Cholesterol and Heart Disease: Why Has There Been So Much Controversy?

Cholesterol and Heart Disease: Why Has There Been So Much Controversy?


Cholesterol and Heart Disease: Why Has There Been So Much Controversy?

Is the role of cholesterol in heart disease settled beyond a reasonable doubt?

The videos I mentioned are:
• How Do We Know That Cholesterol Causes Heart Disease? (https://nutritionfacts.org/video/how-…)
• Optimal Cholesterol Level (https://nutritionfacts.org/video/opti…)
• When Low Risk Means High Risk (https://nutritionfacts.org/video/when…)

I credit the high-tech fighter pilot analogy to Dr. Ted Barnett, for whom I have tremendous respect. Check out his Rochester Lifestyle Medicine Institute (https://rochesterlifestylemedicine.org/), and consider doing one of his jumpstart programs.

What about “fluffy” versus “dense” cholesterol particles? See Does Cholesterol Size Matter? (https://nutritionfacts.org/video/does

Can Cholesterol Get Too Low? (https://nutritionfacts.org/video/can-… Check out the video to learn more.

In the next video, we look at the main dietary source of cholesterol. See Does Dietary Cholesterol (Eggs) Raise Blood Cholesterol? (https://nutritionfacts.org/video/does

New subscribers to our e-newsletter always receive a free gift. Get yours here: https://nutritionfacts.org/subscribe/.

Have a question about this video? Leave it in the comment section at http://nutritionfacts.org/video/chole… and someone on the NutritionFacts.org team will try to answer it.

Want to get a list of links to all the scientific sources used in this video? Click on Sources Cited at https://nutritionfacts.org/video/chol… You’ll also find a transcript and acknowledgements for the video, my blog and speaking tour schedule, and an easy way to search (by translated language even) through our videos spanning more than 2,000 health topics.

Thanks for watching. I hope you’ll join in the evidence-based nutrition revolution!
-Michael Greger, MD FACLM

Captions for this video are available in several languages; you can find yours in the video settings. View important information about our translated resources: https://nutritionfacts.org/translatio

