Literature Bites and Comments
by Lynne August
Updated, September 20, 2001
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Phytoestrogen
 

Think Again about Cholesterol
 

Famous Cholesterol Study Shows Surprising Results
 

Fat and Breast Cancer Link Challenged
 

Questioning the Evils of Salt
 

Protein and Osteoporosis
 

Sugar


High Triglycerides Indicate Risk for Heart Attack
 

Carbohydrates and Heart Disease
 

Fat:  Friend or Foe
 

Long Term Maintenance of Weight Loss
 

Redeeming Animal Fats
 

Eggs, Butter and Cream
 

Fiber


Phytoestrogen
First alerted to the sheep problems in the 1940's. scientists came to understand that phytoestrogens serve as a plant's natural defense against grazing animals.  When plants such as red clover are stressed (by drought, or even spraying with herbicide) higher levels of estrogen are produced.  By mimicking mammalian estrogens, plant estrogens diminish the fertility of predators and so protect the plants.

www.soyonlineservice.co.nz
Comment:Isoflavones from soy are commonly used phytoestrogens today, primarily in supplements for meonopause and osteoporosis. However, isoflavones are now implicated in increased risk of breast cancer and thyroid disease.  Soy infant formulas have never been proven safe.  Now there is mounting evidence bringing them into question.  Two warning signals are flashing!

1. BEWARE OF  ISOLATES FROM NATURE.  No single isolated nutrient, molecule or compound exists in nature alone. Isolates have pharmaceutical effects --always a mixed bag -- not nutritive effects.

2. BEWARE OF NEW FOODS.  Hydrogenated polyunsaturated oils, e.g., margarine, were new foods in the 1930's.  A graph showing the rise in margarine consumption over the ensuing decades is identical to the increase in cardiovascular disease.  The "...phytoestrogen-laden soybean has entered the Western food chain in a big way" in the last 50 years, because the soy industry exerts a "strong influence over the media, research institutions and government agencies."  The goal of the soy industry is profit, NOT public health!

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Think Again about Cholesterol
A 1989 article in the New England Journal of Medicine (April 6, pp.904-909) presented the following all-cause death rates for the corresponding cholesterol levels:

