Jack comments on Critiquing Gary Taubes, Part 4: What Causes Obesity? - Less Wrong

7 Post author: ChrisHallquist 31 December 2013 10:04PM

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Comment author: Jack 01 January 2014 09:43:35PM 6 points [-]

The CDC diet and nutrition website at this very moment says:

Diets high in saturated fat have been linked to chronic disease, specifically, coronary heart disease. The Dietary Guidelines for Americans 2010 recommend consuming less than 10% of daily calories as saturated fat.

Comment author: private_messaging 02 January 2014 12:09:22AM *  5 points [-]

To provide the context for those unfamiliar with Taubes' views on the polyunsaturated and saturated fats:

In the Epilogue to Good Calories, Bad Calories on page 454, Taubes notes ten "inescapable" conclusions, the first of which is:[12]

Dietary fat, whether saturated or not, is not a cause of obesity, heart disease, or any other chronic disease of civilization.

(Since most dietary fats are a mix of saturated and polyunsaturated fats, the layman accessible advice would be to cut down on fats, and on the other side, Taubes has to proclaim both to be ok).

Comment author: Eliezer_Yudkowsky 01 January 2014 09:53:20PM 2 points [-]

Keeping in mind that 'saturated fat' is not fat with extra fat, it is the fat which doesn't have chemically unstable double-carbon bonds. I wonder how much of this idiocy is just because of 'saturated fat' sounding like fat with extra fat in it, and 'polyunsaturated fat' not being called 'poly-unstable reactive fat'.

Comment author: ChrisHallquist 02 January 2014 09:09:37AM *  5 points [-]

I wonder how much of this idiocy is just because of 'saturated fat' sounding like fat with extra fat in it, and 'polyunsaturated fat' not being called 'poly-unstable reactive fat'.

That you would say this tells me your picture of how mainstream science works is even more distorted than I realized.

Studies have linked saturated fat to cholesterol levels and through cholesterol levels to heart disease. You said in the other thread that your nutritionist recommended you eat less saturated fat as a weight loss thing, which is wrong, because the real issue is cholesterol. But you shouldn't be dismissing worries about saturated fat as "idiocy."

Now, recently there have also been studies finding no link between saturated fat and heart disease. I haven't looked into the issue closely enough to tell what's going on, but it's possible nutrition science is in the process of realizing they made a mistake about saturated fat. Or maybe the experts have reasons I don't know about for discounting those studies, I'm not sure, which is why I've left the issue alone.

Comment author: brazil84 02 January 2014 01:38:54PM 2 points [-]

Studies have linked saturated fat to cholesterol levels and through cholesterol levels to heart disease. You said in the other thread that your nutritionist recommended you eat less saturated fat as a weight loss thing, which is wrong, because the real issue is cholesterol. But you shouldn't be dismissing worries about saturated fat as "idiocy."

Yes, I agree that one needs to draw a distinction between nutritionism for weight loss and nutritionism for other health-related objectives. As far as I know, there is good scientific evidence backing up the latter.

That's why I asked Eliezer before what his doctor was hoping to accomplish by advising him to cut down on saturated fat. According to Eliezer, the doctor was indeed aiming for weight loss. Apparently the doctor in question is an endocrinologist. I would be curious to know what an obesity specialist would say.

Comment author: Randy_M 02 January 2014 02:54:32PM 0 points [-]

The diet--heart attack link is debated as well, of course: http://en.wikipedia.org/wiki/The_International_Network_of_Cholesterol_Skeptics

Comment author: brazil84 02 January 2014 03:11:45PM 1 point [-]

The diet--heart attack link is debated as well, of course: http://en.wikipedia.org/wiki/The_International_Network_of_Cholesterol_Skeptics

Of course -- I am not surprised at all. But I still stand by my claim that there is good scientific evidence backing up nutritionism for health-related objectives other than weight loss.

Comment author: Randy_M 02 January 2014 05:09:15PM 0 points [-]

Can you cite the one or two most convincing studies that saturated fat is a principle cause of heart disease? I have seen a lot from the other side and would like to get a fuller picture.

Comment author: brazil84 02 January 2014 05:30:57PM 1 point [-]

Can you cite the one or two most convincing studies that saturated fat is a principle cause of heart disease?

No, I can't -- not without researching it.

My claim is that there is good scientific evidence backing up nutritionism for health-related objectives other than weight loss. If you represent to me that you are seriously skeptical of this claim I will try to find some supporting evidence.

Comment author: Randy_M 02 January 2014 06:14:09PM 1 point [-]

My skepticism at the moment is only about (quoting Chris from above) "Studies have linked saturated fat to cholesterol levels and through cholesterol levels to heart disease." (Well, and a bit with regards to cancer) I have seen such studies analyzed with alternative explanation convincingly by, for example, Uwe Ravnskov, Malcom Kendrick, Chris Masterjohn or Denise Minger, and wonder if there is more convincing evidence they atre excluding.

Nutrionism (meaning mainstream health science?) and health are of course much more broadly defined and not doubt contain many factual statements, for example on how to prevent scurvy, that don't necessarily protect the entire field from the possibility of error.

Comment author: brazil84 02 January 2014 07:12:53PM 1 point [-]

Nutrionism (meaning mainstream health science?)

Nutritionism is basically the idea that specific components of food potentially make them healthy or unhealthy.

So assuming for the sake of argument that saturated fat is unhealthy, nutritionism would hold that it's a good idea to substitute canola oil for corn oil.

I have seen such studies analyzed with alternative explanation convincingly by, for example, Uwe Ravnskov, Malcom Kendrick, Chris Masterjohn or Denise Minger, and wonder if there is more convincing evidence they atre excluding

That's an interesting question, but not one I've ever given much specific thought to.

Comment author: EHeller 06 January 2014 05:09:05AM 0 points [-]

The fact that people with genetic hypercholesterolemia tend to ( as the cholesterol link would indicate) die of heart attacks fairly young is at least one strike against this view.

Comment author: Randy_M 06 January 2014 08:29:37PM 0 points [-]

This is usually an acknowledged exception; whether the rationale for it to be an exception rather than counter evidence holds, I don't recall.

Comment author: Jack 06 January 2014 09:39:37AM *  3 points [-]

That you would say this tells me that your picture of how mainstream science works and the merits of Taubes' critique is even more distorted than I realized.

That was fun, but seriously. I posted it precisely because the nonsense about sat fat causing heart disease is one of Taubes biggest cudgels against nutrition science and it's something many experts are now admitting the medical establishment has been wrong about for decades. I'm confused how you came to a conclusion about Taubes without looking into it. It's probably what he deserves the most credit for.

E.g. Stephan Guyenet, whose arguments against Taubes account of carbs and insulin causing weight gain you posted earlier, thinks that no unbiased person who is familiar with the literature can believe there is a causal link between sat fat and cholesterol and heart disease.

Comment author: ChrisHallquist 06 January 2014 06:11:05PM 0 points [-]

It's possible Taubes is right about saturated fat, but he's sufficiently unreliable on other issues that I wouldn't trust a word he says about saturated fat.

And yes, this matters, because prior to this series Taubes was who everyone was citing for the "look how horribly wrong mainstream nutrition science is" claim.

Comment author: Jack 07 January 2014 06:50:43AM 0 points [-]

FYI, I'm going to keep citing him.

Comment author: Eugine_Nier 02 January 2014 11:12:18PM -1 points [-]

Studies have linked saturated fat to cholesterol levels and through cholesterol levels to heart disease.

Correlation is not transitive, i.e., X being linked to Y and Y being linked to Z does not necessarily imply X linked to Z. Unfortunately, biologists and health scientists make this kind of mistake all the time.

I haven't looked into the issue closely enough to tell what's going on, but it's possible nutrition science is in the process of realizing they made a mistake about saturated fat.

Weren't you trying to argue that mainstream science doesn't make mistakes?

Comment author: private_messaging 03 January 2014 01:11:46AM 0 points [-]

that your nutritionist recommended you eat less saturated fat as a weight loss thing, which is wrong

One can also cut on fats to lose weight, if one doesn't proceed to eat more carbs and over-compensate in the end.

Normally, when someone is having trouble losing weight, they don't realise how many calories they consume, and errors with fat are the largest in terms of calories. When volition or judgement are impaired, that's when things get very messy and cutting down on fat may or may not result in eating more.