Comments on: The medical director of the British Heart Foundation does not want to engage with the troubling science on sterols https://www.drbriffa.com/the-medical-director-of-the-british-heart-foundation-does-not-want-to-engage-with-the-troubling-science-on-sterols/ A health-focused blog that makes sense of science, and offers accurate, trustworthy and practical advice about all aspects of healthy living. Mon, 30 Dec 2013 13:38:58 +0000 hourly 1 https://wordpress.org/?v=6.2.11 By: British Heart Foundation’s medical director supports use of statins with data that doesn’t support the use of statins | Dr Briffa's Blog - A Good Look at Good Health https://www.drbriffa.com/the-medical-director-of-the-british-heart-foundation-does-not-want-to-engage-with-the-troubling-science-on-sterols/#comment-201218 Mon, 30 Dec 2013 13:38:58 +0000 http://www.drbriffa.com/?p=5874#comment-201218 […] However, this piece in the Times also quoted sources from charities that are wholehearted supporters of statins. One source is Professor Peter Weissberg, the medical director of the British Heart Foundation (BHF). Back in August, I had a personal exchange with Professor Weissberg, when asked him to validate the BHF’s support of the use of sterol-enriched foods in the diet. I pointed out that not only was there no evidence of any health benefits for such foods, there was also considerable evidence that sterols might have adverse affects on health and wellbeing. It didn’t take long for Professor Weissberg to disengage from the subject, and you can decide for yourself whether this man’s medical opinion is trustworthy by reading the exchange I had with him here. […]

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By: Richard https://www.drbriffa.com/the-medical-director-of-the-british-heart-foundation-does-not-want-to-engage-with-the-troubling-science-on-sterols/#comment-198887 Thu, 05 Sep 2013 13:54:44 +0000 http://www.drbriffa.com/?p=5874#comment-198887 Way to go Dr Briffa, another great example of the rubbish the general public are being fed ;-). Unilever’s reach is far and wide, they must be feeling the pressure and drop in sales!

keep up the good fight,

Richard

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By: Greengoddess https://www.drbriffa.com/the-medical-director-of-the-british-heart-foundation-does-not-want-to-engage-with-the-troubling-science-on-sterols/#comment-198708 Fri, 23 Aug 2013 15:56:02 +0000 http://www.drbriffa.com/?p=5874#comment-198708 British Heart Foundation, on their website nutrition section, also provide a helpful (!) link to the British Nutrition Foundation whose founding partners include – Tate and Lyle, Walkers Crisps, Kelloggs, Coco cola and ABF foods, who boast they are the world’s second larger sugar producer http://www.abf.co.uk/. The delight they experience in this market is pictured on the front of their 2012 interim report.

In this context one can easily see why the BHF dietary advice is to fill up on carbs. Their entire section on healthy eating is contrary to the evidence on weight loss and CVD prevention.

Sadly, the great British diet and general attitude to taking little responsibility for ones health is underwritten and promoted by the producers and endorsers of toxic junk……and I have little optimism that this will change.

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By: Christopher Palmer https://www.drbriffa.com/the-medical-director-of-the-british-heart-foundation-does-not-want-to-engage-with-the-troubling-science-on-sterols/#comment-198661 Wed, 21 Aug 2013 19:50:25 +0000 http://www.drbriffa.com/?p=5874#comment-198661 “Makes sense since cholesterol is the preferred sterol when building RBCs”

How right you are, and isn’t it all too easily overlooked that cholesterol is itself a sterol, but it is evidently a sterol with a distinction and a distinguished place in biology, generally embraced by the biology and physiology of the ‘fleshy’ species, while the photosynthesising and ‘leafy’ species residing in the lower echelons of the food chain have little need of cholesterol and make do with less sophisticated plant sterols.

Cholesterol is the primary foundation molecule from which the steriodal hormones are formed, and the sex hormones of mammals and ‘us’ all belong to the class of steriodal hormones. so the distinction between run of the mill plant serols and cholesterol could be a component of any explanation as to why mammals, perhaps, have more interesting – certainly more ‘satisfying’ – sex lives than your average cabbage.

Our relationship with cholesterol is almost certainly one we ought to class as adaptive, which is why dietary cholesterol can be passed from guts to body. The fact that our guts tend to reject plant sterols and stanols to have them passed out with stools suggests that the relationship with plant serols and stanols is maladaptive.

The makers of these so-called functional foods with added stanols and sterols claim they work becuase some of the dietary cholesterol that would other wise be absorbed is rejected and passed out with the stools in asscoiation with sterols or stanols. The claims are that plant sterols and stanols tend to block the absorbtion of cholesterol. The discriminating aspect of this gives the clue to the lie.

