Posts Tagged ‘heart disease’
About High Blood Pressure
Do you have high blood pressure? You probably don’t kow for sure unless you have been to the doctor recently. 1 in 3 U.S. adults have the diseases.
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Fats And Heart Disease The Greatest Scam in Medical History

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The writer and social critic, H.L. Mencken once wrote, “For every complicated problem there is a solution that is simple, direct, understandable and wrong.”
Our ancestors believed that the stars rotated around the Earth. From our perspective, it made perfect sense. Of course, the idea was completely wrong. In fact, throughout history, people have believed ridiculous things. And we believed them so strongly you would have been persecuted for suggesting otherwise.
So little has changed…
Today’s gospel truth is that excess saturated fat in the diet clogs the arteries and causes heart disease. The only problem with this medical “fact” is that it isn’t a fact at all. It is a fraudulent and faulty hypothesis from the 1950s that has never been proven.
I didn’t plan to write about this topic today. But I had to speak up when I saw the same article in four major publications this week. The headline: “Leading Surgeon Wants to Ban Butter.”
Dr. Shyam Kolvekar, a heart surgeon at University College London Hospital, says that by the time he sees many of his patients, it is too late. Their hearts and cardiovascular system are too damaged for repair. He wants to stop heart disease before it starts by getting people to limit saturated fat in the diet. And to get the ball rolling, he suggests “banning butter.”
Kolvekar is particularly worried that heart disease is growing rapidly in the younger population. “It’s because most kids start the day with some toast and butter,” he says. “Porridge is a much better alternative.”
Why the butter and not the toast? Two slices of bread contain the equivalent carbohydrates of five teaspoons of sugar. And elevated blood sugar has been directly associated with heart disease. But more on that later…
Dr. Kolvekar also suggests replacing natural butter with the industrially-processed, chemically-modified yellow-colored substance known as margarine. Great idea, doc! In the interest of disclosure, the Daily Mail notes that, “Dr. Kolvekar’s comments were issued by KTB, a public relations company that works for Unilever, the maker of Flora margarine.”
Well, that might explain his motivations. But what about the veracity of his argument? And what can explain the last fifty years of propaganda against saturated fat? Is it really the villain it has been made out to be?
I asked our own heart-health expert, Dr. Dwight Lundell, for his thoughts. Dr. Lundell knows the heart and cardiovascular system as well as anyone on the planet. During his 25-year career in medicine, he performed more than 5,000 open heart surgeries. And for much of that time, he toed the party line on saturated fat and cholesterol. But his own experience – and a closer review of the literature – caused him to reject the premise. He later wrote a book on the REAL causes of heart disease, which you can learn more about here.
Dr. Lundell writes, “One wants their heart surgeon to be exacting. But, in the case of Dr. Shyam Kolvekar, who called for the banning of butter to prevent the epidemic of heart disease, he is exactly wrong!”
According to Dr. Lundell, “The theory that saturated fat causes heart disease fails on many accounts.” First, it is said that saturated fats raise cholesterol levels in the blood, and elevated cholesterol levels cause heart disease.
Lundell points out that an article published in the American Heart Journal last year, showed that in an examination of 137,000 people admitted to the hospital with heart attack, 70% of them had normal blood cholesterol levels!
It should also be noted that the long-running Framingham Heart Study showed that after the age of 50 (when 90% of all heart attacks occur), lower cholesterol levels are clearly associated with a shorter life expectancy.
But let’s put cholesterol aside for a moment and discuss the purported mass killer, saturated fat. Certainly there must have been conclusive studies and solid evidence that kicked off the campaign against animal fat. Not quite.
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One of the first studies to implicate animal fat in heart disease came in the early 1900s. See if you can spot the flaws in this one. In 1908, Russian scientist, M.A. Ignatovsky fed protein-rich animal foods to a group of rabbits. He soon discovered that the rabbits developed arterial plaques and cardiovascular disease. Researchers discovered that the same thing happens when chickens, guinea pigs and goats eat a high-fat diet.
Later these studies were cited as evidence of a high-fat diet causing heart disease in humans. Hmm… let’s see. All of these animals are obligate herbivores. They evolved eating nothing but plants. They are clearly not designed to eat meat. When we feed them meat and fat it makes them sick. That makes perfect sense. What doesn’t make sense is why researchers extrapolated these results to omnivorous humans.
