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Re:Dietary carbohydrate intake and mortality: a prospective ... by Leary on Saturday August 18, 2018 @12:09PM (#17789127)
Note this from this study: "Low carbohydrate dietary patterns favouring animal-derived protein and fat sources, from sources such as lamb, beef, pork, and chicken, were associated with higher mortality, whereas those that favoured plant-derived protein and fat intake, from sources such as vegetables, nuts, peanut butter, and whole-grain breads, were associated with lower mortality"

So if you want low carbs, don't eat too much meat.

Plant based diets, such as the Mediterranean diet have been shown lead to reduced all cause mortality in randomized control trials [1]. Getting your diet right really isn't that hard, just eat fresh plant based food.

[1]https://www.nejm.org/doi/full/10.1056/NEJMoa1800389?query=fe...

Re:Dietary carbohydrate intake and mortality: a prospective ... by bkovacev on Saturday August 18, 2018 @01:20PM (#17789488)
When someone mentions Mediterranean diet the first association I have is fish, white cheese, olive oil, fresh fruit and veggies, and whole grain bread. Correct me if I'm wrong - but I wouldn't classify that as a plant based diet.
Re:Dietary carbohydrate intake and mortality: a prospective ... by mrnobody_67 on Saturday August 18, 2018 @01:43PM (#17789593)
The mediterranean diet study that was made the diet famous is fundamentally flawed as described in The Big Fat Surprise. It was done on a small population, self-reported, and during a time of war when supplies were short and people were eating atypical altered diet based on available food stuffs.
Re:Dietary carbohydrate intake and mortality: a prospective ... by YeGoblynQueenne on Saturday August 18, 2018 @05:15PM (#17790754)
I hadn't heard of The Big Fat Surprise, so I had a look around and found its author's Wikipedia page:

https://en.wikipedia.org/wiki/Nina_Teicholz

I quote from it:

>>"Nina Teicholz is a journalist who became an advocate opposed to the idea that saturated fat is unhealthy and should be minimized in the American diet."

So, to begin with, she's a journalist who wrote a book about fat. In fact, she advocated that people should load up their diets on fat, particularly saturated fat:

>>Teicholz advised readers to "eat butter; drink milk whole, and feed it to the whole family. Stock up on creamy cheeses, offal, and sausage, and yes, bacon"

This advice runs counter to the advice of public health organisations and the opinionts of scientists:

>> Teicholz' claims were harshly criticized by the DGAC, the US Department of Health and Human Services, the Center for Science in the Public Interest, and others, including a petition signed by 180 scientists, and they called for BMJ to retract the article or issue corrections

My underlining.

I wouldn't trust that lady to tell me what to eat, or to criticise a scientific study's methodology. A journalist with a book has very clear incentives to "shake things up" by going against the scientific consensus. But, it's the opinion of experts that have studied the matter at length, who know the relevant bibliography well and understand its subtleties that one should trust more than outsiders who "rock the boat" for their own reasons.

Finally- it's really dangerous to listen to someone who tells you that, that thing you love to eat (or smoke, or drink, etc) that you always knew was not very good for you is actually very healthy. You have a big, fat incentive to blieve them unconditionally.

Re:Dietary carbohydrate intake and mortality: a prospective ... by crphilipp on Sunday August 19, 2018 @11:22AM (#17794606)
I have read her book, and it is fascinating. Go ahead and make your assumptions about her motives, but I believe you are doing yourself a disservice. Before the 20th century, we ate a lot of saturated fats, and it wasn't until the creation of vegetable oils (which are made through extensive industrial processes), was there a move to start restricting saturated fat. The current low-fat diet is an experiment that has America has been on for forty some years. Please take a look at this.

https://www.hsph.harvard.edu/news/hsph-in-the-news/low-fat-d...

And in general, the American population has been following this diet, and we are fatter than ever before, suffering from Type 2 Diabetes. And the "science" behind our current health policy is driven by organizations like the American Soybean Asociation who are more concerned with making money and less on science. And when you start talking about money, the science research will follow the money, because the scientists need to eat.

