Re: Researchers Discover Mechanistic Link Between High-Fat Diet and Type 2 Diabetes

More on Matti's statement (quoted again):

>>Actually, it was also educational effort, which
caused consumers to restrict their fat intake in
the past decades. Unfortunately that effort was
not based on solid science, and now we may need
another educational effort to undo the previous
one and teach some facts about the effects of
various kind of fats.<<

Other Finns have a different opinion about the
consequences of the educational effort which
caused consumers (in Finland) to restrict their
fat intake:

1: Am J Epidemiol. 2005 Oct 15;162(8):764-73. Epub
2005 Sep 8.

Explaining the decline in coronary heart disease
mortality in Finland between 1982 and 1997.

Laatikainen T, Critchley J, Vartiainen E, Salomaa
V, Ketonen M, Capewell S.

Department of Epidemiology and Health Promotion,
National Public Health Institute, Helsinki,
Finland. tiina.laatikai...@xxxxxx

In Finland since the 1980s, coronary heart disease
mortality has declined more than might be
predicted by risk factor reductions alone. The aim
of this study was to assess how much of the
decline could be attributed to improved
treatments and risk factor reductions. The
authors used the cell-based IMPACT mortality
model to synthesize effectiveness of treatments
and risk factor reductions with data on
treatments administered to patients and trends in
cardiovascular risk factors in the population.
Cardiovascular risk factors were measured in
random samples of patients in 1982 (n=8,501) and
1997 (n=4,500). Mortality and treatment data were
obtained from the National Causes of Death
Register, Hospital Discharge Register, social
insurance data, and medical records. Estimated
and observed changes in coronary heart disease
mortality were used as main outcome measures.
Between 1982 and 1997, coronary heart disease
mortality rates declined by 63%, with 373 fewer
deaths in 1997 than expected from baseline
mortality rates in 1982. Improved treatments
explained approximately 23% of the mortality
reduction, and risk factors explained some 53-72%
of the reduction. These findings highlight the
value of a comprehensive strategy that promotes
primary prevention programs and actively supports
secondary prevention. It also emphasizes the
importance of maximizing population coverage of
effective treatments.

Larry's comment:

Don't throw out the baby with the bathwater.

- Larry (R) W

.

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