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Saturated Fat and Heart Disease Deaths

March 22nd, 2009 · 25 Comments · Bad Science, Cholesterol Con, Low Fat Ignorance, Modern Ignorance

Ricardo Carvalho, whose great database work I highlighted yesterday, just emailed me another graph. The latest saturated fat data he could find was from 1998, but see if you can find any correlation.

Picture 3

It's all over the map. If you had to draw a trend, however, how would it look? I'd probably start it from the left at the 120 and finish off to the right at about 80, i.e., more saturated fat associated with less CHD mortality.

Update 3/30/2009: Physicist Robert McLeod took the tabular data I provided and did a fit in MATLAB. The punchline is that there's only a 1% chance of the slope being positive (more saturated fat correlated with more CHD deaths) and a 99% chance the slope is negative (more saturated fat correlated with fewer CHD deaths).

Interesting how, once again, the French thumb their noses at the rest of the world. Red wine? Gimmeabreak. I lived there, and most people have no idea how much animal fat most of them eat. From their fat-heavy sauses to their fatty charcuterie and pâté, to their sweet butter and many fine cheeses. I've remarked before about the difference between how Americans eat cheese and how the French do it. In America, I see people taking a whole slice of bread (or a cracker) and thinly spreading cheese on it. In France, you take a small bit of crust and pile a huge mound of cheese on it. And that's often not all. Many French first put a big pat of sweet butted on, and then the cheese. Like this; tiny piece of cracker, big butter, and big cheese:

Cheese and cracker

Yea, I ate it. It was in the interest of science. Frankly, I think the "French Paradox" has a lot more to do with getting a healthy dose of K2 in their diets from all the organ meats they frequently eat (tripe, kidney, liver), as well as the butter and cheese.

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25 Comments so far ↓

  • Mark Sisson

    Richard,

    Always loved these kinds of "graphs". I remember being in sophomore science class and thinking "how the hell can anyone in his/her right mind draw a trend line through that minefield, find the slope and then infer ANYTHING?" Yet, every budding scientist is required to connect these dots with a straight line (and a straight face). Cheers.

  • Chris Kanakaris

    Richard,
    just wanted to say thank you for a great site. Found you through Art. Chris.

  • Richard Nikoley

    Welcome, Chris. And thanks.

  • Joe Matasic

    That's why I didn't feel too bad last night about the carbs I had at dinnner. Tiny pieces of cracker and bread heaped with butter. Appetizer was fresh mozz wrapped in proscuito (sp) over a cold heirloom tomatoes with balsamic and olive oil. It came with two long slices of croutons. I swear this bread was half parmesan. I had to break it with my hands, knife wouldn't work. Really good. Ate my whole piece like bruschetta. Followed that by a seasonal veggies and a 22oz rare ribeye and ate the big chucks of fat. My wife's sirloin came with carmelized shallot butter and I ate the rest of her butter also. All that with a bottle of Chianti Classico cost me a pretty penny but it was part of her Christmas present, so I have an excuse. Didn't feel to guilty about dessert either. Flourless chocolate espresso cake with some fresh raspberries and whipped cream. I'm sure it had some sugar but not much and carbs for the dark chocolate. But in reality for a "special" meal we did well. I'm fasting today and eat well the other 95%+ of the time.

    Whenever I eat like this I try to make sure I load up on the fat. Not sure whether that's a good idea or not? Anyone have an opinion on that? Goodness of the fat/extra calories with the carbs/slowing the absorption of the carbs? Of course, we had no intention of getting a dessert.

  • Jaroslav Cmunt

    This database is great, Ricardo deserves our thanks for such hard work.

    As an amateur statistics junkie I would say that saturated fats are rather neutral, e.g. if there is any negative correlation between sat fats intake and CHD mortality, it looks rather statistically insignificant to me. Given that 1) countries that have high sat fats intake and low CHD mortality are all rich developed countries and 2) CHD mortality varies greatly at all sat fats consumption levels I would say other confounding factors like GDP (and healthcare quality) bear greater statistical significance than saturated fats consumption.

