Alkaline diet

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Alkaline diet
Alkaline ash diet, alkaline acid diet, acid ash diet, acid alkaline diet
An alkaline diet encourages the consumption of most fruits and vegetables and omits foods such as most grains and meat, cheese, and eggs
Alternative therapy

Alkaline diet (also known as the alkaline ash diet, alkaline acid diet, acid ash diet, and acid alkaline diet) describes a group of loosely related diets based on the misconception that different types of food can have an effect on the pH balance of the body. It originated from the

acidity (pH) of the body and that the change in pH can therefore be used to treat or prevent disease. However, their claims are false, and there is no evidence supporting the claimed mechanisms of this diet, which is not recommended by dietitians or other health professionals.[1][2][3]

The "acid-ash" hypothesis claimed that excess dietary production of acid was a risk factor for osteoporosis, but the scientific evidence does not support this hypothesis.[4]

Alternative medicine

books, and have been mainly directed at a lay audience.[6] This version of the diet, in addition to avoiding meats and other proteins, also advocates avoiding processed foods, white sugar, white flour, and caffeine,[2] and can involve specific exercise and nutritional supplement regimens as well.[7]

A version of this diet has also been promoted by

nutritional supplements means that this diet "is not a healthy way to lose weight."[7] It has also been proposed that acid causes rheumatoid arthritis and osteoarthritis, and that an alkaline diet can be used to treat these conditions. There is no evidence to support this proposal.[8]

Urinary and/or saliva testing for acidity has been proposed as a way to measure the body's acidity level and therefore the level of risk for diseases.[6] However, there is no correlation between the urinary pH and the acidity of the body.[9]

Adverse effects

Because the alkaline diet promotes excluding certain families of foods, it could result in a less balanced diet with resulting nutrient deficiencies such as

phytonutrients.[1] Many websites and books promoting this diet sell courses of supplements and foods which are unnecessary to purchase even under the diet's own terms.[2] The level of effort needed to use this diet is considered "high" as there are many foods that need to be excluded.[2]

Proposed mechanism

According to the traditional

eggs, and grains. Alkaline ash is produced by fruits and vegetables, except cranberries, prunes and plums. Since the acid or alkaline ash designation is based on the residue left on combustion rather than the acidity of the food, foods such as citrus fruits that are generally considered acidic are actually considered alkaline producing in this diet.[10]

Advocates propose that since the normal pH of the blood is slightly alkaline, the goal of diet should be to mirror this by eating a diet that is alkaline producing as well. These advocates propose that diets high in acid-producing elements will generally lead the body to become acidic and thereby foster disease.[2][11] While a selectively alkaline diet may change the pH level in the urine, it has not been shown to elicit a sustained change in blood pH levels, nor to provide the clinical benefits claimed by its proponents, because it is "virtually impossible" to create a less acidic environment in the body.[9] Because of the body's natural regulatory mechanisms, which do not require a special diet to work, eating an alkaline diet can, at most, change the blood pH minimally and transiently.[2][11][9]

A similar proposal by those advocating this diet suggests that cancer grows in an acidic environment, and that an alkaline diet can change the environment of the body to treat cancer. However, contrary to the premise of the proposal, it is rapid growth of cancer cells that creates acidic environment associated with cancer; the acidic environment does not create cancer.[5] "Extreme" dietary plans such as this diet have more risks than benefits for patients with cancer.[5]

Evaluation

The British Dietetic Association named the alkaline diet one of the "top 5 worst celeb diets to avoid in 2018", branding it as "nonsense".[12]

This proposed mechanism, in which the diet can significantly change the acidity of the blood, goes against "everything we know about the chemistry of the human body" and has been called a "myth" in a statement by the American Institute for Cancer Research.[9][needs update]

While it has been proposed that this diet can help increase energy, lose weight, and treat cancer and

heart disease, there is no evidence to support any of these claims.[11] The diet is not recommended by dietitians or other health professionals.[1][2][needs update
]

These diets have been promoted by

heart disease, low energy levels, and other illnesses. Human blood is maintained between pH 7.35 and 7.45 by acid–base homeostasis mechanisms. Levels above 7.45 are referred to as alkalosis and levels below 7.35 as acidosis. Both are potentially serious. The idea that these diets can materially affect blood pH for the purpose of treating a range of diseases is not supported by scientific research and makes incorrect assumptions about how alkaline diets function that are contrary to human physiology.[3]

While diets avoiding

grains can be used in order to make the urine more alkaline (higher pH), difficulties in effectively predicting the effects of these diets have led to medications, rather than diet modification, as the preferred method of changing urine pH. The "acid-ash" hypothesis was once considered a risk factor for osteoporosis, though the current weight of scientific evidence does not support this hypothesis.[4]

History

The role of the diet and its influence on the acidity of urine has been studied for decades, as

Nutrition scientists began to refine this hypothesis in the early 20th century, emphasizing the role of negatively charged particles (

plums had unusual effects on urine pH. While these foods provided an alkaline ash in the laboratory, they contain a weak organic acid, hippuric acid, which caused the urine to become more acidic instead.[13]

Historical uses of alkaline diets

Historically, the medical application of alkaline diets largely focused on preventing recurrence of

medications, which can more reliably alter the urine pH, rather than diet modification, have been the treatment of choice when trying to alter urine pH.[14] While there have been recent improvements in recognizing different variables that can affect acid excretion in the urine, the level of detail needed to predict the urinary pH based on diet is still daunting. Precise calculations require very detailed knowledge of the nutritional components of every meal as well as the rate of absorption of nutrients, which can vary substantially from individual to individual, making effective estimation of urine pH not currently feasible.[15]

See also

References

  1. ^ a b c Vangsness, Stephanie (16 January 2013). "Alkaline Diets and Cancer: Fact or Fiction?". Intelihealth. Archived from the original on 27 March 2015.
  2. ^ a b c d e f g Collins, Sonya. "Alkaline Diets". WebMD. Retrieved 5 February 2014.
  3. ^ a b Mirkin, Gabe (11 January 2009). "Acid/Alkaline Theory of Disease Is Nonsense". Quackwatch.
  4. ^
    PMID 24094472
    . it has never been demonstrated that, in healthy subjects, manipulation of the diet caused any disturbance in blood pH or bicarbonates. The 'metabolic acidosis' predicted with the Acid-Ash Hypothesis has remained hypothetical.
  5. ^ .
  6. ^ .
  7. ^ a b Kaul, Lalita. "The pH Miracle for Weight Loss: Book Review". Academy of Nutrition and Dietetics. Archived from the original on 25 February 2017. Retrieved 10 August 2012.
  8. ^ Skarnulis, Leanna (24 March 2008). "Arthritis diets and supplements: Do they work?". WebMD. Archived from the original on 2012-08-09. Retrieved 10 August 2012.
  9. ^ a b c d Alice (2 November 2010). "Alkaline diets". American Institute for Cancer Research. Retrieved 21 July 2020. Update 2 November 2020.
  10. PMID 19782182
    .
  11. ^ a b c "Is an alkaline diet better for me?". Canadian Cancer Society. Retrieved 21 July 2022.
  12. ^ "Top 5 worst celeb diets to avoid in 2018". British Dietetic Association. 7 December 2017. Archived from the original on 29 December 2017. The British Dietetic Association (BDA) today revealed its much-anticipated annual list of celebrity diets to avoid in 2018. The line-up this year includes Raw Vegan, Alkaline, Pioppi and Ketogenic diets as well as Katie Price's Nutritional Supplements.
  13. ^
    S2CID 19931493
    .
  14. .
  15. .

External links