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European Code Against Cancer (ECAC) — IARC, WHO — Dietary Guidelines
24 Apr 2022
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How well do dietary guidelines by European Code Against Cancer (ECAC) align with those by Plant-Based Organizations like ACLM, PCRM, PBHP (UK), Plantrician Project, DFN, and PAN? Do they endorse a vegan or plant-only food system?

What is European Code Against Cancer (ECAC)? This article explains:

"The European Code Against Cancer (ECAC) is an initiative of the European Commission, developed by the World Health Organization's International Agency for Research on Cancer (IARC). The ECAC aims to inform people about actions they can take for themselves or their families to reduce their risk of cancer."

ECAC has published 12 recommendations (also available here and in PDF format).

Dietary guidelines:

(5) "Have a healthy diet:"

(5a) "Eat plenty of whole grains, pulses, vegetables and fruits."

(5b) "Limit high-calorie foods (foods high in sugar or fat) and avoid sugary drinks."

(5c) "Avoid processed meat; limit red meat and foods high in salt."

Note the emphasis on plant foods: whole grains, pulses, vegetables and fruits! These are exactly the main food groups in a Whole Food Plant-Based diet!

Alcohol guidelines:

"If you drink alcohol of any type, limit your intake. Not drinking alcohol is better for cancer prevention."

Supplement guidelines: Not part of the 12 recommendations. However, ECAC addresses it in one of the Q&As: see ECAC (European Commission Against Cancer) Guidelines on Supplements

Details: We may browse through

What foods and nutrients affect the risk of cancer? An excerpt:

"A high intake of plant foods (vegetables and fruits, pulses, and wholegrain cereals, which are rich in a variety of nutrients and dietary fibre) is recommended to make you less likely to develop cancers of the digestive system. A low intake of red meat and, in particular, processed meat and a low intake of salt, and of salty or salted foods, are recommended to prevent bowel and stomach cancers, respectively. Drinking alcohol is also a cause of several cancers."

How much is "plenty" of plant foods?: An excerpt:

"There is no precise scientific definition of what is meant by the term “plenty” in relation to these recommended plant foods."

"There are different types of plant foods – vegetables and fruits; pulses like beans, peas or lentils; like rice, pasta, or bread (preferably wholegrain) and nuts and seeds. The scientific evidence shows that the benefits of eating vegetables and fruits, and pulses, nuts and seeds generally increase as the amount consumed increases – that is, the more you eat the better. Cereals and cereal products especially if refined can contribute to excess calorie intake so should not be consumed in excess."

In other words, there is no upper limit on the quantity of plant foods we may consume!

How do I reduce my calorie intake to have a healthy body weight?: An excerpt:

"It is best to always keep whole food groups (like carbohydrates) in your diet to avoid a nutritionally unbalanced diet with potential long-term side-effects. To help reduce the number of calories without going hungry, try to eat lots of plant foods – these not only have plenty of valuable nutrients and dietary fibre but also tend to be low in calories. Avoiding foods and drinks that have lots of calories in a small amount of food or in a small portion is also helpful – as well as avoiding sugary drinks. This also includes alcoholic drinks (of whatever sort), as alcohol itself is a high-calorie product – it has 7 calories per gram compared with 9 calories per gram for fat and 4 calories per gram for carbohydrates and protein."

The guidelines above are hinting at low Calorie Density of plant foods in their whole form.
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