strokeTag Archives

Looking at the USDA Dietary Guidelines

Today’s reading included a blog post by Denise Minger looking at USDA recommendations. The USDA recommends reducing saturated fat in the diet as well as reducing overall fat content. In their library of supporting documents, only one of the 12 studies cited actually supports these recommendations. The one study that does, a meta-analysis of studies, is later contradicted by a larger meta-analysis that shows no improvements. The first study is apparently confounded by publication bias. To further confound such studies, the USDA presented a pie chart showing where saturated fat in the American diet comes from. Grain-based desserts and pizza provide the largest portions of saturated fat in the American diet. But I just learned from the “Forks over Knives” post that China Study II positively correlates wheat with heart disease death and deaths from all medical causes. In fact, wheat correlates with heart disease better than any other food. Those grain-based desserts and pizza that we’re getting our saturated fat from have a lot of wheat in them. Meanwhile, animal protein and animal fat were negatively correlated in that study, meaning that death rates were lower. That’s an interesting finding from a scientist who promotes a vegan diet. So anything showing that saturated fat is harmful is likely confounded by the junkie carbohydrate and wheat intake that often accompanies the saturated fat. Furthermore, studies supporting increased intake of polyunsaturated vegetable oils are confounded by the overall healthier habits of those consuming those oils. When the data are corrected for these healthy habits, the benefit of the vegetable oils disappears.

By the way, the cited USDA studies and also Dr. Caldwell Esselstyn’s results cited in “Forks over Knives” blog post would support my modifications to the NutriSystem diet for attempting to keep my cholesterol levels healthy. This further increases my optimism that I have made the right modifications. We’ll see when I get the results back from this coming Thursday’s blood draw.

As an interesting aside, the USDA was unable to be conclusive as to whether fruits and vegetables are actually good for you. They say further study is needed. Very interesting indeed! Results from China Study II would support the inclusion of green vegetables, at least, since they are negatively correlated to deaths from all medical causes. Fruit is positively correlated with deaths from heart disease, stroke, and diabetes in that same study, though. Have I not said before that fruit poses problems due to the sugar content? That’s why I decided to eliminate fruit from my modified diet. There are better sources for the micronutrients fruits provide among the vegetables, and I do make sure to include those.

References:
U.S. Department of Agriculture, U.S. Department of Health and Human Services. Dietary Guidelines for Americans 2010.
Denise Minger. The New USDA Dietary Guidelines: Total Hogwash, and Here’s Why, Raw Food SOS.
Denise Minger. “Forks Over Knives”: Is the Science Legit? (A Review and Critique), Raw Food SOS.

Stroke reduction in Japan

Cholesterol and animal fat are actually protective against strokes. That’s why Japan has such a high stroke rate. They don’t eat as much animal fat as we do. But they do eat a fair amount of rice, and that can cause damage from the carbohydrates. After the second world war, the Japanese were influenced to eat more like us with more meat and dairy. Their stroke rate went down by 85%.

One of these Japanese studies showed that the benefit came from the animal fat and cholesterol consumed. Those with the highest intake had the lowest incidence of stroke. Animal protein was not significant—just the fat and cholesterol.

The Okinawans, the Japanese people with the longer lifespans, eat more meat and less rice than other Japanese people, and they’re healthier for it.

References:
Barry Groves. Trick And Treat – how ‘healthy eating’ is making us ill. 2008.
Barry Groves. The Dangers of Low Blood Cholesterol, Second Opinions.
Shimamoto T, et al. Trends for Coronary Heart Disease and Stroke and Their Risk Factors in Japan. Circulation. 1989; 3: 503-15.
Adachi H, Hino A. Trends in nutritional intake and serum cholesterol levels over 40 years in Tanushimaru, Japanese men. J Epidemiol 2005; 15:85-89.
Liu L, et al. Changes in stroke mortality rates for 1950 to 1997. A great slowdown of decline trend in Japan. Stroke 2001; 32:1745.
Iso H, et al. Trends of cardiovascular risk factors and diseases in Japan: implications for primordial prevention. Prev Med 1999; 29: S102-S105.
Sauvaget C, et al. Animal protein, animal fat, and cholesterol intakes and risk of cerebral infarction mortality in the Adult Health Study. Stroke 2004; 35: 1351.
Gillman MW, et al. Inverse association of dietary fat with development of ischemic stroke in men. JAMA 1997; 278: 2145-2150.
Atkins D, et al. Cholesterol reduction and the risk of stroke in men. A meta-analysis of randomized, controlled trials. Ann Int Med 1993; 119: 136-145.
Dyker AG, et al. Influence of cholesterol on survival after stroke: retrospective study. BMJ 1997; 314: 1584.