Not pleased by my total cholesterol

If your position is that total cholesterol doesn't matter or is fine under 200, don't bother reading any further!

In my previous blood test, my total cholesterol was around 160mg/dl. Two years later, I expected 140 by eating less and weight less, but I am at 180. Three times a week, I have breakfast with 2 eggs and bacon (2 strips) with bread and butter (all weighted, mind you), but I leave the yolk. At home, I limit my meat intake to 2 times a week (3-5oz x2), but the reality is also that I eat out for business and it is probably a total of 4-5x a week.

I imagine that if I limit my breakfasts with eggs& bacon to once a week and my meat intake to a total of 3x, it will go down, right?
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Replies

  • sollyn23l2
    sollyn23l2 Posts: 1,754 Member
    Maybe. My total cholesterol was around 260 this past year. My doctor recommended limiting saturated fat (which would be mostly in red meat, dairy, and eggs). I've been giving it a try and we'll see what my next blood tests say. But I would say that, given you're already under 200, dietary changes may not do much. But I'm no cardioligist.
  • tomcustombuilder
    tomcustombuilder Posts: 2,210 Member
    Total isn’t s important as the LDL/HDL split
  • MamaBear5445
    MamaBear5445 Posts: 61 Member
    I'd say that breakfast isn't the problem here... it's the eating out 4-5× a week. What are you ordering at restaurants?
  • saintor1
    saintor1 Posts: 376 Member
    edited October 2023
    I'd say that breakfast isn't the problem here... it's the eating out 4-5× a week. What are you ordering at restaurants?

    It is not eating out 4-5x a week, I meant a total of 4-5x meals with meat as the main course. We typically land at steakhouses or chicken places... my options are limited, but I can also improve this.

    For the others, I warned you; *not interested*. :) I want to get under 150, a zone that there is really near 0 cardiac risk. My call. 20-30% of the cardiac attacks happen in people having a total cholesterol between 150-200, IIRC what I read a few years ago.

    I side with these guys.
    https://meschinohealth.com/article/helping-patients-achieve-a-cholesterol-level-below-150-mgdl/
  • henridw2095
    henridw2095 Posts: 1,179 Member
    To speak to your point whether your values would be better eating a slightly different diet, I reduced my total cholesterol and LDL cholesterol quite a bit after becoming vegan again from being merely vegetarian. When my ldl was above 100, I was eating some cheese and eggs, the values dropped 2 months after I changed my diet. Obviously some of this is genetic. I’m a stroke survivor, so I like to keep my values in the optimal range. My total cholesterol was 155 two months into changing my diet, down from 188.

    906t3j1xcua0.jpeg


  • AnnPT77
    AnnPT77 Posts: 34,168 Member
    What are your HDL and LDL? If you're focused on blood cholesterol, surely that matters? Also, where are triglycerides?

    For my own self, HDL is high, ratio is excellent, I'm not going to worry about that. YMMV.

    I agree that the current consensus is that dietary cholesterol and blood cholesterol are not linked in the way that they were once believed to be. Read up on more current advice about lowering triglycerides, increasing HDL, reducing LDL: That would be my advice if you're focused on blood lipids.
  • MacLowCarbing
    MacLowCarbing Posts: 350 Member
    edited October 2023
    Something like 80% of our cholesterol doesn't come from our food, it is made by our bodies.

    I have known people who were on high fat/low carb diets whose cholesterol went down.

    And I've known people who were careful to eat egg white omelets and whole grains and avoid beef/bacon/fatty meats and avoiding butter and eating low fat this and that, only to struggle with cholesterol.


    They keep discovering just how wrong guidelines on cholesterol have been... one thing recently brought to light is that half the people who suffer coronary events due to plaque in hospitals don't even have high cholesterol. UCLA found the number of heart patients with normal cholesterol to be as high as 75%.

