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http://www.westonaprice.org/know_your_fats/oiling3.html

>

>>

> The Oiling Of America Part 3

> Cholesterol screening for everyone

 

> In November of 1986, the Journal of the American Medical

Association

> published a series on the Lipid Research Clinics trials,

> including " Cholesterol and Coronary Heart Disease: A New Era " by

> longtime American Heart Association member Scott Grundy, MD, PhD.35

> The article is a disturbing combination of euphoria and agony—

> euphoria at the forward movement of the lipid hypothesis

juggernaut,

> and agony over the elusive nature of real proof. " The recent

> consensus conference on cholesterol. . . implied that levels

between

> 200 and 240. . carry at least a mild increase in risk, which they

> obviously do. . . " said Grundy, directly contradicting an earlier

> statement that " Evidence relating plasma cholesterol levels to

> atherosclerosis and CHD has become so strong as to leave little

doubt

> of the etiologic connection. " Grundy called for " . . . the simple

> step of measuring the plasma cholesterol level in all adults. . .

> those found to have elevated cholesterol levels can be designated

as

> at high risk and thereby can enter the medical care system. . . an

> enormous number of patients will be included. " Who benefits

from " the

> simple step of measuring the plasma cholesterol level in all

adults? "

> Why, hospitals, laboratories, pharmaceutical companies, the

vegetable

> oil industry, margarine manufacturers, food processors and, of

> course, medical doctors. " Many physicians will see the advantages

of

> using drugs for cholesterol lowering. . . " said Grundy, even

> though " a positive benefit/risk ratio for cholesterol-lowering

drugs

> will be difficult to prove. " The cost in the US of cholesterol

> screening and cholesterol-lowering drugs alone now stands at sixty

> billion dollars per year, even though a positive risk/benefit ratio

> for such treatment has never been established. Physicians, however,

> have " seen the advantages of using drugs for cholesterol lowering "

as

> a way of creating patients out of healthy people.

>

 

> Grundy was equally schizophrenic about the benefits of dietary

> modification. " Whether diet has a long term effect on cholesterol

> remains to be proved, " he stated, but " Public health advocates

> furthermore can play an important role by urging the food industry

to

> provide palatable choices of foods that are low in cholesterol,

> saturated fatty acids and total calories. " Such foods, almost by

> definition, contain partially hydrogenated vegetable oils that

> imitate the advantages of animal fats. Grundy knew that the trans

> fats were a problem, that they raised serum cholesterol and

> contributed to the etiology of many diseases—he knew because a year

> earlier, at his request, Mary Enig had sent him a package of data

> detailing numerous studies that gave reason for concern, which he

> acknowledged in a signed letter as " an important contribution to

the

> ongoing debate. "

>

 

> Other mouthpieces of the medical establishment fell in line after

the

> Consensus Conference. In 1987 the National Academy of Science (NAS)

> published an overview in the form of a handout booklet containing a

> whitewash of the trans problem and a pejorative description of palm

> oil—a natural fat high in beneficial saturates and monounsaturates

> that, like butter, has nourished healthy population groups for

> thousands of years, and, also like butter, competes with

hydrogenated

> fats because it can be used as a shortening. The following year the

> Surgeon General's Report on Nutrition and Health emphasized the

> importance of making low-fat foods more widely available. Project

> LEAN (Low-Fat Eating for America Now) sponsored by the J. Kaiser

> Family Foundation and a host of establishment groups such as the

> America Heart Association, the American Dietetic Association, the

> American Medical Association, the USDA, the National Cancer

> Institute, Centers for Disease Control and the National Heart, Lung

> and Blood Institute announced a publicity campaign to " aggressively

> promote foods low in saturated fat and cholesterol in order to

reduce

> the risk of heart disease and cancer. "

>

 

> National Food Processors Association Conference

> The following year, Enig joined Frank McLaughlin, Director of the

> Center for Business and Public Policy at the University of

Maryland,

> in testimony before the National Food Processors Association. It

was

> a closed conference, for NFPA members only. Enig and McLaughlin had

> been invited to give " a view from academia. " Enig presented a

number

> of slides and warned against singling out classes of fats and oils

> for special pejorative labeling. A representative from Frito-Lay

took

> umbrage at Enig's slides, which listed amounts of trans fats in

Frito-

> Lay products. Enig offered to redo the analyses if Frito-Lay would

to

> fund the research. " If you'd talk different, you'd get money, " he

> said.

