat just 1 x per week increased their chance of developing diabetes by 74%. Another part of the study that followed 41,387 Adventist’s over 2 years showed a 62% lower risk of developing diabetes in the vegans compared to the omnivores (2).
3. Animal protein and fats have been clearly shown to increase your risk of various chronic diseases such as cardiovascular disease, coronary artery disease, type 2 diabetes and certain cancers. You can read more about that at my Animal Protein & Disease blog. So by choosing a Keto diet, you are attempting to induce a calorie deficit for a weight loss result while jeopardising your long term health. Studies have looked into and shown links between chronic ketosis, a state of acidosis, and increased risk of developing certain cancers (3)
Here’s what the National Cancer Council of Australia has to say about red meat:
Did you know that eating more than 700 grams (raw weight) of red meat a week increases your risk of bowel cancer? Or that the risk of developing bowel cancer goes up 1.18 times for every 50 grams of processed meat eaten per day?
The World Health Organization has classified processed meats including ham, bacon, salami and frankfurts as a Group 1 carcinogen (known to cause cancer) which means that there’s strong evidence that processed meats cause cancer. Eating processed meat increases your risk of bowel and stomach cancer. Red meat, such as beef, lamb and pork, has been classified as a Group 2A carcinogen which means it probably causes cancer.(4)
4. Think you are in your teens, 20’s or 30’s and don’t need to worry about foods that promote heart disease because your body is bullet proof? Studies backdating to the Korean War (and since replicated) have shown that cardiovascular disease begins silently. One study in particular looked at 300+ American men who were killed in the Korean War (killed in action so didn’t die of cardiovascular disease) and over 77% of them, mostly aged in their teens and 20’s (average age 22.1), had coronary atherosclerosis (severe plaque build up and narrowing of the coronary artery). This was one of the first studies that rocked the world proving that cardiovascular disease does not only develop and affect people in their latter years. Of course, this study has some limitations but it’s a great reminder that changes to your vital arteries and organs, in general, start happening in your youth, so healthy nutrition from the get go should be seriously considered (5).
5. If you choose a Keto diet, you are also forgoing a number of protective micronutrients that help your body thrive. By minimising the amount of starchy vegetables and fruits you consume, your body will be absorbing less vitamins, minerals, flavonoids, antioxidants, phytonutrients, phenols, etc. These molecules have anti-cancer, anti-infection, immune supporting, and cardio-protective functions. To put this simply, anyone suggesting you do a Keto diet is asking you to give up a food source like legumes, which have so many longevity-promoting benefits like cholesterol lowering and low glycemic load properties, in favour of things like dairy and oils which are micronutrient poor and loaded with nasties. So, again, this low carb, high fat Keto diet puts your Space Suit at further risk of developing illness and long term damage.
6. Weight loss can easily be achieved on a plant-based whole food diet by adjusting portion size and total calorie intake of your BALANCED meals to be in a slight calorie deficit. See this blog on protein and calorie consumption to help you calculate your total calories per day to be in a deficit. Why not have both – healthy weight loss/maintenance (and abs if you desire) and longevity.
Summary:
It is possible to lose weight and have ‘abs’ on a plant-based or ketogenic diet, however while from an energy point of view a calorie is essentially a calorie regardless of whether it comes from carbohydrates, fat or protein, not all calories come with equivalent nutrition. If you eat the same number of calories on a traditional ketogenic diet as a whole food plant-based diet, which one do you think is going to be better at protecting you against chronic disease and adding more years to your life? Is it the diet that consist of high animal protein, saturated fats, dietary cholesterol, heme iron, nitrates etc or is the diet that’s rich in plant protein, unrefined carbohydrates, dietary fibre, unsaturated fats and an immense amount of protective phytochemicals with antioxidant and anti-inflammatory properties?
Until there is a 50 year long study that looks at a population eating a Ketogenic diet, it’s going to be hard to quantitatively answer the above question. In the meantime, it makes sense to go off the best evidence available to us today. As per multiple guideline and consensus papers, including the American College of Cardiology guidelines, the American Cancer Society guidelines and the American College of Endocrinology guidelines, this evidence points to plant-based dietary patterns being optimal for achieving good health.