    That said, I still love my saturated fats :)

  • David at Animal-Kingdom-Workouts.com

    Have you heard about the movie 'Fathead'? It's a documentary that goes after a lot of eating myths, including the high fat, high heart disease myth. There's some great video's on youtube that highlight this. Check it out here:

    http://www.youtube.com/watch?v=v8WA5wcaHp4

    - Dave

  • Patrik

    @Mark

    Great point. As someone with a graduate degree in economics and having taken a fair amount stats/econometrics — one should always be skeptical of trendlines ("regression analysis").

    As the joke goes: two economists go hunting. A rabbit pops up and streaks across the field, the first economist fires and misses by a meter in front of the rabbit, the second fires and misses by a meter behind.

    They turn to each other excitedly, "We got 'em!"

  • Richard Nikoley

    Yep (have blogged about it a few times). Coincidentally, I just watched the DVD for the second time yesterday, this time with the wife and a couple of friends. They were shocked and amazed.

    Those uTube clips don't do justice to the whole movie, which is quite comprehensive.

  • Richard Nikoley

    I tend to think that if such "cheating" excursions are moderate and rare, that indeed it's best to load up on the fat. That really slows down the metabolism of the sugar in the excess carbs. For instance, full fat, traditional ice cream has a pretty low GI number (as I recall) because of the fat.

  • Robert M.

    If you have that data in tabular format I can fit it, with 95 % confidence interval lines. Might be worth a laugh.

  • Richard Nikoley

    I believe Ricardo sent that along. Will check when I get back home.

    Richard Nikoley

  • Nancy R.

    Hi Richard -

    Just wanted to give you a heads up on more "Bad Science". Check out this study "Meat Intake and Mortality" http://archinte.ama-assn.org/cgi/content/full/169/6/562

    Thought you might like something new and shiny to play with. I also asked Doc Eades about it. I love it when you bloggers eviscerate stuff like this. Mainly because you do a much better job than I ever could! Thanks again.

  • Richard Nikoley

    I'll take a look. Offhand, I'd say control of variables is probably going to be a major issue (what else are they eating, in what quantities). In other words, the study was designed to show the desired result.

  • Richard Nikoley

    Just emailed off the tabular data.

  • me.yahoo.com/a/Bt.rFIFypOBMuk19Xs3y1.5Z.kO375GU1io-

    JSYK, tripe is a muscle not an organ. I know , picky picky picky , lol
    ~S

  • Ricardo Carvalho

    Dear Robert M. and Richard N., you can download the 1998 European saturated fat data from http://www.heartstats.org/documents/download.asp?nodeid=6742&libraryversionid=2706 Regarding the European CHD death rates, please search http://www.heartstats.org for "death rates from CHD" and you'll find a several Excel tabular data for your own research. According to my own recent research, I believe we already have enough data to "build" an updated saturated fat (actually, full fatty acids data) information and here is my suggestion for someone brave enough to try it (I may also try this if I have enough spare time in the next weeks): based on the detailed nutritional data we already have, for 2003 (latest year), from the FAO-STAT Consumption Database (see http://faostat.fao.org/site/609/DesktopDefault.aspx and http://faostat.fao.org/site/610/default.aspx), and crossing it with McCance and Widdowson’s Composition of Foods integrated dataset (see http://www.food.gov.uk/science/dietarysurveys/dietsurveys/), which has detailed fatty acids data for hundreds of food groups, a truly updated and detailed fatty acids world (167 countries) consumption database can be built. These parameters could then be compared/correlated with the health & disease parameters provided by the WHO Global Health Atlas and WHO Statistical Information System (see http://www.who.int/globalatlas/dataQuery/ and http://www.who.int/whosis/), the same way I did for the nutritional parameters. After this, we could then compare, for example, lauric acid intake with CHD mortality (saturated fat in coconut oil clogs your arteries?), stearic acid intake with cancer death rates (red meat consumption causes cancer?), specific fatty acids effect on mean cholesterol levels, etc. I would say, in theory, that this might work and be a relatively simple task but, as wee know, going from theory into practice sometimes may require significant effort and time. Anyone volunteers for this task?