>

 

> Enig urged the association to endorse accurate labeling of trans

fats

> in all food items but conference participants—including

> representatives from most of the major food processing giants—

> preferred a policy of " voluntary labeling " that did not

unnecessarily

> alert the public to the presence of trans fats in their foods. To

> date they have prevailed in preventing the inclusion of trans fats

on

> nutrition labels.

>

 

> Enig's cat and mouse game with Hunter and Applewhite of the

Institute

> of Shortening and Edible Oils continued throughout the later years

of

> the 1980's. Their modus operandi was to pepper the literature with

> articles that downplayed the dangers of trans fats, to use their

> influence to prevent opposing points of view from appearing in

print

> and to follow-up the few alarmist articles that did squeak through

> with " definitive rebuttals. " In 1987 Enig submitted a paper on

trans

> fatty acids in the US diet to the American Journal of Clinical

> Nutrition, as a reply to the erroneous 1985 FASEB report as well as

> to Hunter and Applewhite's influential 1986 article, which by even

> the most conservative analysis underestimated the average American

> consumption of partially hydrogenated fats. Editor-in-chief Albert

> Mendeloff, MD rejected Enig's rebuttal as " inappropriate for the

> journal's readership. " His rejection letter invited her to resubmit

> her paper if she could come up with " new evidence. " In 1991, the

> article finally came out in a less prestigious publication, the

> Journal of the American College of Nutrition,36 although Applewhite

> did his best to coerce editor Mildred Seelig into removing it at

the

> last minute. Hunter and Applewhite submitted letters and then an

> article of rebuttal to the American Journal of Clinical

Nutrition,37

> which were published shortly thereafter. In the article,

> entitled " Reassessment of trans fatty acid availability in the US

> diet, " Hunter and Applewhite argued that the amount of trans in the

> American diet had actually declined since 1984, due to the

> introduction of soft margarines and tub spreads. The media fell in

> line with their pronouncements, with numerous articles by food

> writers recommending low-trans tub spreads, made from

polyunsaturated

> vegetable oils, as the sensible alternative to saturated fat from

> animal sources—not surprising as most newspapers rely on the

> International Food Information Council, an arm of the food

processing

> industry, for their nutrition information.

>

 

> Other research on trans fats

> Enig and the University of Maryland group were not alone in their

> efforts to bring their concerns about the effect of partially

> hydrogenated fats before the public. Fred Kummerow at the

University

> of Illinois, blessed with independent funding and an abundance of

> patience, carried out a number of studies that indicated that the

> trans fats increased risk factors associated with heart disease,

and

> that vegetable-oil-based fabricated foods such as Egg Beaters

cannot

> support life.38 George Mann, formerly with the Framingham project,

> possessed neither funding nor patience—he was, in fact, very angry

> with what he called the Diet/Heart scam. His independent studies of

> the Masai in Africa,39 whose diet is extremely rich in cholesterol

> and saturated fat, and who are virtually free of heart disease, had

> convinced him that the lipid hypothesis was " the public health

> diversion of this century. . . the greatest scam in the history of

> medicine. " 40 He resolved to bring the issue before the public by

> organizing a conference in Washington DC in November of 1991.

>

 

> " Hundreds of millions of tax dollars are wasted by the bureaucracy

> and the self-interested Heart Association, " he wrote in his

> invitation to participants. " Segments of the food industry play the

> game for profits. Research on the true causes and prevention is

> stifled by denying funding to the `unbelievers.' This meeting will

> review the data and expose the rascals. "

>

 

> The rascals did their best to prevent the meeting from taking

place.

> Funding promised by the Greenwall Foundation of New York City was

> later withdrawn, so Mann paid most of the bills. A press release

sent

> as a dirty trick to speakers and participants wrongly announced

that

> the conference had been cancelled. Several speakers did in fact

> renege at the last minute on their commitment to attend, including

> the prestigious Dr. Roslyn Alfin-Slater and Dr. Peter Nixon of

> London. Dr. Eliot Corday of Los Angeles cancelled after being told

> that his attendance would jeopardize future funding.

