• Eat Your Heart Out - NYTimes.com
    http://well.blogs.nytimes.com/2013/03/07/eat-your-heart-out/?ref=magazine

    Researchers with the National Institutes of Health and other organizations recently resurrected the results of a long-overlooked Australian study conducted from 1966 to 1973, in which one group of men with heart disease increased omega-6-rich polyunsaturated fat intake to 15 percent of calories, while reducing saturated fat intake to less than 10 percent. Another group of men with heart disease continued their normal diets.

    The men were followed for an average of 39 months, and those on the polyunsaturated-rich diet lowered their cholesterol levels by an average of 13 percent. But they also were more likely to die, and in particular to die of a heart attack, than those who stuck with their usual diet, which consisted of about 15 percent saturated fat.

    This study — the results of which weren’t fully analyzed when it was conducted in the early days of enthusiasm for polyunsaturated oils — adds to a small but unsettling body of data suggesting that consuming polyunsaturated oils, even though they reliably lower cholesterol, may nevertheless increase your risk of heart disease.

    In broader terms, the new analysis muddies the already murky issue of just how diet affects heart-disease risk and health in general. Polyunsaturated oils, while decreasing cholesterol, may simultaneously promote inflammation throughout the body, says Philip C. Calder, a professor of nutritional immunology at the University of Southampton, in England, who wrote an editorial accompanying the new analysis. This inflammation may initiate heart disease and “outweigh any possible good effect” of the oils.

    More fundamentally, we don’t fully understand how high cholesterol levels contribute to heart disease.