Please take a look at this videos,

https://youtu.be/Q2UnOryQiIY https://youtu.be/7Lww5WH7INI

I would read her book before you pass judgment.

Re:Dietary carbohydrate intake and mortality: a prospective ... by YeGoblynQueenne on Sunday August 19, 2018 @06:45PM (#17796611)
>> Before the 20th century, we ate a lot of saturated fats, and it wasn't until the creation of vegetable oils (which are made through extensive industrial processes),

This can't be right. Olive oil is a vegetable oil and it's been known since antiquity. Its preparation requires an olive mill and a donkey to turn the millstone. Not "extensive industrial processes!

Re:Dietary carbohydrate intake and mortality: a prospective ... by crphilipp on Monday August 20, 2018 @08:48AM (#17799460)
Certainly, Olive Oil has been around for a very long time, it wasn't until the 20th century that it became a major food product. Olive Oil was more valued for cosmetics, medicine, and in lamps. Actually, the original Olympic torch burned olive oil. Also, note that Olives are actually a fruit, but I understand why you bring it up as an example.

I am talking about those other vegetable oils, like grapeseed oil, canola oil, sunflower oil, cottonseed oil. Do you remember Crisco short, this was a new product produced from cottonseed oil which had been hydrogenated though intensive industrial processes and sold as a cheaper alternative to the normal saturated fats used as the time.

I hope you actually look at the links and videos I put up in my previous comment. Your ad hominem attacks against Nina Teicholz, like "I wouldn't trust that lady to tell me what to eat" and "she's a journalist" don't go unnoticed.

I also want to point out her BMJ article was not retracted. The petition signed by 180 scientists was found to be without merit. I do find it telling you bring up the petition, yet you fail to say that article was not retracted.

Re:Dietary carbohydrate intake and mortality: a prospective ... by YeGoblynQueenne on Monday August 20, 2018 @06:23PM (#17804580)
>> Your ad hominem attacks against Nina Teicholz, like "I wouldn't trust that lady to tell me what to eat" and "she's a journalist" don't go unnoticed.

That sounds threatening. Could you please clarify- who is it that noticed and what happens now that they noticed?

Re:Dietary carbohydrate intake and mortality: a prospective ... by crphilipp on Monday August 20, 2018 @10:06PM (#17806255)
I am just saying that when you make these kinds of statements to support your arguments, you are not doing yourself any favors. It is the sign of a weak argument. Am I supposed to assume that because Nina is a woman and journalist that she is a liar? I find these type of statements very sexist. As for who noticed, I did.

I am going to give you another video, you really should watch it.

https://youtu.be/Zc_e5ME_5Cg

Re:Dietary carbohydrate intake and mortality: a prospective ... by ENTP on Sunday August 19, 2018 @04:59AM (#17793367)
I'm just an internet random, but whenever i load up my diet with such foods, i never fail to lose fat, and a lot of it at that. The problem is sticking to it
Re:Dietary carbohydrate intake and mortality: a prospective ... by GW150914 on Saturday August 18, 2018 @01:42PM (#17789590)
Cheese like haloumi and feta are very low in fat, and not necessarily more than a garnish in most cases. For another animal product I’d add yogurt, but you also missed the big plant staples. Lots of pulses like beans and lentils, lots of nuts and seeds, hummus, lots and lots of rice, barley, and wheat products, whole olives in addition to the oil, that kind of thing. Of course lamb and mutton are also a source of protein and fat along with fish, but traditionally greens and beans took up the majority of calories with dairy in second, meat and fish in third.

So you’re not wrong, but cheese, fish, meat are all the tip of the pyramid, not the base. Of course as wealth has spreas people eat more fish and meat and cheese than they used to, and they suffer for it.

Re:Dietary carbohydrate intake and mortality: a prospective ... by JamesBarney on Saturday August 18, 2018 @02:40PM (#17789878)
Everything besides fish and white cheese is plant based.
Re:Dietary carbohydrate intake and mortality: a prospective ... by rhinoceraptor on Saturday August 18, 2018 @02:48PM (#17789932)
This was not a low carb diet study. The lowest carb group were eating at least twice as many carbs as what any reasonable person would consider low carb.

