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> If it is settled science, I would hope you could find and share authoritative evidence that it is. What I’ve seen over the years (and I’m not that old) is tha
by bryans 4y ago
> If it is settled science, I would hope you could find and share authoritative evidence that it is. What I’ve seen over the years (and I’m not that old) is that the mainstream “consensus” changes every 10-15 years
The nature of science is that consensus adjusts to data. But unless something is a very new field of research, there typically aren't major shifts in consensus. The scientific process is more akin to incrementally washing away layers of misunderstanding. Within the context of cholesterol and heart disease, we've been washing for over 100 years[1], and the consensus on that connection has been unwavering since the 1950s.
Research in the late 1950s actually hinted at trans fats being the culprit, but then came the aforementioned period of anti-fat political manipulation, so it wasn't until the early 1990s when new studies built on the 1950s research and solidified scientific consensus. That consensus eventually led to federal policy changes and the banning of trans fats, which has since resulted[2] in an estimated ~4.5% reduction in heart disease mortality and an ~8.9% reduction in stroke mortality.
Since those studies in the 1990s, consensus hasn't changed and is quite simple[3] to understand. LDL greatly increases risk for heart disease and stroke. HDL absorbs LDL on its way to the liver, lowering LDL levels. Trans fats contain only LDL and are thereby inherently harmful and deadly. Saturated fats contain more LDL than HDL, but their ultimate effect on the total HDL ratio and mortality is negligible. Unsaturated fats contain only HDL, making them inherently healthy presuming an appropriate level of consumption.
Those are all facts. There is no current research refuting any of it, meaning we are at a stable point in scientific consensus on the subject.
> I’m with you that some level of fat intake is healthy and that sugar/starch are suspect, but I just think it is dishonest or misleading to say it is “fact” or settled science given the uncertainty and ongoing changing nature of the scientific findings.
Again, you're eliminating the possibility for the concept of factual information to exist. Science is always ongoing, but that doesn't mean we don't have any established consensus.
A very long time ago, the extent of our chemistry knowledge was that water made things wet and we must consume it in order to continue living. These days we understand thousands of concepts related to physics and chemistry, nearly all of which have scientific consensus. But if someone today started adamantly claiming that pure water is acidic, that wouldn't make our current understanding uncertain or any less factual. All it would mean is that someone ignored the established consensus and expressed a personal opinion. It doesn't qualify as science and doesn't have any legitimate bearing on practice or policy.
[1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3108295/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3108295/
[2] https://cadmus.eui.eu/bitstream/handle/1814/31898/MWP_2014_12.pdf?sequence=1 https://cadmus.eui.eu/bitstream/handle/1814/31898/MWP_2014_1...
[3] https://www.hsph.harvard.edu/nutritionsource/what-should-you-eat/fats-and-cholesterol/ https://www.hsph.harvard.edu/nutritionsource/what-should-you...
- n8cpdx 4y agoLink 3 you cited says that saturated fats should be consumed in moderation. You claim: > There's nothing intrinsically wrong with consuming fat, especially saturated fats - they're completely different from carbohydrates and sugars, which you don't want to be consuming large quantities of. The implication, when you say you shouldn’t eat large quantities of sugar+carbs, and that that is totally different from saturated fat, is that you should eat large quantities of saturated fat. That is an opinion. I don’t contest the existence of facts, what I contest is the selective usage of facts to dress up your opinion as a fact. It is your opinion that high quantities of saturated fat are desirable, but most research I’ve seen says that the emphasis should be on Whole Foods and unsaturated fats, with some saturated fat tolerated to achieve that. This is actually supported by the research you cited later on. The underlying science of cholesterol doesn’t seem to be seriously under question, but using that to say high quantities of saturated fat is healthy is fact skips many important steps and cheapens the meaning of “fact”.
- bryans 4y ago> Link 3 you cited says that saturated fats should be consumed in moderation. Nobody ever said that saturated fats should be consumed excessively. That would both fly in the face of logic and isn't true for any nutrient. So you're not actually arguing a point here. > You claim You just quoted a different HN user and claimed it was something I said, then concocted another argument around it. That's beyond ridiculous and you should be ashamed of yourself. > The implication, when you say you shouldn’t eat large quantities of sugar+carbs, and that that is totally different from saturated fat, is that you should eat large quantities of saturated fat. Even though I wasn't the one you quoted and you're arguing with nobody, you're still wrong about this. What you're saying is completely illogical. Saying that you shouldn't do one thing doesn't inherently imply that you should do another. In reality, the original commenter was stating that you shouldn't eat large quantities of sugar and carbohydrates, and that it's not nearly as harmful to consume large quantities of saturated fat. They never stated that you should consume large quantities of saturated fat. > It is your opinion that high quantities of saturated fat are desirable Stop lying. I never said or implied anything about saturated fats being desirable. It's disgusting that you feel so comfortable lying about other people. > but most research I’ve seen says that the emphasis should be on Whole Foods and unsaturated fats, with some saturated fat tolerated to achieve that. That is the entire point of my last comment, so I can only presume you didn't actually read it at all. I literally said "Saturated fats contain more LDL than HDL, but their ultimate effect on the total HDL ratio and mortality is negligible. Unsaturated fats contain only HDL, making them inherently healthy presuming an appropriate level of consumption." I linked the research and then described it to you. Now you're claiming that I said the opposite, and that your research (which you haven't provided) is somehow more correct. Do you not realize that we're on a forum where all of the previous commentary is public? It's clearly visible that I've said absolutely none of the things you just claimed.