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Cutting Fat Doesn’t Cut Heart Disease Risk

I’ve been saying it all along: A low-fat diet isn’t the answer.

Based entirely on my non-scientific experience living in Italy, I think a diet rich in natural foods is best, even if those foods are high in fat (like olive oil). People long before me have lauded the virtues of the Mediterranean diet, and I’m a strong believer. Processed foods, and foods with lots of preservatives, are going to be harder for your body to break down. Better to eat pure creme fraiche than a box of Snackwells.

Of course, like I said, this is based on nothing other than the fact that both times I lived abroad, my body felt 100 times better than it had when I was in the states. I ate more, and was less active, but didn’t gain weight. My entire system just felt cleaner. I never got stomach aches, or felt sick after eating. And, my mom recently sent me a National Geographic article naming Sardinians as some of the longest-living people in the world. So I believe it.

But don’t listen to my half-cocked theories. Checkout people who actually know what they’re talking about:

There is a common belief that Americans get fat because they eat too many carbohydrates. The idea is that a high-carbohydrate, low-fat diet leads to weight gain, higher insulin and blood glucose levels, and more diabetes, even if the calories are the same as in a higher-fat diet. That did not happen here.

Others have said the opposite: that low-fat diets enable people to lose weight naturally. But that belief was not supported by this study.

As for heart disease risk factors, the only one affected was LDL cholesterol, which increases heart disease risk. The levels were slightly higher in women eating the higher-fat diet, but not high enough to make a noticeable difference in their risk of heart disease.

Actually, my theory is that Americans get fat because we don’t have the kind of access to fresh and affordable pure foods that many Europeans do; because our food culture is one based around pleasure in mass consumption rather than pleasure in taste and quality; and because we’re fairly sedentary people. Again, half-cocked theories, and I’m not trying to posit that “people are fat because they eat too much McDonalds.” But there is something going on culturally that can’t be explained by simple genetics. That doesn’t mean “fat is bad,” either; I’d say there’s something going on culturally with anorexia too, and we don’t see many “thin is bad” messages around us. Anyway, I digress.

The $415 million federal study involved nearly 49,000 women ages 50 to 79 who were followed for eight years. In the end, those assigned to a low-fat diet had the same rates of breast cancer, colon cancer, heart attacks and strokes as those who ate whatever they pleased, researchers are reporting today.

“These studies are revolutionary,” said Dr. Jules Hirsch, physician in chief emeritus at Rockefeller University in New York City, who has spent a lifetime studying the effects of diets on weight and health. “They should put a stop to this era of thinking that we have all the information we need to change the whole national diet and make everybody healthy.”

Yep. Plus, cool that this study was done on women.


20 thoughts on Cutting Fat Doesn’t Cut Heart Disease Risk

  1. I’m shocked, SHOCKED! that low-fat dieting does little to advance our health.

    My own half-cocked hypothesis: eat whatever the hell you want, but do it in moderation. Kinda like just about everything else in life. Oh, also exercise a little bit.

  2. That was an interesting study, and I was actually kind of stunned that it was done only on women. Pleased, but still stunned. And I couldn’t believe that one of the people quoted just assumed, oh, it’s probably the same for men. Never mind at least a couple recent (within past couple years) studies saying, “Whoops, women and men have completely different sets of symptoms for heart attacks and heart disease.”

    Gah.

    (I’m not a nutrionist or dietician or medical anything, so what do I know, maybe diet doesn’t affect us much based on X or Y chromosomes. It still seems like a foolish thing to just assume.)

    Frivolously, I hope this spells an end to those horrid NO FAT!! food items cluttering the markets. I can avoid the fat-free processed foods, especially the junk foods, but it’s insulting to see a nice can of organic black bean soup with “Fat Free!” plastered across its label. Beans are _meant_ to have fat! It’s good fat!

  3. I read a survey of the literature on rising obesity levels world wide last year. BAsically, they said that the primary issue for rising obesity is lack of exercise with modernization and industrialization. That accounts for the bulk of it.