The Fraud of Ancel Keys Kicks off the Lipid Hypothesis
But the “lipid hypothesis” really gained traction in the 1950s, when physiologist Ancel Keys, Ph.D., published what became known as the Seven Countries Study.
Keys presented a comparison of heart disease mortality and fat intake across seven different countries. His comparison showed a “remarkable relationship.” The countries with the highest fat intake had the highest levels of heart disease. The countries with the lowest fat intake had the lowest levels of heart disease. Those in the middle fell conveniently in between.
At the time, Jacob Yerushalmy, a PhD statistician, at the University of California at Berkeley pointed out that we had data on the amount of fat consumed in 22 countries. So why wasn’t it called the 22 Country Study?
It wasn’t called that, because Ancel Keys started with the conclusion. Then he cherry-picked the countries that matched his pre-conceived notion and threw out the ones that contradicted it. And most of them did! When all 22 countries were analyzed, the “remarkable relationship” remarkably disappeared.
Furthermore, Keys established no causative basis. And he based his conclusions on only two phenomena – dietary fat and heart disease. This did not account for the possibility that something else could have caused the heart disease.
It might seem hard to believe that this flawed and fraudulent study was the genesis of the entire animal-fat-causes-heart-disease movement. Certainly, in the last sixty years, there must be hundreds of controlled studies that prove the link, right?
Not quite… there are NONE!
What about the societies that consume a very high percentage of saturated fat in the diet – groups like the Maasai in Africa or the Inuits in the Arctic North? Do they show signs of heart disease? No, and in fact, quite the opposite is true.
In the 1960s, Vanderbilt University scientist, George Mann, MD, studied the nomadic Maasai in Kenya and Tanzania. These populations consumed a very high saturated fat diet, including drinking the blood of their cattle. Yet they were not only lean and virtually free of heart disease, they also had some of the lowest cholesterol levels ever measured!
Skeptical scientists argued that they must have some sort of hereditary protection. However, British researchers found that when Maasai men moved to the city and began to consume a modern diet, their cholesterol levels skyrocketed!
In an editorial published in the New England Journal of Medicine in 1977, Dr. Mann called the cholesterol theory of heart disease “the greatest scam in the history of medicine.”
But let’s get back to those studies… or, more accurately, the lack of studies proving a link between saturated fat and heart disease.
There have been about 30 long-term population studies that have attempted to link saturated fat to heart disease. Of those, only four have shown even the weakest association. And all four had major disqualifications: they were either too small to be significant, they did not isolate the variables properly, or they showed a slight decrease in heart deaths but an increase in death due to cancer.
But population studies are notoriously unreliable anyway. The gold standard among health studies are controlled, randomized trials. And not a single study of this nature has ever shown definitive evidence that saturated-fat consumption leads to heart disease. In fact, many have shown the exact opposite!
Authors of the MR-FIT trial were determined to prove the case. They enrolled 350,000 men, all of whom were considered at high risk of heart disease. In one set of participants, cholesterol consumption was reduced by 42%, saturated fat by 28%, and total calories by 21%.
What happened? Nothing. The authors referred to the results as “disappointing,” stating that “The overall results do not show a beneficial effect on Coronary Heart Disease or total mortality from this multifactor intervention.”
The Women’s Health Initiative was a huge government study, costing almost three quarters of a billion dollars. Among 20,000 women in the study who adhered to a diet low saturated fat diet for eight years, there was no reduction in the rates of heart-disease or stroke.
Then there was the Cochrane Collaboration, in 2000. This group rigorously selected 27 low-fat and cholesterol-lowering trials to review (more than 200 trials were rejected). Their conclusion was that diets low in saturated fat have “no significant effect” on heart attack mortality. Lead researcher Lee Hooper, PhD, said “I was disappointed that we didn’t find something more definitive.”
Or how about something more recent?
This month, the American Journal of Clinical Nutrition published a review of 21 studies. The studies ranged from 5 to 23 years in length and encompassed 347,747 subjects. In the authors’ own words: “Intake of saturated fat was not associated with an increased risk of CHD, stroke, or CVD.”