Further to that, ask anyone who has tried a low carb high fat diet how sustainable it was long term? Most people yo-yo off of it and the weight comes back on. The best weight loss plan is one that’s balanced and sustainable so you can easily incorporate it into your daily regime and reap the benefits long term rather than just for one season of the year.
Lastly, you may be wondering “What about a Plant-Based Keto Diet?”. Whilst I think a plant-based keto diet is far better than an animal one purely because you’re avoiding the high levels of saturated fat (providing you aren’t overdoing it with tropical oils), dietary cholesterol and other nutrients known to increase our risk of disease such as heme iron, we really need more evidence to suggest that this type of dietary pattern is superior to a whole food plant based dietary pattern that includes good amounts of fats, protein and carbohydrates. What seems most important, rather than the exact percentage of these macronutrients in our diet, is the type of each. A healthy dietary pattern emphasises plant protein (e.g legumes), unsaturated fats (e.g nuts and seeds) and unrefined carbohydrates (e.g whole grains, fruits and vegetables).
References:
1 – https://www.sciencedaily.com/releases/2005/11/051114220938.htm
2- https://www.ncbi.nlm.nih.gov/m/pubmed/19351712/
3- https://www.ncbi.nlm.nih.gov/pubmed/22853725
5- https://jamanetwork.com/journals/jama/article-abstract/286620?redirect=true
23 Comments
A “plant-based” diet can certainly, by definition, include non-plant sources and still be plant-based. If you mean “plant-only,” please say so. Thanks!
A true plant-based diet consists of foods which are 100% free from any animal products. Specifically, this means free from any animal meats, fish, dairy or eggs. A tricky part of sticking to a complete plant-food diet is reviewing labels in store and knowing how to order when at a cafe/restaurant or other for establishment as quite often animal products are hidden in foods that you may think are 100% plant-based. Finally, a true plant-based diet can also be described as vegan. These descriptive terms are generally interchangeable, however some people use plant-based to describe a more whole foods type of diet whereas vegan can be used to describe a diet that consists of any foods (whether wholefoods or processed) that do not contain animal products. Typically ‘vegans’ are also more conscious of other animal products in their life outside of food – leather, fur, cosmetics etc.
Good point. And I have never gone completely Vegan.
Keto and Atkins are two very different diets.
Their commonalities though in terms of animal fats and animal protein bias over unrefined carbohydrates is the issue that I am flagging which goes against the science studying longevity and how e can prolong life without disease.
Hmmm… They seem very similar to me. High fat and protein, low carb.
Hey Simon. So I have been researching the keto diet for a few weeks now and have been listening in particular to Barbara McDermott, author of Food B.S., as I was impressed with her story re: her daughter’s Type 1 Diabetes and how Barbara’s research led her to the keto diet, the SHIFT Formula and her daughter’s recovery.
I watched the doc Forks Over Knives the other night on Netflix and was also impressed by the 2 Dr’s journeys and research into people groups who ate mostly a plant-based diet which seemed to result in the reversal of coronary artery issues in their patients who were showcased.
You probably know where I am about to go here!!
So both camps claim that it is based on science and both have patients that had reversals of a chronic disease and yet the diets themselves are pretty much polar opposites!
And while I understand that there has been no 50 year-long study of the keto diet, I noticed that you quoted the WHO that stated that “processed meats including ham, bacon, salami and frankfurts [are] a Group 1 carcinogen (known to cause cancer) which means that there’s strong evidence that processed meats cause cancer.”
So one question I have is, when anyone on a plant-based diet speaks of not eating meat, should I understand that to mean processed meats only? What about grass-fed meat and dairy? I know that most keto sites that I researched recommended the consumption of grass-fed meat and dairy and healthy fats.
