On November 15, the American College of Cardiology and the American Heart Association released an updated guideline for the use of statins to prevent and treat atherosclerotic cardiovascular disease (ASCVD). The full report is available online. It has already generated a lot of controversy. The news media have characterized it as… read more "New Cholesterol Guidelines"
What Can We Learn from the Kitavans?
A Swedish researcher, Staffan Lindeberg, has been studying the inhabitants of Kitava, one of the Trobriand Islands of Papua New Guinea. He claims that sudden cardiac death, stroke, and exertion-related chest pain never occur in Kitava; and he attributes this to their eating a Paleolithic diet. 2,250 people live on… read more "What Can We Learn from the Kitavans?"
AAFP CME Program Succumbs to “Integrative Medicine”
For many years I have been using Continuing Medical Education (CME) programs offered by the American Academy of Family Physicians (AAFP). The FP Essentials program consists of a monthly monograph with a post-test that can be submitted electronically for 5 hours of CME credit. Over a 9-year cycle, a complete… read more "AAFP CME Program Succumbs to “Integrative Medicine”"
The Obesity Paradox
Being fat is bad except when it’s good. It’s called “the obesity paradox.” (No, that isn’t a mis-spelling for “two physicians who treat fat people.”) The adverse health effects of obesity are well established, but there are exceptions. Obesity appears to confer an advantage in certain subgroups with conditions… read more "The Obesity Paradox"
Eat Fat, Get Thin?
I recently received an e-mail from a high school science department head who is teaching a unit on nutritional science. He asked for my opinion of a YouTube video of a lecture advocating a high saturated fat diet. The speaker is Donald W. Miller, Jr., M.D., a cardiothoracic surgeon at… read more "Eat Fat, Get Thin?"
Why We Get Fat
Journalist Gary Taubes created a stir in 2007 with his impressive but daunting 640-page tome Good Calories, Bad Calories. Now he has written a shorter, more accessible book Why We Get Fat: And What to Do About It to take his message to a wider audience. His basic thesis is… read more "Why We Get Fat"
Setting the Record Straight about Science and Longevity
Severe calorie restriction has been shown to effectively prolong life in almost every species that has been studied so far. Science hasn’t yet shown whether it will work for humans, but preliminary evidence suggests that it might. Human calorie restrictors have lower weight, blood pressure, and cholesterol levels. Despite those… read more "Setting the Record Straight about Science and Longevity"
Metabolic Syndrome: A Useless Construct?
Birds of a feather flock together. As they investigated the risk factors for cardiovascular disease and diabetes, medical detectives observed that the usual suspects liked to hang out together. Obesity, high blood pressure, abnormal blood lipids, and elevated blood sugars regularly appeared together in the same patient. It looked like… read more "Metabolic Syndrome: A Useless Construct?"
Red Meat: Is It Hazardous to Health?
Red meat consumption has been linked to diabetes, cardiovascular disease, and several types of cancer (breast, colorectal, stomach, bladder, prostate, and lymphoma). There are plausible mechanisms: meat is a source of carcinogens, iron that may increase oxidative damage, and saturated fat. But correlation and plausibility are not enough to establish… read more "Red Meat: Is It Hazardous to Health?"
Statins Are Better on JUPITER
Over 26 million Americans are taking statin drugs. Some people think they should be available over-the-counter without a prescription, and it has even been facetiously suggested that they should be added to our drinking water. The protective effect of statins in cardiovascular disease and in high-risk patients with high cholesterol… read more "Statins Are Better on JUPITER"