>

 

> The final pared-down roster included Dr. George Mann, Dr. Mary

Enig,

> Dr. Victor Herbert, Dr. Petr Skrabenek, William B. Parsons, Jr.,

Dr.

> James McCormick, a physician from Dublin, Dr. William Stehbens from

> New Zealand, who described the normal protective process of

arterial

> thickening at points of greatest stress and pressure, and Dr. Meyer

> Texon an expert in the dynamics of blood flow. Mann, in his

> presentation, blasted the system that had foisted the lipid

> hypothesis on a gullible public. " You will see, " he said, " that

many

> of our contributors are senior scientists. They are so for a reason

> that has become painfully conspicuous as we organized this meeting.

> Scientists who must go before review panels for their research

> funding know well that to speak out, to disagree with this false

> dogma of Diet/Heart, is a fatal error. They must comply or go

> unfunded. I could show a list of scientists who said to me, in

> effect, when I invited them to participate: `I believe you are

right,

> that the Diet/Heart hypothesis is wrong, but I cannot join you

> because that would jeopardize my perks and funding.' For me, that

> kind of hypocritical response separates the scientists from the

> operators—the men from the boys. "

>

>

90s see the nation well oiled

> By the nineties the operators had succeeded, by slick manipulation

of

> the press and of scientific research, in transforming America into

a

> nation that was well and truly oiled. Consumption of butter had

> bottomed out at about 5 grams per person per day, down from almost

18

> at the turn of the century. Use of lard and tallow had been reduced

> by two-thirds. Margarine consumption had jumped from less than 2

> grams per person per day in 1909 to about 11 in 1960. Since then

> consumption figures had changed little, remaining at about 11 grams

> per person per day—perhaps because knowledge of margarine's dangers

> had been slowly seeping out to the public. However, most of the

trans

> fats in the current American diet come not from margarine but from

> shortening used in fried and fabricated foods. American shortening

> consumption of 10 grams per person per day held steady until the

> 1960's, although the content of that shortening had changed from

> mostly lard, tallow and coconut oil—all natural fats—to partially

> hydrogenated soybean oil. Then shortening consumption shot up and

by

> 1993 had tripled to over 30 grams per person per day.

>

 

> But the most dramatic overall change in the American diet was the

> huge increase in the consumption of liquid vegetable oils, from

> slightly less than 2 grams per person per day in 1909 to over 30 in

> 1993—a fifteen fold increase.

>

 

> Dangers of polyunsaturates

> The irony is that these trends have persisted concurrently with

> revelations about the dangers of polyunsaturates. Because

> polyunsaturates are highly subject to rancidity, they increase the

> body's need for vitamin E and other antioxidants. Excess

consumption

> of vegetable oils is especially damaging to the reproductive organs

> and the lungs—both of which are sites for huge increases in cancer

in

> the US. In test animals, diets high in polyunsaturates from

vegetable

> oils inhibit the ability to learn, especially under conditions of

> stress; they are toxic to the liver; they compromise the integrity

of

> the immune system; they depress the mental and physical growth of

> infants; they increase levels of uric acid in the blood; they cause

> abnormal fatty acid profiles in the adipose tissues; they have been

> linked to mental decline and chromosomal damage; they accelerate

> aging. Excess consumption of polyunsaturates is associated with

> increasing rates of cancer, heart disease and weight gain; excess

use

> of commercial vegetable oils interferes with the production of

> prostaglandins leading to an array of complaints ranging from

> autoimmune disease to PMS. Disruption of prostaglandin production

> leads to an increased tendency to form blood clots, and hence

> myocardial infarction, which has reached epidemic levels in

> America.41

>

 

> Vegetable oils are more toxic when heated. One study reported that

> polyunsaturates turn to varnish in the intestines. A study by a

> plastic surgeon found that women who consumed mostly vegetable oils

> had far more wrinkles than those who used traditional animal fats.