To finish, many years ago I was introduced to a cookbook called Nourishing Traditions based on the research of Dr. Weston A. Price (a dentist) who, in the 1930’s traveled the world studying people groups not touched by civilization and living entirely on local foods. What he concluded was (and I quote from the preface of the cookbook) that “while the diets of these peoples differed in many particulars, they contained several factors in common. Almost without exception, the groups he studied ate liberally of seafood or other animal proteins and fats in the form of organ meats and dairy products; they valued animal fats as absolutely necessary to good health; and they ate fats, meats, fruits, vegetable, legumes, nuts, seeds and whole grains in their whole, unrefined state. All primitive diets contained some raw foods, of both animal and vegetable origin…Dr. Price found fourteen groups…in which almost every member of the tribe or village enjoyed superb health. They were free of chronic disease, dental decay and mental illness; they were strong, sturdy and attractive; and they produced healthy children with ease, generation after generation.”
The author goes on to say that when Dr. Price compared these people with members of that same group who had become “civilized” and were partaking of the SAD of refined grains, canned foods, pasteurized milk and sugar, he found “rampant tooth decay, infectious disease, degenerative illness and infertility.”
I know from further reading that the meats and dairy that these people groups consumed were for the most part raw from grass-fed animals.
You posed the question, “What about a plant-based keto diet?” It almost sounds like Dr. Price discovered one in these people groups, doesn’t it?
I would be interested in any feedback you may have…thanks!
Hi Sandi I think there is substantial data now to suggest a diet high in fat is not good for Type 1 or 2 diabetes. High saturated fat in particular increases insulin resistance over time and simply removing carbohydrates from the body does not ‘reverse’ type 2 diabetes..it just removes glucose from the equation…and as a result blood glucose levels are lower. Type 2 diabetes has been shown to be reversible with a low fat plant based diet. You can read about that here https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5466941/
Primitive diets are only part of the picture. Current populations that are thriving and living far longer than ‘primitive’ populations eat a predominately (90-95%) plant based diet. Primitive people did not have the access we have to food and thus a survival style diet is not something we should be looking at when we in the modern day we have an abundance of food choices and want to identify the optimal diet for longevity.
If you look at populations who eat a high fat, low carb diet, they have very bad health and longevity. The people around the northern pole circle, eskimos or whatever they want to be called, had very high rates of heart disease and cancer. They lived almost entirely on fish, whales, seals, and sharks, and the contents of their stomachs. When the europeans introduced sugars to them, it turned out they were also insuline resistant, since they had been consuming such large quantities of cholesterol and saturated fats, so they all got diabetes.
Humans can survive on a high fat diet for a while, in times of scarcity, for example during the winter in the north, we probably ate stored nuts, salted fish and meats during a couple of months, being in a ketosis state. Once spring came, we started eating fruits, vegetables and starches again, and the plant foods cleared our systems from the winter junk food.
wow
I was considering doing the Keto diet. However, last night my mom and I have watched a documentary on nextflix about how
these top three health organizations are lying about how the meat we are consuming is ‘healthy’ for us but in fact, causing us
cancer and other illness. This documentary talks about how these large cooperation influence these three top health
organization by funning money to them and none of the doctors or CEO from the top three company would not talk about why
these meat is causing us illness. They even went to these animal farms and show on is pouring pig’s crap into the water, thus
killing the majority of the fish in the lake and causing harm to families in lower black/Mexican farm community by pumping
water from the lake back out onto the fields. They even show the whole chicken on the belt, and they cut the skin off to let the
pus out.
I was very sickened by what we watch. The three people that were on there was sick as well, some was having heart, breathing
issue, a health issue and couldn’t walk and be eating this meat, didn’t understand why the doctors can’t tell them what is
making them sick. All the doctors that shown on there all agree that plant-based diet is great. The three people that were shown
being sick earlier have switched from eating meat to going on all plant-based diet. It was like night and day. they all agree that
that majority of their illness has gone away, cutting off the majority of the medication they were on, was able to walk, even run
again without having body inflammation issue.
