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Diet and Health examines the many complex issues concerning diet and its role in increasing or decreasing the risk of chronic disease. It proposes dietary recommendations for reducing the risk of the major diseases and causes of death today: atherosclerotic cardiovascular diseases (including heart attack and stroke), cancer, high blood pressure, obesity, osteoporosis, diabetes mellitus, liver disease, and dental caries.
Abstract: Proceedings of a 1980 international symposium on nutrition, lipids, and cardiovascular disease research are presented for health professionals. Fundamental research andhuman studies are integrated, with the first pilot epidemiological project between research institutions from the US, Italy, and Finland. Twenty research papers are presented in 5 areas: metabolism of essential fatty acids; current membrane lipid research; platelets and cardiovascular diseases; the effect of dietary composition on health and disease; and nutrition and risk factors in cardiovascular diseases. The interrelationship between various fields of biomedicine are stressed to enhance understanding of cardiovascular disease prevention. (wz).
Entering the 1980's, coronary heart disease (CHD) still remains the major cause of death in the United States and ranks second in the world in terms of CHD mortality rates. However, CHD mortality and morbidity rates in the United States have declined significantly since the 1950's. There are many reasons for this positive and encouraging change, one of which is the increasing awareness of the importance of the role of nutrition in health and disease. Diet has been identified as an important factor contributing to hyperlipidemia in individuals and populations. Dietary modification has become a routine means of treating patients with lipid disorders. The relationship between diet and chronic disease is, however, far from simple and at the present time, needs further intensive research. Many significant advances have recently taken place in our understanding of the effect of different nutritional components on blood lipids and lipopro teins and on the initiation progression and regression of atherosclerotic proces ses. This symposium (The 19th annual meeting of the American College of Nutrition: Cardiovascular Disease and Nutrition held at Bloomington, Minn. on June 1-2, 1978) addressed many of the important questions concerning the association of diet and CRD. We have not restricted the topic to hyperlipi demia and CHD, per se but have considered cardiovascular disease in general. This monograph should be of interest to the dietitian, nutritionist, pediatric clinician, cardiologist, physicians in general, and researchers in the field of cardiovascular disease. Herbert K. Naito, Ph.D.
Ever since the publication of Ancel Keys’ watershed ‘Seven Countries Study’ in 1970, medical thinking has posited a causal link between the intake of animal fats and coronary heart disease. The research of Prof. Harumi Okuyama and his colleagues presented in this new publication suggests that this link is in fact tenuous. It goes beyond that to suggest that current medical wisdom regarding lipid nutrition may actually be counterproductive. This ground-breaking analysis is likely to be debated for many years to come. The ‘Seven Countries Study’, which identified the specifics of the Mediterranean Diet and awarded it a central position in combating coronary heart disease, triggered significant changes in Western diets. Most notably, it stimulated a widespread attempt to reduce animal fats and replace them with vegetable fats. The low-density lipoprotein (LDL) element of the cholesterol naturally present in animal-source foods was dubbed a killer, and a significant industry developed around the provision of plant-based oils and fats. The clinical consensus on cholesterol was further strengthened in 1987 by the introduction of statins, an innovative class of drugs that reduce LDL production in the liver and are designed to help guard against coronary heart disease. Thirteen Nobel Prizes have been awarded to scientists who devoted major parts of their careers to cholesterol research. It is therefore a brave research team that dares to challenge the link between animal fats and coronary heart disease. This, however, is precisely what Prof. Okuyama and his team set out to do in this book. They actually recommend increasing the intake of cholesterol and animal fats, to an extent that does not lead to obesity. This recommendation is based on the discovery by Prof. Okuyama and his team that common vegetable oils such as canola and hydrogenated vegetable fats have toxic effects. They demonstrate that hydrogenated vegetable fats and oils are important culprits in atherosclerosis and other lifestyle diseases, and