Abstract
British Journal of Cardiac NursingVol. 12, No. 8 EditorialPills or push-ups?Michael SampsonMichael SampsonSearch for more papers by this authorMichael SampsonPublished Online:2 Aug 2017https://doi.org/10.12968/bjca.2017.12.8.369AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Demasi M, Lustig RH, Malhotra A (2017) The cholesterol and calorie hypotheses are both dead—it is time to focus on the real culprit: insulin resistance. http://tinyurl.com/y7jmqank (accessed 25 July 2017) Google ScholarDiamond DM, Ravnskov U (2015) How statistical deception created the appearance that statins are safe and effective in primary and secondary prevention of cardiovascular disease. Expert Rev Clin Pharmacol 8(2): 201–10. doi: https://doi.org/10.1586/17512433.2015.1012494 Crossref, Google ScholarEstruch R, Ros E, Salas-Salvadó J et al. (2013) Primary prevention of cardiovascular disease with a Mediterranean diet. New Engl J Med 36(14): 127–90. doi: https://doi.org/10.1056/NEJMoa1200303 Google ScholarMalhotra A, Redberg RF, Meier P (2017) Saturated fat does not clog the arteries: coronary heart disease is a chronic inflammatory condition, the risk of which can be effectively reduced from healthy lifestyle interventions. Br J Sports Med 51(15): 1111–2. doi: https://doi.org/10.1136/bjsports-2016-097285 Crossref, Google ScholarMacAuley D, Bauman A, Frémont P (2015) Exercise: not a miracle cure, just good medicine. BMJ 350: h1416. doi: https://doi.org/10.1136/bmj.h1416 Google ScholarStokes G (2008) The role of cholesterol in the development of cardiovascular disease. British Journal of Cardiac Nursing 3(9): 423–8. doi: https://doi.org/10.12968/bjca.2008.3.9.30884 Link, Google ScholarWalsh B (2014) Don't Blame Fat. Time 183(24): 38–35 Google Scholar FiguresReferencesRelatedDetails 2 August 2017Volume 12Issue 8ISSN (online): 2052-2207 Metrics History Published online 2 August 2017 Published in print 2 August 2017 Information© MA Education LimitedPDF download
Highlights
British Medical Association (2017) Funding for ill-health prevention and public health in the UK, London: British Medical Association
Traditional thinking is that high levels of LDL cholesterol promote cardiovascular disease (CVD), and that aggressive lipid lowering with statins reduces the risk of disease (Stokes, 2008)
The low-fat diets promoted by government bodies tend to encourage greater consumption of sugar and refined carbohydrate, as these are used to replace fats in “low-fat” products (DiNicolantonio et al, 2016). Increased consumption of these foods is linked to poor glucose handling and hyperglycaemia, which are significant risk factors for CVD as well as diabetes (Demasi et al, 2017)
Summary
British Medical Association (2017) Funding for ill-health prevention and public health in the UK, London: British Medical Association. This article adds further fuel to a controversy that has been raging over the past few years; are fats or sugars more important in causing cardiovascular disease, and what is the best way to reduce risk? Traditional thinking is that high levels of LDL cholesterol promote cardiovascular disease (CVD), and that aggressive lipid lowering with statins reduces the risk of disease (Stokes, 2008).
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