Your attempt to reduce the findings to just a BMI effect demonstrates a misunderstanding of epidemiological research methods and statistical adjustment.

The claim that BMI is probably the primary predictor rather than diet is incorrect because:

- The study's statistical analyses adjusted for confounding factors including BMI

- The researchers specifically isolated dietary patterns as independent variables

- The risk reductions remained significant even after these adjustments

The research demonstrates clear, independent associations between vegan diets and health outcomes:

- Vegan males showed a 42% reduction in CVD mortality compared to non-vegetarians

- Vegan males had a 55% risk reduction for ischemic heart disease specifically

- These effects were stronger than those seen in lacto-ovo-vegetarians, suggesting a dose-response relationship with animal product avoidance

The study's methodology was particularly robust, featuring:

- Large sample size (over 96,000 participants)

- Prospective design

- Clear dietary pattern definitions

- Appropriate statistical controls

- Multiple cohorts showing consistent results

The study's statistical methods specifically isolated dietary effects from BMI effects, demonstrating that vegan diets reduce cardiovascular risk independently of body weight differences.

Reference:

https://www.mdpi.com/2072-6643/6/6/2131

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