Ñàìûå "íåèçâåñòíûå" èññëåäîâàíèÿ ïî õîëåñòåðèíîâîé òåìå (÷àñòü 1). Èç ðàññûëêè Dr. Abdomen |
Íàäåþñü, òû íå áóäåøü ïðèäèðàòüñÿ, ÷òî âñå èññëåäîâàíèÿ çàðóáåæíûå, èëè ìíå ñëåäîâàëî íà÷àòü ñ ðàññêàçà î ôèíàíñèðîâàíèè íàøåé ìåäèöèíñêîé è íàó÷íîé äåÿòåëüíîñòè?
Ñíà÷àëà, ïîäòâåðæäåíèå óæå îáùåïðèçíàííûõ äàííûõ:
"Âûñîêèé îáùèé óðîâåíü õîëåñòåðèíà íå âëå÷åò çà ñîáîé óâåëè÷åíèå ðèñêà ñìåðòíîñòè îò ñåðäå÷íî-ñîñóäèñòûõ çàáîëåâàíèé ñðåäè ëèö ñòàðøå 85 ëåò è ñâÿçàí ñ óìåíüøåíèåì ñìåðòíîñòè îò âñåõ äðóãèõ ïðè÷èí".
"...[íåçàâèñèìî îò óðîâíÿ LDL õîëåñòåðèíà. - ðåä.] íèçêèé óðîâåíü HDL õîëåñòåðèíà àññîöèèðóåòñÿ ñ äâîéíûì (2.0) óâåëè÷åíèåì ðèñêà ñìåðòíîñòè îò ñåðäå÷íî-ñîñóäèñòûõ çàáîëåâàíèé..."
" High-Density vs Low-Density Lipoprotein Cholesterol as the Risk Factor for Coronary Artery Disease and Stroke in Old Age; Annelies W. E. Weverling-Rijnsburger, MD; Iris J. A. M. Jonkers, MD; Eric van Exel, MD; Jacobijn Gussekloo, MD, PhD;
Rudi G. J. Westendorp, MD, PhD; Arch Intern Med. 2003;163:1549-1554.
Èíòåðåñíî îòìåòèòü, ÷òî âûñîêèé óðîâåíü îáùåãî õîëåñòåðèíà óìåíüøàåò ñìåðòíîñòü "îò âñåõ äðóãèõ ïðè÷èí". Òî, ÷òî íèçêèé óðîâåíü "õîðîøåãî" õîëåñòåðèíà - ïëîõî, áûëî ïîíÿòíî, òîëüêî òåïåðü ïîíÿòíî ÍÀÑÊÎËÜÊÎ ýòî ïëîõî.
Äàëåå, òû ñïðîñèøü: ×òî æå äåëàòü (ò.å. ÷òî åñòü, è ÷åãî íå åñòü), ÷òîáû "õîðîøåãî" õîëåñòåðèíà áûëî ïîáîëüøå?
Îòâå÷àþ:
Âåñíîé 2003 ãîäà â New England Journal of Medicine, creme de la cream àêàäåìè÷åñêîé ìåäèöèíñêîé ïðåññû â ÑØÀ áûëè îäíîâðåìåííî îïóáëèêîâàíû äâà èññëåäîâàíèÿ:
1. Samaha FF et al. A low-carbohydrate as compared with a low-fat diet in severe obesity. N Engl J Med 2003 May 22; 348:2074-81;
2. Foster GD et al. A randomized trial of a low-carbohydrate diet for obesity. N Engl J Med 2003 May 22; 348:2082-90
Ó÷åíûå ñðàâíèâàëè ýôôåêò äèåòû Àòêèíñà (low-carb diet) ñ îáåçæèðåííîé (low-fat) äèåòîé ìåæäó äâóìÿ ãðóïïàìè ïîëíûõ ïàöèåíòîâ. Ðåçóëüòàòû, ñëîâàìè ïîïóëÿðíîé ïðåññû, îäíîçíà÷íî ïîäòâåðäèëè, ÷òî:
"Â ðåçóëüòàòàõ îáîèõ èññëåäîâàíèé ó ïàöèåíòîâ íà áåëêîâî-æèðîâîé äèåòå â öåëîì óëó÷øèëñÿ óðîâåíü "õîðîøåãî" õîëåñòåðèíà è òðèãëèöåðèäîâ, èëè æèðîâ â êðîâè. Íå áûëî èçìåíåíèé â "ïëîõîì" õîëåñòåðèíå è êðîâÿíîì äàâëåíèè".
Atkins Diet Bolstered by Two New Studies, Associated Press, May 21, 2003, JANET McCONNAUGHEY
" äâóõ ãðóïïàõ â òå÷åíèå 12 ìåñÿöåâ çíà÷èòåëüíî íå èçìåíèëñÿ îáùèé è LDL ("ïëîõîé") õîëåñòåðèí, îäíàêî ãðóïïà ñ íèçêèìè óãëåâîäàìè ïîêàçàëà çà 12 ìåñÿöåâ çíà÷èòåëüíî áîëüøåå ñíèæåíèå óðîâíÿ òðèãëèöåðèäîâ (-28% ïî ñðàâíåíèþ ñ +1%) è çíà÷èòåëüíî áîëüøåå óâåëè÷åíèå óðîâíÿ HDL ("õîðîøåãî") (+18% ïî ñðàâíåíèþ ñ +3%)."
Dr. Harlan M. Krumholz, MD, SM, Low-Carb vs. Low-Fat Diets: Randomized Data. Journal Watch Cardiology 2003, http://cardiology.jwatch.org/cgi/content/full/2003/808/1
Áûâàåò æå òàêîå? À ïî÷åìó íàì ñîâåòóþò îáðàòíîå? ×òîáû ìû ðàíüøå âðåìåíè ïîìåð...?... Íå ìîæåò ýòîãî áûòü!!!
(Êàê òû äóìàåøü, ïðè, îïðåäåëåííîì ó íàñ â ñòðàíå, âîçðàñòå âûõîäà íà ïåíñèþ - 60 ëåò (ìóæ÷èíû), âûãîäíåå ïëàòèòü ïåíñèþ äî 58 ëåò (ñðåäíÿÿ ïðîäîëæèòåëüíîñòü æèçíè ìóæ÷èí) èëè äî 100-120?)
Äàëüøå, èíòåðåñíåå.
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