Tag: cholesterol
This Week In Health: Matters Of The Heart

This Week In Health: Matters Of The Heart

“This Week In Health” offers some highlights from the world of health news that you may have missed this week:

One Third Of Diabetes In The U.S. Is Undiagnosed: Diabetes affects up to 14 percent of the U.S. population – an increase from nearly 10 percent in the early 1990s – yet over a third of cases still go undiagnosed, according to a new analysis. Screening seems to be catching more cases, accounting for the general rise over two decades, the study authors say, but mainly whites have benefited; for Hispanic and Asian people in particular, more than half of cases go undetected.

Independent Group Finds New Cholesterol Drugs Far Too Costly: An independent non-profit organization that evaluates clinical and cost effectiveness of new medicines said announced prices for a just-approved class of potent cholesterol lowering drugs were far too high, according to a draft report released on Tuesday.

Less Invasive Heart Valve Surgery Safe For Patients In Their 90s: A modern technique for replacing heart valves without major surgery is safe even for very elderly patients, researchers say. The procedure can yield “excellent short- and mid-term outcomes in a patient population with a lethal disease that without this technology would undoubtedly die,” according to Dr. Vinod H. Thourani from Emory University.

Image: Jo Christian Oterhals via Flickr

Quick & Healthy: It’s High Time For A Vacation

Quick & Healthy: It’s High Time For A Vacation

The Health Memo Roundup offers some highlights from the world of health and wellness you may have missed this week:

  • Are Kraft Singles a health food? That’s the contention of the Academy of Nutrition and Dietetics, which gave the processed cheese product its “Kids Eat Right” label — angering parents and doctors.
  • If you are hoping to maintain your trim figure by opting for diet sodas over the real thing, think again. A decade-long study indicates a link in senior citizens between guzzling diet pop and developing a belly later in life.
  • Just because weed is legal in Colorado and Washington doesn’t mean it’s easy for visitors to those states to take part. A burgeoning industry of local guides is helping cannabis pilgrims, who may not be used to acquiring and consuming marijuana products, to enjoy their visit safely.
  • In an encouraging example of getting more bang for your buck, a new study published in the New England Journal of Medicine indicates a certain cholesterol-lowering drug might also be effective at lowering the risks of heart attacks and strokes.

AFP Photo/Desiree Martin

This story has been updated.

Adieu To The Egg-White Omelet; The Yolk Was On Us

Adieu To The Egg-White Omelet; The Yolk Was On Us

By Chris Erskine, Los Angeles Times (TNS)

The egg-white omelet, America’s reigning symbol of bland dining and misguided nutritional advice, died on a recent Friday at Cedars-Sinai Medical Center in Los Angeles. It was 42.

The cause of death was unclear, though longtime fans of the egg-white omelet cited a recent study that found dietary cholesterol played a much smaller role in overall health than many had thought. In late February, medical experts admitted that there was no basis for the long-held assumption that such items as egg yolk, avocado, and shrimp played a significant part in cholesterol levels in the bloodstream.

Cholesterol is no longer a “nutrient of concern,” an advisory panel of health experts told the federal government.

News of the demise of the ubiquitous egg-white omelet sent much of the nation into nutritional turmoil. One expert noted that the widespread cholesterol warning, like much dietary advice, was “never supported by science.”

Separated from its yolks at an early age, the egg-white omelet spent its early years in California, then moved on to fashionable eateries across the country. For health-conscious baby boomers, egg yolks were soon regarded with the same disdain as secondhand smoke and sleazy CBS sitcoms.

Though still legal in most states, egg yolks fell out of favor with cooks hoping to lighten overly rich foods. Despite the yolks’ sunny hue and textural supremacy, few supporters stood up in defense of them.

Yet, in kitchens across the nation, expert cooks found there were no real substitutes. Egg yolk added the sort of creaminess cooks and diners craved across all spectrums of culinary creations, from frostings to frittatas. Despite offering a divine spiritual alchemy that no other ingredient could ever really match, egg yolks were often dumped with the coffee grounds and cantaloupe rinds. The collective palate of the nation seemed to suffer.

Meanwhile, the egg-white omelet became a pseudo-health superstar, despite remaining so bland as to be almost inedible. Even better cooks found that no matter what you mixed in, egg whites remained only slightly satisfying, offering the same level of gastronomic happiness as gnawing on your own elbow.

“No one ever smiled after finishing an egg-white omelet,” one chef recalled after the announcement.

Despite it all, the egg-white omelet still managed to change the food industry, part of a health-obsessed zeitgeist that led to such publications as Cooking Light and to ingredients no one ever considered eating before, like kale and skim-milk ricotta.

Over the years, the consumption of supposedly healthful but awful foods took its toll on Americans at every level. They became increasingly hostile and suspicious toward one another, and the ill will spilled into politics, business, and everyday life.

The simmering frustration over egg-white omelets eventually made its way into new media and was credited for much of the growth of the Internet. The constant vitriol on Internet forums, many thought, was a direct result of the unsatisfying egg-white omelet.