I could go on… and on… and on… but I’ll conclude with this.
In 1988, U.S. Surgeon General’s office decided to end the confusion. They set out to finally prove the causal link between saturated fat and heart disease. After 11 years, the project was abandoned. The Surgeon General’s office stated that they, “did not anticipate fully the magnitude of the additional external expertise and staff resources that would be needed.” Sure! After more than a decade of trying, the government just “just didn’t have the resources.”
Scientists and researchers are supposed to have an open mind. They are not supposed to be dogmatic and swayed by politics and peer pressure. But that is exactly what the majority of scientists and doctors have proven of themselves. It is not terribly surprising. Massive industries and shining scientific careers have been built on this faulty theory.
If it were not so tragic, it would be funny to listen to them explain away contradictory findings and make excuses for why their studies don’t match their hoped-for conclusions. The most common excuses are that the “trial didn’t last long enough” or they “didn’t lower the saturated-fat intake enough.” It seems that option number three never crosses their mind… perhaps the entire hypothesis is wrong!
Uffe Ravnskov, MD, PhD has called the saturated fat theory of heart disease “one of the greatest and most harmful misconceptions in the history of medicine.” Dr. George Mann called it the “public health diversion of the century.”
And the problem is not just the wasted time and billions of dollars dedicated to an unscientific myth. The bigger problem is that undue focus on the saturated fat bugaboo has stolen attention from the REAL causes of heart disease. And perhaps even worse, is that many of the dietary recommendations to reduce heart disease have actually been shown to CAUSE heart disease (not to mention cancer, diabetes and obesity).
If you truly want to protect yourself from the nation’s number one killer, don’t smoke and reduce your stress levels. At least the medical authorities have gotten those two right. And when it comes to your diet, forget about saturated fat and cholesterol. Here is what you should do instead:
• Consume more monounsaturated fats from sources like olive oil, nuts, avocados and avocado oil
• Cut out the sugar and refined carbohydrates
• Consume more omega-3 fatty acids, from wild game, grass-fed beef and bison, sardines and wild (not farm-raised) salmon. And take an omega-3 fish oil supplement.
• And reduce as much as possible omega-6 fatty acids in your diet. These come primarily from conventionally raised meats, processed foods, fried foods and vegetable and seed oils (corn, soybean, sunflower, cottonseed, etc.)
To Your Health,
Jon Herring
Editor
Total Health Breakthroughs
This article appears courtesy of Early to Rise’s Total Health Breakthroughs which offers alternative health solutions for mind, body and soul.
Diet And The Right Foods Can Help Insure A Healthy Disease Free Heart
Doctors tell us that the right choice of diet can help your heart be healthier and reduce risk of heart disease. Yet maintaining a proper diet can be challenging for most of us. We want what we want and reason loses out to whatever emotional connection we have with food that is less than healthy.
Our schedules are hectic and most of us rush around maybe skipping breakfast, a quick fast-food lunch and then home to a dinner that we are too tired to cook and then perhaps its a TV dinner. We all know we should eat better but for most of us it is not the priority that it needs to be if we expect to maintain a healthy body.
In fact it is almost as easy to eat a proper diet as it is the sad diet that most of us pursue. Most of us know the basics, fried food and frozen dinners are not the best – stay away from them. We need fresh fruit and vegetables, lean meat and not too much of it and perhaps some whole grains. We just have to have the desire to do it.
Someone said “White Death.” White flour, sugar, white rice, ok in small amounts but these need to be the smallest part of out diets that we can make them. Instead the fruits and vegetables along with fish like salmon with it’s high omega-3 content also good for a healthy heart.
These are all common-sense ideas that anyone can implement. Consulting your doctor or dietitian is always a good idea of course, but most of us already know when we don’t eat correctly.
Other Ideas For Healthier Eating
Heart Healthy Living
GARLIC FOR A HEALTHY HEART?
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Healthy Lifestyle Halves Heart Failure Risk
Men who follow a healthy lifestyle may cut their risk of heart failure in half.
Can You Escape Heart Disease and Diabetes?