    Even the so-called 'bad' cholesterol (LDL) isn't just one type, and some LDL is heart-neutral or good for you while the small, dense LDL is bad for you-- so it's not even about how much LDL you have, but the type you have.

    I mean, you can panic about the overall number if you want, and changing your diet may or may not help.

    Or you can do some research and talk to your dr. about the various types of cholesterol as well as any other markers that can be tested for before so you can get more specific answers about your health risks, and you can figure out more specifically how to address them.




  • kshama2001
    kshama2001 Posts: 28,052 Member
    saintor1 wrote: »
    If your position is that total cholesterol doesn't matter or is fine under 200, don't bother reading any further!

    In my previous blood test, my total cholesterol was around 160mg/dl. Two years later, I expected 140 by eating less and weight less, but I am at 180. Three times a week, I have breakfast with 2 eggs and bacon (2 strips) with bread and butter (all weighted, mind you), but I leave the yolk. At home, I limit my meat intake to 2 times a week (3-5oz x2), but the reality is also that I eat out for business and it is probably a total of 4-5x a week.

    I imagine that if I limit my breakfasts with eggs& bacon to once a week and my meat intake to a total of 3x, it will go down, right?

    I've read (add it worked for a friend) it's not AVOIDING foods that is helpful, but ADDING foods:

    https://www.health.harvard.edu/heart-health/11-foods-that-lower-cholesterol

    1. Oats. An easy first step to lowering your cholesterol is having a bowl of oatmeal or cold oat-based cereal like Cheerios for breakfast. It gives you 1 to 2 grams of soluble fiber. Add a banana or some strawberries for another half-gram. Current nutrition guidelines recommend getting 20 to 35 grams of fiber a day, with at least 5 to 10 grams coming from soluble fiber. (The average American gets about half that amount.)

    2. Barley and other whole grains. Like oats and oat bran, barley and other whole grains can help lower the risk of heart disease, mainly via the soluble fiber they deliver.

    3. Beans. Beans are especially rich in soluble fiber. They also take a while for the body to digest, meaning you feel full for longer after a meal. That's one reason beans are a useful food for folks trying to lose weight. With so many choices — from navy and kidney beans to lentils, garbanzos, black-eyed peas, and beyond — and so many ways to prepare them, beans are a very versatile food.

    4. Eggplant and okra. These two low-calorie vegetables are good sources of soluble fiber.

    5. Nuts. A bushel of studies shows that eating almonds, walnuts, peanuts, and other nuts is good for the heart. Eating 2 ounces of nuts a day can slightly lower LDL, on the order of 5%. Nuts have additional nutrients that protect the heart in other ways.

    6. Vegetable oils. Using liquid vegetable oils such as canola, sunflower, safflower, and others in place of butter, lard, or shortening when cooking or at the table helps lower LDL.

    7. Apples, grapes, strawberries, citrus fruits. These fruits are rich in pectin, a type of soluble fiber that lowers LDL.

    8. Foods fortified with sterols and stanols. Sterols and stanols extracted from plants gum up the body's ability to absorb cholesterol from food. Companies are adding them to foods ranging from margarine and granola bars to orange juice and chocolate. They're also available as supplements. Getting 2 grams of plant sterols or stanols a day can lower LDL cholesterol by about 10%.

    9. Soy. Eating soybeans and foods made from them, like tofu and soy milk, was once touted as a powerful way to lower cholesterol. Analyses show that the effect is more modest — consuming 25 grams of soy protein a day (10 ounces of tofu or 2 1/2 cups of soy milk) can lower LDL by 5% to 6%.

    10. Fatty fish. Eating fish two or three times a week can lower LDL in two ways: by replacing meat, which has LDL-boosting saturated fats, and by delivering LDL-lowering omega-3 fats. Omega-3s reduce triglycerides in the bloodstream and also protect the heart by helping prevent the onset of abnormal heart rhythms.

