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

The Omega-3 Index

Although regular intake of omega-3 fatty acids is believed to have several health benefits, some questions remain unanswered. Do we all need more omega-3 or just some of us? Is eating fish sufficient or do we need to take supplements? Is there a way to tell if the cells in our body are getting enough omega-3 or if we … Read more

Sugar In and Sugar Out: The Modern Treatment of Type 2 Diabetes

A few days ago the results of a potentially game-changing trial on the treatment of type 2 diabetes and cardiovascular disease (EMPA-REG OUTCOME trial) were presented at an international diabetes conference in Stockholm, Sweden and simultaneously published in the New England Journal of Medicine (1). For the first time, a study has found that a drug that … 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

Does Sugar Cause Heart Disease?

Growing up and living with the diet-heart hypothesis through my professional career has been a remarkable experience. I was lucky. My mentors were great. I went to all the big cardiology conferences. I read the best books and I learned from the great masters. Early on, I was taught the fairly well established relationship between blood cholesterol and coronary heart disease. … Read more

Eggs, Heart Disease and Diabetes – Dreams of an Omelette

It was early Sunday morning. Mr. Mason watched his wife across the kitchen table. She appeared deeply engaged in the daily crossword puzzle. He swallowed his three diabetes pills with a large sip of orange juice. There was a momentary sparkle of light, a glint of sunshine through the clouds. He would give it another try. “I’m told that a highly prestigious … Read more

Benefits of Coffee – Caffeine Benefits Explained

It’s been almost forty years since Bob Dylan and Emmylou Harris sang about the guy who left his gypsy girl for a journey “to the valley below”. His final cup of coffee became a classic. One more cup of coffee for the road One more cup of coffee ‘fore I go To the valley below – Bob Dylan 1976 Coffee, second … Read more