The further a society drifts from the truth, the more it will hate those who speak it. ... In a time of deceit, telling the truth is a revolutionary act. George Orwell

Tuesday, February 10, 2015

Useless low fat dietary guidelines by governments, no scientific justification!

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Open Heart/BMJ just published a meta-study:

Evidence from randomised controlled trials did not support the introduction of dietary fat guidelines in 1977 and 1983: a systematic review and meta-analysis

Objectives National dietary guidelines were introduced in 1977 and 1983, by the US and UK governments, respectively, with the ambition of reducing coronary heart disease (CHD) by reducing fat intake. ...

Conclusions

Dietary recommendations were introduced for 220 million US and 56 million UK citizens by 1983, in the absence of supporting evidence from RCTs.

Discussion
The main findings of the present meta-analysis of the six RCTs [Randomized Controlled Trials] available at the time of issuing dietary guidelines in the US and UK indicate that all-cause mortality was identical at 370 in the intervention and control groups. There was no statistically significant difference in deaths from CHD. The reductions in mean serum cholesterol levels were significantly higher in the intervention groups; this did not result in significant differences in CHD or all-cause mortality.
It is a widely held view that reductions in cholesterol are healthful per se. The original RCTs did not find any relationship between dietary fat intake and deaths from CHD or all-causes, despite significant reductions in cholesterol levels in the intervention and control groups. This undermines the role of serum cholesterol levels as an intermediary to the development of CHD and contravenes the theory that reducing dietary fat generally and saturated fat particularly potentiates a reduction in CHD.
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There was best practice, randomised controlled trial, evidence available to the dietary committees, which was not considered and should have been. The results of the present meta-analysis support the hypothesis that the available RCTs did not support the introduction of dietary fat recommendations in order to reduce CHD risk or related mortality. Two recent publications have questioned the alleged relationship between saturated fat and CHD and called for dietary guidelines to be reconsidered.31 ,32 The present review concludes that dietary advice not merely needs review; it should not have been introduced.
Actual data from the publication:




References and links:

http://www.zoeharcombe.com/blog/

Interestingly, the original studies at that time produced similar similar conclusions of non-supporting the reduction of dietary fat.  The following quotes are from ZoĆ« Harcombe's blog (one of the main author of the above quoted study):

The studies’ own conclusions.  These are the verbatim conclusions from each of the studies:

1965 Rose Corn and olive oil: “It is concluded that under the circumstances of this trial corn oil cannot be recommended as a treatment of ischaemic heart disease. It is most unlikely to be beneficial, and it is possibly harmful.” (ref 9)

1965 Research Committee Low-fat diet: “A low-fat diet has no place in the treatment of myocardial infarction” (ref 10) [heart attack].

1968 MRC soya-bean oil: “There is no evidence from the London trial that the relapse-rate in myocardial infarction is materially affected by the unsaturated fat content of the diet used.” (ref 11)

1969 Dayton LA Veterans study: “Total longevity was not affected favorably in any measurable or significant degree… For this reason, and because of the unresolved question concerning toxicity, we consider our own trial, with or without the support of other published data, to have fallen short of providing a definitive and final answer concerning dietary prevention of heart disease.” (ref 12)

1970 Leren Oslo Diet Heart study: “Epidemiological studies have demonstrated several factors associated with the risk of developing first manifestations of coronary heart disease. Blood lipids, blood pressure and cigarette smoking are such risk variables… In spite of the small numbers this observation lends some support to the view that the multi-factorial approach is the best way to the solution of the coronary heart disease problem.”(ref 13)

1978 Woodhill Sydney Diet Heart Study: “Survival was significantly better in the P [control] Group.” “It must be concluded that the lipid hypothesis has gained little support from secondary intervention studies.” (ref 14)
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4 comments :

JC said...

There is also a mountain of evidence in support of a plant based diet without animal based protein or fat. JC

Stan (Heretic) said...

There is also a fair amount of evidence of harm associated with such diets.
Regards,
Heretic

Tom Lemke said...

Stan,

I'm a Registered Dietitian (maybe one of the only ones who would take your side in an argument). Last week I was giving a series of corporate seminars on nutrition and health, and of course the subject of fat is unavoidable in such a setting. I spoke honestly about the research on fat and the absurdity of the low-fat guidelines, and the amout of push-back I received was saddening. So many people want to defend the dictates of the powers that be with regard to dietary advice, it's cult-like. In fact, the most push-back I got was from morbidly obese folks who, clearly, haven't connected the dots.

Stan (Heretic) said...

Hi Tom,

You are the first RD who appreciates my blog! 8-:)

I talked to many over the years, and typical responses range from a disbelief that I am not yet dead after years of eating all that animal fat, to annoyance from spoiling their low fat parties.

Best regards and thanks,
Stan