Re: Some studies about diets in lowering cholesterol

From: Dr. Andrew B. Chung, MD/PhD (andrew_at_heartmdphd.com)
Date: 12/08/04 

Date: Wed, 08 Dec 2004 18:49:07 -0500

Juhana Harju wrote:
>
> Dr. Andrew B. Chung, MD/PhD wrote:
> > Juhana Harju wrote:
> >>
> >> Impressive results in the reduction of cholesterol by diet alone.
> >>
> >> http://tinyurl.com/5b4t5
> >>
> >> http://tinyurl.com/3ruxq
> >>
> >> This one I posted already in one previous message:
> >>
> >> http://jama.ama-assn.org/cgi/content/abstract/290/4/502
> >>
> >> --
> >> Juhana
> >
> > As I see it, the problem with the dietary approach to lowering
> > cholesterol by increasing dietary plant sterol intake is the potential
> > for an overall increase in the ingestion of food which would still
> > promote obesity.
> >
>
> Dietary sterol intake was just a small component of the above mentioned
> cholesterol-lowering diet.

It along with "viscous fibers" are the "active ingredients" for
cholesterol-lowering.

> > It is one thing to make the permanent change of eating less to
> > permanently lose weight.
> >
> > It is quite another to make the permanent changes of *both* eating
> > less *and* eating things we dislike.
>
> These studies are mainly about reducing cholesterol, not reducing weight.

Correct. Again, my problem with this dietary approach to lower
cholesterol is the potential for promoting weight gain. This would be a
serious drawback:

http://makeashorterlink.com/?N32B51AF9

> However, the diets used in these studies are very likely to aid in weight
> control

Not if the "diets" advocate a change in what people are eating rather
than a decrease in the amount that they are eating.

> also, so that should not be a problem.

But I believe it is a problem.

> There are some studies about
> using resembling diets in weight control, which show clearly the benefit.

And which studies are these that show a low-fat high plant fiber diet
helps people with *sustained* weight loss?

> There are number of benefits to use diet instead of drugs.

Correct. The lowering of cholesterol through permanent lifestyle
changes is preferable to medications.

> One reason is
> that if you use drugs only to reduce cholesterol and you don't make
> corrections in the diet also, you are very likely to gain weight.

That would not be one of the reasons I would give. There has not been
any reason to believe that cholesterol lowering medications promote
obesity.

> Also by
> making healthy adjustments in your diet you reduce your risks also of
> getting other diseases, like cancers.

Yes, a low-fat high viscous fiber diet is believed to lower risk of
developing certain cancers especially colon adenocarcinoma and possibly
even prostate and breast cancer.

> By increasing the intake of vegetables
> and fiber you reduce your risk of getting prostate and many other cancers.
>
> Juhana

That benefit may be offset by the weight gain that occurs over time.

 
Servant to the humblest person in the universe,

Andrew 

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/
**
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