    11. Fiber supplements. Supplements offer the least appealing way to get soluble fiber. Two teaspoons a day of psyllium, which is found in Metamucil and other bulk-forming laxatives, provide about 4 grams of soluble fiber.
  • ivyjbres1
    ivyjbres1 Posts: 7 Member
    The HDL/LDL proportion is much more important and informative. High HDL, low LDL, you're great. Low HDL, high LDL, you're seeing the start of a bad trend. If you check those and you're worried, cut saturated fat and eat some fish.
  • saintor1
    saintor1 Posts: 376 Member
    edited October 2023
    kshama2001 wrote: »
    saintor1 wrote: »
    If your position is that total cholesterol doesn't matter or is fine under 200, don't bother reading any further!

    In my previous blood test, my total cholesterol was around 160mg/dl. Two years later, I expected 140 by eating less and weight less, but I am at 180. Three times a week, I have breakfast with 2 eggs and bacon (2 strips) with bread and butter (all weighted, mind you), but I leave the yolk. At home, I limit my meat intake to 2 times a week (3-5oz x2), but the reality is also that I eat out for business and it is probably a total of 4-5x a week.

    I imagine that if I limit my breakfasts with eggs& bacon to once a week and my meat intake to a total of 3x, it will go down, right?

    I've read (add it worked for a friend) it's not AVOIDING foods that is helpful, but ADDING foods:

    https://www.health.harvard.edu/heart-health/11-foods-that-lower-cholesterol

    1. Oats. An easy first step to lowering your cholesterol is having a bowl of oatmeal or cold oat-based cereal like Cheerios for breakfast. It gives you 1 to 2 grams of soluble fiber. Add a banana or some strawberries for another half-gram. Current nutrition guidelines recommend getting 20 to 35 grams of fiber a day, with at least 5 to 10 grams coming from soluble fiber. (The average American gets about half that amount.)

    2. Barley and other whole grains. Like oats and oat bran, barley and other whole grains can help lower the risk of heart disease, mainly via the soluble fiber they deliver.

    3. Beans. Beans are especially rich in soluble fiber. They also take a while for the body to digest, meaning you feel full for longer after a meal. That's one reason beans are a useful food for folks trying to lose weight. With so many choices — from navy and kidney beans to lentils, garbanzos, black-eyed peas, and beyond — and so many ways to prepare them, beans are a very versatile food.

    4. Eggplant and okra. These two low-calorie vegetables are good sources of soluble fiber.

    5. Nuts. A bushel of studies shows that eating almonds, walnuts, peanuts, and other nuts is good for the heart. Eating 2 ounces of nuts a day can slightly lower LDL, on the order of 5%. Nuts have additional nutrients that protect the heart in other ways.

    6. Vegetable oils. Using liquid vegetable oils such as canola, sunflower, safflower, and others in place of butter, lard, or shortening when cooking or at the table helps lower LDL.

    7. Apples, grapes, strawberries, citrus fruits. These fruits are rich in pectin, a type of soluble fiber that lowers LDL.

    8. Foods fortified with sterols and stanols. Sterols and stanols extracted from plants gum up the body's ability to absorb cholesterol from food. Companies are adding them to foods ranging from margarine and granola bars to orange juice and chocolate. They're also available as supplements. Getting 2 grams of plant sterols or stanols a day can lower LDL cholesterol by about 10%.

    9. Soy. Eating soybeans and foods made from them, like tofu and soy milk, was once touted as a powerful way to lower cholesterol. Analyses show that the effect is more modest — consuming 25 grams of soy protein a day (10 ounces of tofu or 2 1/2 cups of soy milk) can lower LDL by 5% to 6%.

    10. Fatty fish. Eating fish two or three times a week can lower LDL in two ways: by replacing meat, which has LDL-boosting saturated fats, and by delivering LDL-lowering omega-3 fats. Omega-3s reduce triglycerides in the bloodstream and also protect the heart by helping prevent the onset of abnormal heart rhythms.