Cardiometabolic Disease — A Risk at Any Weight
By James LaValle, RPh, ND, CCN
Just because you are not obese, doesn’t mean you’re off the hook when it comes to increased risk for heart disease and diabetes — known as cardiometabolic disease. If you’re just a little pudgy around the middle, you may pat your belly and chuckle about those few extra beers you had last night, but it is no laughing matter.
Two studies recently looked at the cardiometabolic health of three categories of white adults: normal weight, overweight, and obese. Researchers measured blood pressure, triglycerides, fasting plasma glucose, C-reactive protein (CRP), high-density lipoprotein (HDL), and assessed whether the study subjects were insulin resistant.
What they found was eye opening — 23.5% of “normal weight” adults were metabolically abnormal — and surprisingly, the research done by Wildman’s group found that approximately 30% of the “obese” group was actually metabolically pretty healthy.1 In the “overweight” group, it was split about 50-50 between those who were metabolically healthy and those who were at increased risk according to these measures.
So to summarize, the study found the risk for heart disease and diabetes in the three groups to be: normal body weight, 25% risk; overweight, 50% risk; obese, 70% risk.
Another study by Stefan et al. found that 25% of obese people did not have early signs of heart disease as determined by their blood vessel thickness and an oral glucose tolerance test used to measure insulin sensitivity.2 Nor were these people categorized at high risk according to their lipid profiles and blood pressure readings.
Both of these studies assessed whether central adiposity (belly fat) raised the risk of heart disease the most, as has been seen in other studies. According to the American Heart Association, if a man’s waistline is greater than 39 inches and a woman’s waistline is greater than 34 inches, it’s time to take action.
Interestingly, the Stefan study found that in already obese patients, the most “at risk” fat was not belly fat, but liver fat. However, in normal and overweight people, belly fat did increase risk the most. (This may be because it is very unusual to see liver fat accumulating in normal weight people.) The Wildman study also found that normal weight or slightly overweight patients are more at risk for heart disease if they have belly fat.
The blogs are now flying about this research. I have seen statements like, “These studies once again prove that just because you are obese doesn’t mean you are unhealthy.” And indeed these studies show that if you are obese, you have a 25 to 30% chance of being in the group that hasn’t yet developed heart disease or diabetes. But the overwhelming number of studies consistently shows that the vast majority of obese people do have heart disease and/or diabetes.
Even in the Wildman and Stefan studies, only 25 to 30% were escaping risk so far. The other 70% were at risk. In the normal weight category, 75% were metabolically healthy and 25% were at risk. I would take those odds any day.
I know some obese individuals will want to hang on to that 25% chance they may not be unhealthy just because they are severely overweight — but there are other health problems that can develop too. Certainly if you fall into the obese category, you should at least be thoroughly evaluated to find out.
What are the take home messages from this research? You can be at cardiometabolic risk even if you are at a normal body weight, especially if you have increased waist size. This is not news to me and most health practitioners, but it is a big wake up call for many people.
Increased belly fat/waist size puts you at increased risk for heart disease and diabetes — and the more overweight you become, the greater your risks. So, no matter who you are, you should take steps to prevent insulin resistance and control your weight to have the greatest chance of avoiding these two devastating diseases.
We also need to further study the 25% of the obese population to see what is keeping them from developing insulin resistance. For instance, the Wildman study found that increased physical activity reduced risk. Other studies have found that increased antioxidant intake from foods like green tea and turmeric may prevent damage to insulin receptors from the oxidative stress that can cause insulin resistance.
Perhaps these individuals have better sources of, or utilization of, the mineral chromium which helps regulate blood sugar. Or, they might have increased vitamin C intake from fruits, vegetables, and supplements which reduces the risk of insulin resistance and diabetes.3-4
Determining which factors can best lower risk of heart disease and diabetes, even in people who have not been able to lose weight, would be of tremendous value.
References
- Stefan N, et al. Arch Intern Med. 2008;168:1609-1616.
- Wildman RP, et al. Arch Intern Med. 2008;168:1617-1624.
- http://www.nutritionandmetabolism.com/content/5/1/17.
- Arch Intern Med. 2008;168:1485-1499.
