| Search Weight Loss Topics: |
Posted: February 21, 2017 at 12:45 pm
Vancouver Sun | Social media plea brings in oodles of special KD noodles for autistic BC boy Vancouver Sun Reed Botwright put out a call on social media last week when he and his wife could not track down any more boxes of Star Wars Kraft Dinner, one of the only foods their six-year-old son Everett will eat. Everett is on the autism spectrum and began ... Social media plea brings in loads of special Kraft Dinner for autistic Nanaimo boy |
The rest is here:
Social media plea brings in oodles of special KD noodles for autistic BC boy - Vancouver Sun
Posted: February 21, 2017 at 12:45 pm
EAST BRUNSWICK, NJ THE MAX Challenge, one of the nations fastest growing fitness concepts, is excited to announce the opening of a new location. THE MAX Challenge of East Brunswick has relocated to a standalone facility and is accepting registrations for its exciting 10 Week Challenge.
A comprehensive 10-week body and mind renewal program, The MAX Challenge combines a structured workout regimen with an easy-to-follow nutritional guide to help achieve and sustain optimal health and fitness. The program promotes a slow and systematic approach toward attaining physical success by educating members on the impact a balanced nutritional diet and positive mental attitude have on maintaining a healthy lifestyle.
All participants are provided with a certified MAX Instructor who is present at all times to ensure that members execute each exercise safely and efficiently. Additionally, instructors alternate exercise routines daily to avoid monotony and to ensure that members remain fully engaged, and most importantly, enjoy the time they spend reaching the peak of their physical abilities.
Sign Up for E-News
Our goal is to make our members not only healthier people, but happier people, stated Mikki Curcio, Owner of THE MAX Challenge of East Brunswick. We are elated to open our new store, and look forward to this expansion which will allow us to change even more lives with our unique body renewal system.
To learn more about THE MAX Challenge, or to become a franchisee, please visit http://www.themaxchallenge.com.
About The MAX Challenge
The MAX Challenge is a 10-week body renewal system designed to help members make fast and lasting changes to their health, appearance, and fitness levels. The MAX Challenge members achieve great results by receiving a combination of nutritional counseling, fitness classes, and motivation provided by trained MAX Challenge instructors. There are over 50 MAX Challenge locations throughout New York, New Jersey, California, Texas, Georgia, Delaware, Pennsylvania and Florida as well as many additional units in the opening stage.
View original post here:
THE MAX Challenge of East Brunswick Announces Grand Opening of Standalone Center - TAPinto.net
Posted: February 21, 2017 at 12:44 pm
istock/GlobalStockSure, you know you should cut down on the salt if you have high blood pressure and bad LDL cholesterol, but its tough to know what a healthy, low-sodium diet should look like. The Dietary Approaches to Stop Hypertension (DASH) diet was designed to help lower blood pressure and LDL, not weight loss.
The DASH diet is simple and doesnt require calorie-counting or overly restricting food choices. The general guidelines include:
On average, a person following the DASH diet will drop systolic blood pressure (the upper number in a reading) by about 10mmHg, says Nieca Goldberg, MD, cardiologist and medical director of the Joan H. Tisch Center for Womens Health at NYU Langone Medical Center. Thats really quite dramatic, she says. In comparison, dieting for weight loss gives just a 3mmHg reduction, says Dr. Goldberg.
If you follow the DASH diet, cut sodium down to 1,500 mg a day, and exercise, you could even lower blood pressure up to a whopping 25mmHg, says Martha Gulati, MD, cardiologist at The University of Arizona and editor-in-chief of cardiosmart.org. There are very few medications, even in the highest doses, that reduce blood pressure that much, she says. By changing your lifestyle, you might be able to cut down on the number of medications you needor even stop taking them entirely, says Dr. Gulati.
Even if you know you should cut down on salt, you might not realize how bad the problem is. The average American eats 3,400 mg of salt a day, says Dr. Goldberg. Thats entirely too much, she says. By focusing on fresh foods instead of processed ones, the DASH diet minimizes salt without sacrificing flavor.
