Cholesterol and Coronary Myths

Part 7: So Where Does That Leave Heart Disease? All published efforts to help by drug or dietary reduction of blood cholesterol have uniformly failed. Sir John McMichael, Professor Emeritus of Medicine, University of London Is coronary heart disease really the major killer it's made out to be? It is true that a large percentage of deaths in Britain are attributed to CHD. The question is: Is this a cause for concern? As you can see in Table VI, CHD deaths have increased in people over seventy-five years of age. But does this illustrate a problem? Table VI: - CHD Mortality in UK Over Age 70 by Sex and Age Ages 70-74 75-79 80-84 Over 85 Men 1975 16297 12561 8666 6270 1995 13379 12975 12223 10254 Women 1975 10598 12868 12589 14617 1995 7695 9915 13717 21263 ICD 410-414 It is a fallacy to believe that if these people had modified their diet or lifestyle, they would still be alive. Despite what the health industry tells us, we are not an immortal species and cannot expect to live forever. I suggest that these figures merely show that people tended to live longer in 1995 than in 1975. This is true of both sexes and that, surely, is a good thing. Premature death from CHD is a legitimate concern. If dietary change can reduce premature deaths it is arguably to their advantage that people be urged to change their ways. However, Table VII illustrates clearly that CHD deaths have fallen considerably in all under-seventy age groups and both sexes over the past two decades. Table VII: – CHD Mortality in UK Under Age 70 by Sex and Age Ages 40-44 45-49 50-54 55-59 60-64 65-69 Men 1975 1290 2914 5783 7214 11678 15448 1995 643 1473 2261 3766 6170 9591 Women 1975 202 473 1072 1902 3950 7104 1995 124 262 480 979 2028 4188 ICD 410-414 Some say that this is evidence that 'healthy eating' is working. Do not be misled. This reduction cannot be the result of the 'healthy diet' recommendations - they only began with the COMA report of 1984, but premature CHD deaths had started to decline nearly twenty years before in 1965, as is graphically illustrated below in men aged 40-44. This was a time when people were brought up or spent the greater part of their lives with the recommendations with which this paper began. They had free, full-cream milk at school, ate bread and dripping and fried breakfasts. During the period after World War II when deaths from CHD peaked and started to fall, rationing had ended and a diet that was relatively high in fat was the vogue. Not that this will come as any surprise to the Medical Research Council. In its report on the Caerphilly Study published in 1993, the MRC's Epidemiology Unit at Cardiff showed that men who drank more than a pint of full-cream milk a day had only one tenth the incidence of heart disease as those who drank none. They also demonstrated that those who ate a high-energy diet lived longer than those who cut dietary fats. Their findings indicate that far from being a killer, the diet we are told to avoid by the nutritionists may actually protect us against heart disease! These findings confirmed a Japanese study of 1992. Japan has low levels of death from coronary heart disease but Okinawa has the lowest of all. While blood cholesterol levels are generally low in Japan, Okinawa's levels are much higher: similar to those in Scotland. In 1994 a paper examined the relationship of nutritional status to further life expectancy and health in the Japanese elderly based on three epidemiological studies. It found that Japanese who lived to the age of one hundred were those who got their protein from meat rather than from rice and pulses. The centenarians also had higher intakes of animal foods such as eggs, milk, meat and fish. Significantly, their carbohydrate intake was lower than that of their fellow countrymen who died younger. An example of increasing risk I have noticed, as I preach my gospel, that many women say "I'd rather drink skimmed milk. I don't like the taste of full-cream milk now, it's too rich". This is a trend that worries me. We all need calcium but women need a good supply to prevent osteoporosis in later life. Milk is the best dietary source of calcium. As all the calcium in milk is in the milk, not in the cream, skimmed milk contains slightly more calcium than full-cream milk. On the face of it, therefore, it looks like a good idea to drink skimmed milk. BUT for calcium to be absorbed from the gut, it has to be there in the presence of fat and vitamin D - and skimmed milk contains neither. As a result, while just over fifty percent of the calcium in full-cream milk is absorbed, only about five percent is absorbed from skimmed milk. AND if you drink your skimmed milk with bran muesli for breakfast, you probably won't absorb even that five percent. In 1979 the late Professor Sir John McMichael performed an inquest on the diet/heart hypothesis. Pointing out that "All published efforts to help by drug or dietary reduction of blood cholesterol have uniformly and convincingly failed" . . . "we need a fresh approach to the problem at scientific level and should avoid further public speculation and confusion by repeated propaganda through the media until we have clarified our own professional minds and shaken off what most critical doctors are likely to regard as an untenable hypothesis of causation." It is a pity that no-one seems to have taken any notice of him. Fat has over twice the energy value of either carbohydrates or proteins, and other essential nutrients: lipids used in the brain and central nervous system without which we become irritable and aggressive; sterols, precursors of the bile acids and a number of hormones (including the sex hormones); and the fat-soluble vitamins A, D, E and K. The late Dr. John Yudkin, when Professor of Nutrition and Dietetics at London University, called fat the most valuable food known to man. It is both stupid and wasteful to throw it away. Part 8: A Question of Ethics Back to index By Barry Groves For more articles by Barry Groves exposing dietary and medical misinformation see Second Opinions

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