The guts discriminate because we do not have an especially adaptive relationship with plant sterols or stanols, but we have such an adaptive and agreeable relationship with cholesterol that we can sythesize all the cholesterol we need even if there is none present in the diet. The greater majority o cells can synthesise cholesterol, although the cells of the liver are deeply involved in the synthesisng, cycling, and recycling of cholesterol.

The structural integrity and stability of cell memebranes matters, for one they are strikingly comprised of lipophiles (fats) which helps to contain an otherwise predominantly hydrophilic environement within. Second memebranes muist be flexible and semi-permeable sotheat they can permit passage of the things (metabolites etc) that should pass through the membrane, while denying passsage to the things that should not. The degree of permeability is a balance of homestatsis in one sense and dynamic in another, and it is crucial to well-being and orderly function. If any lipids or lipophillic types undermine this integrity and stability resident in the membrane(s) the security of the cell(s) is(are) placed under significant risk and threat.

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By: Ed Terry https://www.drbriffa.com/the-medical-director-of-the-british-heart-foundation-does-not-want-to-engage-with-the-troubling-science-on-sterols/#comment-198629 Sun, 18 Aug 2013 14:51:22 +0000 http://www.drbriffa.com/?p=5874#comment-198629 Another interesting article in Lipids, Vol. 35, no.3 (2000), “Influence of Sources of Dietary Oils on the Life Span of Stroke-Prone Spontaneously Hypertensive Rats” looked at the effects of the life span using varying dietary fats.

At the end of the Abstract, it states that “These results suggest that the fatty acid profile of vegetable oils plays no important role on the life span of SHRSP rat. However, phytosterols
in the dietary oils and in liver and brain were inversely correlated with the mean survival times,indicating that the differential effects of vegetable oils might be ascribed, at least
partly, to their different phytosterol contents.

The phytosterols seems to affect the red blood cell membrane stability. Makes sense since cholesterol is the preferred sterol when building RBCs.

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By: Bronwen https://www.drbriffa.com/the-medical-director-of-the-british-heart-foundation-does-not-want-to-engage-with-the-troubling-science-on-sterols/#comment-198602 Fri, 16 Aug 2013 18:59:15 +0000 http://www.drbriffa.com/?p=5874#comment-198602 Cows fed on grass produce milk containing healthy trans-fats, including CLA. (Personally, I am entirely devoted to Irish butter, no doubt stuffed with trans-fats of the superior sort).
Now here is the kicker …………. human breast milk, which contains a higher proportion of fat than does cow’s milk, also contains trans fats of the superior sort. But human breast milk does not contain sterols, nor does it contain hydrogenated anythings.
Butter is good and breast is best.

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By: dave P https://www.drbriffa.com/the-medical-director-of-the-british-heart-foundation-does-not-want-to-engage-with-the-troubling-science-on-sterols/#comment-198564 Mon, 12 Aug 2013 18:57:11 +0000 http://www.drbriffa.com/?p=5874#comment-198564 Well Dr Briffa according to todays Express it would seem you have some justification – Well Done !

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By: Robert Park https://www.drbriffa.com/the-medical-director-of-the-british-heart-foundation-does-not-want-to-engage-with-the-troubling-science-on-sterols/#comment-198563 Mon, 12 Aug 2013 11:02:25 +0000 http://www.drbriffa.com/?p=5874#comment-198563 The mention of plant sterols reminded me that Dr Terry Wahls cured herself of MS through diet that contained large amounts of vegetables, especially the dark green variety. I attempted to follow her recommendations but could not consume anything close to the amount she was taking and, oddly, began to suffer from unusual and unpleasant bowel movements. I soon abandoned her recommended diet but it took weeks to recover from this adverse-like side effect. This may not have any connection to plant sterols but I am certain that we humans are not intended to eat like rabbits.

See: http://www.youtube.com/watch?v=KLjgBLwH3Wc

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By: Gregory Barton https://www.drbriffa.com/the-medical-director-of-the-british-heart-foundation-does-not-want-to-engage-with-the-troubling-science-on-sterols/#comment-198556 Sun, 11 Aug 2013 11:26:17 +0000 http://www.drbriffa.com/?p=5874#comment-198556 Dr B. Thank you for exposing this epic scandal.

At first I couldn’t believe that the BHF was recommending a potentially dangerous product. Nor could I believe that they are in cahoots with Unilever. However, a little googling revealed that your claims are, indeed, correct.