    11. Fiber supplements. Supplements offer the least appealing way to get soluble fiber. Two teaspoons a day of psyllium, which is found in Metamucil and other bulk-forming laxatives, provide about 4 grams of soluble fiber.

    How about BOTH. Reducing food that are detrimental and adding the ones that contribute positively.

    For the record, I was going to replace 1-2 of my weekly bacon/eggs/butter breakfast with oatmeal (which I already eat and like, especially with blueberries & a bit of brown sugar). I also eat a large can of kidney beans (split in 2 lunches), pistachios, hummus/tofu 4x times a week. Among my supplements, I have been taking vitamins D3, omega 6, mini-aspirin for years. This year, I also added K2, Metamucil, creatine, taurine, maca, magnesium citrate, ashwaganda, digestive enzymes, collagen, and for my skin retinol & grapeseeds oil.
  • saintor1
    saintor1 Posts: 376 Member
    ivyjbres1 wrote: »
    The HDL/LDL proportion is much more important and informative. High HDL, low LDL, you're great. Low HDL, high LDL, you're seeing the start of a bad trend. If you check those and you're worried, cut saturated fat and eat some fish.

    What I mostly see in the literature is the ratio total cholesterol/HDL.... Mine is 3.06, can't complain, according to this.

    https://www.medicalnewstoday.com/articles/321484#ideal-ranges
    The total cholesterol to HDL cholesterol ratio is way to calculate cardiovascular risk. A high total cholesterol to HDL ratio indicates a higher risk for heart disease. It can be measured by dividing the total cholesterol by the HDL level.

    A desirable ratioTrusted Source is 5:1, and an optimal ratio is 3.5:1. The lower this number is, the healthier a person’s cholesterol levels are.

    As for triglycerides, I am at 1.22 mmol/LL or 110mg/dL...all fine.
  • Corina1143
    Corina1143 Posts: 3,617 Member
    edited October 2023
    @saintor1

    Question? Why omega 6? I'm familiar with the other supplements and how they may help, but I'm not familiar with the advantages of taking omega 6.

    Thanks

    Ps. Wish my numbers were 1/2 as good as yours. I'm trying. And trying to learn.
  • kidiki
    kidiki Posts: 22 Member
    saintor1 wrote: »
    If your position is that total cholesterol doesn't matter or is fine under 200, don't bother reading any further!

    In my previous blood test, my total cholesterol was around 160mg/dl. Two years later, I expected 140 by eating less and weight less, but I am at 180. Three times a week, I have breakfast with 2 eggs and bacon (2 strips) with bread and butter (all weighted, mind you), but I leave the yolk. At home, I limit my meat intake to 2 times a week (3-5oz x2), but the reality is also that I eat out for business and it is probably a total of 4-5x a week.

    I imagine that if I limit my breakfasts with eggs& bacon to once a week and my meat intake to a total of 3x, it will go down, right?

    How is your fitness level? My health provider encourages me to increase my activity, and reduce my stress levels, as well as manage my food intake. We are the sum of our entire human experience. Best to you on your fitness journey.

    [
  • tomcustombuilder
    tomcustombuilder Posts: 2,210 Member
    Corina1143 wrote: »
    @saintor1

    Question? Why omega 6? I'm familiar with the other supplements and how they may help, but I'm not familiar with the advantages of taking omega 6.

    Thanks

    Ps. Wish my numbers were 1/2 as good as yours. I'm trying. And trying to learn.
    you don’t want Omega 6 you want Omega 3. 6=bad. 3=good

  • AnnPT77
    AnnPT77 Posts: 34,168 Member
    Corina1143 wrote: »
    @saintor1

    Question? Why omega 6? I'm familiar with the other supplements and how they may help, but I'm not familiar with the advantages of taking omega 6.

