High-Fat Diets Were Associated with Lower 7-Year Mortality

Summary and Comment |
September 7, 2017

High-Fat Diets Were Associated with Lower 7-Year Mortality

  1. Bruce Soloway

Higher fat and lower carbohydrate intake was associated with lower mortality and no change in adverse cardiovascular events in this global study.

  1. Bruce Soloway

Standard dietary advice to restrict total fat and saturated fatty acids (<30% and <10% of total energy, respectively) is based largely on a few observational studies conducted years ago in North America and Europe. However, recent meta-analyses have shown no association, or an inverse relation, between saturated fatty acid intake and total mortality and adverse cardiovascular (CV) events.

Researchers conducted detailed analyses of the diets of more than 135,000 people with a range of income levels in 18 countries on five continents. Participants were sorted into quintiles based on percentage of dietary energy derived from carbohydrates; protein; and total, saturated, monounsaturated, and polyunsaturated fats. Median follow-up was 7.4 years.

After adjustment for education, smoking, physical activity, diabetes, urban versus rural location, total energy intake, and geographic region, higher carbohydrate intake was associated with higher risk for overall mortality and non-CV–related death but was not associated with major adverse CV events assessed individually or as a group. Conversely, higher intakes of total, saturated, monounsaturated, and polyunsaturated fats were associated with lower risk for overall and non-CV–related death and were not associated with adverse CV events (other than an inverse relation between saturated fat intake and stroke).


Data from this large, diverse international cohort does not support current dietary guidelines that recommend restricting total and saturated fats. The findings suggest that people who eat high carbohydrate diets might benefit from substituting fats for some of their carbohydrates.

Editor Disclosures at Time of Publication

  • Disclosures for Bruce Soloway at time of publication Nothing to disclose


Reader Comments (2)

Benjamin Schwartz Physician, Oncology

This illustrates the 'tyranny of facts' imposed by the Left upon the rest of us. THE major theme of socialism/progressivism is the use of 'scientific facts' thru centralized government to ‘guide' the individual in their decision making instead of allowing the individual to make their own decisions in his own best interests which a free society based ’natural law’ supports(I direct you to the teachings of Crony, Dewey, W, Wilson, Rousseau, Marx and Hegel as proof)Despite their ever changing nature, major decisions are made by government and their surrogates in the insurance industry based on the so-called facts. Global warming is one such example. Entire industries and multi-generational jobs have been wiped out based on these so-called facts. Another example is 'evidence-based medicine'. These quarterly changing scientific ‘facts' are actually used to ration healthcare and to decide who gets what kind of treatment and in essence, who lives and who dies. This is the grave immorality of socialism. This is the ‘fatal conceit’ of progressivism. The current study about fat is a perfect example of how so-called facts are ever changing and that it is immoral for a government to impose it’s will upon a once free people based on such potentially vapid information. Look at how Michelle Obama got to decide what we can feed our children based on the ‘fact’ that fats are ‘bad’! Now we are told people live longer with high fat diets??? This is why is absolutely essential that we as physicians protect the individual from the ‘tyranny of facts’ and thus speak out against centralized government/bureaucracy and in particular centralized healthcare!

victor kantariya Physician, Family Medicine/General Practice

Effects of Fat Paradox: More Fat, Less Total Mortality!

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