One of the main factors driving the DASH diets success is its emphasis on produce. Fruits and veggies are packed with important nutrients, and the potassium, magnesium, and calcium can actually counteract sodiums blood pressure-raising effects, says Dr. Gulati. Eat a rainbow diet, she says. The more colors are in it, the more vitamins and minerals youre probably getting, and youre also getting more fiber. Stick with fresh produce when you can. Cannedand sometimes even frozenvegetables can be sneaky sources of sodium, so read the label first. If you are opening a can of veggies or beans, she recommends rinsing the contents under cold water to wash away some of the extra sodium.
Whole grains also contain beneficial potassium, magnesium and calcium, and could help keep you satisfied on the produce-heavy DASH diet. But remember: Not all grains are created equal. Simple carbohydrates, like white rice, pasta, and processed cereals, dont have much nutritional value because their natural fiber and nutrients are removed during processing. Youre looking for more complex carbohydrates, says Dr. Gulati. They take longer for the body to digest, and lower cholesterol, and are more filling than a simple carbohydrate. Look for labels that say 100 percent whole grain or 100 percent whole wheat, she says.
Content continues below ad
The DASH diet calls for low-fat and fat-free dairy, which are chock-full of calcium to lower blood pressure. Just be mindful that some products replace the fat with other unhealthy additives. You have to read the food labels because things like cottage cheese and some low-fat cheese are higher in salt, says Dr. Goldberg.
Six or fewer ounces of lean meat, poultry, and fish a day might not sound like a lot, but that should be plenty of protein to power you through the day. Contrary to what people think, you dont need a large amount of protein if youre not an extreme athlete, says Dr. Gulati. Six ounces isnt going to take up half your plateit will be a small portion of your plate. By cutting down on meat, youll reduce your intake of bad saturated fat, which could raise your cholesterol if you eat too much, says Dr. Goldberg. Swap for fish, though, and youll get a rich source of heart-healthy omega-3 fatty acids instead. Cut the skin off poultry, and grill or bake fish instead of frying to keep your protein sources healthy, says Dr. Goldberg.
The DASH diet is easy to follow when youre cooking for yourself, says Dr. Gulati, but eating out can throw you off. Restaurant food is notoriously salty and fatty, but some simple modifications can make your meal healthier. Premade soups and sauces are hard to adjust, but request that the chef doesnt add any additional salt or cook your dish in butter, she says. Add spices and herbs if you crave more flavor. Subbing balsamic vinegar and olive oil for premade dressings, and saying no to the bread basket are other easy ways to cut down sodium. You have more control in restaurants than you realize, says Dr. Gulati. Youre paying for ityou should ask for it to be done the way you want it.
MORE: 8 Things That Happen to Your Body When You Dont Eat Enough Fruits and Veggies
Read the original post:
Stick to This Diet to Lower Blood Pressureand Finally Get Off Medication - Reader's Digest
Posted: February 21, 2017 at 12:44 pm
Let's just put it out there: Dieting can make you hangry, and a hungry bride doesn't make for the most fun fianc for anyone involved. Thankfully, there are ways to find balance and still look #flawless for the big day without letting the process of getting there completely take over your life. Here are seven expert-approved ways to ensure that your bridal-bootcamp isn't getting in the way of your relationship.
1. Look Toward the Future
Getting ready for a wedding can be so much work that it's easy to forget what you're really preparing for: A life together. Keri Glassman, founder of NutritousLife , suggests using your wedding health regiment as a way to set the tone not just for one big day in a pretty white dress , but for your future. "Be realistic so you're setting yourself up for life, not just for the wedding," says Glassman. "Think about this as something you want to do to get in shape for your new life, setting the tone for building a life together and having a healthy home." After all, a healthy home is a happy one.
2. #TreatYourself
Working a cheat day into your wedding-induced bootcamp is a necessary way to keep your regiment on track, and what better way to do it than on a date night with your fianc? "By feeling a little less restricted, you feel motivated to continue on your diet and fitness regiments," says Beth Warren, Founder and CEO of Beth Warren Nutrition . "As long as the majority of your days are filled with healthy options and you maintain your exercise schedule, then you can afford to have a mindful treat from time to time." I'll have a glass of wine and the triple-chocolate cake, please.
3. Do It Together
Those couples who attend every spin/yoga/HIIT class together may seem annoying, but they actually may be onto something. "It is great to undergo diet and fitness changes together as a couple ," says Warren. "It can be an opportune way to get closer to each other because you are both responsible for uplifting the other with positivity and encouragement." Try finding activities that you both enjoy hiking, running and tennis are all great options or try out a workout app at home that you can both do at your own pace. That said, it's ok to keep things totally separate, as long as you're getting the support you need.
