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http://www.washingtonpost.com/news/...millions-away-from-whole-milk-was-that-wrong/
For decades, the government steered millions away from whole milk. Was that wrong?
Do you think nutritional science has been particularly prone to politicization or influence from agricultural industry interests or lobbyists? Or was that a one off?
Do you think there are some things now that we believe with a fairly high certainty that will turn out to be not so certain 20 years from now?
For decades, the government steered millions away from whole milk. Was that wrong?
U.S. dietary guidelines have long recommended that people steer clear of whole milk, and for decades, Americans have obeyed. Whole milk sales shrunk. It was banned from school lunch programs. Purchases of low-fat dairy climbed.
Replace whole milk and full-fat milk products with fat-free or low-fat choices, says the Dietary Guidelines for Americans, the federal government's influential advice book, citing the role of dairy fat in heart disease.
Whether this massive shift in eating habits has made anyone healthier is an open question among scientists, however. In fact, research published in recent years indicates that the opposite might be true: millions might have been better off had they stuck with whole milk.
Scientists who tallied diet and health records for several thousand patients over ten years found, for example, that contrary to the government advice, people who consumed more milk fat had lower incidence of heart disease.
After all the decades of research, it is possible that the key lesson on fats is two-fold. Cutting saturated fats from diets, and replacing them with carbohydrates, as is often done, likely will not reduce heart disease risk. But cutting saturated fats and replacing them with unsaturated fats -- the type of fats characteristic of fish, nuts and vegetable oils -- might.
This shift in understanding has led to accusations that the Dietary Guidelines harmed those people who for years avoided fats -- as instructed -- and loaded up excessively on the carbohydrates in foods such as breads, cookies and cakes that were marketed as "low fat."
It also has raised questions about the scientific foundations of the governments diet advice: To what extent did the federal government, and the diet scientists they relied upon, go wrong? When the evidence is incomplete on a dietary question, should the government refrain from making recommendations?
The vibrant certainty of scientists claiming to be authorities on these matters is disturbing, George V. Mann, a biochemist at Vanderbilts medical school wrote in the New England Journal of Medicine.
Ambitious scientists and food companies, he said, had transformed [a] fragile hypothesis into treatment dogma.
Indeed, the subsequent 40 years of science have proven that, if nothing else, the warning against saturated fats was simplistic.
By itself, cutting saturated fats appears to do little to reduce heart disease. Several evidence reviews -- essentially summing up years of research -- have found no link.
There is no significant evidence for concluding that dietary saturated fat is associated with an increased risk of coronary heart disease, said one published in 2010 in the American Journal of Clinical Nutrition.
Current evidence does not clearly support guidelines linking saturated fat and heart disease, according to a review of experiments and observational studies published in the Annals of Internal Medicine.
Saturated fats are not associated with mortality, heart disease, strokes or type 2 diabetes, a major review in the British Medical Journal reported in July.
One of the most noted experiments on fats was the Women's Health Initiative, which involved more than 48,000 older women. Some had counseling to eat less fat and more vegetables and fruits; others continued, more or less, with their normal diets. Subjects in the diet group cut their saturated fat intake from 13 percent of their diet to 10 percent, as well as their consumption of other fats. Their levels of "bad" cholesterol dropped. Yet when it came to heart disease, researchers found no significant difference between the two groups.
To many critics, the trouble with the fat warning was not merely academic.
The campaign to reduce fat in the diet has had some pretty disastrous consequences, Walter Willett, dean of the nutrition department at the Harvard School of Public Health has said. With more fat-free products than ever, Americans got fatter.
One of the flaws of nutrition studies is that they rely on people to accurately recall what theyve eaten over the course of a year. Those recollections are vulnerable to inaccuracy, especially for dairy fats which can be found in small amounts in many different foods. This inaccuracy may be one of the reasons studies have yielded contrary results on the link between milk and heart disease.
To improve estimates, Otto and Mozaffarian used a blood sample for each of more than 2,800 U.S. adults. Using the blood sample, they could detect how much dairy fats each had consumed. And over the eight-year follow up period, those who had consumed the most dairy fat were far less likely to develop heart disease compared to those who had consumed the least.
The advocates of whole milk allow that it has more calories than its low fat cousins, and for some, that might be reason to avoid it. But the traditional case against whole milk -- based on the risk of heart disease -- has frayed enough now that many argue the Dietary Guidelines should yield to the new findings.
There is no scientific basis for current dietary advice regarding dairy, Benatar said. Fears [about whole milk] are not supported by evidence. The message that it is okay to have whole fat food, including whole fat milk, is slowly seeping into consciousness. But there is always a lag between evidence and changes in attitude.
Do you think nutritional science has been particularly prone to politicization or influence from agricultural industry interests or lobbyists? Or was that a one off?
Do you think there are some things now that we believe with a fairly high certainty that will turn out to be not so certain 20 years from now?