New Study Reveals a Link Between a High-Fat Diet and Chronic Pain

|Updated Jul 12, 2021
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An estimated 50 million Americans are living with chronic pain–or nearly 20 percent of the population. A new study published in Nature Metabolism reveals that a typical American high-fat diet can increase people’s risk of painful disorders, and conditions commonly associated with pain. The research looked at the link between unhealthy omega-6 fatty acids (found in processed snacks, fast foods, sweets, processed meats, and junk food) and pain.

Ditching a Western high-fat diet, and particularly reducing omega-6 intake and increasing omega-3 lipids (the so-called “healthy” fats such as those found in olive oil and walnuts), greatly reduced pain conditions in those suffering from conditions such as obesity and diabetes, the study found. The researchers also discovered that levels of omega-6 lipids in individuals with Type 2 diabetic neuropathic pain were associated with higher pain levels and the need for taking analgesic drugs.

"This paper is a high-profile contribution for a huge unmet translational need as there are no treatments altering the nature of this neurological disease," said José E. Cavazos, MD, Ph.D., professor of neurology, assistant dean, and director of the National Institutes of Health-designated South Texas Medical Scientist Training Program at UT Health San Antonio, in the study’s press release via Science Daily.

The Standard American Diet or SAD is linked to chronic pain

“The research confirmed the supposition regarding omega-6 fatty acid consumption can increase chronic pain in those with pain conditions. It found this to be true based on the fact that the Standard American Diet [also known as SAD] is packed with omega-6 fatty acids which are pro-inflammatory and is lacking omega-3 fatty acids, which are anti-inflammatory,” said Trista K. Best, MPH, RD, LDN, Balance One Supplements.

“When there is an imbalance between these two essential fatty acids the body can become inflamed and pain conditions can worsen due to this inflammation,” she said, adding that these findings should encourage those with pain and inflammatory conditions to consider avoiding the Western diet and embracing a plant-based lifestyle instead.

“SAD is based primarily on processed foods made with vegetable oils and other omega-6 fatty acid ingredients. A plant-based diet is significantly lacking in processed convenience foods. By switching to a plant-based diet, the consumer would simultaneously lower the omega-6 in their diet and bring balance between it and omega-3,” she added.

A diet filled with omega-6 fatty acids may cause and/or exacerbate chronic pain, explained Kristin Gillespie, MS, RD, LD, advisor for Exercisewithstyle.com. She also cautioned that plant-based dieters can easily run into excess omega-6 fats in their meals. “While embracing a plant-based diet is healthful in many regards, it can also be rich in omega-6 fatty acids."

"Top sources of omega-6 fatty acids include processed foods, tofu, soybeans, nuts and legumes, and some animal products. As you can see, many of these foods would be prevalent in a plant-based diet,” she said. “I do also want to point out as well that omega-6 fatty acids are essential in the diet as our bodies need them but cannot produce them, so it is not necessary or appropriate to completely cut out omega-6 fatty acids. It is, however, good to achieve a balance between omega-3 and omega-6 fatty acids (i.e., increasing omega-3 intake and decreasing omega-6 intake),” she further commented.

“Parts of the study at hand were conducted in animals, so the results should be interpreted with caution," Gillespie noted. "Although animal studies are very helpful and often allow us to avoid bias or additional variables that would present in human studies, our metabolism and bodily function may vary. So the results may not directly translate from mice to humans.”

This study adds to a growing body of research that SAD is incredibly detrimental to our health. The corollary? A vegan diet is a boon for our health. “A plant-based diet will not only improve the consumer's inflammation and pain but can also lower their risk of other chronic diseases. This is due primarily to the anti-inflammatory nature of a plant-based diet and the antioxidant-rich foods this diet pattern provides,” explained Best. “Chronic, low-grade inflammation and free radicals wreak havoc in our bodies. They slowly dampen our immune response and damage otherwise healthy cells. When these cells replicate and inflammation persists the body becomes more at risk for chronic illnesses like diabetes, heart disease, and cancer. By eating an anti-inflammatory and antioxidant-rich diet we can help protect against these often avoidable, diet-related conditions. A plant-based diet is also low in saturated and trans fats, which are linked to many chronic illnesses as well.”

Indeed, a plant-based diet can be very protective from diseases ranging from cardiovascular disease to some types of cancer. “Recently, there has been a lot of attention paid to plant-based diets and their impact on overall health. Adhering to a plant-based diet seems to be able to prevent the development of chronic conditions, including heart disease, diabetes, and certain types of cancer,” commented Gillespie.

Riffing on Best, she continued: “Plant-based whole foods are often rich in antioxidants and other healthful compounds such as fiber, vitamins, and minerals, which help keep our cells healthy and functional. Antioxidants are especially helpful in maintaining health and warding off illness; they prevent free radical damage from occurring within the body, thus preventing inflammation and disease development.”

11 Nuts With the Most Protein

Peanuts have 7.31 grams per ounce or 37.7 grams of protein per cup.