4. Communicate Your Needs
Your engagement is a time to learn how to communicate across all aspects of your relationship, and this is no exception. You don't need to be on the same diet and fitness regiments, but it's important to discuss your goals and how you plan to achieve them. "Understanding each other's strategy will help clear up potential conflicts and provide opportunity for both of you to keep the other on track," says Warren.
5. Find Compromise
If your partner hasn't decided to start their own healthy regiment, it may be a little jarring for them to have to change their lifestyle to accommodate yours, so finding middle ground is key. "The same way you would communicate anything, be really clear with your needs," says Glassman. For example, suggest ordering from places with healthy menu options (not just your usual wings-and-pizza joints) and try to find ways to balance between eating out and at home.
See More: 2017 Health and Fitness Trends That Are Perfect for Brides-to-Be
6. Don't Play Diet Police
Being healthy is supposed to be a positive change, not a negative one, especially in relation to the person you love. "When you feel like your partner's policeman and notice you are constantly saying negative things such as, 'you can't eat that,' you may have taken it too far," says Warren. If at any point it starts to feel bad and discouraging, reevaluate the situation (preferably together!) and find a way to make the necessary changes in your routine and the way you're communicating it.
7. Be Honest With Yourself
Real talk: Nobody wants to spend their entire engagement feeling cranky and hungry. "Be aware of your moods and your behavior," says Glassman. "And be truthful when you ask yourself: Is this affecting you in a positive or negative way." Check in with yourself, and with your fianc , to make sure you're both ok with how things are working.
Here is the original post:
How to Keep Your Wedding Diet From Totally Taking Over Your Relationship - Brides.com
Posted: February 21, 2017 at 12:44 pm
KNWA - Most parents say they know the importance of nutrition, but only one-third think they're doing a good job at helping kids eat healthy.
A new University of Michigan poll found half of parents believe their children eat mostly healthy, but only one in six consider their kids' diets to be very nutritious. One in five parents don't think it's important to limit junk food. Experts say price, picky eating and convenience are the most common reasons that kids develop unhealthy eating habits.
For those adults hoping to keep the pounds off, health experts say maintaining the weight you want could be as easy as a few phone calls. Researchers at the University of Wisconsin looked at two groups over a 56 week period. One group had consistent follow-up phone calls and visits with dietitians, the other group did not. The group that kept in touch did better in keeping the weight off. The group that did not keep in touch put on more than five pounds on average.
Visit link:
Sticking to a Nutritious Diet - KNWA
Posted: February 21, 2017 at 12:44 pm
SIGN UP FOR OUR NEWSLETTER
The Living Conditions Survey, organized in part by three national universities, also found that 83 percent of Venezuelans were below the nations poverty line.
SIGN UP FOR OUR NEWSLETTER
While 78 percent of respondents confirmed that they eat breakfast, only 32 percent said they eat two meals a day.
A combination of socialist economic mismanagement, government rationing of basic goods, and corruption have contributed to the situation in which Venezuela currently finds itself. For years, finding supermarkets properly stocked with basics such as flour, vegetable oil, and butter has been an odyssey for most Venezuelans. Under Hugo Chvezs successor, Nicols Maduro, the situation has become more desperate, with many Venezuelans resorting to extreme measures to survive.
A poll released in September found that 15 percent of the nation relied on garbage, most from industrial businesses like groceries and restaurants, to eat. Over half of Venezuelans said they had experienced going to bed hungry, and a similar amount said they were forced to take days off from work to search for food.
That situation has not improved on the contrary, video surfacing this year appears to indicate that scavenging in garbage dumpsters for food has become so popular that Venezuelans now stand in line in front of dumpsters to look for food.
Venezuelans have begun sharing their findings of garbage piles with high potential for containing sustenance on social media.
Venezuelans eating rotting food risk their health on a regular basis, and incidents of entire families dying due to eating old or rotted food have occurred.