Also, if you look at table 1, you can see the "low carb" group was the highest smoking, most diabetic, more male, highest hypertensive, and least exercising group. Is it really a surprise that these people have higher mortality?

Re:Dietary carbohydrate intake and mortality: a prospective ... by gHosts on Sunday August 19, 2018 @05:44PM (#17796341)
> Participants completed an interview that included a 66-item semi-quantitative food frequency questionnaire (FFQ), modified from a 61-item FFQ designed and validated by Willett and colleagues,16 at Visit 1 (1987–89) and Visit 3 (1993–95).

Retrospective self reported questionaire.

Pah.

Around about the weakest evidence you can get as to what their actual diet was.

I would rate this study as "Junk Science".

Re:Dietary carbohydrate intake and mortality: a prospective ... by XzetaU8 on Saturday August 18, 2018 @02:27PM (#17789807)
A few thoughts regarding today's big carb study in The Lancet:

- This study will get tons of press, with misleading headlines all over the place. Like this one we already saw: "Low carb diets shorten your life unless you are mostly vegetarian."

- Nobody actually knows which diets are best for longevity, as it's an impossible question to answer without a trillion dollar randomized trial. Supercentenarians eat a wide variety of diets, calorie/methionine restriction helps in some animal studies, etc. A collection of observational evidence (like in the Lancet paper) is helpful for noticing overall patterns, but can't say much about actual diets. One high-carb diet could be high in candy and cake, and another high in fruit and tubers. The Lancet study wasn't able to address diet quality.

- The Lancet paper is not one study, but two: a long-term observational study in the US, plus a meta-analysis of international cohorts.

- The "easy" conclusions (low carb bad, high carb bad, high meat bad) are not so easy. The broadest way to cut dietary data is by macronutrient, so the result interpretations aren't always useful. Those with high and low carb intake are more likely to be on a diet, for example, and dieters can be more likely to have health conditions they're trying to address.

- When you meta-analyze heterogeneous data sets, problems arise. There's no good way around this, since the different data sets are from different research groups, and individual-level meta-analysis is thus rarely possible.

[1] https://www.facebook.com/Examinecom/posts/2146299502057199?_...

Re:Dietary carbohydrate intake and mortality: a prospective ... by JamesBarney on Saturday August 18, 2018 @02:50PM (#17789948)
> Nobody actually knows which diets are best for longevity, as it's an impossible question to answer without a trillion dollar randomized trial. Supercentenarians eat a wide variety of diets,calorie/methionine restriction helps in some animal studies, etc.

But all of the super centenarians ate very little meat, with the exception of some fish in a few populations.

And we don't know for certain whuch diets will help you live the longest, but the knowledge and evidence we do have very heavily favors a diet that is primarily plant based, low in protein, and has very little chicken/pork/beef.

Re:Dietary carbohydrate intake and mortality: a prospective ... by gif653490 on Saturday August 18, 2018 @03:57PM (#17790309)
> but the knowledge and evidence we do have very heavily favors a diet that is primarily plant based, low in protein, and has very little chicken/pork/beef.

Hong Kong has one of the highest life expectancies (Surpasses even Japan) in the world yet their cuisine is mostly based on meat, not plant-based

Furthermore not a single country from this list is a plant-based or low in protein, all of them eat alot of meat, dairy, seafood etc

https://en.wikipedia.org/wiki/Centenarian

Re:Dietary carbohydrate intake and mortality: a prospective ... by JamesBarney on Saturday August 18, 2018 @09:33PM (#17792004)
The only part of that page that discusses diet talks about how okinawa owes it's longevity to "A diet that is heavy on grains, fish, and vegetables and light on meat, eggs, and dairy products.'

If you look at the Wikipedia article for blue zones(areas with especially high levels of centenarians). https://en.m.wikipedia.org/wiki/Blue_Zone

They mention that one of the things that unites these areas is a mostly plant based diet.

Re:Dietary carbohydrate intake and mortality: a prospective ... by Alex3917 on Saturday August 18, 2018 @01:40PM (#17789582)
> just eat fresh plant based food.

