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Re: Trans Fats in Blood Samples And 3X Risk of CHD - Correlation

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General fitness, health and nutrition
Published
28 March 2007
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30 March 2007
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Cubit
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  1. Great post.

    "Jbuch" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Harvard School of Public Health (HSPH) Study using "Nurse's Health Study"
    blood specimens from 1989 and 1990.

    Press Release Here:

    http://www.sciencedaily.com/releases/2007/03/070327144449.htm

    The researchers, led by Hu and lead author Qi Sun, a graduate research
    assistant at HSPH, set out to test the assumption that higher trans fatty
    acid levels in erythrocytes—red blood cells—were associated with a higher
    risk of heart disease among U.S. women. Blood samples collected in 1989
    and 1990 from 32,826 participants in the Brigham and Women’s
    Hospital-based Nurses’ Health Study were examined. During six years of
    follow-up, 166 cases of CHD were diagnosed and matched with 327 controls
    for age, smoking status, fasting status and date of blood drawing.

    After adjusting for age, smoking status and other dietary and lifestyle
    cardiovascular risk factors, the researchers found that a higher level of
    trans fatty acids in red blood cells was associated with an elevated risk
    of CHD. The risk among women in the top quartile of trans fat levels was
    triple that of the lowest quartile. “Positive associations have been shown
    in earlier studies based on dietary data provided by the participants, but
    the use of biomarkers of trans fatty acids is believed to be more reliable
    than self-reports. This is probably the reason why we see an even stronger
    association between blood levels of trans fat and risk of CHD in this
    study,” said Sun.

    “These data provide further justifications for current efforts to remove
    trans fat from foods and restaurant meals,” said Hu. “Trans fat intake in
    the U.S. is still high. Reducing trans fat intake should remain an
    important public health priority.”

    The study was supported by the National Institutes of Health.

  2. The usual stuff. Think about what was actually found. First of all,
    "triple" can mean there were 3 cases out of a million instead of 1
    case in a million. Always look at the actual numbers. Instead, they
    always talk in terms of "100% more likely," or something similar,
    which could mean 2 cases instead of 1.

    However, let's say their findings appear to be compelling to most
    people. They found that more trans fatty acids in the blood to
    correlate with a higher incidence of what they define as "heart
    disease." Did these people live shorter lives, however? They don't
    tell us. In many cases, the studies are too short or don't determine
    this even when they can. Instead, they try to correlate markers with
    what they define as a particular "disease," and if people die of
    something else, you don't hear about it.

    Since trans fatty acids contain double bonds, which can generate free
    radicals and cause LDL to get oxidized and also come from food that
    has been stripped of natural antioxidant cover, this is not a
    surprising result, if it is a result that is consistent with the
    general claim they are making. Yet did they control for antioxidants
    in the diet? The problem is that there is no reason to think that a
    trans fatty acid is worse than a polyunsaturated fatty acid with the
    same number of unsaturated bonds. In fact, trans fatty acids may be
    less susceptible to lipid peroxidation than "natural" cis unsaturated
    fatty acids. Again, the difference is probably that there are less
    antioxidants in the diets of those who eat a significant amount of
    TFAs as opposed to those who eat a significant amount of "natural"
    UFAs.

    Quoted message said:

    From the report you cite, it does not appear that antioxidant intake


    was controlled, and possibly overall fat consumption may not have been
    controlled either (and it also may be that those who ate more TFAs ate
    more oxidized cholesterol as well). In fact, if I could bet money on
    it, I would bet that those with the most TFAs in their blood were
    eating much less healthy diets overall. However, the people who
    conduct these studies hardly ever control for something like oxidized
    cholesterol, though they may indeed control for cholesterol (meaning
    that they don't determine if it is oxidized or not). To them, dietary
    cholesterol is all the same, all unhealthy. However, the evidence is
    now clear (even if these people are not aware of it), and so their
    underlying assumptions doom the study to meaninglessness (or worse,
    many can be mislead into eating an unhealthy diet by such "studies"😉.

  3. Quoted message said:

    The usual stuff. Think about what was actually found. First of all,
    "triple" can mean there were 3 cases out of a million instead of 1
    case in a million. Always look at the actual numbers.

    Like the 166 that they quote you mean.

    Quoted message said:

    However, let's say their findings appear to be compelling to most
    people. They found that more trans fatty acids in the blood to
    correlate with a higher incidence of what they define as "heart
    disease." Did these people live shorter lives, however? They don't
    tell us.

    They weren't trying to assess that. It's already known that heart
    disease kills people, they're just looking for whether trans fatty
    acids levels in blood cells are associated with it. Since trans fatty
    acids are an abnormal consituient of the body a correlation with CHD
    is more compelling than if it was with something naturally occurring.

    Quoted message said:

    In many cases, the studies are too short or don't determine
    this even when they can. Instead, they try to correlate markers with
    what they define as a particular "disease," and if people die of
    something else, you don't hear about it.

    Because it's not relevant.

    Quoted message said:

    Yet did they control for antioxidants
    in the diet?

