- Nov 18, 2018
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Global Correlates of Cardiovascular Risk: A Comparison of 158 Countries.
The study is from 2018, but I discovered it today.
The aim of this study was a large-scale ecological analysis of nutritional and other environmental factors potentially associated with the incidence of cardiovascular diseases (CVDs) in the global context. Indicators of CVDs from 158 countries were compared with the statistics of mean intake (supply) of 60 food items...
...the results always show very similar trends and identify high carbohydrate consumption (mainly in the form of cereals and wheat, in particular) as the dietary factor most consistently associated with the risk of CVDs.
...Other suspect variables are alcohol (mainly in its distilled form) and sunflower oil, but their roles are limited to Europe where their consumption rates are sufficiently high.
...It is true that the connection between CVDs and carbohydrates has not been universally accepted yet, but both epidemiological and mechanistic evidence is growing, and this fundamental problem has attracted wide public attention.
.... More convincing results will be possible when more precise data on CVD prevalence are available. Because self-reported dietary questionnaires from observational studies are increasingly perceived as the dead end of nutritional science, such high-quality data are urgently needed. Results of detailed ecological analyses such as the present one can subsequently constitute a very useful contribution to the recent debate regarding the changing paradigm in cardiology.
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