Desperation has also fed crime in one of the most violent countries in the world. The Miami-basedEl Nuevo Herald published a report last month detailing new robbery tactics growing increasingly popular among Venezuelan youth. Gang attacks on people leaving markets have become more common, while thefrequency of robberies in general increased between 15 and 20 percent in most municipalities nationwide in 2016.
Maduro has responded to the growing threat of famine with a number of measures that appear to have worsened the situation. Last year, Maduro ordered the military to take full control of the nations food supply. Soldiers in charge of the food subsequently began demanding bribes to ship it around the country. When they were not paid, the food sat in docked cargo ships, rotting on many occasions and worsening the scarcity.
Maduro also created a government unit called the CLAP (Local Committee for Supply and Production) to monitor the distribution of food packages in urban areas.Anti-socialist groups have accused the CLAP of distributing the food only to known government supporters and threatening not to feed households that have expressed opposition to socialism.
Maduro announced this week that he would expand the CLAP program to government salaries, meaning government workers would be paid with CLAP food packages. In some cases, government workers would receive ration tickets to be used at government-controlled markets for food.
A food ticket is not a salary, protested Miranda state governor Henrique Capriles Radonski, an opposition politician. He added that the tickets may soon be worthless thanks to hyperinflation: What does someone do when 100,000 bolvars in food tickets disappear thanks to inflation, because the price of food goes up every day?
Maduro has previously joked that his mismanagement of the economy has made Venezuelans fitter and more sexually virile. Referring to Maduros diet in September, the head of state said on national television, Maduros diet gets you hard no need for Viagra!
Read more:
'Maduro Diet': 3 Out of 4 Venezuelans Lost 'At Least 19 Pounds' in 2016 - Breitbart News
Posted: February 20, 2017 at 9:43 pm
Explaining how the diet works, Robert Brennan, fitness, lifestyle and nutrition consultant, said: "The 5:2 diet is simply eating what you would normally for five days of the week; and then restricting calorie intake on two days; 500 for women and 600 for men.
It is best not to count calories at all on the five non-fasting days and whilst it is not a requirement of the diet, I have found far greater results when clients, as well as observing the fast days, eat a generally healthy diet, free from processed foods and rich in vegetables and protein with plenty of water.
I wouldnt call this a diet but rather an eating pattern, as it doesnt prescribe what foods to eat.
"It is also quite likely that throughout human evolution there would have been a considerable element of intermittent fasting occurring through the simple fact that food was not always readily available.
It is likely that, at first, blood sugars will get somewhat low on fast days. This can lead to feeling grumpy, short tempered, dizzy or even anxious if you are more prone to it
Robert Brennan
Many people do the 5:2 approach who do not need to lose weight, as it has many hormonal and cognitive benefits too, making it a simple way to maintain good health of body and mind as well as to achieve weight loss if required.
Despite thinking it is a good diet plan, Robert did admit there were some drawbacks.
He said: "There are a few important things to look out for with any intermittent fasting, and it is important to listen to your body with regard to these.
"It is likely that, at first, blood sugars will get somewhat low on fast days. This can lead to feeling grumpy, short tempered, dizzy or even anxious if you are more prone to it.
Getty Images
Getty Images
1 of 11
Paleo, Durkin & Atkins, the most popular diets explained
"These side effects will lessen as your body adapts to the new eating pattern, but it is wise to have a small snack such as a date or a few raisins to pick up your blood sugars quickly if you need to.
"Some people have found it difficult to sleep on the fast days due to hunger, so it may be advisable to ensure that more of the calories are consumed later on in the day to avoid this."
Robert also cautioned the diet is not suitable for pregnant women, type 1 diabetics or elderly adults with health complications.
But the diet is popular with middle aged people who worry that their metabolism has slowed down with age.
Getty Images
Robert clarified: "Its a common misconception that peoples metabolisms slow down as they age, which causes them to put on weight. It is much more likely that as people age, any weight gain is due to the body becoming more insulin resistant over time, which for the reason outlined above, may ultimately lead to diabetes and weight gain.
"Fasting is therefore relevant for people as they age, as it can be a very simple way, alongside regular exercise and other heathy lifestyle factors, to keep insulin sensitivity higher for longer and maintain a healthy, lean body.
"Unless there is a medical reason not to, people can successfully adopt the intermittent fasting approach at any age, albeit with a little more caution than someone in their 20s or 30s. Many elderly people have reported great success on this approach to eating."