The easiest way to do this is to batch prepare things heavy in monounsaturated fats: avocados/guacamole, olives, almond butter, walnuts, etc. Then prepare things with polyunsaturated fats the day of, like wild salmon.

Basically if you don’t eat enough good fats you’ll eat bad fats, and if you don’t eat enough bad fats you’ll eat sugar or carbs. So you want to make it easy for yourself to eat good fats, and then round out the rest of your diet with other stuff.

Things like Israeli/Persian/Arabic salad also store pretty well in the fridge for four days, so that’s another easy way to prepare veggies in advance.

Re:Dietary carbohydrate intake and mortality: a prospective ... by agumonkey on Saturday August 18, 2018 @05:03PM (#17790673)
I need some extremely solid textbook on *saturated fat/fatty acids because I've read a few medical books (randomly picked) and ended with contradictory reasonings and conclusion.

Basically, some say that having single bond chains leads to less viscous molecules => less deposits. But some say that is double bonds which leads to less deposits.

Re:Dietary carbohydrate intake and mortality: a prospective ... by wozniacki on Sunday August 19, 2018 @01:50PM (#17795346)

  ...because I've read a few medical books 
  (randomly picked) and ended with contradictory
  reasonings and conclusion.
Could you list some of those books?
Re:Dietary carbohydrate intake and mortality: a prospective ... by agumonkey on Monday August 20, 2018 @01:41PM (#17802010)
ps: I'm reading 'fats of life' by Glen Lawrence. I'll report if it gives a clear picture. One good thing from the first pages, is that it explains that fat is implied in a lot of subsystems. Fatty acids that are bad for your vascular system can help to avoid cancer, arthritis and other kinds of conditions... so it's not a one dimensional question. I like that.
Re:Dietary carbohydrate intake and mortality: a prospective ... by wozniacki on Monday August 20, 2018 @10:17PM (#17806325)
Other than credential-spotting ( looking up how many esteemed institutions a person is associated with ) how does one decide whose book to even peruse and whose to dismiss.

Its really mind numbing that we have so much confusion in such an important space as nutrition.

Just look at the credentials of the expert that Ms.Teicholz [1] blames for this mess:

  Alice H. Lichtenstein is a senior scientist and director 
  of the Cardiovascular Nutrition Laboratory at the HNRCA, 
  as well as a Stanley N. Gershoff Professor of Nutrition 
  Science and Policy at the Friedman School. 

  Lichtenstein also serves as the executive editor of the 
  Tufts University Health & Nutrition Letter. 

  Education
  Hon. Ph.D., 2005, Faculty of Medicine, University of Kuopio (Finland)
  D.Sc., 1979, Nutritional Biochemistry, Harvard University
  M.S., 1975, Nutritional Biochemistry, Harvard University
  M.S., 1973, Nutrition, State College, Pennsylvania State University
  B.S., 1971, Nutrition, Cornell University
Ms. Teicholz was mentioned earlier in the discussion in the threads above.[2]

[1]

Nina Teicholz - 'The Real Food Politics'

https://www.youtube.com/watch?v=7Lww5WH7INI&t=12m26s

[2]

https://news.ycombinator.com/item?id=17794606

Re:Dietary carbohydrate intake and mortality: a prospective ... by agumonkey on Tuesday August 21, 2018 @05:49AM (#17808303)
That's indeed an issue. I believe science is not immune to information overload (just like mainstream with internet). This creates spots / schools of thoughts, and only people working or studying the field can have an opinion whether a book or paper is worth its weight.

I guess it's a bit like music, unless you have genius talent out of the box, you will only be able to parse things clearly after 5-10 years of swimming in the pool. Unless we have something to connect the dots for us, for instance something that can cross correlated data from biological pathways, chemistry, physics, maths, so you know what is solid or not.

Also nutrition is too tied to economics and politics, that doesn't help.

