The British Medical Journal has issued a clarion call to all who want to ward off heart disease: Forget the statins and bring back the bacon (or at least the full-fat yogurt). Saturated fat is not the widow-maker it's been made out to be, writes British cardiologist Aseem Malhotra in a stinging "Observations" column in the BMJ: The more likely culprits are empty carbs and added sugar.
Virtually all the truths about preventing heart attacks that physicians and patients have held dear for more than a generation are wrong and need to be abandoned, Malhotra writes.
the "obsession" with lowering a patients' total cholesterol with statins, and a public health message that has made all sources of saturated fat verboten to the health-conscious, have failed to reduce heart disease.
The result is a rate of obesity that has "rocketed" upward, writes Malhotra. And, despite a generation of patients taking statins (and enduring their common side effects), the trends in cardiovascular disease have not demonstrably budged.
"When saturated fat got mixed up with the high sugar added to processed food in the second half of the 20th century, it got a bad name," noted UC San Francisco pediatric endocrinologist Robert Lustig. On the question of which is worse -- saturated fat or added sugar, Lustig added, "The American Heart Assn. has weighed in -- the sugar many times over."
For more than 20 years, there have been one or two medical commentators in newspapers, such as the Telegraph's great James Le Fanu, who have rejected the cholesterol theory of heart disease. Dr Le Fanu has always maintained that (most) people should stick to the boiled eggs and buttered soldiers for breakfast and avoided margarine as if their lives depended on it. But the mainstream view for 40 years, as dished out to the public in health campaigns and via the NHS has been – cut down saturated fat to lower your risk of cardiovascular disease. That has meant that butter, full-fat milk and cheese were ruthlessly demonised, while oil-based spreads and low-fat products flew off the shelves.
But this is changing – and if you doubt it, consider that we have a leading young cardiologist, Aseem Malhotra, writing in the British Medical Journal today, saying quite plainly: "If you have a choice between butter and margarine, have the butter every time."
Malhotra's advice on diet instead. He says consuming a Mediterranean mixture of foods – fresh vegetables, olive oil, complex carbohydrates – is "almost three times as powerful in reducing mortality as taking a statin", citing the Predimed study.
If you want evidence-based nutrition advice, read the Authority Nutrition blogPosted by Jill Fallon at October 23, 2013 4:52 PM | Permalink