You have asked a very interesting question. There is a lot of evidence that small-particle ldl is more dangerous that large-particle ldl from what I've read and what my Interventional Cardiologists reports. I had a very specific blood test about five years ago when my CAD was very aggressive, and I had a high percentage of small-particle ldl detected. It is NOT a normal lab test, and is expensive.
I'm not a health professional, but from personal experience I found by eating a very controlled low cholesterol diet with daily exercise by itself lowered my cholesterol about 1/3. In my case, that meant my ldls were still over 200 and my CAD was still problematic, I was still having stents, etc. I added a statin, which dropped my ldl cholesterol to normal levels, but I don't know of a diet that targets just small-particle ldl.
Regarding the post that suggests you eat like it's 1899... I'm really old. Show me the low fat cows, chickens, hogs and wild game like we used to eat, and I'll consider that advice. There is a huge difference in fat content in pre-WW II critters and post-WW II. Also, meat, eggs, and butter were considered luxury items, added into meals with whole grains and vegetables. I still have the family ration stamps to prove how butter, eggs, beef and chickens were luxury items.
Carbohydrates increase small, dense LDL and triglycerides, and decrease HDL. Saturated fats decreases small, dense LDL and triglycerides, and increases HDL.
The Swedish National Board of Health and Welfare concluded, after a two year investigation, that a low-carb diet is "in accordance with science and well-tried experience for reducing obesity and type 2 diabetes." The Low Carb High Fat (LCHF) diet is a major success in Sweden and Norway.
I like this article - Lard: The Truth You Need...
"In 1956, an American Heart Association (AHA) fund-raiser aired on all three major networks. The MC interviewed, among others, Irving Page and Jeremiah Stamler of the AHA, and researcher Ancel Keys. Panelists presented the lipid hypothesis as the cause of the heart disease epidemic and launched the Prudent Diet, one in which corn oil, margarine, chicken and cold cereal replaced butter, lard, beef and eggs.
But the television campaign was not an unqualified success because one of the panelists, Dr. Dudley White, disputed his colleagues at the AHA. Dr. White noted that heart disease in the form of myocardial infarction was nonexistent in 1900 when egg consumption was three times what it was in 1956 and when corn oil was unavailable.
When pressed to support the Prudent Diet, Dr. White replied: "See here, I began my practice as a cardiologist in 1921 and I never saw an MI patent until 1928. Back in the MI free days before 1920, the fats were butter and lard and I think that we would all benefit from the kind of diet that we had at a time when no one had ever heard the word corn oil."
Actually the comment that MI was non-existent in 1900 is another very misleading comment. The truth is that until the mid 1950's there were no standards for reporting cause of death and in fact most people who died of heart disease showed natural causes as the cause of death. Also, until 1930 not all states were even reporting a cause of death and in those that were it was by county with only a few reporting a cause of death. We did not start seeing accurate and dependable cause of death info until well into the late 60s and early 70s which is why there is so much confusion about heart disease rates now compared to the past. The data is not apples to apples and is not even considered reliable.
Well the data is quite clear now which still fits in with what Dr White said all those years ago. The European countries show the more saturated fat you eat, the lower the rates of heart disease. The scientific community call this a paradox.
"By denying scientific principles one may maintain any paradox" - Galileo.
Clearly Red_Star has gotten hold of some books or websites, wherein she now has the cure for heart disease.
Her fix, eat more bacon, eggs, butter, steaks, lard, and everything else that you would normally be advised to avoid.
Of course, when you wake up in the ER with stents being inserted into your coronary arteries, she'll have some reason why it didn't work in your case.
She'll probably say that you should have removed the outer layer of bread on those corndogs you ate every day for lunch. The hotdog center, just fine, but not the cooked batter.
Next time wrap that corn-dog in bacon instead of batter.
I absolutely agree with you. Reality therapy is really strong, being rolled into a cold room for stents is indeed a wake-up call that maybe all those burgers with bacon and cheese, pot roasts, fondues, etc. weren't a good idea. That concept also was strong in my mind when I had bypass surgery as well. It would be interesting to get her take on smoking...
