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Saturated Fat Does Not Clog your Arteries

New study in the BJSM by Dr Aseem Molhotra picked up by many news outlets around the world. Links to articles here:

https://www.dietdoctor.com/experts-...ies-plain-wrong

Experts: Popular Belief That Saturated Fats Clog Up Arteries “Plain Wrong”

Quote:

The poplar belief that saturated fats clog up arteries is just plain wrong.

That’s the message from three cardiologists in a just published editorial, summarizing the fairly convincing evidence:

BJSM: Saturated fat does not clog the arteries: coronary heart disease is a chronic inflammatory condition, the risk of which can be effectively reduced from healthy lifestyle interventions

Instead of worrying about saturated fats or cholesterol, the cardiologists advise people to eat “real food” (like a higher-fat Mediterranean diet), stop smoking and consider stress reduction and regular physical activity. See the image above.

Here’s the main message in the editorial by Dr. Aseem Malhotra and colleagues: It is time to shift the public health message in the prevention and treatment of coronary artery disease away from measuring serum lipids and reducing dietary saturated fat. Coronary artery disease is a chronic inflammatory disease and it can be reduced effectively by walking 22 minutes a day and eating real food. The media is all over the message this morning. It gets criticism from some experts, and support from many others:
CNN: Does saturated fats clog your arteries? Controversial paper says ‘no’
SBS: ‘Saturated fat not cause of heart disease’
The Telegraph: Specialists under fire for dismissing saturated fat link to heart disease
The Sun: Medics embroiled in health row after blasting ‘plainly wrong’ NHS claims that butter, cheese and red meat clog arteries
The Guardian: Q&A: saturated fat, your health and what the experts say
Yahoo News: Pass the butter: Cutting saturated fat does not reduce heart disease risk, cardiologists say
CBC: Pass the butter: Cutting saturated fat does not reduce heart disease risk, cardiologists say

If you ask me the experts are likely to be right. It’s certainly time to stop obsessing about saturated fats and LDL cholesterol, as the link to heart disease in likely to be nonexistent and weak, respectively. If eating low-fat foods make you hungry and cause you to increase intake of sugar and refined carbs (as often happens) it may even be harmful. Many experts are still stuck in an old failed paradigm, still fearing natural fats.

It’s time to let it go. Fat is your friend.

Also, Dr Aseem on SKY news: http://www.thefatemperor.com/blog/2...-heart-disease-

Ugh at "Mediterranean diet," though. How many will go home and order feta cheese and eggplant on their pizza? I'm sure there are therapeutic versions of Mediterranean diet, just as there are healthful versions of Paleo. So many are claiming the label as to make it almost meaningless. Pretty much everybody but the zero-fat McDougall types.

Specialists under fire for dismissing saturated fat link to heart disease

Quote:

From The Telegraph
London, UK
26 April, 2017

Specialists under fire for dismissing saturated fat link to heart disease

Heart experts have been criticised for claiming it is "plain wrong" to believe that saturated fat clogs up arteries.

Three specialists argued that eating "real food", taking exercise and reducing stress are better ways to stave off heart disease out dietary saturated fat.

Writing in a respected journal, they maintained that inflammation is the chief threat to arteries and there is little evidence linking saturated fat consumption with heart disease, diabetes and premature death.

But the editorial, published in the British Journal of Sports Medicine, attracted scathing criticism for being "simplistic", "muddled" and "misleading".

The authors, led by Dr Aseem Malhotra, from Lister Hospital, Stevenage, wrote: "Despite popular belief among doctors and the public, the conceptual model of dietary saturated fat clogging a pipe is just plain wrong."

Dr Malhotra and colleagues Professor Rita Redberg, from the University of California at San Francisco, and Pascal Meier from University Hospital Geneva in Switzerland and University College London, cited a "landmark" review of evidence that appeared to exonerate saturated fat.

They said relative levels of "good" cholesterol, or high density lipoprotein (HDL), were a better predictor of heart disease risk than levels of low density lipoprotein (LDL), also known as "bad" cholesterol.

High consumption of foods rich in saturated fat such as butter, cakes and fatty meat has been shown to increase blood levels of LDL.