    Thanks

    Ps. Wish my numbers were 1/2 as good as yours. I'm trying. And trying to learn.
    you don’t want Omega 6 you want Omega 3. 6=bad. 3=good

    Not that simple. Both Omega-3s and Omega-6s are essential fatty acids. The commonest eating patterns don't have the ideal balance, instead too much O-6 relative to O-3.
  • neanderthin
    neanderthin Posts: 10,207 Member
    edited October 2023
    Yeah, the two classes of omega's (n:6/n:3) are metabolically and functionally distinct and have for the most part opposing physiological functions. The balance between the two are important for general good health and normal development.

    Humans have evolved on primarily a whole food diet where that balance was around a 1:1 ratio and the reason was basically polyunsaturated fats in whole foods and animal protein is rather small in the actual amounts found in these whole foods but as well quite balanced and rarely go beyond a 4:1 ratio. Modern agriculture and the industrial food complex that produce all of our processed foods have led to decreases in omega-3 fatty acids and increases in omega-6 fatty acids where the average American is consuming a diet that's about 75% processed and ultra processed and has created ratio's in the 15:1 and up, and for some people it can easily be in the 25:1 range. Basically this kind of imbalance has known to contribute to chronic inflammation which most of the non communicable diseases are a result of that fact.

    While google will be proliferated with wonderful tales of better health with polyunsaturated fats in the diet, which is not an untruth, it's just doesn't really tell the whole story and this is where context and dosage lives and dies. These oils are very reactive to oxidation which the body has an incredible distain for and factors like oxygen, heat and light will create oxidation almost immediately on exposed omega's and why nature in her wisdom made sure when we ate these they were in their natural containers that offered protection from these elements. Best you get your omegas from natural whole foods if an optimal health journey is in your future, which by default reduces that ratio and you get to eat some more real food as well. :)
  • tomcustombuilder
    tomcustombuilder Posts: 2,210 Member
    AnnPT77 wrote: »
    Corina1143 wrote: »
    @saintor1

    Question? Why omega 6? I'm familiar with the other supplements and how they may help, but I'm not familiar with the advantages of taking omega 6.

    Thanks

    Ps. Wish my numbers were 1/2 as good as yours. I'm trying. And trying to learn.
    you don’t want Omega 6 you want Omega 3. 6=bad. 3=good

    Not that simple. Both Omega-3s and Omega-6s are essential fatty acids. The commonest eating patterns don't have the ideal balance, instead too much O-6 relative to O-3.
    Many diets are 6 heavy and that is not optimum.
  • saintor1
    saintor1 Posts: 376 Member
    Corina1143 wrote: »
    @saintor1

    Question? Why omega 6? I'm familiar with the other supplements and how they may help, but I'm not familiar with the advantages of taking omega 6.

    Thanks

    Ps. Wish my numbers were 1/2 as good as yours. I'm trying. And trying to learn.


    Good catch... I meant omega 3.. lol. sorry for the confusion.

  • saintor1
    saintor1 Posts: 376 Member
    edited October 2023
    Interesting...

    https://www.dailymail.co.uk/health/article-12680645/Move-Mediterranean-diet-New-portfolio-diet-silver-bullet-health-Americas-cardiologists-say-foods-invest-in.html
    It was invented by researchers from Harvard University T.H. Chan School of Public Health and is made up of a range of cholesterol-lowering foods.

    People who scored highest on the PDS [Portfolio Diet Score] had a 14 percent lower risk of developing heart disease and stroke.

    And for each 25-percentile increase in the PDS, the risk of total cardiovascular disease, including coronary heart disease and stroke, declined by eight percent.
  • neanderthin
    neanderthin Posts: 10,207 Member
    edited October 2023
    saintor1 wrote: »
    Interesting...

    https://www.dailymail.co.uk/health/article-12680645/Move-Mediterranean-diet-New-portfolio-diet-silver-bullet-health-Americas-cardiologists-say-foods-invest-in.html
    It was invented by researchers from Harvard University T.H. Chan School of Public Health and is made up of a range of cholesterol-lowering foods.

