The current state of heart disease: statins, cholesterol, fat and sugar

被引:6
作者
Olivieri, Chrystyne [1 ]
机构
[1] Long Isl Univ Post, Sch Hlth Profess & Nursing, Dept Nursing, Brookville, NY USA
关键词
absolute risk reduction; atorvastatin; cardiovascular disease; cholesterol; heart disease; relative risk reduction; research interpretation; statins; CORONARY-ARTERY-DISEASE; CARDIOVASCULAR-DISEASE; DIETARY-CHOLESTEROL; PRIMARY PREVENTION; MORTALITY; RISK; ASSOCIATION; GUIDELINES; UPDATE; STROKE;
D O I
10.1097/XEB.0000000000000197
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
After decades of improvement in the outlook for cardiovascular disease (CVD), we are now seeing a plateau. Statins, once believed to be the most important advance in the fight against heart disease, have not mitigated the incidence or prevalence of CVD. Aim: New research into lipid-lowering drugs is not only questioning their usefulness in primary care, but identifying them as harmful, resulting in the development of other diseases. When the original research is critically analyzed, the data do not reveal drugs that significantly reduce the incidence or prevalence for primary prevention of CVD in the United States. Methods: The current article sheds light on our current beliefs into lipid-lowering to treat potential CVD. Through a discussion of the difference between relative risk reduction and absolute risk reduction, the author suggests lifestyle modifications have been and always will be the best way to fight against this deadly chronic disease. Results: There is over 60 years-worth of scientific research that has been desperately trying to identify sugar as the culprit and driver of CVD disease; however, the medical system continues to fight against fat and cholesterol. This article makes the reader question what the US government, in association with the Medical Establishment (American Heart Association, American Diabetes Association and the American College of Cardiology) have been eschewing for the last 60-70 years as it has NOT been working. Conclusion: The time for a culture-wide paradigm change has come. The author suggests this will only happen if Big Pharma and Big Food industries will change their marketing habits from 'purely taste' to 'best for your health'.
引用
收藏
页码:179 / 186
页数:8
相关论文
共 43 条
[1]  
[Anonymous], 2015, AAD, DOI [10.4236/aad.2015.41002, DOI 10.4236/AAD.2015.41002]
[2]  
[Anonymous], 2017, J Diabetes Metab Disord, DOI [10.24966/dmd-201x/100019, DOI 10.24966/DMD-201X/100019]
[3]  
Benjamin EJ, 2017, CIRCULATION, V135, pE146, DOI [10.1161/CIR.0000000000000485, 10.1161/CIR.0000000000000558, 10.1161/CIR.0000000000000530]
[4]   Dietary cholesterol and cardiovascular disease: a systematic review and meta-analysis [J].
Berger, Samantha ;
Raman, Gowri ;
Vishwanathan, Rohini ;
Jacques, Paul F. ;
Johnson, Elizabeth J. .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 2015, 102 (02) :276-294
[5]   Risk of incident diabetes among patients treated with statins: population based study [J].
Carter, Aleesa A. ;
Gomes, Tara ;
Camacho, Ximena ;
Juurlink, David N. ;
Shah, Baiju R. ;
Mamdani, Muhammad M. .
BMJ-BRITISH MEDICAL JOURNAL, 2013, 346
[6]  
de la Monte Suzanne M, 2008, J Diabetes Sci Technol, V2, P1101
[7]  
Dehghan M, 2017, LANCET, V390, P2050, DOI [10.1016/S0140-6736(17)32252-3, 10.1016/s0140-6736(17)32252-3]
[8]   The Link Between Dietary Sugar Intake and Cardiovascular Disease Mortality An Unresolved Question [J].
Dhurandhar, Nikhil V. ;
Thomas, Diana .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2015, 313 (09) :959-+
[9]   Hypertension Due to Toxic White Crystals in the Diet: Should We Blame Salt or Sugar? [J].
DiNicolantonio, James J. ;
O'Keefe, James H. .
PROGRESS IN CARDIOVASCULAR DISEASES, 2016, 59 (03) :219-225
[10]   The Evidence for Saturated Fat and for Sugar Related to Coronary Heart Disease [J].
DiNicolantonio, James J. ;
Lucan, Sean C. ;
O'Keefe, James H. .
PROGRESS IN CARDIOVASCULAR DISEASES, 2016, 58 (05) :464-472