One of the world’s top cardiologists says that many of the major nutrition guidelines have no good basis in science. Yusuf presented evidence that many of the most significant and impactful nutrition recommendations regarding dietary fats, salt, carbohydrates, and even vegetables are not supported by evidence. Yusuf’s talk relied heavily on findings from the PURE study, a large ongoing epidemiological study of , people in 17 countries. Though PURE is an observational study, “its design and extensive data collection are geared toward addressing major questions on causation and development of the underlying determinants of cardiovascular disease. Much of the data presented by Yusuf has not been published yet and should be considered preliminary, he said. In publication of the sodium results stirred considerable controversy. The results from PURE will likely add fuel to the ongoing fiery debate over carbohydrates and fats. Yusuf displayed data showing that the incidence of cardiovascular disease in the PURE population increases as carbohydrate intake as a percentage of total calories rises. We were in for a big surprise.
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