In fact correcting insulin sensitivity is the primary benefit in Robert's opinion, and he explained: "The primary physiological benefit is increased insulin sensitivity, giving rise to reduced insulin levels on a daily basis and reduced average blood glucose levels.
"In simple terms, overeating (especially carbohydrates) causes blood insulin levels to increase to restore the blood glucose level to normal. Repeated overeating leads to continually elevated insulin levels and cells become less sensitive to insulin.
"This means even more insulin in needed to remove glucose from the blood, and can ultimately lead to Type 2 Diabetes. Insulin is an anabolic hormone (body building), so its continual elevated presence leads to body fat gain."
To find out more about Roberts services, go to http://www.robert-brennan.com.
The advice about the 5:2 diet comes after controversial weight loss guru Steve Miller spoke out about the obesity epidemic.
Posted: February 20, 2017 at 9:43 pm
Now before you start forming opinions, let me get to explaining. As a dietitian, Ive never been keen on advising clients to follow quick weight loss solutions. Ive never been a fan of detoxing, cleansing, fasting or even diets such as Atkins and Paleo. With the aforementioned, youll achieve results but its temporary and when life gets in the way (travel, social obligations, family life), you tend to veer away from consistency. While that may not be your choice, thats just how things work.
Since I started pursuing nutrition (over 8 years ago), Ive been focused on helping my husband find a healthy lifestyle one that particularly works for him. I introduced him to the concept of breakfast because he would wait until 10 or 11am to eat his first meal, scarf it down and then complain of acidity soon after. I encouraged him to avoid egg yolk because of his susceptibility to familial high cholesterol. I suggested he use a reusable water bottle to focus on adequate hydration. Sure, these tips are simple. I also recommended to follow a dietary pattern of eating smaller, more frequent meals daily. So instead of 3 large meals, why not focus on breakfast, snack, lunch, snack and then dinner. This way you eat small portions and encourage variety in consumption.
What weve come to realize over the years is that the smaller, frequent meals really doesnt work for his type. What is his type? His type is a super busy, global friendly, start-up entrepreneur. The type that travels often. The type that has to meet people for dinners. The type that speaks on panels. The type that sits in transit for long periods. The type that sleeps late. The type that gains weight with stress especially in the midsection. With all these variables, it becomes an obstacle to eat healthy and regimented especially to follow the smaller, more frequent meals. We had to find a better solution and fast.
As a result, I was introduced to Intermittent Fasting. I was not able to find a significant amount of evidence based research but after a couple weeks, I came across Professor Mark Mattson. His research demonstrated a connection between caloric intake and weight loss as well as caloric intake and brain function. He explains, Every time you eat, glucose is stored in your liver as glycogen, which takes about 10 to 12 hours to be depleted. After the glycogen is used up, your body starts burning fats, which are converted to ketone bodies, acidic chemicals used by neurons as energy. Ketones promote positive changes in the structure of synapses important for learning, memory, and overall brain health. If you eat three meals a day with snacks between, your body doesnt have the chance to deplete the glycogen stores in your liver, and the ketones arent produced. (Similarly, exercise also produces a similar effect on brain health.)
To date, there have been two types of fasting patterns that have been explored. One is the 5:2 (five days of normal caloric consumption i.e. 2000 for women, 2500 for men and 2 days of 500 calories per day) and one that follows a time-restricted diet which follows a fasting time and a feasting time. Feasting time is usually a window of 8 hours so your body has time to exhaust its supply of glycogen, start burning fat, and produce ketones.
To understand if this dietary pattern could work for you, here are some points to consider:
If you have answered yes to at least three if not all of the questions, it could be worth considering Intermittent Fasting. Whats interesting to note is that through this process, you begin to understand how your body operates and assess hunger cues.
When implementing, its important to pay attention to the following:
Remember, just because you fast for 16 hours doesnt mean that the feasting window is a literal translation to feasting. It means that you are eating in an 8 hour window but you want to consume wholesome, nutritious food. Food that does good for your body. The same goes for if you decide to try the 5:2 pattern dont overeat on the 5 days because youre restricting for 2 days, but instead, be mindful. Your ultimate goal is a healthier lifestyle by lowering body fat and overall weight in a consistent way. Even Laurie Woolever, Food and Wine magazine contributor, recaps her attempt at intermittent fasting.