1. Peanuts

Peanuts are actually not nuts—they're legumes which grow underground, so they are in the same family as chickpeas, soybeans and lentils. Crazy stunt: Scientists have made diamonds out of peanuts by putting them under enormous pressure. 1 ounce equals Protein - 7.31 g Calories - 161 Carbs - 4.57 g Fiber - 2.41 g Calcium - 26.1 mg


Almonds have 6 grams per ounce or 30.2 grams of protein per cup.

2. Almonds

Almonds are part of the cherry, peach, and mango family, since they are a drupe (a fleshy fruit with skin thin and central seed). When you eat a peach or mango, notice how the pit looks similar to an almond. There are over 30 different varieties and eight out of 10 almonds are grown in California. It takes over 1 gallon of water to produce a single almond, or 1900 gallons to grow 1 pound. 1 ounce equals Protein - 6g Calories - 164 Carbs - 6.11g Fiber - 3.5 g Calcium - 76.3mg


Pistachios have 5.72 grams per ounce or 25.3 grams of protein per cup.

3. Pistachios

Pistachios are one of the oldest nut trees in the world. Humans ate pistachios as early as 7,000 B.C. They spread across the Middle East to the Mediterranean and were viewed as a royal delicacy. 1 ounce equals Protein - 5.72 g Calories - 159 Carbs - 7.7 g Fiber - 3 g Calcium - 29.8 mg


Cashews have 5.16 grams per ounce or 28.6 grams of protein per cup.

4. Cashews

Get ready, because November 23rd is National Cashew Day! The U.S eats over 90% of the world’s cashews. These tree nuts start out as apples. Harvesters then take the seed from the bottom of the apple and before the seed is roasted, it is usually green. Roasting or steaming the cashew neutralizes the oils and makes them safe to eat—meaning raw cashews aren't *truly* raw. 1 ounce equals Protein - 5.16 g Calories - 157 Carbs - 8.56 g Fiber - 0.936 g Calcium - 10.5 mg


Walnuts have 4.32 grams per ounce (in halves) or 17.8 grams of protein per cup (chopped).

5. Walnuts

Walnuts contain more Omega-3 fatty acids than any other nut, so they are an excellent brain food to boost memory (they even look like little brains!). To keep them fresher longer, store walnuts in the fridge or freezer, since they have a tendency to go rancid quickly. 1 ounce equals Protein - 4.32g Calories - 185 Carbs - 3.89g Fiber - 1.9g Calcium - 27.8mg


Hazelnuts have 4.24 grams per ounce or 20.2 grams of protein per cup.

6. Hazelnuts

Hazelnuts contain healthy doses of fiber, folate and vitamin E. Hazelnut oil is so rich it's used in combination with palm oil for cleaning and polishing wood. We love them with dark chocolate. 1 ounce equals Protein - 4.24 g Calories - 178 Carbs - 4.73 g Fiber - 2.75 g Calcium - 32.3 mg


Brazil nuts have 4.06 grams per ounce 19 grams of protein per cup.

7. Brazil Nuts

It is illegal to cut down a Brazil nut tree, which live for up to 500 years. These are like the candy of the nut family since a cup has 876 calories, and each nut is 85% fat and 14% protein. They're rich in selenium, a mineral prized for thyroid support. 1 ounce equals Protein - 4.06 g Calories - 187 Carbs - 3.33 g Fiber - 2.13 g Calcium - 45.4 mg


Pine nuts have 3.88 grams per ounce 18.5 grams of protein per cup.

8. Pine Nuts

Pine nut is another type of seed that is clumped in with the nuts. They are so expensive because they are tedious to gather. They grow in the pine cone, but you generally can't consume pine nuts from a pine cone you'd find in your park or backyard as not all pine nuts are edible. Most of the pine nuts you eat come from the stone pine tree in Asia, Europe and North America. 1 ounce equals Protein - 3.88 g Calories - 191 Carbs - 3.71 g Fiber - 1.05 g Calcium - 4.54 mg


Pecans have 2.6 grams per ounce (in halves) or 9.08 grams of protein per cup (in halves).

9. Pecans

French people who settled in New Orleans created the first pecan pie, since pecans are native to the southern US. On average, 78 pecans are used in one pie. There are over 1,000 varieties of pecans, and many are named after Native American tribes. 1 ounce equals Protein - 2.6g Calories - 196 Carbs - 3.93 g Fiber - 2.72 g Calcium - 19.8 mg


Macadamia nuts have 2.24 grams per ounce or 10.6 grams of protein per cup.

10. Macadamia Nuts

Macadamia nuts are actually seeds. It takes 12-15 years for a macadamia tree to grow to its full size. Most of the world’s macadamia nuts come from Hawaii. They are high in carbs and protein, but keep these nuts away from dogs since they make them sick. 1 ounce equals Protein - 2.24 g Calories - 204 Carbs - 3.92 g Fiber - 2.44 g Calcium - 24.1 mg


Chestnuts have 1.19 grams per ounce.

11. Chestnuts

Chestnuts are the only nut that contains vitamin C. The trees were hit by blight in the nineties and 3 billion trees were eventually wiped out. Chestnuts are used in beer and cake and eaten creamed around the holidays. Chestnut flour is gluten-free, making it a great alternative for cookies, pies and stuffing. 1 ounce equals Protein - 1.19g Calories - 63.5 Carbs - 13.9g Calcium - 5.1mg