Re:Dietary carbohydrate intake and mortality: a prospective ... by crphilipp on Tuesday August 21, 2018 @10:35AM (#17809951)
You need to remember that a lot of the people like Alice H. Lichtenstein are heavily invested in the current thoughts on nutrition. I can not stress enough that "The Big Fat Surprise" is very informative about the current state of our nutrition policies here in the United States (and this leaks out of our country into many others that follow it by default). Just watch that "The Real Food Politics" video (see above).

Here is another article that specifically addresses this study,

http://www.zoeharcombe.com/2018/08/low-moderate-or-high-carb...

Zoe Harcombe takes a hard look at this study, and there are so many problems with this study, I am amazed that it was published, but wait, I would take a look at this,

https://twitter.com/WGyogaSC/status/1031258976560852992

This was a "paid to publish" study.

Re:Dietary carbohydrate intake and mortality: a prospective ... by agumonkey on Tuesday August 21, 2018 @11:43AM (#17810609)
to you and parent, do you have sources beside pubmed to monitor medical knowledge ?
Re:Dietary carbohydrate intake and mortality: a prospective ... by crphilipp on Wednesday August 22, 2018 @09:51AM (#17818644)
Since you are attacking me and not what I said, can I take there is no fault with my statement?
Re:Dietary carbohydrate intake and mortality: a prospective ... by agumonkey on Wednesday August 22, 2018 @11:41AM (#17819471)
god, I'm not attacking, I'm asking you for your usual readings so I can learn too. Sorry if it came out as burden-of-proof statement
Re:Dietary carbohydrate intake and mortality: a prospective ... by agumonkey on Sunday August 19, 2018 @02:20PM (#17795496)
Humm one is cardiology book (in french) by jacques de praepe (I bought it), the others I don't remember, a mix of pubmed publications, lab textbooks on researchers webpage, youtube videos.
Re:Dietary carbohydrate intake and mortality: a prospective ... by wozniacki on Sunday August 19, 2018 @01:59PM (#17795397)

  Basically if you don’t eat enough good fats you’ll
  eat bad fats, and if you don’t eat enough bad fats
  you’ll eat sugar or carbs. So you want to make it easy
  for yourself to eat good fats, and then round out the
  rest of your diet with other stuff.
This seems so intuitive for some reason but have you come across any reading to suggest that this is indeed the case.

Any large study or trial?

Have you observed this first-person, anecdotally atleast in someone, over a sizable period of time?

Re:Dietary carbohydrate intake and mortality: a prospective ... by Alex3917 on Sunday August 19, 2018 @02:22PM (#17795504)
I'm mainly convinced due to first-person experience, but there is also research on this:

https://www.sciencedaily.com/releases/2008/10/081007123647.h...

Re:Dietary carbohydrate intake and mortality: a prospective ... by totemizer on Saturday August 18, 2018 @12:29PM (#17789212)
I really wish to know why those people were on low carbohydrate diet though. It seems to me that most people don't do that without a good reason.
Re:Dietary carbohydrate intake and mortality: a prospective ... by nightski on Saturday August 18, 2018 @01:04PM (#17789396)
Well, anecdotally for me it is just because of how I feel on such a diet. It takes a while for the body to adjust, but once it does I feel like I am on a high that never ends. No ups & downs, just pure focus and energy. Would it be like that for everyone? Who knows. But I have never felt this before on any other diet. That's why I stick with it. (Note I do about 5% carbs, 80% fat, 15% protein)

Even if this ends up with higher mortality (which I highly doubt this claim, there is a lot of research and results it is in conflict with) - I'd rather live feeling like this than the alternative.

I also question the meat claims because there is also a lot of evidence to the contrary. It seems like there may be a confounding variable in there that is skewing the results.

Re:Dietary carbohydrate intake and mortality: a prospective ... by nonbel on Saturday August 18, 2018 @02:50PM (#17789950)
>"I really wish to know why those people were on low carbohydrate diet though."

They weren't. It looks like the lowest in the study was ~20%, which is about the upper bound on what could be considered "low carb".

Re:Dietary carbohydrate intake and mortality: a prospective ... by totemizer on Sunday August 19, 2018 @11:09AM (#17794557)
Thanks for noting, I missed this crucial detail completely. :(