Diet and Heart

geneticexpectations

This is the president of the World Heart Federation. In the cardiology circle, this is THE GUY when it comes to cardiac epidemiology. Anyways, this talk gets to the point. These are the evidence based trends of healthy eating. It doesn't explore the nuances of dietary categories (eg, red meat is all lumped into one category instead of actually separating grass fed meats from highly processed meats), but gives you an idea of what future physicians will be learning. It's about time dietary education in medicine lined up with evidence.

http://www.thefatemperor.com/blog/2017/2/15/wow-this-cardiologist-aint-taking-any-prisoners-certainly-not-fat-ones-

Nikion901

Thanks for the video ... I got something out of it.

crzycatlady1

It was difficult to understand him on my phone speaker but at the beginning did he say data was collected via questionnaires?

Cherimoose

Please summarize his main points.

saintor1

Did I get it wrong or this guy wants me to increase my salt intake to 4000mg!?

nvmomketo

Salim Yusuf is a good speaker. Smart man.

Cherimoose wrote: »

Please summarize his main points.

Increased carb intake correlates with increased CVD, especially past 50%.

Total fat is protective. Fat does not cause CVD.
Saturated fat is not harmful. Mono sat. fats may be beneficial. Polyunsaturated (fish) is possibly neutral.

Low fat is not better for you. Dairy like cheese is probably good for you.

Red meat and white meat are good for you or neutral.

Even if LDL increases with a higher fat diet, cases of CVD decreases.

SFA decreases APOA/APOB risk factors, and so does mono unsat. fats and PUFAS, but carbs increases it.

Increased salt increases BP, but 3-6g of sodium per day have the lowest cases of CVD. This is true if you have normal or high BP. About 5g is ideal. Risk of CVD increases above and below 5g. For those with normal BP, the risk of CVD increasing is much lower over 5g than in those with hypertension.

AHA's recommendation of about 2.2g is wrong. Too low.

Up to 2 or 3 fruits per day may be protective from CVD.

Vegetables are not protective at all, and if anything may be very slightly adverse. Raw may be marginally better than cooked. But neutral is good, he says. If you like it, eat it.... but fruit is better. Legumes are the best veggies when looking at CVD, but probably neutral.

Poorer countries buy fewer fruits and vegetables due to cost of food, and % of income spent on food.

His summary is:

• Saturated fats are not harmful in the normal ranges consumed by people (did not discus ketogenic levels).
• MUFAs are protective.
• PUFAs are probably neutral (fish)
• Carbohydrates over 50% are harmful.
• Sodium intake should be between 3-5g/day.
• Fruits and legumes are neutral, and veggies are probably neutral.

Read Big Fat Surprise. He says she had it right. Seven Countries Study was "fudged".

When you eat a burger, toss the bun.
Eggs are neutral and so are fish.

These were all his ideas - just my summary.

nvmomketo

saintor1 wrote: »

Did I get it wrong or this guy wants me to increase my salt intake to 4000mg!?

Yeah that's wrong. He wants you closer to 5 mg.

Gallowmere1984

nvmomketo wrote: »

saintor1 wrote: »

Did I get it wrong or this guy wants me to increase my salt intake to 4000mg!?

Yeah that's wrong. He wants you closer to 5 mg.

The 3-5g range makes more sense, considering that sodium:potassium:water ratio appears to be more indicative of cardiovascular health. I think this will be a lot more obvious and easier for people to keep track of, once all of the labels are compliant with the new design to include potassium content.

saintor1

I was so happy to watch that video that I went to McDonald's and ordered a BigMac Double. 700cal, 40g of proteins, 1350mg of sodium and I still haven't passed my goals... yoohoo!

lemurcat12

Here's an article about the response to some recent comments by Salim Yusuf on what seems to be the same topic: https://www.medpagetoday.com/primarycare/dietnutrition/63527