Cholesterol
Levels
All-cause Deaths
per 10,000 Individuals
180-189 172
160-179
174
140-159
196
<140
308
Russell L. Smith PhD, Letter to the Editor, Townsend Letter for Doctors, Jan.1993
*
Comment:  Specific lipids, in conjunction with the immune system, play a critical role in the body's defense mechanism.  Cholesterol is one of these lipids.  Hence, the lower the cholesterol the greater the compromise in the defense and the higher the death rate from all causes.  Ever since high cholesterol has been associated with heart disease there is the erroneous assumption that "the lower the cholesterol the better."  This study provides statistical evidence to the contrary.
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Famous Cholesterol Study Shows Surprising Results
"'The Framingham Heart Study ' is often cited as proof of the cholesterol/animal fat theory.  This study began in 1948 and involved about 6,000 people from the town of Framingham, Mass.  Two groups were compared at five year intervals-- those who consumed little cholesterol and saturated fat and those who consumed large amounts.  After 40 years, the director of this study admitted, 'In Framingham, Mass., the more saturated fat one ate, the more calories one ate, the lower the person's serum cholesterol.  Further, we found that the people who ate the most calories, weighed the least and were the most physically active.'  The study did show that those who weighed more and had higher blood cholesterol levels were more at risk for future coronary heart disease; but weight gain and cholesterol levels had an inverse correlation with fat and cholesterol intake in the diet."
Sally Fallon, Nourishing Traditions, Promotion Publishing, 1995, p.5
*
Comment:  In this study dietary intake of fat did not correspond to individual's total cholesterol or weight.  In fact, the individuals eating the most calories and the greatest amount of fat and cholesterol had the lowest weights and the lowest total cholesterol level.  Those findings make sense if  consider the function of insulin.  If an individual is eating a low fat diet, he is usually eating a high carbohydrate diet.  Carbohydrates cause the greatest increase in insulin.  Insulin stimulates weight gain and cholesterol production.  Therefore the individuals eating a higher fat, lower carbohydrate diet would have lower insulin, less weight gain and lower total cholesterol.  Furthermore, activity decreases insulin.
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Fat and Breast Cancer Link Challenged
According to a study of 5,000 Italian women, it is starch, not fat, that is linked to breast cancer.  This study, published in "The Lancet," could find no correlation between breast cancer rates and fat.  However, starch consumption was a significant factor.  The study authors could not conclusively explain their findings, but suggest that a preponderance of any particular food in the diet (such as wheat) could be harmful; and that  liberal amounts of olive oil accompanying meals high in animal fats have a protective effect.
"The Lancet" May 18, 1996; Dynamic Chiropractic, Vol.14, No.15, July 15, 1996
*
Comment:  Emanuel Revici MD, 1897-1998, extensively researched and documented the role of lipids (fats) both in the cause and cure of cancer.  Dr. Revici found abnormal or "pathogenic" lipids wherever cancer occurs in the body.  Pathogenic lipids are pathogenic because they wreak havoc in cell and tissue function.  This is how disease begins.  In many individuals a diet that is high in carbohydrates (starches), and hence low in protein and fat, promotes pathogeic lipids in body tissues.  This explains why starch is linked to breast cancer in this study.  The Anabolic and Catabolic Indices on the Health Equations Blood Test Evaluation measure these pathogenic lipids in the body.
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Questioning the Evils of Salt
Another bit of medical dogma is being challenged by scientists, this time by a Canadian researcher from Toronto's Mt. Sinai Hospital.  He analyzed 56 studies and concluded that sodium intake has no significant effect on a person's blood pressure.  In fact, he found a number of adverse consequences of restricting salt intake, including cholesterol problems and disturbed calcium metabolism.  Many doctors have long assumed, incorrectly according to this study, that restricting sodium intake would decrease blood pressure or that higher amounts of dietary salt would lead to hypertension later in life.
Dr.  Alexander Logan, presentation at the annual scientific meeting  of the American Society of Hypertension, SanFrancisco, CA, May 30, 1997; Dynamic Chirop[ractic, Vol.15,  No. 16, July 28, 1997
*
Comment:  Over the years many individuals with high blood pressure have had repeated Blood Test Evaluations.  Most of these individuals have had a significant lowering of blood pressure following the recommendations of the Blood Test Evaluation.  All were recommended to drink a minimum of two glasses of the Health Equations electrolyt formula per day.  This formula contains sodium and other electrolytes.  It corrects the ratios of the electrolytes in the body.  The electrolyte formula also improves the calcium metabolism and function.  Further, individuals with high blood pressure have all been advised to eat "salt to taste" and those with indications of salt deficiency on their Evaluation have been advised to increase their salt use.
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Protein and Osteoporosis
Bone mineral density was measured at the lumbar spine and femoral neck in 258 postmenopausal vegetarian Taiwanese Buddhist nuns and female religious followers of Buddhism. There was a significant positive correlation between energy intake from protein and lumbar spine BMD. Other nutrients, including calcium and energy intake from nonprotein sources, did not correlate significantly with BMD.  Compared with short-term vegans, long-term vegans were at higher risk of exceeding lumbar spine fracture threshold (adjusted odds ratio = 2.48) and of being classified as having osteopenia of the femoral neck (adjusted odds ratio = 3.94). These results suggest that protein deficiency may promote the development of osteoporosis and that long-term female vegans may be at increased risk of developing bone loss.
(Chiu JF, et al, Long-term Vegetarian Diet and Bone Mineral Density in Postmenopausal Taiwanese Women, Cacif Tissue Int 1997;60:245-249)
*
Comment:  Several studies correlating dietary protein and bone density are reported in the Health Equations Newsletter, Vol.5, Fall 1998, page 8. Those studies show decreased femoral density is dependent on the amount of protein in the diet. This study demonstrates the same for the density of the femoral neck and the spine and is specific to vegans. The "Comment" from the Fall of '98 is worth repeating here: "Minerals are deposited in a protein matrix within the bone. If there is insufficient dietary protein the body cannot maintain this protein matrix. The Health Equations Blood Test Evaluation has demonstrated for years that protein deficiency is as significant a factor in osteoporosis as is calcium deficiency. The importance of protein in maintaining bone density is confirmed by these studies."
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Sugar
The average American now (1999) takes in 20% more sugar than in 1986.  That's about 25 more pounds per person per year.  The new estimates for the average American's consumption of caloric sweeteners (i.e., sugar, corn sweeteners etc.) is approximately 152 pounds a year according to the Center for Science in the Public Interest, a Washington based nutrition advocacy group.

(Chris Ellis, Food for Thought, The Brattleboro Food Co-op, January 1999.)
*
Comment: Three major problems with consumption of such quantities of sugar and other caloric sweeteners are:
(1) the excess calories go to body fat;
(2) sugar and caloric sweeteners are "empty" calories, i.e. they contain no nutrients and are consumed at the expense of nutrient-rich whole unprocessed foods; and,
(3) excess sugar and caloric sweeteners cause excess insulin release, which means increased risk for hypoglycemia, cardiovascular disease, obesity, diabetes and more.
What is the right amount of sugar and caloric sweeteners?  None.
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High Triglycerides Indicate Risk for Heart Attack
A study in the medical journal, "Circulation," compared: triglyceride levels, triglyceride to HDL(so-called "good") cholesterol ratios, and LDL(so-called "bad") to HDL cholesterol ratios.  Two groups were used in the study: 340 men and women who had had heart attacks and 340 men and women with no history of heart disease.  By far the most significant difference in the two groups was in the triglyceride to HDL ratio.  Individuals with a high triglyceride to HDL ratio had 16 timesgreater risk of heart attack than those with a low triglyceride to HDL ratio.

(Circulation, October 1997; 112:629-639)
*
Comment:Physicians and clients often ask why the Health Equations Chem Profile does not test LDL cholesterol.  The LDL to HDL ratio is the standard for identifying cardiovascular risk.  This study shows that the triglyceride to HDL ratio is a better indicator.  Look at your Health Equations Score Plot.  If your Triglyceride Score is above 35, subtract your Good Cholesterol Score from the Triglyceride Score.  For example, if your Triglyceride Score is plus 60 and your Good Cholesterol Score is minus 30, the difference is 90.  If the difference between these two scores is greater than 50, you have high insulin.  Insulin increases triglycerides and decreases good cholesterol.  High insulin is associated with increased risk for cardiovascular disease.  Continue below with Carbohydrates and Heart Disease.
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Carbohydrates and Heart Disease
A study conducted in Denmark examined the relationship of the fasting serum insulin level to coronary heart disease (CHD) and cardiovascular disease (CVD) in 40-year-old men and women.  The study concluded, "The fasting se insulin level is a very good predictor of the development CHD and CVD disease...."

Journal of Cardiovascular Risk, June 1995; 2(3): 235-240)
*
Comment:     Elevated insulin increases triglycerides and decreases (HDL) "good" cholesterol.  Insulin can be indirectly measured on the Health Equations Blood Test Evaluation.  See above: High Triglycerides Indicate Risk for Heart Attack.  All dietary carbohydrates, from pasta, bagels, and whole grain bread to sugar, fruit and juice, increase insulin.  This increase in insulin is necessary so the carbohydrates can be used by the cells.  Excess dietary carbohydrates, however, cause excessive increases in the insulin level.  Since high levels of insulin are associated with increased cardiovascular risk, a lower carbohydrate diet will decrease cardiovascular risk if insulin levels are too high.
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Fat:  Friend or Foe?
A study reported in the Journal of the American Medical Association compared the effects of a diet with a fat content of 30% versus 26%, 22% or 18%.  A decrease to 30% lowered the LDL(so-called"bad") cholesterol as much as the lower fat diets.  However, a decrease in dietary fat to 18% or 22% caused a rise in triglycerides and a drop in HDL(so-called"good") cholesterol.  No increased benefits in body weight, blood sugar, insulin or blood pressure were observed with the diets containing less than 30% of calories from fat.

