New Nutrition Study Changes Nothing

I thought this article was a nice change of pace from typical study reporting

https://www.theatlantic.com/health/archive/2017/09/moderate-intake-of-things-linked-to-health/538428/
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Replies

  • AnnPT77
    AnnPT77 Posts: 34,160 Member
    Indeed: Sensible, truthful, well-founded.

    But as even its author seems to understand . . . kinda boring. ;)
  • JeromeBarry1
    JeromeBarry1 Posts: 10,179 Member
    I have read Moby Dick.

    I have even read The Sea Wolf.
  • kimny72
    kimny72 Posts: 16,011 Member
    I have read Moby Dick.

    I have even read The Sea Wolf.

    Clearly you are out of touch lol.

    I read Moby Dick too. I enjoyed it, but to be honest probably wouldn't have read it if it wasn't required for a class. Also read Billy Budd for a class, but don't remember anything except the name, so I guess it was boring too.
  • JeromeBarry1
    JeromeBarry1 Posts: 10,179 Member
    kimny72 wrote: »
    I have read Moby Dick.

    I have even read The Sea Wolf.

    Clearly you are out of touch lol.

    I read Moby Dick too. I enjoyed it, but to be honest probably wouldn't have read it if it wasn't required for a class. Also read Billy Budd for a class, but don't remember anything except the name, so I guess it was boring too.

    Back before internet and social media, I read stuff. I still read stuff, but back then I turned pages. Now, I just scroll. When I was young and poor I subscribed to a service that sent me an expensively bound public-domain book each month, hence those two.
  • stevencloser
    stevencloser Posts: 8,911 Member
    yarwell wrote: »
    The PURE study found that the highest carb consumers had the highest death rate. 7.2 deaths per 1,000 person years in the high carb (Asian ?) eaters, vs 4.1 in the lowest.
    4fhosdk9vjza.png

    Post the study instead of contextless screenshots.
  • deannalfisher
    deannalfisher Posts: 5,600 Member
    Yup - carbs doing me just fine - I'm down 12lbs to my goal, weight stable and focusing on recomp with between 3-400g carbs a day
  • nvmomketo
    nvmomketo Posts: 12,019 Member
    The PURE study in the Lancet is behind a paywall: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)32252-3/fulltext
    Findings

    During follow-up, we documented 5796 deaths and 4784 major cardiovascular disease events. Higher carbohydrate intake was associated with an increased risk of total mortality (highest [quintile 5] vs lowest quintile [quintile 1] category, HR 1·28 [95% CI 1·12–1·46], ptrend=0·0001) but not with the risk of cardiovascular disease or cardiovascular disease mortality. Intake of total fat and each type of fat was associated with lower risk of total mortality (quintile 5 vs quintile 1, total fat: HR 0·77 [95% CI 0·67–0·87], ptrend<0·0001; saturated fat, HR 0·86 [0·76–0·99], ptrend=0·0088; monounsaturated fat: HR 0·81 [0·71–0·92], ptrend<0·0001; and polyunsaturated fat: HR 0·80 [0·71–0·89], ptrend<0·0001). Higher saturated fat intake was associated with lower risk of stroke (quintile 5 vs quintile 1, HR 0·79 [95% CI 0·64–0·98], ptrend=0·0498). Total fat and saturated and unsaturated fats were not significantly associated with risk of myocardial infarction or cardiovascular disease mortality.

    Interpretation

    High carbohydrate intake was associated with higher risk of total mortality, whereas total fat and individual types of fat were related to lower total mortality. Total fat and types of fat were not associated with cardiovascular disease, myocardial infarction, or cardiovascular disease mortality, whereas saturated fat had an inverse association with stroke. Global dietary guidelines should be reconsidered in light of these findings.

    Nothing really new, no, but some of it bears repeating since government and organizations (like ADA or AHA) are so slow to change their guidelines:

    Saturated fat is not dangerous so eat fat. The higher intakes of fat they looked at appears tolead to a longer life although the macro range was limited... Stroke is reduced among those with higher saturated fat intake which makes me wonder if that is part of the reason that SE Asia has such a high stroke rate.

    The healthiest people avoid refined carbs and sugar so for carbs eat veggies, fruit, beans, seeds and whole grains... and whole grains in bread is not eating whole grains. The lower carbohydrate intake appeared to lead to a longer life although their macro range was limited.

    PURE really had nothing to do with weight loss but just concerned the resultant mortality based upon those diets and their nutrition. I'm sure being overweight would affect mortality levels but it has nothing to do with the study unless you assume some foods are more likely to lead to obesity which then can lead to an earlier death.

    Discussing which macros worked best with weight loss is not really relevant to the PURE study. To keep with the theme of the study, we'd need to have everyone declare their macros, stick with it for 10 years, and then check back in to see who is still living. ;)
  • kimny72
    kimny72 Posts: 16,011 Member
    The article was about health, not weight loss, yes. And I'd like to highlight that the first post to mention weight loss was a low carb post, which led to other posters replying that they lost weight just fine eating plenty of carbs.
    rfrenkel77 wrote: »
    Can't believe people who are trying to lose weight still talking about eating 55% carbs. How's that working for everyone? Look around.

    Which I think highlights the point of the article, that there are too many people jumping on bandwagons and insisting there is "one true way" to be healthy that we are just starting to understand and doctors don't want you to know about, and the scientific community is too confused to see the truth. :neutral: