Fanatic Cook on the American Heart Association

The Fanatic Cook has posted a stinging criticism of the American Heart Association (AHA):

American Heart Association My Fat Translator

Beyond the nonsensical nutritional recommendations (e.g., substitute small French fries for large French fries), she lists the major financial contributors to the AHA, a Who's Who in the pharmaceutical and processed food industry.


"For an organization that brought in close to a billion dollars last year, you'd think they could come up with something a little more pronounced. If I was more cynical I'd say the AHA had an interest in keeping Americans fat . . . or at least dependent on a highly-processed, fast food diet, requiring drugs to tweak lab values."

To be sure, the AHA does a great deal of good in funding research and educating the public about the prevalence of heart and vascular disease. But their fund raising interests have clearly subverted the honesty of their nutritional advice. Sadly, it is the AHA dietary advice that hospital dietitians use in counseling people with heart disease after their heart attack, stent, or bypass surgery. After my patients are discharged from the hospital for any reason, I tell them to please forget everything the nice hospital dietitian told them. It is not okay to eat the factory farm-raised hamburger on the sugar-equivalent enriched flour bun. Low-fat ice cream is not a healthy substitute for full-fat ice cream.

The AHA is no different than the USDA and the American Diabetes Association, "official" organizations that have, in effect, sold out to industry.

Comments (7) -

  • Anonymous

    6/8/2008 9:34:00 PM |

    There is a show that I watch from time to time called Man vs Wild.  It is OK entertainment, and most importantly, my nephews enjoy the show.  It gives us something to talk about.  If you haven't seen it, the program is about a former British military specialist named Bear that goes out into different wild locations to show how to survive.  He eats gushy bugs and wild vegetables for food, builds forts to sleep in, etc.  

    I happened to stumble onto an article about Bear a # of months ago.  It said that he has a condition that predisposes him to have high cholesterol.  His father died from a heart attack so as of last year he says he is now eating an all vegetable, whole grain, starchy, diet when at home.  He also mentions his new diet on his web sight in which he quotes from the World Health Organization for what that organization believes to be proper food to eat to be healthy.  http://www.beargrylls.com/health.html    

    (I hope kids are not following his blog eating suggestions.)  

    I mention this because my nephews and I have noticed that it looks like Bear has grown a little tube around the belly for this newer season.  I think Bear would be better off eating the Paleo diet that he does in the Man vs Wild show than his starchy WHO approved diet.  I wrote him a message to that effect and mentioned if he wanted to prevent heart disease, there was no better place to learn from than the TYP web sight.      

    Talking about the good and the bad of corporations spreading the word about good nutrients, I heard a rumor that a larger German health food/ drug company is working on or coming out with a "unique" vitamin D.  I used to work in the health food industry several years ago and know the main researcher doing the work.  He seems like an honest guy.  When we worked together he was in charge of researching polycosanols.  The company had a patent on them and wanted to come out with a unique product.  I remember he tested the polys but he never found them to work at lowering cholesterol.  The company did not like the results, but he stuck with what he found and the company never did sell polycosanols. So when it comes to any new Ds hitting the market I doubt this company will be coming out with another no flush niacin.  It will be something that works is my guess, but will the newly marketed D be better than what is already about there......

    Off topic, had lunch with the owner of one of the larger independent health food testing labs in US last week.  He lives in the same town as I.  I told him that I was now taking D3 and he said he was receiving many many orders for testing this.  D3 testing is popular this year.  He then volunteered that many companies are now testing for vitamin K2-7 also.  Good to see your word along with others on the importance of these nutrients is getting out.

  • Anonymous

    6/9/2008 3:21:00 AM |

    We (my son & I) watched Man Vs. Wild just last night.  He ate raw yak liver, blood, & eyeballs in frigid Siberia, near the border of Mongolia, as well as blood sausage with the local people in their yurt.  His paleo nutrition is usually quite accurate.  I'm really surprised he fell for the WHO advice, since he sees how indigenous people often live quite well on traditional foods.  

    On the other hand, we prefer the Survivorman series, which has a similar premise, but less "sensational".  Unlike Man vs. Wild, Survivorman goes it alone, without a camera crew.  He has to carry his own gear (minimal for himself) and set up his own camera shots and footage.  Unlike Bear, he downplays the "ugh, look what I have to eat to survive" attitude.

  • Anonymous

    6/9/2008 1:39:00 PM |

    I am a dietitian that works with heart patients, and I do NOT recommend the AHA guidelines.  I actually have to spend a large amount of my time re-teaching them what their cardiologists and other health care professionals have been spouting off.  Just letting you know that not all dietitians are mindless AHA and ADA believers.

  • Dr. William Davis

    6/10/2008 12:13:00 PM |

    Dear dietitian--

    That's great!

    I am thrilled that you have the courage to speak out and express what you believe to be true, not what you're told to believe.

    Keep it up!

  • Ivan Road

    6/11/2008 5:29:00 PM |

    Except Fanatic Cook lives on wheat and grains.  Little disconnect there.

  • Dr. William Davis

    6/11/2008 5:36:00 PM |

    Hi, Ivan--

    Uh, oh. We should talk to her about that.

  • Anna

    6/13/2008 4:05:00 AM |

    Yeah, I dropped Fanatic Cook from my reading list some time ago.  Little new or useful to learn there after she went a bit overboard on the "whole grains are good thing".  She moved into vegetarianism and veganism as an attempt to prevent cancer, and for the most part, provides some really weak support for that position.  I could say more, but I think I'll leave it at that.

    Nice to hear she is seeing the AHA clearly, though.

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Does fish oil ADD to statin therapy?

Does fish oil ADD to statin therapy?

Yet another patient came to my office today saying, "My primary doctor said that I should stop taking fish oil. He say's that I don't need it because I take Crestor."

The woman was in tears, confused and frightened over a potential disagreement between her doctors.

Is this true? If someone takes a statin drug, like Crestor, Lipitor, Zocor (simvastatin), pravachol, or lovastatin, they don't need to take anything else because the statin drug is so powerful that it eliminates risk?

No. Not even close to the truth.

First of all, let's accept that virtually the entire body of statin drug literature--hundreds of studies, billions of dollars spent--was paid for by the drug industry. It's no news that studies paid for by the sponsor are likely to favor the sponsor. Imagine Ford sponsored a study of Ford vs. GM cars vs. Toyota, paying $10 million to fund the effort. Guess who is likely to come out on top? "Studies show that Ford makes the best car in America." (Sorry, I don't mean to pick specifically on Ford. It's just a widely-recognized brand.)

So that means that the statin literature likely overestimates the benefit of statin drugs. Even so, it's clear from the hundreds of studies performed that the best we can hope for by taking statin drugs is a reduction of heart attack and death from heart attack of 30-35%--best case. That doesn't sound like elimination of risk to me.

What are the incremental benefits of adding omega-3 fatty acids from fish oil added to statins? The best data originate with the JELIS Trial (Effects of eicosapentaenoic acid on major coronary events in hypercholesterolaemic patients (JELIS): a randomised open-label, blinded endpoint analysis), in which 19,000 Japanese participants (who already have a high omega-3 intake from diet, usually ranging from 1800-3000 mg per day) experienced a 19% reduction (relative reduction) in cardiovascular events.

GISSI Prevenzione demonstrated a 28% reduction in heart attack, 45% reduction in death from heart attack with fish oil.

Omega-3 fatty acids from fish oil also:

--Reduce triglycerides dramatically
--Accelerate after-eating clearance of digestive by-products, i.e., they correct post-prandial abnormalities
--Modify the character (fragmentation potential, structural strength) of plaque
--Raise HDL modestly

If you buy your fish oil from Sam's Club, Costco, or other discounter, a healthy dose of fish oil might cost you $3 per month. Compare that to the $120 per month average cost of a statin agent. Why is there even a discussion over this?