    As for heart disease, I have congenital heart disease — runs in the family. That sad thing is that the state of knowledge about the causes (complex) is atrocious in terms of the popular media and not a whole helluva lot better with physicians who often don’t keep up with the latest research.

    E.g, go look up what kind of fat bacon has in it. It’s mostly the “good” or “neutral” kind. But, everyone will flip out if you eat bacon.

    Eggs? The problem with eggs is arachidonic acid. Red meat, too. I won’t go into the science behind it here, but I’ll explain if you write to my email address, posted at link above.

    So, yeah, I’ve been annoyed by this stuff for years — since this research was coming out in the late 80s already!

  4. Actually, my theory is that Americans get fat because we don’t have the kind of access to fresh and affordable pure foods that many Europeans do; because our food culture is one based around pleasure in mass consumption rather than pleasure in taste and quality; and because we’re fairly sedentary people.

    Lack of exercise also has a lot to do with it – the fact that it is practically impossible not to use the car in some towns, even if you just have to go short distances, means that people don’t get as much exercise as they would do if they walked once in a while.

  5. Our jobs are a lot more sedentary than they used to be as well. The thing that sealed it for me was a study of rising obesity in China. The researchers link it to the rise of the automobile there.

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  7. On the other hand, a low-fat diet that’s also natural is good as well. Anecdotally, I point to the island of Okinawa, which prior to the introduction of American food after WWII had average life expectancy approaching 100 years.

    I agree with you, Jill, and so does Bill Maher.

  8. It’s type of fat that’s important rather than quantity. Besides the fresh fruits and vegetables in the Mediterranean diet, the olive oil appears to have positive effects with regard to both heart disease and cancer. To give an idea of some of the recent developments, here’s a recent related cancer paper and here’s an example of a heart study.

    The worst culprit with heart disease is likely trans fatty acids, as explained here.

    Obesity is primarily due to out calorie rich diets and low activity. Processed white flour and simple sugars, besides spiking insulin and all that, tend to be very calorie dense. It doesn’t help that we evolved as hunter gatherers, and our instinct during times of plenty is to gorge. The effect of low activity is especially apparent when we look at the rates of obesity in groups like the Amish.

  9. E.g, go look up what kind of fat bacon has in it. It’s mostly the “good” or “neutral” kind. But, everyone will flip out if you eat bacon.

    “Good” fats are polyunsaturated. The majority of the fats in bacon are saturated fats.

    Eggs? The problem with eggs is arachidonic acid. Red meat, too

    Is there some kind of association between arachidonic acid and heart disease or something? I’ve never seen that. A problem with eggs is that they’re loaded with cholesterol.

  10. Just read an interesting article on olive oil specifically — a researcher at an oil tasting noticed an interesting aftertaste to fresh-pressed oil that reminded him of the taste-tests he’d worked on for liquid ibuprofen. He went home and isolated the compound in question, which appears to be an NSAID-like anti-inflammatory. You’d have to drink *cups* to get a pain-relief effect, but I imagine that small regular doses (AKA what you get when you cook with it) probably contribute to a lessening of the kinds of chronic inflammation that appear to be a part of some heart disease and cancer.

    And as for eggs being loaded with cholesterol –they’re loaded with chicken cholesterol. Your body makes and uses human cholesterol, and that’s what gunks up your arteries.

  11. I eat almost every day at a place called Dwights in Lafayette LA.
    The food is homemade homecooking, lots of fat and grease in it, but not processed and with ingrediants from the surronding area. I eat like a pig there, yet I am losing weight and feel better.

    HHmmm….

  12. I spent a summer in Martinique (French Island in the Caribbean) studying and living with friends. The food was extraordinary—bread, fruit, chocolate, all kinds of things. We ate at nine o’clock at night. I lost fifteen pounds. Of course we walked everywhere—well, we ambled everywhere—–and everything was so rich that I realized my taste buds were practically turning into sexual organs or something. The richness led to moderate portions, because everything tasted so good.

    Healthy food in the States is expensive and difficult to get, but it’s amazing the difference it makes. I have a friend who sends me spices from her spice garden, and the difference in taste between them and store-bought spices is….vivid.