JAMA1997:278(18):1509-1515
*
Comment:  There are no apparent benefits from reducing fats lower than 30% of total calories.  Since a diet of 22% or 18% fat increases triglycerides and decreases HDL  cholesterol, these two diets increase cardiovascular risk and are therefore not advised.  See Literature Bite above: Carbobydrates and Heart Disease.  It is important however not to conclude from this study that everyone should eat a diet of 30% fat all the time.  Some people need more, some less.  The same person may need more or less at different times.  Dietary fat requirements are based on many variables, from body weight and percent body fat to stress and physical activity.  Further, which dietary fats a person eats is as important as the amount of fat eaten.  Generally speaking, if the Catabolic Index is low and the HDL is above minus 20 on the Score Plot, eat saturated (animal) fats.  If the Anabolic Index is high, eat monounsaturated fats, eg., olive oil, almonds, avocados.
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Long Term Maintenance of Weight Loss
In a study looking at a large number of individuals who had maintained a loss of 30 pounds for five years, the most significant factor for maintaining the weight loss was increased physical activity.  Writh the weight loss and increased activity all individuals experienced improvements in energy level, physical mobility, general mood, self-confidence, and physical health.

American Journal of Clinical Nutrition, August 1997: 66(2);239-246
*
Comment:     One of the most common goals among participants in the Health Equations Program is weight loss.  However the vast majority of individuals have fairly sedentary lifestyles.  The saying "Inertia breeds inertia," meaning the less we move the less we feel inclined to move, applies to the human body.  You do not have to be an athlete to be physically active.  A vigorous walk for 30-40 minutes at least four times per week is all that it takes to get the benefits described in the above study.
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Redeeming Animal Fats
In recent years the association between dietary saturated fat, hypercholesterolemia, and coronary artery disease has been re-explored ....  Several new, sometimes controversial, concepts have arisen that challenge underlying assumptions:

1. Although saturated fats as a class raise LDL, they also have a primary responsibility among dietary fatty acids for raising HDL, possibly depending on a balanced intake of polyunsaturated fats.

2. Not all saturated fatty acids are equally responsible for changes in LDL or HDL.

3.  The saturated fat effect is both related to the dietary cholesterol and the lipoprotein set point of the host.

(Hayes KC, "Saturated Fats and Blood Lipids: New Slant on an Old Story" Can J Cardiol Oct. 1995.)
*
Comment:     HDL is so-called "good" cholesterol while LDL is "bad" cholesterol.  The prevailing belief since the Framingham Study 50 years ago, and from similar and even larger studies to follow, is saturated fats, i.e., animal fats, contribute to heart disease by raising "bad" cholesterol.  Now we are learning that some saturated fats can raise good cholesterol depending upon:
(1)the type and amount of fat;
(2)the other types and amounts of fat in the diet; and
(3)upon the "lipid setpoint" of the individual, the genetically determined amounts and kinds of fats each body makes regardless of fat intake.
There are other factors that must be considered in dietary fat intake.  These include, and are not limited to, the following:
(1)the feed sources, and the soil management of the feed sources, of the animal (e.g., grass fed animals have different amounts and types of fat than grain fed animals);
(2)the percent body fat of the individual;
(3)the protein and carbohydrate in the individual diet; and
(4)the excesses of either anabolic lipids (fats) and/or catabolic lipids in the cells and tissues of the individual.

Go to:Jack and Jill, Metabolic Opposites.

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Eggs, Butter and Cream
Low concentrations of HDL in plasma are a strong predictor of risk for coronary as well as other cardiovascular diseases.  In controlled trials, low-fat, high-carbohydrate diets decrease HDL concentrations.  The effect is strongest when carbohydrates replace saturated fatty acids.  The effect is seen in both short- and long-term trials and therefore appears to be permanent.

Hirsch J.,et al. "Effect of Low-fat Diets on Plasma High-density Lipoprotein Concentrations." Am Soc Clin Nut. March 1998
*
Comment:HDL is "good" cholesterol, saturated fats are animal fats.  Therefore, some cream and butter is a better bet for your heart than a lot of pasta.  Another way to raise HDL cholesterol is eggs.   "In Fitness and In Health" by Philp Maffetone reports studies that show "eating whole eggs daily for six weeks significantly raised the good HDL cholesterol."
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Fiber
Within the three main food contributors to total fiber intake (vegetable, fruit, and cereal), cereal fiber was most strongly associated with a reduced risk of total MI (Myocardial Infarctions, aka heart attacks).  Our results support current national dietary guidelines to increase dietary fiber intake and suggest that fiber, independent of fat intake, is an important dietary component for the prevention of coronary disease.