    People who scored highest on the PDS [Portfolio Diet Score] had a 14 percent lower risk of developing heart disease and stroke.

    And for each 25-percentile increase in the PDS, the risk of total cardiovascular disease, including coronary heart disease and stroke, declined by eight percent.

    They, Harvard didn't determine any risk at all. This is just opinion based on association. For risk in a study you need a control group or groups, there were none.

    Participants filled out the questionnaire at the start of the study and every four years after that for 30 years.

    The food frequency questionnaire was used to develop a Portfolio Diet Score (PDS), which assigns points for consuming higher amounts of approved foods and subtracts points for consuming foods that negatively impact cholesterol levels, such as saturated fats or trans fats.


    Harvard determined what they wanted out of the study then designed it to conform to their hypothesis, typical really, and far too much of this type of science in nutrition that really isn't science. imo
  • sollyn23l2
    sollyn23l2 Posts: 1,754 Member
    saintor1 wrote: »
    Interesting...

    https://www.dailymail.co.uk/health/article-12680645/Move-Mediterranean-diet-New-portfolio-diet-silver-bullet-health-Americas-cardiologists-say-foods-invest-in.html
    It was invented by researchers from Harvard University T.H. Chan School of Public Health and is made up of a range of cholesterol-lowering foods.

    People who scored highest on the PDS [Portfolio Diet Score] had a 14 percent lower risk of developing heart disease and stroke.

    And for each 25-percentile increase in the PDS, the risk of total cardiovascular disease, including coronary heart disease and stroke, declined by eight percent.

    They, Harvard didn't determine any risk at all. This is just opinion based on association. For risk in a study you need a control group or groups, there were none.

    Participants filled out the questionnaire at the start of the study and every four years after that for 30 years.

    The food frequency questionnaire was used to develop a Portfolio Diet Score (PDS), which assigns points for consuming higher amounts of approved foods and subtracts points for consuming foods that negatively impact cholesterol levels, such as saturated fats or trans fats.


    Harvard determined what they wanted out of the study then designed it to conform to their hypothesis, typical really, and far too much of this type of science in nutrition that really isn't science. imo

    I'll give you that, for sure. The amount of outright fraud they've found within the university research community is astounding. Particularly within the realms of nutrition and, sadly, psychology. But that's a whole other issue that's probably best for me not to get into here.
  • saintor1
    saintor1 Posts: 376 Member
    saintor1 wrote: »
    Interesting...

    https://www.dailymail.co.uk/health/article-12680645/Move-Mediterranean-diet-New-portfolio-diet-silver-bullet-health-Americas-cardiologists-say-foods-invest-in.html
    It was invented by researchers from Harvard University T.H. Chan School of Public Health and is made up of a range of cholesterol-lowering foods.

    People who scored highest on the PDS [Portfolio Diet Score] had a 14 percent lower risk of developing heart disease and stroke.

    And for each 25-percentile increase in the PDS, the risk of total cardiovascular disease, including coronary heart disease and stroke, declined by eight percent.

    They, Harvard didn't determine any risk at all. This is just opinion based on association. For risk in a study you need a control group or groups, there were none.

    Participants filled out the questionnaire at the start of the study and every four years after that for 30 years.

    The food frequency questionnaire was used to develop a Portfolio Diet Score (PDS), which assigns points for consuming higher amounts of approved foods and subtracts points for consuming foods that negatively impact cholesterol levels, such as saturated fats or trans fats.


    Harvard determined what they wanted out of the study then designed it to conform to their hypothesis, typical really, and far too much of this type of science in nutrition that really isn't science. imo

    Why do you accuse them of wrongdoing?... because it doesn't match your little agenda? lol This is NOT just another one's opinion. It is from acknowledged professionals at Harvard and it has been published in American Heart Association’s journal. Great credentials to me.