  13. Blue, that sounds all kinds of good. I grew up in Louisiana and lived in Lafayette for a short time. Never found Dwights though. Where is it?

  14. Talking about “fat” is meaningless in this context. Fat is a complex class of nutrients, each with different potential health impact. The type of fat eaten is far more important that the total amount.

  15. As I understand it (and I am not a medical professional, so I could be wrong) blood cholesterol in humans is a complex thing. Some people just have a tendency towards having higher cholesterol, and should avoid foods that dump a lot of it into their systems. Some people have a tendency towards lower cholesterol, and can eat larger amounts of things that contain said cholesterol without significantly altering their blood cholesterol.

    Simplified, I’m sure, but that was the basic premise as I read it. Sorry, can’t remember where. Could have been anywhere from the Reader’s Digest (questionable source) to the New England Journal of Medicine — I read practically anything I can get my hands on. My point is: there has been a recent revision in the understanding of how ingesting cholesterol affects blood levels of cholesterol. Eggs are not evil. You should probably not eat several every day, but having them a couple of times a week is not going to kill you UNLESS you have that specific kind of a cholesterol problem. And even then, it may not affect the blood cholesterol level by a whole lot. There are any number of anecdotal data about people who cut everything remotely fatty/cholesterol laden out of their diets and STILL need drugs to control their cholesterol. That’s fairly compelling evidence in my book that controlling cholesterol is not as simple of a process as we’ve been led to believe.

    That said, I’d be interested in hearing more about the arachidonic acid issue. Haven’t encountered that term before, and it makes my science geek ears perk up. 🙂

  16. I’ve taken up weightlifting to get stronger and dump some weight, and I’ve been reading a lot about what they suggest for food; almost universally, they concur that lean protein, complex carbs, and some (good) fat is the best. I went to the grocery store to get frozen fruit to put in protein shakes for breakfast and, as if for the first time, really looked at the aisles and aisles and aisles of packaged, pre-cooked, processed food.

    We have no idea how to eat in this country, and we’re infecting the rest of the world.

  17. Anyone who’s ever been poor already knew this one.

    Food that is cheap is also food that is starchy and processed. It’s a lot cheaper to buy a box of mac n’ cheese, which will make you feel full, than a tub of creme fraiche or an organic free-range chicken, or even fresh vegetables (especially if your neighborhood grocery store is the corner liquor mart).

    Low-wage jobs are also increasingly sedentary. Some do get you exercise of the unhealthy kind (housecleaning burns calories, but it’s kinda tough on the back), but an awful lot are not so good for physical fitness. Retail clerking and data entry aren’t exactly get-up-and-go kind of work.

    And if you live somewhere that mass transit doesn’t go or doesn’t work well, you drive.

  18. Is there some kind of association between arachidonic acid and heart disease or something?

    Aracadonic acid makes platelets clot, which is a good thing if you have a wound, a bad one if you have a cholesterol plaque in your artery. Asprin blocks AA induced platelet clotting.

    I have a theory on dieting: Prepackaged food and food cooked in a restaurant is made to be as tasty as possible and at as low an expense as possible. It is not designed to be good for you, necessarily. And it is difficult to cook with really good, fresh ingredients if you have to cook in bulk. So my theory is that you should eat whatever you like, so long as you cook it yourself.

  19. Aracadonic acid makes platelets clot, which is a good thing if you have a wound, a bad one if you have a cholesterol plaque in your artery. Asprin blocks AA induced platelet clotting.

    Aspirin reduces clotting because it irreversibly inhibits platelet COX.

    Arachidonic acid to my knowledge doesn’t directly promote clotting, it’s just a raw material, a precursor to a class of prostaglandins that do in fact promote clotting, vessel constriction, etc.

    Groups with high dietary saturated fatty acids display a rise in platelet aggregation relative to other groups.

    There’s a hypothesis that’s been around for a while that a diet rich in omega-3 fatty acids causes the arachidonic acid in cell membranes to be replaced with the dietary fatty acids, and this reduces the production of several factors that that are clotting agonists, etc. To my knowledge this hasn’t actually been demonstrated yet, but I could be wrong.

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