Exploring the “Lore of Nutrition”

For the last few days, my Kindle has been my closest companion. “What are you reading”? my wife asked. “I’m reading Lore of Nutrition.” “Ooh, I was sure it was a thriller or one of your crime stories.” In fact, she was right. Although Lore of Nutrition is a book about nutrition, it reads like … Read more

The Fate of the PURE Study – Fat and Carbohydrate Intake Revisited

Most experts agree that diet is an important modifiable risk factor for cardiovascular disease and many other chronic noncommunicable disorders. Hence, defining and implementing a healthy diet is a matter of great public health interest. However, although there is substantial agreement on many issues, such as the importance of fruits and vegetables, several matters are still … Read more

High Carbohydrate Intake Worse than High Fat for Blood Lipids

Data presented at the World Heart Federation’s World Congress of Cardiology & Cardiovascular Health 2016 (WCC 2016) in Mexico City may radically change our perspective on how carbohydrates and different types of fats affect blood cholesterol and other lipid biomarkers. The presentation was based on data from the Prospective Urban Rural Epidemiological (PURE) study. The data have not been … Read more

Saturated Fat Back in the Gutter; Failing to see the bigger picture

Saturated fat is the bad boy once again according to a paper recently published online in the Journal of the American College of Cardiology (1). The authors of the paper, led by Li Yanping from the Department of Nutrition at the Harvard School of Public Health, conclude that unsaturated fatty acids, especially polyunsaturated fatty acids (PUFAs) … Read more

Less Heart Disease Despite More Diabetes; The Role of Diet

The diverging trends in heart disease and diabetes represent a public health paradox of immense importance. Obesity and type 2 diabetes are well-known risk factors for coronary heart disease. However, whereas the prevalence of obesity and type 2 diabetes is increasing, the death rate from coronary heart disease is declining. This interesting paradox was recently addressed in two … Read more

Which Is Most Atherogenic, High-Fat Cheese, High-Fat Meat or Carbs?

Atherosclerosis is the most common underlying cause of cardiovascular disease (CVD. It is caused by a complex interplay between lipoproteins, white blood cells, the immune system and the normal elements of the arterial wall. Atherosclerosis can affect all arteries in the body but seems to have a strong affinity for the coronary arteries. The resulting … Read more

Diet and Heart Health – The Dawn of a New Era

The 2015 Dietary Guidelines for Americans are due to be published later this year. The Scientific Report of the 2015 Dietary Guidelines Advisory Committee (DGAC) released February 23 this year suggested that we may see important changes of direction in certain areas. Since the publication of the 2010 Dietary Guidelines important scientific data has emerged … Read more

The Year of the Fat

During the first few months of this year, we’ve seen at least three strong signs suggesting that health authorities have misled the public for several decades about dietary fats. This finding is of particular interest because later this year the 2015 Dietary Guidelines for Americans will be published. Ever since the beginning of the 1960s, “eat less fat, in … Read more

What About Saturated Fats if You Already Have Heart Disease?

We’re all aware of the aggressive campaign driven by public health authorities and medical professionals to decrease blood cholesterol. It all started more than fifty years ago when the Framingham Heart Study reported that high blood cholesterol was a major risk factor for coronary heart disease (1).   Central to the dogma was the belief that lowering blood cholesterol would lower … Read more