the big fat surprise

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6/25/2015 1 68 th RECIPROCAL MEAT CONFERENCE The Big Fat Surprise NINA TEICHOLZ , AUTHOR OF THE BIG FAT SURPRISE: WHY BUTTER, MEAT AND CHEESE BELONG IN A HEALTHY DIET 68 th RECIPROCAL MEAT CONFERENCE Thanks to our Sponsor VITAL SIGNS Risks: More Red Meat, More Mortality By NICHOLAS BAKALAR Published: March 12, 2012 68 TH RECIPROCAL MEAT CONFERENCE Current Dietary Recommendations USDA Pyramid Mediterranean Diet 68 TH RECIPROCAL MEAT CONFERENCE VITAL SIGNS Risks: More Red Meat, More Mortality By NICHOLAS BAKALAR Published: March 12, 2012 The Bad News About Red Meat [email protected] 68 TH RECIPROCAL MEAT CONFERENCE

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Page 1: The Big Fat Surprise

6/25/2015

1

68th RECIPROCAL MEAT CONFERENCE

The Big Fat Surprise

NINA TEICHOLZ, AUTHOR OF THE BIG FAT SURPRISE: WHY BUTTER, MEAT AND CHEESE BELONG IN A HEALTHY DIET

68th RECIPROCAL MEAT CONFERENCE

Thanks to our Sponsor

VITAL SIGNS

Risks: More Red Meat, More MortalityBy NICHOLAS BAKALAR

Published: March 12, 2012

68TH RECIPROCAL MEAT CONFERENCE

Current Dietary Recommendations

USDA Pyramid

Mediterranean Diet

68TH RECIPROCAL MEAT CONFERENCE

VITAL SIGNS

Risks: More Red Meat, More MortalityBy NICHOLAS BAKALAR

Published: March 12, 2012

The Bad News About Red Meat

[email protected]

68TH RECIPROCAL MEAT CONFERENCE

Page 2: The Big Fat Surprise

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68TH RECIPROCAL MEAT CONFERENCE 68TH RECIPROCAL MEAT CONFERENCE

President Eisenhower(heart attack: Sept. 24, 1955)

0

352

0

100

200

300

400

1909 1999

RATE OF HEART DISEASE PER 100,000 PEOPLE

How it All Started

68TH RECIPROCAL MEAT CONFERENCE

Ancel Keys’

Diet-Heart Hypothesis

Saturated Fat

Raised cholesterol

(in the blood)

Heart Attack

68TH RECIPROCAL MEAT CONFERENCE

1961: AHA issues first

Dietary Advice

against saturated fats

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68TH RECIPROCAL MEAT CONFERENCE

The Seven Countries Study

68TH RECIPROCAL MEAT CONFERENCE

Politics of Science

68TH RECIPROCAL MEAT CONFERENCE

Ignoring Science to

the Contrary

68TH RECIPROCAL MEAT CONFERENCE

Conclusion: “For the entire study population, no differences between the treatment and control groups were observed for cardiovascular events, cardiovascular deaths, or total mortality."

Selection bias, continued:

Minnesota Coronary Heart Study

68TH RECIPROCAL MEAT CONFERENCE

Silencing the critics

Pete AhrensThe Rockefeller University

George Mann Vanderbilt University

68TH RECIPROCAL MEAT CONFERENCE

Government got

involved:1977 Dietary

Goals

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68TH RECIPROCAL MEAT CONFERENCE

All We Want is Love

68TH RECIPROCAL MEAT CONFERENCE

Rate of Obesity in US

68TH RECIPROCAL MEAT CONFERENCE

Saturated Fat Does Not

Cause Heart Disease

68TH RECIPROCAL MEAT CONFERENCE

Saturated Fat Does Not

Cause Cancer

World Cancer Report 2007: No association between fat of any kind and cancer.

And….

Meat Causes Cancer? So Does Fruit

68TH RECIPROCAL MEAT CONFERENCE

Major macronutrient shifts in US1965-2011

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10

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30

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50

60

1965 1971 2011

FAT

CARBS

SAT FAT

Source: Cohen et. al., Nutrition, 2015

68TH RECIPROCAL MEAT CONFERENCE

Low-fat vs. Low-carb

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68TH RECIPROCAL MEAT CONFERENCE

How Carbs Make you Fat

68TH RECIPROCAL MEAT CONFERENCE

Swedish Report on Obesity,

2013

68TH RECIPROCAL MEAT CONFERENCE

So which one is better

for weight control?

68TH RECIPROCAL MEAT CONFERENCE

In other words…

Atkins was right

68TH RECIPROCAL MEAT CONFERENCE

Personal

Take-aways

◦ A higher fat diet is better for health (40% of calsor more)

◦ Especially if you have metabolic diseases (obesity, diabetes, heart disease).

◦ Anything from lower-carb to “ketogenic”

68TH RECIPROCAL MEAT CONFERENCE

2014: Turning-Point Year

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68TH RECIPROCAL MEAT CONFERENCE

Take-aways

For Meat Science

◦ A need for studies on positive health value of red meat

◦ Respond to common argument that “there’s no point” of meat

◦ Importance of nutritional sufficiency, HDL-C

◦ Need for RCTs

◦ Where is the open letter signed by 800 scientists?

68TH RECIPROCAL MEAT CONFERENCE

2015: Back to Square One

with the Dietary Guidelines

◦ Introduction of “Vegetarian Diet” as one of 3 USDA “Dietary Patterns”

◦ On Meat:

◦ Removal of “lean meat” from list of healthy foods

◦ Recommendation to “eat less red meat and processed meat”

68TH RECIPROCAL MEAT CONFERENCE

What is the Evidence?

◦ No “National Evidence Library” review of meat

◦ Evidence amounts to pro-plant-based USDA-recommended “Dietary Patterns” and sustainability arguments

◦ Nearly all epi studies. “Meat” defined variously as "'meat, sausage, fish, and eggs,’ ‘red meat, processed meat, and poultry,' or various other combinations of meat."

◦ Only one RCT cited: on the Mediterranean diet (Estruch 2013), in which meat was not reduced in the experimental group

68TH RECIPROCAL MEAT CONFERENCE

Sole Analysis of Red Meat in the 2015 DGAC Report

68TH RECIPROCAL MEAT CONFERENCE

50 Years of Anti-Meat Bias

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New Fuel: Environmental

Movement

68TH RECIPROCAL MEAT CONFERENCE

Achilles Heal

◦Vegetarian diet is nutritionally deficient.

◦Existing USDA Dietary Patterns don’t have enough Vitamin B12, Vitamin D, iron (among other things)

◦Heme iron from lean meats is highly bio-available, hence, is an "excellent source,” according to DGAC