[Ed. Note: James LaValle, R.Ph, ND, CCN, is the founding Director of the LaValle Metabolic Institute, one of the largest integrative medicine practices in the country. He was named as one of the 50 most influential pharmacists in the US by American Druggist magazine. Dr. LaValle is the author of more than a dozen books including the bestseller, Cracking the Metabolic Code: 9 Keys to Optimal Health. To learn more, click here.]
This article appears courtesy of Early to Rise’s Total Health Breakthroughs which offers alternative health solutions for mind, body and soul.
The Hidden Truth About Statins
Medical Myths You Can Do Without
Myth #2: Cholesterol is the Cause of Heart Disease and Statins are the Answer
By Tim Reynolds, MD
Part 2 of a five-part series.
It’s hard to even start writing about this topic — there is so much misinformation out there. Let’s start with the basics. Cholesterol is a necessary part of almost all metabolic processes in the body. Without it we could not survive.
In the early 80s there were some landmark studies linking cholesterol levels to atherosclerosis (hardening of the arteries). Since then, all kinds of conclusions have been made as to what this means, what numbers are “normal”, and how those numbers change depending on your medical history.
Drug companies have invented a class of drugs called statins that lower plasma cholesterol levels from 10-50%, depending on the type of drug given and the amount. Statins are prescribed so frequently that they are now a multi-billion dollar industry.
Unfortunately, they also have side effects that can be devastating to some patients. In my medical practice, I have had to take many patients off their statin drugs because of side effects such as muscle pains, aching, and fatigue. In addition, the medical community has no long term studies (20-30 years) to see what the consequences of taking statins will be.
Here are some facts to keep in mind.
- There has been no evidence that having low cholesterol reduces the risk of first time heart attack. In fact, half of those with a first time heart attack have normal cholesterol levels. In a study of 10,000 people comparing those taking a statin to those that did not but maintained their weight and exercised, there was no difference in outcome of any kind.1 Did you get that?
- There is LDL (bad cholesterol) and HDL (good cholesterol). Statins lower both, and the problem is we want to see HDL increased. In fact, it seems that heart health results more from increasing HDL than lowering LDL. Drug companies are scrambling to find a drug that raises HDL, but so far without success. Only exercise and the B vitamin, niacin, have been proven to raise HDL.
So what’s a better way to ensure your heart is healthy? Start by having your homocysteine and C-reactive protein (CRP) levels checked. These markers are better predictors of your cardiac risk.
Homocysteine is an amino acid that occurs naturally and can be measured in the blood. The correlation between homocysteine and coronary artery disease is not completely understood but it has been noted that homocysteine levels higher than 14 are associated with a higher risk of heart disease.2 The best way to prevent elevated homocysteine levels is to ensure you are taking sufficient amounts of the B vitamins and folate either through diet or supplementation.
CRP is a marker for inflammation of the arteries. It is now thought that inflammation plays a large role in contributing to heart disease. CRP is not routinely measured, but it should be. Elevated levels can identify individuals at increased risk for heart disease. If you find that your CRP levels are high, increase your intake of fresh fruits and vegetables along with antioxidant supplements.
My personal heart disease prevention plan looks like this:
- High intensity exercise on a regular basis
- A diet consisting of natural foods — high in fresh fruits and vegetables and low in trans fats
- Fish oil supplements, 3 grams daily
- Niacin supplements, 1 gram daily
- Fiber supplement (Metamucil or FiberCon)
- Coenzyme Q10, 200 mg daily
- Grass-fed beef to increase omega-3 fatty acids
- Fresh fish at least twice a week
- Pomegranate juice three times a week for extra antioxidants
- 1/2 cup red wine every evening
Instead of rushing to take a statin, find a physician you trust and take some time to talk to him or her about your particular situation. You may find that with a proper diet, nutritional supplements, and moderate exercise, your risk of a heart attack from all causes can be dramatically reduced.
References
- JAMA December 18, 2002;288:1998-3007,3042-3044.
- NEJM November 27, 1997 Vol 337 number 22:1631-1633.
[Ed. Note: Tim Reynolds, M.D., is a practicing physician and a health and lifestyle expert. For more information, click here.]
This article appears courtesy of Early to Rise’s Total Health Breakthroughs which offers alternative health solutions for mind, body and soul.
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