The science of nutrition has long been entrapped in reductionist
interpretation of details, a source of great confusion. However, if nutrition is
defined as the integration of countless nutrient factors, metabolic reactions
and outcomes, biologically orchestrated as in symphony, its relevance for
personal and public health would be less confusing and more productive. This
more wholistic interpretation may be observed at the cellular and physiological
levels and may be described, in part, by the concept of pleiotropy (multiple
cell-based effects from one nutrient source), together with its more expansive
cousin, epitropy (multiple cell-based effects from multiple nutrients). There
are many consequences. First, wholistic interpretation helps to explain the
profound but little-known health benefits of whole plant-based foods (not vegan
or vegetarian) when compared with whole animal-based foods and/or with the
nutritionally variable convenience foods (generally high in fat, salt, refined
carbohydrates and low in complex carbohydrates). Second, wholistic
interpretation explains why the U.S. Dietary Guidelines and related public
policies, which are primarily conceived from reductionist reasoning, serve
political agendas so effectively. If diet and health advisories were to
acknowledge the biological complexity of nutrition, then make greater use of
deductive (top down) instead of inductive (bottom up) reasoning, there would be
less confusion. Third, wholistic nutrition, if acknowledged, could greatly help
to resolve the highly-polarized, virtually intractable political debate on
health care. And fourth, this definition tells why nutrition is rarely if ever
offered in medical school training, is not one of the 130 or so medical
specialties, and does not have a dedicated research institute at U.S. National
Institutes of Health. Nutrition is a wholistic science whereas medical practice
is reductionist, a serious mismatch that causes biased judgement of nutrition.
But this dichotomy would not exist if the medical practice profession were to
understand and adopt wholistic interpretation. Reductionist research, however,
is crucially important because its findings provide the granular structure for
wholistic interpretation—these two philosophies are inescapably
interdependent. Evidence obtained in this manner lends strong support to the
suggestion that nutrition is more efficacious and far more affordable in
maintaining and restoring (treating) health than all the pills and procedures
combined. Admittedly, this is a challenging paradigm for the domain of medical
science itself.