Nora Ephron, the late screenwriter and journalist, was one of the few significant voices to take on the ridiculousness of such omelets. In 2010, Ephron wrote: “You don’t make an omelet by taking out the yolks. You make one by putting additional yolks in. A really great omelet has two whole eggs and one extra yolk, and by the way, the same thing goes for scrambled eggs.”

In recent years, consumers desperate for sound nutritional advice were increasingly baffled by the seesaw nature of what they were hearing. Decades of government warnings about fats and oils proved increasingly shaky. After years of shunning butter, consumers were told that margarine was even worse, described by some as “chemical gunk.”

The findings on their beloved morning coffee were even more confusing. One day coffee was good for you; the next day it was the worst thing since nuclear sludge.

Other questions surfaced: For instance, if one glass of red wine a night was good for someone’s health, wouldn’t two glasses be twice as good?

“What about an entire bottle?” some wondered.

“Or a case?”

The purported health benefits of dark chocolate, meanwhile, led to some extreme behavior. One young mother in Santa Monica recently ate her weight in Ghirardelli’s Intense Dark Chocolate, then collapsed from an endorphin rush during yoga class. Authorities reported that it took six paramedics, all aspiring actors, to revive her. She eventually ran off with one of them.

Survivors of the egg-white omelet include lettuce wraps, tofu lasagna, and fat-free sour cream.

Services are pending.

(c)2015 Los Angeles Times, Distributed by Tribune Content Agency, LLC

Photo: The egg-white omelet might see a decline in popularity among the health-conscious thanks to a recent study that found dietary cholesterol plays a much smaller role in overall health than many had thought. (TNS)

Will The New Dietary Guidelines Change Absolutely Everything?

Will The New Dietary Guidelines Change Absolutely Everything?

Well, no, actually.

When any new study or report is released in the field of nutrition, you can safely bet that it will be heralded with a deluge of gushing headlines, breathlessly announcing a sea change in the way we should consume bread, eggs, chocolate, coffee, red wine, salt, and who knows what else. Everything bad is good again, and vice versa. So the cycle goes.

Health science is, to paraphrase Medical Daily, a predominantly unsexy enterprise. Cause-and-effect is the bedrock of narrative and digestible journalism, but clinical research operates in the gray zone of correlations, trends, and suggestions that vary in their power to persuade and nab attention, but never quite achieve the status of a “sure thing.”

The orthodoxy of food science is not as prone to flip-flopping as the click-hungry web news cycle (guilty as charged) might make it seem. Fad diets that promote the absolute rejection or embrace of any one type of food, as we’ve discussed before, are perennially in disfavor. But the basics of eating a balanced, healthy diet are — surprise — fairly steadfast.

The Scientific Report from the Dietary Guidelines Advisory Committee (DGAC) is produced every five years to aggregate and distill new research and evidence in nutritional science, and to inform and guide the adoption and revision of new nutritional policies — the Dietary Guidelines for America — that affect laws, initiatives, and standards in health care, food production, and education.  The 2015 report was submitted this week to the U.S. Department of Health and Human Services and U.S. Department of Agriculture, and will form the basis of the new guidelines that those agencies will release later this year.

It is heartening to note that the new recommendations do not rewrite the rules of eating healthy. And as to the state of healthy eating, the report affirms the grim facts we already knew: Half the American population suffers from preventable chronic conditions caused by poor dieting. Two-thirds of all adults and one-third of all children in the U.S. are either overweight or obese. This country’s eating habits are, in the delicate language of the report, “suboptimal.”

So if this is what it takes, if we need to hear it again and again — as it seems we desperately do — then yes, please! Bring on the “new” guidelines. We are not eating enough whole grains, fruit, and vegetables. We are eating too much in the way of processed grains, added sugars, sodium, and whole-fat dairy items. It doesn’t grab headlines, but it should.

The status of some of the more dubious food items are spelled out below:

Cholesterol: The big story kicked off by the release of these guidelines was the DGAC’s rollback on cholesterol. The currently-in-effect 2010 Dietary Guidelines set the upper limit for cholesterol consumption at 300 mg/day (or a little less than one-and-a-half eggs). But reports have shown for some time now that there is no compelling link between dietary cholesterol (what you consume) and blood cholesterol (what wrecks your arteries). Do we need to say it? This is not a license to eat “all of the eggs,” but a guide for making sensible, better informed decisions.

Seafood: The new guidelines straighten out a few things about seafood; namely, they make explicit that the benefits of eating seafood outweigh the potential risks of mercury and organic pollutants. In fact, the guidelines suggest the recommended amount of seafood consumption to be increased to 8 oz per week, because it provides a cocktail of necessary nutrients.

Caffeine: Coffee, perennially see-sawing as one of those is-it-or-isn’t-it-a-vice daily pleasures, gets a clean bill in the new guidelines. Current intakes of caffeine on average (three to five cups per day) do not exceed what is currently considered safe in any age group, at least for adults. Children, adolescents, and women who are pregnant should proceed with more caution.

Alcohol: As we’ve suspected (and hoped), moderate amounts of alcohol can be an acceptable part of a healthy dietary pattern. Which does not exactly mean “bottoms up,” as some outlets have suggested. But whatever gets the message out there.

The new guidelines, in all their glory, are here [pdf]. Dig in.

Photo: Josh Russell via Flickr