“In combination with a balanced diet, eating foods that provide you with 2-2.5g of plant sterols or stanols every day can have an additional cholesterol-lowering benefit.”
http://www.bhf.org.uk/heart-matters-online/march-april-2013/medical/ask-the-experts/stanols-and-sterols.aspx

and,

“The good news is that we’ve teamed up with Flora pro.activ to raise awareness of heart disease amongst women and get more women thinking about how they can help reduce their risk with simple lifestyle changes such as lowering cholesterol through diet.

As part of our partnership Flora pro.activ will donate £750,000 over the next three years in support of our life-saving work.”
http://www.bhf.org.uk/get-involved/how-your-company-can-help/flora-proactiv.aspx

The BHF needs to be sued.

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By: John Mason https://www.drbriffa.com/the-medical-director-of-the-british-heart-foundation-does-not-want-to-engage-with-the-troubling-science-on-sterols/#comment-198555 Sun, 11 Aug 2013 10:46:14 +0000 http://www.drbriffa.com/?p=5874#comment-198555 Its difficult to get a man to understand something when his salary depends upon his not understanding it.

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By: Christopher Palmer https://www.drbriffa.com/the-medical-director-of-the-british-heart-foundation-does-not-want-to-engage-with-the-troubling-science-on-sterols/#comment-198554 Sun, 11 Aug 2013 09:10:24 +0000 http://www.drbriffa.com/?p=5874#comment-198554 Historically the medical profession have preceived women to have a reduced risk of heart disease when compared to men, and the differences may arise because the hormonal distinctions may be a benefit to females.

Janet Mitchell may be correct about them targetting the fairer sex who may do most of the shopping and who may make the decisions about what goes in the cart, but I think women now represent a maleable market for the vendors to traget. Their minds have been massaged for around two decades now, by print media that delights in dishing out nonsensical advice.

From a commercial perspective the makers of this cr4p see the market for males as being mature, whereas the market for women is less mature and has greater scope for development.

The BHF and Peter Weissberg have now overlooked former medical perceptions about women and the reduced risk of heart disease, and they have done so in their enthusaims for talking up the market for ‘prevention’, be that for cholesterol lowering pharmacuticals or cholesterol reducing functional foods.

I’ll make a prediction. If women heed this advice in increasing numbers and become more cholesterol aware then the outcomes will be increased incidence of cancers, multiple sclerosis, Alzheimers, and other conditions in females. The other health ‘charities’ stand to gain from this too.

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By: William L. Wilson, M.D. https://www.drbriffa.com/the-medical-director-of-the-british-heart-foundation-does-not-want-to-engage-with-the-troubling-science-on-sterols/#comment-198553 Sun, 11 Aug 2013 01:21:03 +0000 http://www.drbriffa.com/?p=5874#comment-198553 Jennifer:

Go for it. You are the future.

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By: steve https://www.drbriffa.com/the-medical-director-of-the-british-heart-foundation-does-not-want-to-engage-with-the-troubling-science-on-sterols/#comment-198552 Sat, 10 Aug 2013 21:39:21 +0000 http://www.drbriffa.com/?p=5874#comment-198552 Plant sterols are absorbed, but do not in meaningful amounts unless one is a hyper-absorber or suffers with sitosterolemia stanols are not. Stanols can be helpful in getting to LDL-P goal which appears to be more meaningful in CAD risk than LDL-C

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By: Dr McD https://www.drbriffa.com/the-medical-director-of-the-british-heart-foundation-does-not-want-to-engage-with-the-troubling-science-on-sterols/#comment-198549 Sat, 10 Aug 2013 09:26:29 +0000 http://www.drbriffa.com/?p=5874#comment-198549 I am dismayed by Peter Weissberg’s lazy and dismissive reply to your well researched arguments and his premature attempt to close any debate. As a fellow academic, I consider his level of response to be inadequate and that he needs to be prepared to engage in scientific debate. Reading his CV I see that his Chair (professorship) has been sponsored by BHF since 1994 and, to quote him, the BHF has ” supported me through most of my career”.
Could he perhaps be unwilling to bite the hand that feeds him?

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By: Ted Hutchinson https://www.drbriffa.com/the-medical-director-of-the-british-heart-foundation-does-not-want-to-engage-with-the-troubling-science-on-sterols/#comment-198548 Sat, 10 Aug 2013 08:42:35 +0000 http://www.drbriffa.com/?p=5874#comment-198548 Perhaps the reluctance to fund longer term trials of plant stanols can be found here?l
Plant stanols induce intestinal tumor formation by up-regulating Wnt and EGFR signaling in Apc Min mice.

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