    They weren't looking at the effects of antioxidants, they were doing a
    prospective study on whether there's a relationship between trans fat
    levels and heart disease.

    Quoted message said:

    The problem is that there is no reason to think that a
    trans fatty acid is worse than a polyunsaturated fatty acid with the
    same number of unsaturated bonds.

    Yes there is, but you lack the knowledge and understanding to know
    why. Try this paper on for size, but it will only make your
    backpedalling go all the faster.

    "Consumption of trans fatty acids is related to plasma biomarkers of
    inflammation and endothelial dysfunction."
    http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=abstractplus&db=pubmed&cmd=Retrieve&dopt=abstractplus&list_uids=15735094

    Quoted message said:

    In fact, trans fatty acids may be
    less susceptible to lipid peroxidation than "natural" cis unsaturated
    fatty acids.

    On what basis do you make that claim?

    Quoted message said:

    From the report you cite, it does not appear that antioxidant intake
    was controlled, and possibly overall fat consumption may not have been
    controlled either (and it also may be that those who ate more TFAs ate
    more oxidized cholesterol as well).

    "After adjusting for age, smoking status and other dietary and
    lifestyle
    cardiovascular risk factors "

    MattLB

  4. The guy is a complete idiot so please don't try to use intelligent
    dialog with him.

    Trans-fat kills. Pure and simple. And Anti Oxidants has nothing
    to do with it.

    Quoted message said:
    Quoted message said:

    The usual stuff. Think about what was actually found. First of all,
    "triple" can mean there were 3 cases out of a million instead of 1
    case in a million. Always look at the actual numbers.

    Like the 166 that they quote you mean.

    Quoted message said:

    However, let's say their findings appear to be compelling to most
    people. They found that more trans fatty acids in the blood to
    correlate with a higher incidence of what they define as "heart
    disease." Did these people live shorter lives, however? They don't
    tell us.

    They weren't trying to assess that. It's already known that heart
    disease kills people, they're just looking for whether trans fatty
    acids levels in blood cells are associated with it. Since trans fatty
    acids are an abnormal consituient of the body a correlation with CHD
    is more compelling than if it was with something naturally occurring.

    Quoted message said:

    In many cases, the studies are too short or don't determine
    this even when they can. Instead, they try to correlate markers with
    what they define as a particular "disease," and if people die of
    something else, you don't hear about it.

    Because it's not relevant.

    Quoted message said:

    Yet did they control for antioxidants
    in the diet?

    They weren't looking at the effects of antioxidants, they were doing a
    prospective study on whether there's a relationship between trans fat
    levels and heart disease.

    Quoted message said:

    The problem is that there is no reason to think that a
    trans fatty acid is worse than a polyunsaturated fatty acid with the
    same number of unsaturated bonds.

    Yes there is, but you lack the knowledge and understanding to know
    why. Try this paper on for size, but it will only make your
    backpedalling go all the faster.

    "Consumption of trans fatty acids is related to plasma biomarkers of
    inflammation and endothelial dysfunction."
    http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=abstractplus&db=pubmed&cmd=Retrieve&dopt=abstractplus&list_uids=15735094

    Quoted message said:

    In fact, trans fatty acids may be
    less susceptible to lipid peroxidation than "natural" cis unsaturated
    fatty acids.

    On what basis do you make that claim?

    Quoted message said:

    From the report you cite, it does not appear that antioxidant intake
    was controlled, and possibly overall fat consumption may not have been
    controlled either (and it also may be that those who ate more TFAs ate
    more oxidized cholesterol as well).

    "After adjusting for age, smoking status and other dietary and
    lifestyle
    cardiovascular risk factors "

    MattLB

  5. "During six years of follow-up, 166 cases of CHD were diagnosed and
    matched with 327 controls
    for age, smoking status, fasting status and date of blood drawing."

    This is not controlled properly, though it might pass for "science"
    these days. They took the people who developed "CHD" and then
    compared them to people without CHD, who they deemed to be similar.
    For all we know, there could have been a large number of people with
    high trans fatty acid levels and no CHD. If you want to "believe," be
    my guest. However, if you want to claim that an unsaturated bond is
    healthy in a configuratiion that is more likely to be degraded by free
    radicals, whereas another unsaturated bond is very uhealthy, even
    though it is more resistant, you are writing yourself a fairly tale.

    Notice how MattLB does not address my point. Where does it say that
    they accounted for oxidized cholesterol or antioxidant intake? In
    fact, not all the naturally-occurring antioxidants contained in
    "natural" foods are even known - he is so wrong it is laughable!

    If you disagree, my offer is still open to anyone with several hundred
    dollars to spare:

    We will feed two dozen adult rats a diet of 30% fresh coconut oil (my
    choice) or 30% canola and fish oil. No added antioxidants, just a
    basic vitamin/mineral supplement. Otherwise, they get the same food,
    with no other source of fat. All else will be equal. Then if the
    coconut fed rats live to be the same age or longer, you will pay for
    all expenses, whereas I will if the coconut fed ones live what is
    considered to be statistically-significant shorter lives.