This has open my eye in ways that it has blown me away. I can never look at the meats at the market again after looking at that
documentary. From athletes to legendary comedy stars to ordinary people, they all went on the plant-based diet and they look
amazing. Because of this, I have decided to go on a plant-based diet myself. I never did understand why I started to have
inflammation in my legs, regardless of the fact that I work two jobs, walking, pushing 20 pounds of cleaning supplies and being
on my feet for 16 hours shift. My mood went from depressed, sleepy all the time, having body pain, headache and sometimes
sneezing out blood clots from migraines, and such. I even went to my doctor about the pains, and he didn’t believe me when I
told him about it and just told me to lose weight and all of it will go away, eat only three small meals a day and that it. I know
that I am fat, and I have been working out three times a week, but to ignore my concerns and walk out the door. Yeah, I am on
my own.
Well anyway, I am now researching more about the plant-based diet and be on it.
Lovely post !! Feel good to read this article, thanks and keeps sharing 🙂
Yes, I agree. How is Keto even close to healthy? Right? Like sure, eat 3 eggs aday, eat meat, eat bacon but make sure it’s organic and eat some veggies. But say no to Grains, fruits, because carbs are bad…..
Keto= Snakeoil diet
It should be noted that some of the most famous doctors living and advocating this lifestyle such as Caldwell Esslstyne and John McDougall who were both featured in the documentary Forks Over Knives as well as Pam Popper, Michael Gregor and Neal Barnard to name a few, have stressed the importance of eliminating oils no matter where they’re from because 1, they are still processed. 2, they are pure added fat. 9 calories per gram verses 4 for carbs and protein. 4, added oils retard oxygen absorption among other things and are easily tranfered as fat from the fork to fat storrage. And 5 added fat does not contribute to sotiety but bulk does. Portion restriction is not encouraged because it never leaves a person satisfied thereby leading to failure in the future which is your typical diet. In fact the ideal fat consumption is around 7 to 10 percent total calories which would be found only in the whole foods themselves. So in short a person looses weight not by portion control but by filling the stomach with low calorie dense whole foods which are 500 calories per pound or less i.e., starchy and nonstarchy vegetables, fruits, whole unprocessed grains and beans and legumes. High fat foods such as nuts, seeds, avocados and coconut are discouraged at least when one is trying for weight loss and stressed to be kept to a minimum thereafter. Calorie restriction without food restriction.
I have read your post it’s very informative and helpful too for readers .Thanks for sharing your knowledgeable content with us and keep updating us with such great informative post.Keep writing.
I’ve been plant-based paleo for a few years now, which I’ve definitely seen benefit from, but I knew my body still wasn’t thriving. The two options I saw myself as having were to either try Keto or Vegan lifestyles. Keto has never made a whole lot of sense to me (how can “hacking” your body to that extent be healthy? and how is it sustainable?), but many professionals who’s research I trust are even doing it now. I decided to trust my own thought process and try out the fully vegan plant-based side and I’m already feeling benefits. Thanks for writing an article that articulates the concerns towards keto and lack of beneficial evidence! Helps make me feel more confident about my own decision!
Thank you for discussing this topic! Very helpful
I loved this article, it was really helpful for me. Thanks for posting it. I am following your tips with some other awesome diet plan that helped me lose a lot of weight.
Thank you for providing an answer to this question for me. I will adopt a whole food plant based diet after being on the fence between the two options for quite some time. I look forward to improved health and longevity.
Hi, Thanks for your great share. Actually, Going vegan has lots of health benefits, like lowering the risk of heart disease, high blood pressure, diabetes, and even some cancers. You just need a little planning to make sure you’re getting the fuel you need. A vegan diet excludes all animal products, including dairy.
I’m so glad I found your site. I’ve been looking for a meal plan that I can follow with meals that I would try. I have a food allergy and just about everything on here I can have. I believe with this meal plan I can say goodbye to high blood pressure and
obesity.
Lots of doctor did prove that their patients and themeself have recover from diabet in somes weeks with a keto / paleo diet with intermitent fasting. There’s a lot of books talking about this and years of testing and experimenting
I’m looking to slowly transition from lchf to plant-based. I just don’t want to gain weight (which has happened to me in the past when I went vegan for about 9 months before giving up because I couldn’t lose any weight). I can’t find a nutritionist locally who knows enough about both ways of eating to know how to transition effectively! I’m really lost in information overload.