Sadly, the doctor on Main Street, U.S.A, is the unwitting puppet of the pharmaceutical industry. The pretty drug company representative with nice legs and a cute smile promises lunch, dinner and . . who knows what else? Wink. The fifty-something, hairline-receding doctor can't resist. "Of course I'll prescribe your drug!"

Don't kid yourself: The drug industry knows precisely how to manipulate the behaviors of the deliverers of their products.

So, do statin drugs make omega-3 fatty acids from fish oil irrelevant? Absolutely not.

It's all about trying to inch closer and closer--not to reduction--but to elimination of risk for heart disease.

Comments (9) -

  • Steve

    10/18/2008 3:23:00 PM |

    Dr. Davis:
    doctors including most in your specialty use statins as their first line of defense in treating heart disease. Perhaps because it is easy; perhaps because of the drug company sponsored tests.  In any event, it may be that it makes sense in some cases, only we the public do not know when they should be prescribed.  Perhaps you can enlighten us on when and for what reasons you would prescribe statins, if at all.
    Excellent post.

  • Anonymous

    10/19/2008 2:47:00 AM |

    Why didn't you tell her that it's now been proven that no woman should ever be on statins (and very few men should be.)

    My mom now has to walk with a cane after six months on statins, at her idiot doctor's insistence.

    At least I'm sure her doc enjoyed his free lunches (paid for by hot, nubile drug reps, just a year or two out of the sorority.)

    Sometimes this country makes me want to VOMIT!

  • Zbigniew

    10/19/2008 8:01:00 AM |

    Dr. Eades keeps repeating it's never been proven that statins do any good to women of any age - what do you think about it, maybe that patient should just stop taking statins and increase fish oil?

  • TedHutchinson

    10/21/2008 4:27:00 PM |

    http://www.lipidworld.com/content/pdf/1476-511x-7-37.pdf
    In this paper Das proposes that a rational combination of -3 and -6 fatty acids and the co-factors that are necessary for their appropriate action/metabolism is as beneficial as that of the combined use of a statin, thiazide,a  blocker, and an angiotensin converting enzyme (ACE) inhibitor, folic acid, and aspirin.
    Furthermore, appropriate  combination of -3 and -6 fatty acids may even show additional
    benefits in the form of protection from depression, schizophrenia, Alzheimer’s disease, and enhances cognitive function; and serve as endogenous anti-inflammatory molecules; and could be administered from childhood for life long.

    But I suspect that such an approach would not be as profitable as the use of a polypill.

  • Gabrielle

    10/24/2008 10:29:00 AM |

    RCT's have demonstrated that Omega 3 fatty acid supplements can reduce
    cardiac events like death,non fatal MI and non fatal stroke.

    I like Omega3 fatty acid supplement from Neurovi.It has many benefits related with Heart disease.Check out the website of Neurovi.

    www.neurovi.com

  • Anonymous

    10/26/2008 6:19:00 AM |

    There's a relatively new (rat) study on krill oil.

    If you're interested, you can access the abstract here:

    http://www.ncbi.nlm.nih.gov/pubmed/18755044?ordinalpos=5&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum

  • buy jeans

    11/3/2010 10:30:02 PM |

    Is this true? If someone takes a statin drug, like Crestor, Lipitor, Zocor (simvastatin), pravachol, or lovastatin, they don't need to take anything else because the statin drug is so powerful that it eliminates risk?

  • simvastatin side effects

    5/7/2011 11:26:23 AM |

    We must first gather some informations bbelieving that when we take statin, we should not take any other like fish oil.

  • simvastatin side effects

    5/7/2011 11:27:12 AM |

    We must first gather some informations before believing that when we take statin, we should not take any other like fish oil.

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