    Note that as I said, I don't necessarily disagree with their findings,
    but it is the mechanism that makes no sense. There is no reason to
    blame a trans fatty acid unless you also blame an unsaturated fatty
    acid with the same number of bonds. Trans fatty acids are naturally-
    occurring, but in small amounts, just as most humans ate diets very
    low in PUFAs until recently. If you disagree, simple and inexpensive
    experiments that do control for these factors can be done. Also, you
    might want to take a look at what Shils and Young have to say about
    trans fatty acids in their massive nutrition textbook (written for
    professionals). They point out that fish oil is much worse in the
    atherosclerotic context. This was documented decades ago in
    experiments that did control properly. Nother MattLB claims can
    change that fact. Get the book and see for yourself.

    Also note that I am willing to debate anyone on this issue, provided
    that a mutally-acceptable person be appointed as moderator. Calling
    someone you disagree with on a scientific issue an "idiot" is clearly
    not going to resolve anything.

  6. Quoted message said:

    "Consumption of trans fatty acids is related to plasma biomarkers of
    inflammation and endothelial dysfunction."http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=abstractplus&db=p...

    And, a related link states:
    http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=abstractplus&db=pubmed&cmd=Retrieve&dopt=abstractplus&list_uids=15226473
    "In conclusion, this study suggests that dietary (n-3) fatty acids are
    associated with levels of these biomarkers reflecting lower levels of
    inflammation and endothelial activation, which might explain in part
    the effect of these fatty acids in preventing cardiovascular disease."

    --
    Ron

  7. Quoted message said:

    "During six years of follow-up, 166 cases of CHD were diagnosed and
    matched with 327 controls
    for age, smoking status, fasting status and date of blood drawing."

    Quoted message said:

    This is not controlled properly, though it might pass for "science"
    these days.

    What's the problem with the control group? The only known a priori
    difference is the presence of CHD. If you then measure trans fat
    levels and the ones with CHD have the highest it's a clear
    correlation.

    Quoted message said:

    They took the people who developed "CHD" and then
    compared them to people without CHD, who they deemed to be similar.

    Since it hasn't been published yet, you don't actually know what they
    did.

    Quoted message said:

    For all we know, there could have been a large number of people with
    high trans fatty acid levels and no CHD.

    We do know. They found a strong correlation between trans fat and CHD,
    therefore there can't have been "a large number" with the exact
    opposite.

    Quoted message said:

    If you want to "believe," be
    my guest.

    If you want to dismiss the data and stick to your faith-based view, be
    my guest. Just stop posting your fantasies as the scientific truth.

    Quoted message said:

    However, if you want to claim that an unsaturated bond is
    healthy in a configuratiion that is more likely to be degraded by free
    radicals, whereas another unsaturated bond is very uhealthy, even
    though it is more resistant, you are writing yourself a fairly tale.

    Your claim of trans double bonds being more resistant has never been
    backed up by a citation, but feel free to give one, otherwise you're
    the one spinning the fairytale.

    Quoted message said:

    Notice how MattLB does not address my point. Where does it say that
    they accounted for oxidized cholesterol or antioxidant intake?

    I did address your point: "They weren't looking at the effects of
    antioxidants, they were doing a prospective study on whether there's a
    relationship between trans fat
    levels and heart disease. "

    Your argument may be that everyone who had high trans fat also had low
    antioxidants/oxidized cholesterol and that's what's really to blame,
    but you've no evidence for that, whereas there is evidence for high
    trans fat being associated with CHD.

    Quoted message said:

    In fact, not all the naturally-occurring antioxidants contained in
    "natural" foods are even known

    Equally irrelevant.

    Quoted message said:

    Note that as I said, I don't necessarily disagree with their findings,
    but it is the mechanism that makes no sense.

    What mechanism are you talking about? Their study isn't looking for a
    mechanism, just a correlation.

    Quoted message said:

    There is no reason to
    blame a trans fatty acid unless you also blame an unsaturated fatty
    acid with the same number of bonds.

    For general lipid peroxidation that's true, but physiologically it's
    naive and untrue.

    Quoted message said:

    Trans fatty acids are naturally-
    occurring,

    Not in human tissues. They have to come from the diet - that's why
    they're such a useful measurement when relating disease to diet.

    Quoted message said:

    but in small amounts, just as most humans ate diets very
    low in PUFAs until recently.

    Obviously not true for any seaside communities.

    Quoted message said:

    might want to take a look at what Shils and Young have to say about
    trans fatty acids in their massive nutrition textbook (written for
    professionals). They point out that fish oil is much worse in the
    atherosclerotic context. This was documented decades ago in
    experiments that did control properly.

    But would have had inferior measuring techniques. Also trans fatty
    acids weren't prevalent decades ago, nor was the oxLDL mechanism for
    atherosclerosis known.

    Quoted message said:

    Nother MattLB claims can
    change that fact. Get the book and see for yourself.

    Which edition are you talking about?

    MattLB

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