Abd comments on Firewalling the Optimal from the Rational - Less Wrong
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Okay, read Taubes' article in the New York Times, "What if it's all been a big fat lie?". That's ten years old, there has been research published since then, but nothing to change the basic conclusions.
I suggest reading it before the rest here!
The organizations are not "scientific." They are largely political creatures, and how they are funded can be an issue. If cholesterol is not the problem, what happens to the statin drug market? But I don't know that recommendations are driven by funding.
Taubes is a thorough science writer, a skeptic, and it is indeed science that he's interested in. He is not selling a diet.
Taubes covers the history of diet recommendations in the U.S. It's shocking.
Something brief: In 1957, the American Heart Association opposed Ansel Keys (the author of the epidemiological study that got the whole fat=bad thing going), with a 15-page report, saying there was no evidence for the fat/heart disease hypothesis. Less than four years later, a 2-page report from the AHA totally reversed that, and, according to Taubes, that report included a half-page of "recent scientific references on dietary fat and atherosclerosis," many of which contradicted the conclusions of the report, which recommended reducing the risk of heart disease by reducing dietary fat..
What happened? Did the science change that quickly? Read Taubes! (i.e, read the book, "Good Calories, Bad Calories." Taubes also has a recent book, less technical, more popular, I think, but I haven't read it.)
I could point to studies; the Atkins diet in particular has been studied independently, and it improves cardiac risk factors, it does not make them worse. Yet it's a high-fat diet. So what is the risk?
Yes. I'm arguing against a commonly-recommended diet. I'm suggesting that relying on these agencies and their recommendations, without understanding the science, is very dangerous.
Taube had written a book about salt, and when he was doing the research, he noticed nutritional "expert" after "expert" who had no clue how science works, who used extremely poor reasoning, conclusion-driven. And he noticed the same when he started working on fat.
When I started reading in the field, out of personal necessity, I could see it myself, really poor "science" being commonly asserted as if it were simple fact.
Such as "a calorie is a calorie." I.e., it's said there is no difference between fat calories and carb calories, and the claim of Atkins that fat had a "metabolic advantage" was allegedly preposterous, this would supposedly violate the laws of thermodynamics.
However:
various foods take different amounts of energy to metabolize, and some calories are excreted.
food calories are not thermodynamic calories, and this is not merely the "kilocalorie" thing, they are modified according to metabolic factors estimated from studies that were done about a century ago, and that may not be accurate under various dietary conditions.
carb metabolism (burning glucose) runs the body in a different way, and has behavioral effects, compared to fat metabolism. Appetite shifts (fat suppresses appetite, generally).
There never was good evidence that saturated fats increased cardiovascular risk, that was speculation from the highly flawed Keys study. It was thought "well, to really know will take very expensive trials, we can't do that, so why not reduce fat? It can't hurt!"
But it could and probably did hurt. Lower fat in the diet, you almost certainly raise carbs, and quite possibly increase obesity, diabetes, heart disease, and there is an effect on cancer, apparently.
Bottom line, the officially-recommended diets have very little science behind them.
This really is not the place to debate the issue. Read the literature! Taubes is an excellent door into it, the book GCBC is about a fourth footnotes.
Or look at the Wikipedia article Saturated fat and cardiovascular disease controversy, (Do not trust Wikipedia articles to be neutral. They frequently are not. Use them to find other sources.)
It's tempting to sit back and trust the official organizations. It's a lot of work to actually read the evidence. However, is this important?
I thought it was, like, my life depends on it.
The AHA is a $600 million/year organization. If fat/heart disease hypothesis is as wrong as it appears to be, they may have cost Americans, in damage to health, a great deal more than that. Now, consider what we know about human organizations. When they get it spectacularly wrong, but before there is absolute proof, do they back up easily?
No. Their business is to be the experts, remember that $600 million per year.
For some of the other side, see a review of Taube's latest book, "Why We Get Fat".
The author is Harriet Hall, supposedly a skeptic, but what I can see in the review is a set of assumptions that are, for her, unchallenged. Small example: salt. A few people with high blood pressure may benefit from salt reduction. Most people don't. Some people may be harmed.
Taubes again in the New York Times, Salt, We Misjudged You.
The summary:
This attitude that studies that go against prevailing beliefs should be ignored on the basis that, well, they go against prevailing beliefs, has been the norm for the anti-salt campaign for decades. Maybe now the prevailing beliefs should be changed. The British scientist and educator Thomas Huxley, known as Darwin’s bulldog for his advocacy of evolution, may have put it best back in 1860. “My business,” he wrote, “is to teach my aspirations to conform themselves to fact, not to try and make facts harmonize with my aspirations.”
What Taubes encounters:
Gary Taubes is a Blowhard
Center for Science in the Public Interest
These critics have in common that they misrepresent Taubes. He's raising possibilities, not claiming proof.
However, what Taubes points to is the possibility that what they have been advocating for decades might be harming people. This is unthinkable.
He must be wrong, so they will find every flaw, real or imagined, ignoring the central problem, that sound research has never done more than imply possible harm, and that at best reduced salt, for normal people, may have a tiny effect on longevity, and, in the other direction, may have serious consequences, increasing mortality.
People whose entire livelihoods, long-term, depend on the "consensus" that they created and pushed, often against the evidence, often against strong scientific opposition, with retaliation against those with contrary opinions, then imply that Taubes is making it up to make money.
When an old pot calls the new kettle black, we may need to stand back and develop some perspective.