    This was not a scientific experience, and no, a control group is not required. It is a study / research and supporting evidences as empirical observation is admitted, given the right methods. The data is MASSIVE here;
    The team conducted their research on more than 210,000 healthcare professionals enrolled in three different nationally representative studies into risk factors for severe diseases that began recruiting in the 1980s.

    Not surprised by their results. This is where science stands; the lower in the range of ldl & total cholesterol, the rarer the cardial diseases, all around the globe. Proven again.
  • neanderthin
    neanderthin Posts: 10,207 Member
    edited October 2023
    saintor1 wrote: »
    saintor1 wrote: »
    Interesting...

    https://www.dailymail.co.uk/health/article-12680645/Move-Mediterranean-diet-New-portfolio-diet-silver-bullet-health-Americas-cardiologists-say-foods-invest-in.html
    It was invented by researchers from Harvard University T.H. Chan School of Public Health and is made up of a range of cholesterol-lowering foods.

    People who scored highest on the PDS [Portfolio Diet Score] had a 14 percent lower risk of developing heart disease and stroke.

    And for each 25-percentile increase in the PDS, the risk of total cardiovascular disease, including coronary heart disease and stroke, declined by eight percent.

    They, Harvard didn't determine any risk at all. This is just opinion based on association. For risk in a study you need a control group or groups, there were none.

    Participants filled out the questionnaire at the start of the study and every four years after that for 30 years.

    The food frequency questionnaire was used to develop a Portfolio Diet Score (PDS), which assigns points for consuming higher amounts of approved foods and subtracts points for consuming foods that negatively impact cholesterol levels, such as saturated fats or trans fats.


    Harvard determined what they wanted out of the study then designed it to conform to their hypothesis, typical really, and far too much of this type of science in nutrition that really isn't science. imo

    Why do you accuse them of wrongdoing?... because it doesn't match your little agenda? lol This is NOT just another one's opinion. It is from acknowledged professionals at Harvard and it has been published in American Heart Association’s journal. Great credentials to me.

    This was not a scientific experience, and no, a control group is not required. It is a study / research and supporting evidences as empirical observation is admitted, given the right methods. The data is MASSIVE here;
    The team conducted their research on more than 210,000 healthcare professionals enrolled in three different nationally representative studies into risk factors for severe diseases that began recruiting in the 1980s.

    Not surprised by their results. This is where science stands; the lower in the range of ldl & total cholesterol, the rarer the cardial diseases, all around the globe. Proven again.

    I didn't accuse Harvard of wrongdoing, I said a study of this design can't assess risk properly. They basically told people to eat certain foods and to remove certain foods( it's in your link) then followed them for 30 years using food frequency questionnaires every 4 years. They then extrapolated a risk reduction of 0.14% against the SAD diet, and not specifically any individual nutrient like saturated fat or red meat but they did say to reduce those and the foods they asked people to remove altogether are all plant based processed foods with the exception of processed meats and this is also relative risk and not absolute risk and many medical research professionals (PhD's) believe that only absolute risk should be used and not relative risk. Basically epidemiological studies like this Harvard one can only show associations and correlations and they cannot prove that a link is causative.

    Here's the foods they wanted to be added and removed from the diet for heart health.

    TO YOUR 'DAILY PORTFOLIO'
    Fruits: avocados, pears, apples, oranges, bananas, kiwi, peaches
    Vegetables: okra, eggplant, Brussels sprouts, broccoli, turnips
    Nuts: almonds, walnuts, cashews, pistachios
    Seeds: flaxseed, sunflower seeds, chia seeds
    Whole grains: oats, quinoa, brown rice, barley
    Legumes: black beans, kidney beans, lentils, chickpeas, lima beans
    Soy protein: tofu, tempeh, soy milk, soy cold cuts, soy veggie burgers
    Healthy fats: margarine and vegetable oils enriched with plant sterols


