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Calorie, Fat Consumption Up Among Statin Users — Physician’s First Watch

Medical News |
April 28, 2014

Calorie, Fat Consumption Up Among Statin Users

By Amy Orciari Herman

Calorie and fat consumption increased significantly from 1999 to 2010 among statin users — but not among nonusers — according to a JAMA Internal Medicine study. The researchers conclude that "the importance of dietary composition may need to be reemphasized for statin users."

The researchers evaluated 24-hour dietary recall data from nearly 28,000 adults participating in U.S. nutrition surveys over the 12-year period. They found that among statin users, caloric intake was 10% greater, and fat intake 14% greater, in 2009-2010 than in 1999-2000. No significant increases were observed among nonusers. In addition, statin users had a greater increase in BMI than nonusers did (1.3 vs. 0.4 units).

The authors speculate that statin use "may have undermined the perceived need to follow dietary recommendations." They add that the aim of statin therapy "should be to allow patients to decrease risks that cannot be decreased without medication, not to empower them to put butter on their steaks."

Reader Comments (5)

Remigio V?liz Pintos

caloric intake and fat intake are not the main cause of increased BM or metabolic síndrome rather it is glicemic load,

PAUL HELMAN North Shore University Health Systems

What particular significance do "calories" either in or out have to the authors?
This primitive view of physiologyhas been well discredited as a profound oversimplification and reflects Their naivite'

ROSS BASCH Physician, Pathology, NYULMC

WHY NOT? Is there any data to indicate that the increased fat consumption led to a difference in outcomes between the groups?

terry curran md Physician, Ophthalmology, private

Amazing to have these authors speculate about what we have known for years. It is os distressing to me to see my friends think a pill gives them pemission to not take care of themselves

RAFI KIRMANI

this is possibly a bit biased study. Those on statin ought to be more cautious rather they indulge in over eating. After all they are intelligent patients. Statin was not a happy choice for them. Certainly some may do overindulgence.
On the contrary some may rather lose weight than others who gained weight. That might have also been observed?

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