Leigh Ann Otte
My Family Doctor magazine
When you eat low-carb, you have to replace carbs with either fat or protein - usually both. So you would have to come to terms with whether saturated fats are harmful or not. The low-carb bloggers pointed out the contradictory studies. Only recently did I have the time to really dig into it.
What concerns me is that no one talks much about the other issues with saturated fat. For instance, I read a paper last week that linked saturated fat to pancreatic cancer. Granted this was not a very good paper, but still there is more to life than heart disease.
You clearly spent a lot of time on this, thank you!!!]]>
Anyone interested in a scientist’s view of food/nutrition should see Darya’s blog, http://SummerTomato.com
As a doctor, do you prescribe cholesterol lowering meds to your patients?]]>
Nevertheless, I’m not sold on a recent push in the U.S. to prescribe statins (Crestor, specifically) to all middle-aged people with a high C-reactive protein levels. I blogged about it here:
Yet, I keep reading research reports touting the health benefits of grains. Here’s the latest one, in the July 22, 2009, issue of American Journal of Clinical Nutrition, by Nettleton, et al:
Background: Empirically derived dietary patterns show strong cross-sectional associations with cardiovascular disease (CVD) risk factors in the Multi-Ethnic Study of Atherosclerosis (MESA).
Objective: We investigated associations between dietary patterns and risk of incident CVD in 5316 men and women.
Design: White, black, Hispanic, and Chinese adults aged 45–84 y and free of CVD and diabetes completed food-frequency questionnaires at baseline. Dietary patterns were derived by using principal components analysis. Incident CVD events (n = 207) identified over a median of 4.6 y were verified by death certificates and medical records.
Results: The Fats and Processed Meat dietary pattern was associated with a greater risk (hazard ratio quintile 5 compared with quintile 1: 1.82; 95% CI: 0.99, 3.35), and the Whole Grains and Fruit dietary pattern was associated with a lower risk (0.54; 0.33, 0.91) of CVD after adjustment for demographic and lifestyle confounders. Associations between CVD and the Whole Grains and Fruit dietary pattern remained strong after adjustment for waist circumference, blood pressure, lipids, or inflammatory markers.
Conclusions: Data from this multiethnic cohort reinforce findings from predominantly white cohorts, ie, that “healthy” and “unhealthy” dietary patterns empirically exist and that these patterns are important lifestyle predictors of CVD incidence.