    PURGE THESE FOODS FROM YOUR DIET
    Processed foods: chips, pretzels, fried foods, convenience meals, french fries, processed meats
    Refined carbs: white pasta, white rice, white bread, tortillas
    Sweets: cookies, cake, candies, baked goods
    Sugar: table sugar, honey, maple syrup, brown sugar
    Beverages: soda, sweet tea, sports drinks, energy drinks

    It appears the foods that improve cholesterol levels are plant based and the ones that cause heart disease and want people to remove are also plant based. Yet the USDA want people to consume half their calories of carbohydrates to come from refined cereal grains the foods they say to PURGE and cause heart disease.

    https://pubmed.ncbi.nlm.nih.gov/12936942/

    I agree with Harvard to the extent that a whole food diet and one that has very little refined and processed foods is the healthier route to take and that's really all we can take away from this particular study.


  • neanderthin
    neanderthin Posts: 10,207 Member
    edited October 2023
    They then, Harvard in their wisdom couldn't bring themselves to add fish with omega 3's in the foods to be included, why, don't know. Instead they mention foods that would make good alternatives to the proteins that can't be uttered (animal based) and include items with wording like " soy cold cuts, soy veggie burgers" which are processed foods and to replace butter with healthy processed margarines. Exactly the types of foods (processed) they want removed. Harvard and Walter Willet are after all ground zero for veganism and plant based nutrition and epidemiology and with those 2 realizations, the world is your oyster, or should I say "tofu oyster" funny stuff really. Too me they seem to have a love hate relationship with plant based foods, they should probably make up their mind sooner than later.
  • saintor1
    saintor1 Posts: 376 Member
    They then extrapolated a risk reduction of 0.14%

    For the record, it was 14% down, not 0.14% and also not an extrapolation; although it is self-declaratory, "People who scored highest on the PDS had a 14 percent lower risk of developing heart disease and stroke."
  • neanderthin
    neanderthin Posts: 10,207 Member
    edited October 2023
    saintor1 wrote: »
    They then extrapolated a risk reduction of 0.14%

    For the record, it was 14% down, not 0.14% and also not an extrapolation; although it is self-declaratory, "People who scored highest on the PDS had a 14 percent lower risk of developing heart disease and stroke."

    I got the hazard ratio (HR) wrong and it was actually 0.86% which then represents a 14% reduced risk when subtracted from 1.0, the base line. I used the 14% as the HR which was not correct, sorry for the confusion.

    Here's the actual study.

    https://ahajournals.org/doi/epdf/10.1161/CIRCULATIONAHA.123.065551

    RESULTS: During up to 30 years of follow-up, 16917 incident CVD cases, including 10666 CHD cases and 6473 strokes, were documented. After multivariable adjustment for lifestyle factors and a modified Alternate Healthy Eating Index (excluding overlapping components), comparing the highest with the lowest quintile, participants with a higher PDS had a lower risk of total CVD (pooled hazard ratio, 0.86 [95% CI, 0.81–0.92]; Ptrend<0.001), CHD (pooled HR, 0.86 [95% CI, 0.80–0.93]; Ptrend=0.0001), and stroke (pooled HR, 0.86 [95% CI, 0.78–0.95]; Ptrend=0.0003). In addition, a 25-percentile higher PDS was associated with a lower risk of total CVD (pooled HR, 0.92 [95% CI, 0.89–0.95]), CHD (pooled HR, 0.92 [95% CI, 0.88–0.95]), and stroke (pooled HR, 0.92 [95% CI, 0.87–0.96]). Results remained consistent across sensitivity and most subgroup analyses, and there was no evidence of departure from linearity for CVD, CHD, or stroke. In a subset of participants, a higher PDS was associated with a more favorable blood lipid and inflammatory profile.
  • saintor1
    saintor1 Posts: 376 Member
    Well I think that outlining the argument is very stupid.

    Yet you can't overcome my arguments,

    Enjoy your clogged arteries!

  • neanderthin
    neanderthin Posts: 10,207 Member
    I don't even know what your argument is, I think it's bacon causes heart disease, but I could be wrong.