  • Aaron

    I've heard the same joke except it was three statisticians going duck hunting. The first aims one meeter too high, the next aims one meeter too low, and the third one yells "We got 'em!"

  • Richard Nikoley

    I figured the one wasn't like the others. But, what the hell. All innards. :)

  • Ricardo

    Dear Robert M. and Richard N., you can download the 1998 European saturated fat data from http://www.heartstats.org/documents/download.asp?nodeid=6742&libraryversionid=2706 Regarding the European CHD death rates, please search http://www.heartstats.org for "death rates from CHD" and you'll find a several Excel tabular data for your own research. According to my own recent research, I believe we already have enough data to "build" an updated saturated fat (actually, full fatty acids data) information and here is my suggestion for someone brave enough to try it (I may also try this if I have enough spare time in the next weeks): based on the detailed nutritional data we already have, for 2003 (latest year), from the FAO-STAT Consumption Database (see http://faostat.fao.org/site/609/DesktopDefault.aspx and http://faostat.fao.org/site/610/default.aspx), and crossing it with McCance and Widdowson’s Composition of Foods integrated dataset (see http://www.food.gov.uk/science/dietarysurveys/dietsurveys/), which has detailed fatty acids data for hundreds of food groups, a truly updated and detailed fatty acids world (167 countries) consumption database can be built. These parameters could then be compared/correlated with the health & disease parameters provided by the WHO Global Health Atlas and WHO Statistical Information System (see http://www.who.int/globalatlas/dataQuery/ and http://www.who.int/whosis/), the same way I did for the nutritional parameters. After this, we could then compare, for example, lauric acid intake with CHD mortality (saturated fat in coconut oil clogs your arteries?), stearic acid intake with cancer death rates (red meat consumption causes cancer?), specific fatty acids effect on mean cholesterol levels, etc. I would say, in theory, that this might work and be a relatively simple task but, as wee know, going from theory into practice sometimes may require significant effort and time. Anyone volunteers for this task?

  • ben

    Great article. Definitely a lot of useful information. I myself am overweight and I hate how some of the tv shows are exploiting overweight people. For example, the biggest loser. They had them pulling cars! How do you feel about this type of tv? Look at the article below and you will see what I mean. Thanks again!

    http://www.bloggingcentral.com/865052-Biggest-Loser-TV-Show-Challenges-Fattys-To-Pull-Cars-Biggest-Loser–865052.php

  • Richard Nikoley

    I don't really have an opinion on it. I don't watch any of those shows.

  • AndrewS

    I've seen some comments that GI is irrelevant. Stephan, at Whole Health Source, has a couple recent posts on it. I'm trying to overcome insulin resistance (and dozens of other things, of course) so I'm going low carb. To that end, I think low GI food is worse than high GI since any sugar I do consume will stick around between meals.

    Which is why fasting is so handy!

    As for sugars and fat together, Bruce (I think it's Bruce)(who comments frequently on Peter's blog) argues that it's a bad combo, and that we should eat one or the other, and not the two together. I'm not convinced, but I don't consider those notions disproven, either.

  • Richard Nikoley

    Yep. I've never concerned myself with it personally and really have no idea whether it makes a difference one way or the other. The way to ensure optimal health is just to eat real food in combinations and proportions that generally simulate a natural diet.

  • minneapolis J

    Richard, what do you know about Enig and Fallon's idea that monosaturated fat is what is stored as excess fat…Apparently Enig and Fallon encourage animal, saturated fats bc nuts and seeds monosaturated fats can contribute to excess body fat.

    Its a point well noting and I may try to cut back on the monosaturates and go full board with saturates if this is the case.

  • Richard Nikoley

    I don't know anything about it. I eat plenty of nuts and have been losing fat. But, sometimes I also like to go periods without nuts.

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