There is no question that trans-fats and fructose are really bad additions to the diet in my non-professional opinion, but it's a common sense thing that if someone has partially occluded arteries, they will plug more quickly with large particulate. I was in the heating and plumbing business, and I know for a fact that when pipes are already dirty, anything rolling down the tubes will more quickly plug up. Our heart arteries are the same. As we get back to the original excellent question about controlling small-particulate ldls, exercise is the best generator of HDL's which herd the ldl's to the liver. Diets free of trans-fats, fructose and high animal fats help, as do statins.
Thanks for an excellent, common-sense post, hope you continue to contribute.
I won't be following the"healthy" high carbohydrate limited saturated fat diet. Smoking was "healthy" and trans fat was "healthy" once upon a time. All that "healthy" advice puts you in the ER with stents in your coronary arteries.
Replace saturated fat with a higher carbohydrate intake, and you exacerbate insulin resistance and obesity, increase triglycerides and small LDL particles, and reduce beneficial HDL cholesterol. The advice of a high carb, low fat diet is causing obesity, diabetes, and heart disease.
The good news is the word is getting out that fat is good for you. Dr. Annika Dahlqvist lost 20 kg (44 pounds) and got rid of her fibromyalgia and IBS on the low carb, high fat (LCHF) diet. She tried the LCHF diet on her patients with fantastic results and blogged about the LCHF lifestyle to spread the message.
In 2005, two dietitians reported her to the Swedish National Board of Health and Welfare. Dr Dahlqvist was vindicated by the Swedish National Board of Health and Welfare on January 16, 2008 when that government-led institution concluded that a low-carb diet is "in accordance with science and well-tried experience for reducing obesity and type 2 diabetes."
The LCHF diet popularity skyrocketed in Sweden and is now spreading to Norway and Finland. Like Sweden, Norway and Finland are now experiencing shortages of real butter. And people all around the world are trying this diet out for themselves. The proof is in the pudding. That delicious saturated fat pudding of course. :)
Random online comments about the LCHF diet...
"In the first 8 months I cut carbs way back and increased fat and fatty meat my cholesterol and triglycerides dropped 30%, no longer high, and my blood sugar came down from pre-diabetic to well inside the normal range."
"By advice of Army Diabetic Docs, I did 4 weeks of 135 carbs or less but no change in fat content (very little). Then (literally) within one day of LCHF eating, my blood sugar readings went down to between 85-99."
"My HDL pre-LCHF? 52. After? 65 (higher HDL is good!) Triglycerides went from 105 to 54 (lower is better)."
"This is quickly becoming Fact and Truth in Sweden. Anyone being negative only have to try it out themselves to know what's what. Your body responds in wonderful ways. If you, like me, are addicted to the sugar in low-fat food, you have a revelation in front of you."
"Really exciting stuff. I've been on LCHF for quite some time now, and it works really great for me. I've lost more than 50 pounds using this lifestyle change."
"I actually have ate this way for over 5 years, going on 8 years now. And in that length of time, I lost over 90 lbs. I am no longer diabetic and all of my blood work especially lipid profiles such as cholesterol have been shown normal for years since I started... Before I started my cholesterol was horrible on my old low fat diets. Guys don't dismiss this. I basically had to unlearn everything I believed in (lowfat) and do exactly the opposite to be healthier."
"Seriously, only four days on it and I actually dont think of candies and sweets anymore, Im feeling more energizen and full... like, thats a miracle for me... Im not changing it... EVER!"
"the best thing is that my kids are really embracing this way of eating and I've already notice a huge difference in my 9yr olds power of concentration and energy"
"I actually advise people to shop around the perimeter of the store. Work your way around the edges...hit the bacon, sausage, and cheese, then onto the butter, eggs, and cheese...next the beef, chicken, and fish, and finally the produce. If it comes in a can, a bag, or a box, you probably don't need it. :-)"
"LCHF will be the diet and lifestyle for 2012 and beyond. Grain and low fat food producers should be very worried."
"Wow, that was great! Invert the food pyramid and you get LCHF :D"
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.