(p. 22) And that’s in one country. The US actually had its lowest heart disease rates since the 1950s.
…The new US Heart Foundation report finds that, globally, cardiovascular disease continues to impact both the prevalence of heart disease (including heart attack) and the number of people who die from heart disease….The study finds that heart disease still kills an estimated 2.9 million people each year (more than in 1960) in 40 countriesThe most common risk factors for heart disease globally include age, ethnicity, sex, obesity, hypertension, smoking, socioeconomic status, the use of cardioprotective drugs (such as statins), physical activity level, and other lifestyle factors…. Heart disease is the leading cause of preventable death globally, with the number of deaths related to the condition rising from 6.7 million in 1960 to 27.1 million in 2010… This is significant, however, because the current Heart Foundation report only lists the leading 10 causes of death… It’s widely acknowledged among health experts that heart disease is the number one killer. At the same time, the Heart Foundation report finds that the rates of all major heart conditions globally fell to historic lows in the last two decades, despite the continued rise in worldwide mortality from heart disease…. The rise in life expectancy globally and in death rates worldwide is the result of the world’s improving health statistics… If one factor of the rise in death rates is mortality from cardiovascular disease that is not linked to smoking or a healthy lifestyle, then the rise is due more to overall socioeconomic factors than to smoking in fact, with tobacco use becoming increasingly common as people live longer. (p. 23)
[O]ur new report points to a growing world knowledge gap over the cause of heart disease, and is consistent with trends in the international medical community, where increasing knowledge and concern about a variety of factors, such as blood pressure, physical disease, diet and physical inactivity, are bearing fruit The evidence is increasingly compelling that dietary patterns, energy levels, hormone levels and the impact of the immune system play a large role in the pathogenesis of heart disease worldwide In addition to increasing knowledge and awareness, some heart disease cases are getting worse, and more and more families are struggling to find ways to prevent or manage heart disease, even as they face a steep, multiyear cost if they can’t get the right treatment. The increase in mortality from heart disease is also increasing, even though there have been modest declines in the rate of mortality overall. There are also continuing efforts to reduce the burden of non-communicable diseases. This report points to a growing world knowledge gap over the cause of heart disease. It does nothing to address any of these in any context. Any discussion of diet or exercise is never discussed at all… The conclusions draw few conclusions from this report besides the fact that there is no universally agreed upon dietary advice with regard to heart disease [T]he scientific establishment has no consensus about which foods are associated with heart disease and what actions might reduce the risk of heart disease, and for how long, or even if there is a consensus at all (p. 23) And this is not mere opinion… There’s no consensus about the cause of heart disease, there’s no consensus on an effective course of action, there’s no consensus about whether any one set of actions would do any good at all for heart disease overall… A major international study published in the American Journal of Epidemiology, the largest to date on the causes and circumstances of heart failure, found no conclusive evidence that a diet rich in fat is to blame for heart disease. But the evidence to back up that conclusion was much less conclusive. A major international study published in Heart and Stroke in 2007 concluded that a particular dietary pattern did not contribute to the causation of heart failure or stroke In other words, there is no scientific consensus that a diet rich in fat is the principal cause of heart failure or heart disease, and there is also no scientific consensus that many common dietary items are implicated in those conditions. These findings are consistent with the more nuanced and controversial conclusion that the cause of coronary artery disease remains unknown in part because there is too little evidence linking common dietary items A major international study published in the Journal of the American Heart Association…has concluded that neither the traditional diets of the Americas as currently consumed nor the common Western diets of western developed countries are associated with risk of cardiovascular disease as defined by the Framingham Heart Study (p. 48) Heart failure remains the leading cause of death worldwide and is the third leading cause of death worldwide, after cancer and the leading cause of death from ischaemic heart disease… And this leads us to another aspect to the study, one that deserves particular attention…. The study concluded that there is insufficient evidence to state that high consumption of saturated fat and alcohol is an important contributor to the development of coronary heart disease. In fact, the authors of the study concluded that the effect of those two groups (alcohol and saturated fat consumption) is more likely to be a confound