suggest that high total or LDL-cholesterol is not the cause of atherosclerosis or cardiovascular disease. Further, they argue that current medical guidelines on lipid nutrition conflict with evidence-based research, and that persistently focusing on LDL-cholesterol as the cause of atherosclerotic cardiovascular disease (ASCVD) is counterproductive. Key findings Some types of vegetable fats and oils exhibit stroke-inducing and endocrine-disrupting activity. Their inhibition of the vitamin K2–osteocalcin link is the major cause of ASCVD and related diseases. In the current food environment, the balance of omega-6 and omega-3 fatty acids is too much in favour of omega-6, and therefore lowering the omega-6/omega-3 ratio is recommended for the prevention of allergic and inflammatory diseases including ASCVD and cancer. Atherogenesis can develop without elevated LDL-cholesterol levels and/or in association with decreasing LDL-cholesterol levels. Increased intake of vegetable fats and oils with stroke-inducing and endocrine-disrupting activities in countries with restricted intakes of animal fats and cholesterol has led to the critical situations surrounding physical and mental health currently seen in Japan, East Asia, and the Mediterranean countries. Medical care professionals continue to insist on actively reducing LDL-cholesterol levels. This approach will only heighten the extensive health problems that Japan and some countries are at present facing. Many aspects of current medical practice in Japan are indeed likely to be in conflict with that country’s Medical Care Act. This thought-provoking analysis of one of the major health syndromes of our day demands serious consideration by professionals interested in cardiovascular health in particular and in public health more widely. Its implications are far-reaching – for medical practitioners, medical insurers, nutritionists, food producers and pharmaceutical manufacturers alike, as well as for individual patients.
Throughout its history, medicine has benefited from scientific discov eries made in complementary fields such as chemistry, physics and biology. Thus, in the middle of the last century, the works of Pasteur, a chemist and biologist, by revealing the world of micro-organisms, bacteria and viruses, made it possible to control a considerable number of often fatal diseases. Guided by the work of this inspired biologist, the English surgeon, Sir Joseph Lister, developed aseptic techniques which have rendered possible the spectacular achievements of modern surgery. It is largely due to such advances that the life-expectancy of man, 50 years at the turn of the century (1900), approaches 75 years in 1981. Even today, however, in spite of this, two groups of ailments, arter iosclerosis and cancer, are responsible for 70 per cent of human deaths both in Canada and in the United States of America. The former is a degenerative process of the arterial system, the latter an uncontrolled and destructive cellular proliferation. Although several predisposing factors are known, the essential cause of these conditions is wholly unknown. As long as this ignorance of the etiology persists, all forms of therapy can be no more than palliative.
Provides concise reviews of recent research on a number of different nutrients and their relationship with cancer and heart disease. Contains chapters on omega-3 fatty acids and heart disease, sodium and hypertension, dietary fiber and cardiovascular disease, and lipids and cardiovascular disease.
Results from the National Research Council's (NRC) landmark study Diet and health are readily accessible to nonscientists in this friendly, easy-to-read guide. Readers will find the heart of the book in the first chapter: the Food and Nutrition Board's nine-point dietary plan to reduce the risk of diet-related chronic illness. The nine points are presented as sensible guidelines that are easy to follow on a daily basis, without complicated measuring or calculatingâ€"and without sacrificing favorite foods. Eat for Life gives practical recommendations on foods to eat and in a "how-to" section provides tips on shopping (how to read food labels), cooking (how to turn a high-fat dish into a low-fat one), and eating out (how to read a menu with nutrition in mind). The volume explains what protein, fiber, cholesterol, and fats are and what foods contain them, and tells readers how to reduce their risk of chronic disease by modifying the types of food they eat. Each chronic disease is clearly defined, with information provided on its prevalence in the United States. Written for everyone concerned about how they can influence their health by what they eat, Eat for Life offers potentially lifesaving information in an understandable and persuasive way. Alternative Selection, Quality Paperback Book Club