Rimm EB, et al. "Vegetable, fruit, and cereal fiber intake and risk of coronary disease among men" JAMA Feb 14, 1996


Another study found that young adults who ate at least 21 grams of fiber per day gained, on average, eight pounds less over the 10-year period than those who ate the least amount of fiber.  The new study involved more than 2,900 adults who consumed 15 to 25 grams of fiber daily.  In the study fiber consumption also seemed to provide a more accurate gauge than fat consumption when predicting weight gain, blood cholesterol levels and other risks for cardiovascular disease.

Ludwig DS, to be published in JAMA, as reported by the Associated Press, October, 1999
*
Comment:
"FIBER - Are you getting enough?"  by Kelly Fletcher
from Health Equatilons Newsletter, vol.7, p.6, Fall 1999
People who restrict carbohydrate intake to lose weight and/or lower triglycerides and cholesterol often share a common complaint --constipation.  Whether you share this complaint or not, you should always keep in mind the importance of getting enough fiber.

Fiber is the non-digestible portion of certain carbohydrates (plants and whole grains) that helps move food substances properly through the digestive tract.  Although it offers no vitamins, minerals or calories, fiber is essential to good health.  The two types of fiber, soluble and insoluble, come from different food sources and have complementary functions.
 

some sources of the 2 types of fiber
Insoluable
Fiber
Soluable
Fiber
whole wheat bran
vegetables
whole grains
oats
legumes
barley
apples
citrus fruits
strawberries
carrots

Together they absorb water, add bulk and soften the stool.  Both types of fiber are important in the diet, yet fiber should come primarily from insoluble sources since this is the predominant form found in nature.

Intestinal health is fiber's primary role. It also plays a part in controlling blood sugar, lowering the risk of cardiovascular disease, diminishing the risk of colorectal cancer and assisting with weight loss by offering a feeling of fullness. The overall benefits of fiber cannot be emphasized enough.

Daily intake of fiber should fall in the range of 20-35 grams with sufficient water intake (8-10 glasses daily). Without sufficient water, increased fiber can actually worsen constipation. If fiber intake has been sub-optimal, it is best to increase dietary fiber slowly to prevent gas, bloating, and/or diarrhea.

Here are some suggestions for getting adequate fiber when eating between 20-60 grams of carbohydrate at each meal. Light carbohydrate vegetables may be added as desired to any meal.  (Editor's Note:  PLEASE BE AWARE, THESE TABLES SUGGEST SOURCES OF FIBER ONLY.  NOTICEABLY LACKING IN PROTEIN AND FAT, THEY ARE NOT INTENDED AS MENUS FOR COMPLETE MEALS.)
 

20 gram carbohydrate/meal, 21 gram fiber/day
BREAKFAST 1/3 cup All Bran*
LUNCH 1 slice whole grain bread for sandwich (add lettuce, tomato, sprouts as desired), 1 raw carrot
DINNER 1/4 cup brown rice, 1 cup broccoli (eat more broccoli if desired), tossed salad
30 gram carbohydrate/meal, 24gram fiber/day
BREAKFAST 2/3 cup All Bran* cereal, 1 cup light carbohydrate vegetables in an omelet (i.e., mushrooms, spinach, tomatoes, zucchini, peppers)
LUNCH 1 slice whole grain bread for sandwich (add lettuce, tomato, sprouts as desired), 2 carrots or 1 orange
DINNER 1/3 cup brown rice, 4 asparagus spears, tossed salad, 1/2 baked apple with cinnamon
40 gram carbohydrate/meal, 27gram fiber/day
BREAKFAST 3/4 cup Raisin Bran*
LUNCH 2 slices whole grain bread for sandwich (add lettuce, tomato, sprouts as desired), 1 kiwi
DINNER 1/3 cup brown rice, 1 cup broccoli, tossed salad, baked apple with cinnamon
60 gram carbohydrate/meal, 37gram fiber/day
BREAKFAST 1 cup Raisin Bran*, 1/2 grapefruit
LUNCH 2 slices whole grain bread for sandwich (add lettuce, tomato, sprouts as desired), 2 carrots and 1 orange
DINNER 1/2 cup brown rice, 1 and 1/2 cups broccoli, tossed salad, baked apple with cinnamon

*Cereal portions are such that 4 ounces of milk may be added without exceeding the carbohydrate recommendation.

Hint: You may want to cut up vegetables ahead of time so you are more likely to use them in salads.


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