A

 

> 1994 study appearing in the Lancet showed that almost three

quarters

> of the fat in artery clogs is unsaturated. The " artery clogging "

fats

> are not animal fats but vegetable oils.42

>

 

> Those who have most actively promoted the use of polyunsaturated

> vegetable oils as part of a Prudent Diet are well aware of their

> dangers. In 1971, William B. Kannel, former director of the

> Framingham study, warned against including too many polyunsaturates

> in the diet. A year earlier, Dr. William Connor of the American

Heart

> Association issued a similar warning, and Frederick Stare reviewed

an

> article which reported that the use of polyunsaturated oils caused

an

> increase in breast tumors. And Kritchevsky, way back in 1969,

> discovered that the use of corn oil caused an increase in

> atherosclerosis.43

>

>

As for the trans fats, produced in vegetable oils when they are

> partially hydrogenated, the results that are now in the literature

> more than justify concerns of early investigators about the

relation

> between trans fats and both heart disease and cancer. The research

> group at the University of Maryland found that trans fatty acids

not

> only alter enzymes that neutralize carcinogens, and increase

enzymes

> that potentiate carcinogens, but also depress milk fat production

in

> nursing mothers and decrease insulin binding.44 In other words,

trans

> fatty acids in the diet interfere with the ability of new mothers

to

> nurse successfully and increase the likelihood of developing

> diabetes. Unpublished work indicates that trans fats contribute to

> osteoporosis. Hanis, a Czechoslovakian researcher, found that trans

> consumption decreased testosterone, caused the production of

abnormal

> sperm and altered gestation.45 Koletzko, a German pediatric

> researcher found that excess trans consumption in pregnant mothers

> predisposed them to low birth weight babies.46 Trans consumption

> interferes with the body's use of omega-3 fatty acids found in fish

> oils, grains and green vegetables, leading to impaired

prostaglandin

> production.47 George Mann confirmed that trans consumption

increases

> the incidence of heart disease.48 In 1995, European researchers

found

> a positive correlation between breast cancer rates and trans

> consumption.49

>

 

> Until the 1995 study, only the disturbing revelations of Dutch

> researchers Mensink and Katan, in 1990, received front page

coverage.

> Mensink and Katan found that margarine consumption increased

coronary

> heart disease risk factors.50 The industry—and the press—responded

by

> promoting tub spreads, which contain reduced amounts of trans

> compared to stick margarine. For the general population, these

trans

> reductions have been more than offset by changes in the types of

fat

> used by the fast food industry. In the early 1980's, Center for

> Science in the Public Interest campaigned against the use of beef

> tallow for frying potatoes. Before that they campaigned against the

> use of tallow for frying chicken and fish. Most fast food concerns

> switched to partially hydrogenated soybean oil for all fried foods.

> Some deep fried foods have been tested at almost 50% trans.51

>

> Epidemiologist Walter Willett at Harvard worked for many years with

> flawed data bases which did not identify trans fats as a dietary

> component. He found a correlation with dietary fat consumption and

> both heart disease and cancer. After his researchers contacted Enig

> about the trans data, they developed a more valid data base that

was

> used in the analysis of the massive Nurses Study. When Willett's

> group separated out the trans component in their analyses, they

were

> able to confirm greater rates of cancer in those consuming

margarine

> and vegetable shortenings—not butter, eggs, cheese and meat.52 The

> correlation of trans fat consumption and cancer was never

published,

> but was reported at the Baltimore Data Bank Conference in 1992.

>

 

> In 1993 Willett's research group at Harvard found that trans

> contributed to heart disease,53 and this study was not ignored, but

> received much fanfare in the press. Willett's first reference in

his

> report was Enig's work on the trans content of common foods.

>

> The industry continues to argue that American trans consumption is

a

> low six to eight grams per person per day, not enough to contribute

> to today's epidemic of chronic disease. Total per capita

consumption

> of margarine and shortening hovers around 40 grams per person per

> day. If these products contain 30% trans (many shortenings contain

> more) then average consumption is about 12 grams per person per

day.

> In reality, consumption figures can be dramatically higher for some

> individuals. A 1989 Washington Post article documented the diet of

a

> teenage girl who ate 12 donuts and 24 cookies over a three day

> period. Total trans worked out to at least 30 grams per day, and

> possibly much more. The fat in the chips that teenagers consume in

> abundance may contain up to 48% trans which translates into 45.6

> grams of trans fat in a small ten-ounce bag of snack chips—which a

> hungry teenager can gobble up in a few minutes. High school sex

> education classes do not teach American teenagers that the altered

> fats in their snack foods may severely compromise their ability to

> have normal sex, conceive, give birth to healthy babies and

> successfully nurse their infants.

>

> Part 4

>

> References

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