The experts wrote: "It is time to shift the public health message in the prevention and treatment of coronary artery disease away from measuring serum lipids (blood fats) and reducing dietary saturated fat.

"Coronary artery disease is a chronic inflammatory disease and it can be reduced effectively by walking 22 minutes a day and eating real food."

They pointed out that in clinical trials widening narrow arteries with stents - stainless steel mesh devices - failed to reduce the risk of heart attacks.

Dr Aseem spelled out a similar message in another opinion piece published in the British Medical Journal in 2013.

Leading the critics was Professor Alun Hughes, associate director of the Medical Research Council Unit for Lifelong Health and Ageing at University College London.

Leading the the critics was Professor Alun Hughes, associate director of the Medical Research Council Unit for Lifelong Health and Ageing at University College London.

said: "This editorial is muddled and adds to confusion on a contentious topic. The authors present no really new evidence, misrepresent some existing evidence, and fail to adequately acknowledge the limitations in the evidence that they use to support their point of view."

Dr Mike Knapton, associate medical director at the British Heart Foundation, said the claims about saturated fat were "unhelpful and misleading".
He added: "Decades of research have proved that a diet rich in saturated fat increases 'bad' LDL cholesterol in your blood, which puts you at greater risk of a heart attack or stroke."

Dr Amitava Banerjee, honorary consultant cardiologist at University College London, said: "Unfortunately, the authors have reported evidence simplistically and selectively".

His view was echoed by cardiologist Dr Gavin Sandercock, director of research at the University of Essex, who said: "This editorial is not founded on good evidence. There is no such thing as 'real food' - the authors don't define what it is so it's meaningless."

However, the authors found an ally in Dr Mary Hannon-Fletcher, head of the school of health sciences at the University of Ulster, who described the editorial as "the best dietary and exercise advice I have read in recent years".

She added: "Walking 22 minutes a day and eating real food. This is an excellent public health message; the modern idea of a healthy diet where we eat low-fat and low-calorie foods is simply not a healthy option."

http://www.telegraph.co.uk/news/201...-heart-disease/

Quote:

Saturated fat does not clog the arteries: coronary heart disease is a chronic inflammatory condition, the risk of which can be effectively reduced from healthy lifestyle interventions

Aseem Malhotra,Rita F Redberg,Pascal Meier

British Journal of Sports Medicine

http://bjsm.bmj.com/content/early/2...rts-2016-097285

I was going to register to respond, but you know what, I just can't be assed....

Check out that list of foods containing saturated fat: butter, cakes, and fatty meat.

Which one has sugar? Which one should we avoid to reduce inflammation?

Yes, it's a selective study. But not too complicated, I should say.

Should a Flip Flop on Saturated Fat Freak you Out?

People's Pharmacy and their readers weigh in
https://www.peoplespharmacy.com/201...t-freak-you-out

Advice to my colleges at work...

Perhaps some curried camel will do (inspired by Uberfat - there's a lot of fat there!)

Quote:

Originally Posted by bkloots

Spinach, tobacco and kale. Yep, veggies are bad for you! :lol:

Quote:

Originally Posted by Zei

Spinach, tobacco and kale. Yep, veggies are bad for you! :lol:

Of course - that makes just as much sense as butter, CAKE, and fatty meats. Are they stupid or do they think we are? :confused:

Inflammation is caused by carbs more specifically grains like wheat not fats.

One painful thing about these articles is statements like this:

Quote:

Butter, cheese and ice cream are supposed to be the enemies of a heart-healthy diet.

Those of us who have been LC forever know that these three items are not nutritionally equivalent. The difference, of course: sugar. It's the association of fat, saturated or otherwise, with sugar in all its forms that can be hazardous to health through the insulin process.

NONE of these critiques seems to cover that huge distinction.

No wonder people are confused.

One could see the same confusion about fruit vs. fruit juice. Whole green vegetables vs. vegetables consumed in a beverage with all the fiber pressed out. Fats-that-accompany-whole-foods vs. hypercaloric "fat bombs."

Dietdoctor has done a good job of cutting to the chase in one place. I appreciate and support that site, as I do this one, for people who are seeking a reliable guide.

In a nutshell (nuts are okay!):

MORE CAMEL
LESS CARBS