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Content

0.06 -> cholesterol and heart disease why has
2.159 -> there been so much controversy and the
3.959 -> scientific consensus is that lowering
6.12 -> LDL cholesterol reduces heart attacks so
8.88 -> why are we still debating whether
10.2 -> cholesterol containing foods affect
11.88 -> blood cholesterol and how do eggs fit in
14.519 -> we look at those questions in this video
16.98 -> and the next
22.81 -> [Music]
28.5 -> the cholesterol controversy is over in
32.64 -> fact you can argue it was over a century
35.28 -> ago it seemed obvious in 1920. that high
39.18 -> cholesterol levels in the blood
40.26 -> infiltrating your artery walls was the
42.719 -> cause of coronary heart disease the
45.18 -> number one killer of men and women
47.239 -> confirmed as unequivocally as the
49.92 -> Revelation that blood circulated
51.78 -> throughout the body or that the
53.28 -> tuberculosis bacteria causes
55.32 -> tuberculosis
57.059 -> I've reviewed some of that evidence
58.559 -> previously in videos like how do we know
61.32 -> that cholesterol causes heart disease
63.12 -> and optimal cholesterol level
65.7 -> the question is why did it take so long
69.72 -> what is so puzzling is that why we have
72.6 -> to work so hard to sell the message
74.159 -> given what seems to be an unbeatable
76.86 -> amount of Hard Evidence many rejected
79.5 -> the cholesterol heart disease link
81.36 -> because so many patients were dying of
83.759 -> coronary heart disease despite so-called
85.799 -> perfectly normal cholesterol levels
88.439 -> of course as I've detailed before having
91.259 -> normal cholesterol levels in a society
93.54 -> where it's normal to drop dead of a
96.18 -> heart attack isn't exactly saying much
98.36 -> ideally we want to get our total
100.56 -> cholesterol well under 150 since having
103.38 -> high cholesterol levels in your blood is
105.54 -> thought of as the only direct
107.6 -> atherosclerotic risk factor all the
109.92 -> other things smoking high blood pressure
111.659 -> diabetes inactivity obesity just
113.759 -> exacerbate the damage caused by the high
116.82 -> cholesterol
118.02 -> another Factor may be the preoccupation
120.479 -> of cardiologists with all the new fancy
122.28 -> gadgets and procedures out there it's
124.439 -> like we train them to be highly skilled
126.24 -> high-tech fighter pilots to fight a war
128.759 -> but then sent them on some boring
131.16 -> preventive diplomatic mission
133.92 -> but the reasons maybe even more personal
137.52 -> than that
139.02 -> as an editorial in the Journal of the
140.819 -> American Heart Association asked nearly
143.34 -> 50 years ago why do we pretend the cause
147.18 -> of heart disease is mysterious there is
150 -> no mystery as to why the incidence of
152.28 -> heart disease like that of lung disease
154.56 -> and of venereal disease sexually
156.599 -> transmitted disease continues to rise
158.819 -> for many decades after the cause is
161.28 -> established why because human beings
164.3 -> including Physicians are eager for
166.819 -> excuses not to face annoying facts and
170.7 -> so they continue to do things which are
172.739 -> agreeable but hazardous people tend to
175.86 -> reject new ideas even when they don't
178.019 -> impose any change in our way of life and
180.54 -> it's almost impossible for most men to
182.519 -> accept any suggestion and it might be
184.62 -> wise to give up agreeable habits such as
186.959 -> smoking unsafe sex or eating their
189.959 -> favorite foods this continuing challenge
192.78 -> is represented by a senior professor of
195.54 -> medicine who questioned whether an
196.98 -> alteration of diet would really affect
198.959 -> the course of heart disease these
201.06 -> professors know the facts the problem is
203.76 -> that they like so many patients will not
206.04 -> allow themselves to believe the message
207.959 -> eating rich food just means too much to
210.9 -> too many people even when it's our
213.3 -> gravest mortal threat
217.08 -> scientific consensus panels going back
219.36 -> decades established Beyond a reasonable
221.58 -> doubt that lowering LDL cholesterol
223.56 -> reduces the risk of heart attacks
225.739 -> consistent evidence unequivocally
228.54 -> establishes that LDL causes are number
231 -> one killer atherosclerotic
233.099 -> cardiovascular disease and what raises
235.92 -> LDL cholesterol saturated fat where is
239.04 -> cholesterol raising saturated fat found
241.2 -> the number one source is dairy number
243.72 -> two source is chicken then pastries pork
247.14 -> and burgers and it's not just saturated
249.599 -> fat dietary cholesterol has been known
252.18 -> as a dominant factor in the Genesis of
254.519 -> atherosclerosis since 1908 which is why
258.239 -> we should lower our intake of saturated
259.859 -> fats trans fats and dietary cholesterol
262.139 -> as much as possible this is consistent
265.38 -> with how our biology evolved extensive
268.32 -> evidence clearly indicates that a
270.479 -> plant-based diet was the traditional
272.28 -> eating pattern of our distant ancestors
274.62 -> and so dietary cholesterol intakes were
277.02 -> typically very low while at the same
279.18 -> time we were packing in whole plant
280.979 -> foods containing components like fiber
282.96 -> to help us eliminate cholesterol
285.479 -> where is dietary cholesterol coming from
288.72 -> now
290.06 -> overwhelmingly eggs with number two
292.44 -> Source chicken then beef Dairy and pork
295.699 -> so wait a second if the Institute of
298.56 -> medicine recommends that individuals
300.06 -> consume as little dietary cholesterol as
302.82 -> possible
303.919 -> presumably that would mean cutting out
306.12 -> foods like eggs entirely but does eating
309.84 -> cholesterol actually raise your blood
311.699 -> cholesterol
312.84 -> we'll find out
314.759 -> next
316.259 -> thank you

Source: https://www.youtube.com/watch?v=FhAO9MMuQrw