As Professor Mattson says, I hope its not a fad. Theres a lot of science behind it, and the science is only increasing.
Follow this link:
The CEO's Diet: Could Intermittent Fasting Work? - Huffington Post
Posted: February 20, 2017 at 9:43 pm
A study published by the Korean society of Clinical nutrition, has discussed the findings of an experiment done at a Korean Middle school. In this experiment, 40 subjects (26 students and14 teachers) switched from their normal diets to a vegetarian diet, for a period of 12 weeks. Participants had to answer a questionnaire and do a blood analysis before and after the experiment
After 12 weeks on a completely vegetarian these were results:
1) BMI (body mass index) was reduced. So all participants lost weight 2) TC (Total colestherol ) was reduced in both groups 3) LDL-C (low-density lipoprotein cholestherol ) or bad cholesterol were reduced 4) Serum calcium and Vitamin B12 was increased in the students and teachers 5) Teachers reported to be less stressed 6) The number of participants facing functional constipation decreased
These results are just a confirmation of a previous study that proved, through a randomized controlled trial of 41 subjects, that increasing the intake of whole grains, fruits and vegetables have an the anti-oxidative effect on the body, which is promoted by a large amount of vitamins that protect cells from the oxidation-induced damage. So, a more vegetarian focused diet may also work as a preventative measure and treatment of various chronic diseases including obesity, diabetes, constipation, and cancer.
The International Journal of Medical Sciences has published review-summary of two in vitro studies performed on the anti- colorectal cancer properties of flavonoids, the polyphenolic compounds found in various fruits and vegetables known to possess antioxidant activities. The most common foods flavonoids are found in are: grapefruits, oranges, tomatoes, blueberries, almonds, pears, strawberries, watermelon and others
In what way do Flavonoids work in the body ?
1) Interfere in the pathway of the most important signaling pathways involved in the diagnosis of colon rectal cancer. 2) Affect one or more of these pathways, resulting in the inhibition of CRC.
In yet another study it was reported Vegetarian and vegan diets increase beneficial plant foods and plant constituents, eliminate the intake of red and processed meat, and aid in achieving and maintaining a healthy weight. The direct and indirect evidence taken together suggests that vegetarian diets are a useful strategy for reducing risk of cancer.
According to Colorectal Cancer statistics, this type of cancer is the second leading cause of cancer death in the United States. So, researches that involve no invasive ways to treat and prevent millions of people developing cancer and other chronic illnesses related to diet are extremely important
See the original post:
12 weeks in a vegetarian diet improves bowel habits, reduces stress and increases nutritional status - eMaxHealth
Posted: February 20, 2017 at 9:43 pm
As I trust most of you know, My Cousin Vinny is a terrific movie.If you havent seen it, I certainly recommend it.The characters are indelible; the dialogue is terrific; the courtroom tension and the comedic absurdity, both dosed perfectly; and in the end, the good guyswell, I dont want to spoil it.
For todays purposes, my interest is limited to this scene that takes place in a jail cell, as Vinny explains to his cousin/client, the defendant, how compelling the prosecution case can seem and yet be wrong.Of course, they both know the prosecution is wrong- as does the audience- because the defendant is innocent.
I thought of this not long after seeing a video of a recent talk at the Zurich Heart House, sent to me by a colleague, in which a prominent cardiology researcher- known mostly for studies of pharmacotherapy- contends that meat is protective against heart disease, fish is neutral, and vegetables useless.You can look into the researchers platform here, but I cant seem to share the YouTube video.It is no longer accessible, which seems to suggest that somebody other than me found more than a bit amiss with it.
Before debunking this obvious nonsense, lets revisit with Vinny.The prosecution in that trial was wrong, but not unreasonable; incorrect, but not insincere.I am inclined to say the same of Dr. Yusuf, whose overall body of work I very much appreciate.However, in the no-longer-accessible-video, he starts out by noting that he is not expert in nutrition.Thats an odd beginning for a rant against just about every contention predicated on the weight of scientific evidence, and common sense in that very field.It would be as if the attorneys opposing Vinny started out declaring no actual expertise in criminal law.
