[HN Gopher] Only 6.8% of adults have optimal cardiometabolic health
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       Only 6.8% of adults have optimal cardiometabolic health
        
       Author : geox
       Score  : 36 points
       Date   : 2022-07-04 20:06 UTC (2 hours ago)
        
 (HTM) web link (www.jacc.org)
 (TXT) w3m dump (www.jacc.org)
        
       | sacrosancty wrote:
       | Not having seen the full paper, surely the range of values that
       | belong to "optimal" is arbitrary and if measurement error or
       | understanding were improved, the optimal range would shrink,
       | excluding even more people. So doesn't that make the percentage
       | meaningless?
        
         | lisper wrote:
         | Exactly right. The claim is absurd on its face because of its
         | very form.
        
       | dpeck wrote:
       | What's the metric to define that?
       | 
       | This is just the abstract to anyone who doesn't have access to
       | the journal.
        
         | PeterWhittaker wrote:
         | From the Method section, just a few paras in (I just clicked on
         | the link provided, I do not subscribe to any journals): We
         | assessed proportions of adults with optimal cardiometabolic
         | health, based on adiposity, blood glucose, blood lipids, blood
         | pressure, and clinical CVD; and optimal, intermediate, and poor
         | levels of each component among 55,081 U.S. adults in the
         | National Health and Nutrition Examination Survey.
        
           | mdorazio wrote:
           | That doesn't actually explain anything, though. What is
           | "optimal" in each of those categories and why is that level
           | optimal as opposed to any other one?
        
       | dubswithus wrote:
       | I'm one of the 6.8%. Very low LDL. Taking questions.
       | 
       | Bet let's get this out of the way first: I eat a lot of
       | carbohydrates.
        
         | cableshaft wrote:
         | What's your exercise regimen look like?
        
         | asdfqwertzxcv wrote:
         | Whole Food Plant Based and regular exercise, right?
        
         | PainfullyNormal wrote:
         | How about seed oils?
        
           | xwdv wrote:
           | Do NOT consume seed oils. Go in your pantry and throw away
           | anything that lists some kind of seed oil as an ingredient.
        
             | austinjp wrote:
             | Why? *
             | 
             | * By which I mean with references. And yes, big farma, etc
             | etc, but really, decent studies please.
        
           | MattGaiser wrote:
           | Are seed oils some new health trend? I keep seeing people
           | mention them in health discussions.
        
             | hirundo wrote:
             | There's a lot of evidence that PUFAs are obesogenic and
             | diabetogenic. Their consumption increase broadly tracks the
             | epidemics of both. E.g.
             | 
             | https://www.semanticscholar.org/paper/Soybean-Oil-Is-More-
             | Ob...
             | 
             | If the effect is real it takes place over decades,
             | gradually damaging mitochondria, making it difficult to
             | cover with RCTs.
        
               | Entinel wrote:
               | "A lot" is a stretch. There is some evidence in mice and
               | a few hypothesis but I certaintly wouldn't say "a lot."
               | The exception to this I would say is soybean oil. There
               | is a decent amount of research pointing in direction that
               | soybean oil isn't great.
        
               | rafaelero wrote:
               | Added oil should be kept at minimum. It doesn't matter
               | the source. But of course this is not the main reason for
               | the obesity epidemic; people just like to find easy
               | culprits instead of looking at the culture around food in
               | the US.
        
               | SamPatt wrote:
               | I believe the case against seed oils isn't about them
               | causing obesity, but heart disease.
        
             | PainfullyNormal wrote:
             | The opposite. https://fireinabottle.net/
        
         | TimedToasts wrote:
         | Do you know your FFMI?
        
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       (page generated 2022-07-04 23:00 UTC)