John A. McDougall (born May 17, 1947) is an American physician and author. He has written a number of diet books advocating the consumption of a low-fat vegan diet based on starchy foods and vegetables.
His eponymous diet, called The McDougall Plan was a New York Times bestseller.[1] It has been categorized as a low-fat fad diet.[2] The diet rejects all animal products as well as cooking oils, processed food, alcoholic beverages and caffeinated drinks. As with any restrictive low-fat diet, it may lead to flatulence, possibly poor mineral absorption from excess fiber, and limited food choices that may lead to a feeling of deprivation.[2]
Life
On his website, McDougall states that his interest in medicine started in 1965 (at age 18) after suffering a massive stroke which rendered half of his body paralyzed for two weeks. The principal motivation for his interest in medicine was lack of any explanation for his condition by medical professionals.[3]
In 2002, McDougall began the McDougall Program at the Flamingo Resort in Santa Rosa, California. The program is a 10-day residential treatment program which features a low-fat, starch-based, vegan diet.[4][11]
The McDougall diet is a low-fat starch-based diet that is high in fiber and contains no cholesterol.[12][13] The diet is based on a variety of starches such as rice, potatoes, corn, breads, pasta, and fresh or frozen fruits and vegetables.[12] For example, a meal might be made of a baked potato with steamed broccoli, or steamed brown rice with steamed vegetables, perhaps with a piece of fruit for dessert.[14]
McDougall is the co-founder of the now Woodland-based Dr. McDougall's Right Foods Inc., which produces dried and packaged soups, manufactured for it by the SF Spice Co.[4][15][16]
His book The McDougall Plan was on New York Times paperback "Advice, How-to, and Miscellaneous" bestseller list.[17] The plan is classified as a low-fat fad dietinWardlaw's perspectives in nutrition.[2]
McDougall has been criticized for making unsubstantiated health claims.[5][13] Some of McDougall's dietary recommendations are in line with mainstream nutritional advice, such as an emphasis on fruits, vegetables and whole grains, but others are considered extreme and are not supported by evidence.[5][13] McDougall's diet plan has been called a low-fat fad diet that may lead to boredom with limited food choices, and feelings of deprivation because of exclusion of favorite foods. The high fiber content can cause flatulence and possibly interfere with mineral absorption.[2]
The McDougall diet is very low-fat, high-carbohydrate and vegan.[18] Sodium intake is restricted and no animal products or added oils are permitted. A review noted that "iron, zinc, vitamin B12, vitamin D, calcium, and omega-3 are potential nutritional deficiencies from following such a strict diet", but also noted that one study had reported "improvements in predictors for cardiovascular and metabolic disease" in people using the diet, and that "improvements in low density lipoproteins cholesterol (LDL-C), total cholesterol, insulin, BMI, and fatigue severity scale scores were observed" in people using the diet.[18]
In 1992, nutritionist Kurt Butler described McDougall's ideas as "vegetarian extremism" and McDougall as "Americas most influential vegan zealot" who has taken the low-fat vegetarian diet to extremes.[5] He also suggested that McDougall's diet may increase the risk of calcium and iron deficiency and is not safe for children.[5]
Reviewing McDougall's book The McDougall Program for Maximum Weight Loss, nutritionist Fredrick J. Stare and epidemiologistElizabeth Whelan criticized its restrictive regime and "poor advice", concluding that the diet's concepts were "extreme and out of keeping with nutritional reality". The authors state that failure to consume dairy products creates a risk for osteoporosis, and that if animal products cannot be replaced with peanut butter and soybean foods, vegans may not obtain enough protein.[19] Reviewing The McDougall Program: 12 Days to Dynamic Health, doctor Harriet Hall wrote that the book is filled with anecdotes and questionable statements, and that it makes many claims which are not supported by science.[13] Hall concluded that "Some of McDougall’s recommendations are in line with mainstream advice, but there is reason to fear that strict adherence to his whole Program might result in nutritional deficits that could do more harm than good."[13]
McDougall's diet was studied as a potential treatment for relapsing remitting multiple sclerosis, but showed no changes in brain MRI outcomes, MS relapses or disability.[20]
Bibliography
McDougall has written several books, with his wife Mary contributing recipes, which had sold more than 1.5 million copies as of 2008.[11][21]
Books
McDougall, John; McDougall, Mary (October 22, 1983). The McDougall Plan. New Win Publishing. ISBN9780832903922. OL8187699M.
^ abcdeButler, Kurt. (1992). A Consumer's Guide to "Alternative Medicine": A Close Look at Homeopathy, Acupuncture, Faith-healing, and Other Unconventional Treatments. Prometheus Books. pp. 24-27. ISBN0-87975-733-7
^"Mary's Mini-McDougall Diet®". Dr. McDougall. Retrieved February 19, 2022. Simple Eating-out Suggestions: A baked potato or sweet potato with steamed vegetables like broccoli (steakhouse)...Steamed rice and vegetables (Chinese)
Bijlefeld M, Zoumbaris SK (2015). "McDougall Program". Encyclopedia of diet fads: understanding science and society (2nd ed.). Greenwood. pp. 131–133. ISBN978-1-61069-760-6.