But leaving out the oddity of self-disqualification, Dr. Yusufs argument that carbohydrate causes heart disease, fat is protective, vegetables are of no help, fish is neutral, and meat is beneficial - is very much like the prosecution case as Vinny characterizes it.Convincing, through legerdemain- but unequivocally wrong.
The irony is that Dr. Yusufs own published work, and his own published assertions about trial design, contribute mightily to the rebuttal.
The study discussed at the Zurich Heart House by Dr. Yusuf last week- the INTERHEART Study- does, indeed, involve some 150,000 people from 17 countries.But, it is a case-control study.
I suspect most people celebrating the talks invitation to consume more pepperoni dont know what that implies, but as someone who has authored textbooks on the matter, I do.This is one of the weakest forms of epidemiologic research, prone to many interpretation errors, subject to many forms of bias, useful for generating but not testing hypotheses, and utterly useless for establishing cause-and-effect.This is fact, acknowledged by all who are trained in epidemiology.More interesting, it is a position Dr. Yusuf has himself advanced, arguing the need for large, simple randomized trials to avoid just such pitfalls.
Of course, there are large, randomized trials showing what dietary patterns defend against heart disease and death- again and again- and they refute the position taken by Dr. Yusuf in his very odd, recent talk.Predictably, perhaps, he made no mention of them.
But that is far from the most damning argument in Dr. Yusufs own body of work against the errant conclusions in the Zurich talk.Consider, for instance, this paper of his about the INTERHEART Study, published in the New England Journal of Medicine in 2014.The abstract states the case in language perfectly clear to scientist and non-scientist alike: cardiac risk factors were more abundant in affluent countries, but cardiac events and death were more common in poor countries.Dr. Yusuf even tells us why that is likely to be the case: better, more routine pharmacotherapy (the main focus of his career), and revascularization (angioplasty and coronary bypass), in the affluent countries.
The logical fallacy in Dr. Yusufs recent conclusions- among them, that meat is protective against heart disease and vegetables are not- is not only flagrant, but flawed at a level that would earn demerits in epidemiology 101.I say this reluctantly, and with genuine surprise that a scholar would so misconstrue even his own work, which has shown just the opposite about both heart disease, and stroke.
Poor countries traditionally eat little meat, and have a very high intake of carbohydrate.In some cases, they have a high intake of fat, too, but from plant sources rather than animal; this is true, for instance, in rural Greece and other Mediterranean populations.In almost no instance do they have a high intake of saturated fat.We know, because its on prominent display, that when countries with traditionally high-plant, high-carbohydrate, low-saturated-fat and low animal food diets switch to the more affluent pattern of eating more meat, their rates of obesity and chronic disease rise.This is perfectly clear in both India and China.In this matter, too, Dr. Yusufs own prolific work inveighs against his recent ruminations.
True poverty has its own serious drawbacks, of course, from general deprivation and stress, to prevalent substance abuse, nutrient deficiencies, and poor medical care.The main reason people do or dont develop coronary arteries plugged up with plaque happens mostly at home, and is all about lifestyle; but the main reason they do or don't have a MI or die of one happens mostly in hospitals, and is all about modern medical care.The very weak, case-control data recently tortured by Dr. Yusuf almost certainly mean that rates of death from heart disease are lower where meat intake is higher because those are the very places where more affluent populations get state-of-the-art cardiac care.
Or, if you prefer the sound bite version: eat your fatty meat, skip the vegetables, and you can stick around anyway thanks not to good health, but the technical skills of your cardiothoracic surgeon.
To see the truth about the prosecutions case, Vinny says you must turn it around, and look at it another way; he compares the geometry of a card to a brick to make his case.If we apply that basic logic here, we might ask: well, what happens within a given population, where access to medical care is the same, when diet is changed?We have the answer.Randomized trials including the Lyons Diet Heart Study, Predimed, and others have shown, over a span of years and in multiple countries, that shifts to more plant foods, unsaturated oils, and less meat reduce heart disease, other chronic disease, and rates of premature death from all causes.
In My Cousin Vinny, the prosecution was not insincere- but they were most assuredly incorrect.Just like them, Dr. Yusuf may have shown views of an argument that looked convincing to the gullible, but that prove to be nothing more than a house of cards.
Senior Medical Advisor, Verywell.com
See the rest here:
My Cousin Vinny's Diet - Huffington Post
