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We Can Finally Stop Demonizing Butter
Mmm, Hong Kong-style French toast. (Image:avlxyz/Flickr)
An analysis by Tufts University researchers has failed to find a link between butter consumption and cardiovascular disease. And hallelujah to that—the ongoing hysteria against butter can now finally come to an end.
For years we’ve been told to reduce the amount of butter in our diets. Health guidelines, many of which have been around since the 1970s, have warned us about the dangers of eating food high in saturated fats, claiming—and often without merit—that they contribute to heart problems and other health issues. Increasingly, however, scientists are learning that saturated fats aren’t the demons they’ve been made out to be.
A new study published in PLOS ONE is now bolstering this changing tide of opinion, showing there’s no link between butter and chronic disease. This gigantic analysis—a meta-study that included a total of 636,151 individuals across 15 countries, and involving 6.5 million person-years of follow-up—showed no association between the consumption of butter and cardiovascular disease.
What the researchers did find, however, was that butter could be linked to a decrease—yes, a decrease—in a person’s chance of developing diabetes. Each daily tablespoon of butter was linked to a four percent lower risk of diabetes.
The downside is that researchers did connect butter with all-cause mortality, however. For each tablespoon of butter consumed each day, the researchers observed a one percent increase in all-cause mortality risk, that is, death from any cause. The researchers suspect this connection is due to other factors; people who eat butter, for example, tend to have generally worse diets and lifestyles.
So does this mean we can start slathering butter on our toast and waffles with reckless abandon, and douse our popcorn in this golden syrup of deliciousness? Well, not quite. This study shows that butter on its own isn’t a pure evil. But it shouldn’t be considered a health food, either. As the researchers put it, butter is a kind of “middle-of-the-road” food. And as is often the case, it’s the foods we put the butter on that’s the problem.
Indeed, butter is healthier than sugar or starches like bread, which have been linked to an increased risk of cardiovascular disease and diabetes. On the other hand, butter is worse than many margarines and cooking oils, such as those rich in healthy fats, like soybean, canola, flaxseed, and extra virgin olive oils. Importantly, margarine made from trans fats should be avoided like the plague.
As study co-author Dariush Mozaffarian succinctly put it: “Overall, our results suggest that butter should neither be demonized nor considered ‘back’ as a route to good health.”
Mozaffarian and his colleagues said further research is still required to understand why butter is connected to a lower risk of diabetes, but similar things have been observed in studies of dairy fat. This could imply that other factors are at play. As the researchers concede, ‘[Our] study does not prove cause-and-effect.”
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Here's the article in PLOS ONE:
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0158118
Is Butter Back? A Systematic Review and Meta-Analysis of Butter Consumption and Risk of Cardiovascular Disease, Diabetes, and Total Mortality
We Can Finally Stop Demonizing Butter
Mmm, Hong Kong-style French toast. (Image:avlxyz/Flickr)
An analysis by Tufts University researchers has failed to find a link between butter consumption and cardiovascular disease. And hallelujah to that—the ongoing hysteria against butter can now finally come to an end.
For years we’ve been told to reduce the amount of butter in our diets. Health guidelines, many of which have been around since the 1970s, have warned us about the dangers of eating food high in saturated fats, claiming—and often without merit—that they contribute to heart problems and other health issues. Increasingly, however, scientists are learning that saturated fats aren’t the demons they’ve been made out to be.
A new study published in PLOS ONE is now bolstering this changing tide of opinion, showing there’s no link between butter and chronic disease. This gigantic analysis—a meta-study that included a total of 636,151 individuals across 15 countries, and involving 6.5 million person-years of follow-up—showed no association between the consumption of butter and cardiovascular disease.
What the researchers did find, however, was that butter could be linked to a decrease—yes, a decrease—in a person’s chance of developing diabetes. Each daily tablespoon of butter was linked to a four percent lower risk of diabetes.
The downside is that researchers did connect butter with all-cause mortality, however. For each tablespoon of butter consumed each day, the researchers observed a one percent increase in all-cause mortality risk, that is, death from any cause. The researchers suspect this connection is due to other factors; people who eat butter, for example, tend to have generally worse diets and lifestyles.
So does this mean we can start slathering butter on our toast and waffles with reckless abandon, and douse our popcorn in this golden syrup of deliciousness? Well, not quite. This study shows that butter on its own isn’t a pure evil. But it shouldn’t be considered a health food, either. As the researchers put it, butter is a kind of “middle-of-the-road” food. And as is often the case, it’s the foods we put the butter on that’s the problem.
Indeed, butter is healthier than sugar or starches like bread, which have been linked to an increased risk of cardiovascular disease and diabetes. On the other hand, butter is worse than many margarines and cooking oils, such as those rich in healthy fats, like soybean, canola, flaxseed, and extra virgin olive oils. Importantly, margarine made from trans fats should be avoided like the plague.
As study co-author Dariush Mozaffarian succinctly put it: “Overall, our results suggest that butter should neither be demonized nor considered ‘back’ as a route to good health.”
Mozaffarian and his colleagues said further research is still required to understand why butter is connected to a lower risk of diabetes, but similar things have been observed in studies of dairy fat. This could imply that other factors are at play. As the researchers concede, ‘[Our] study does not prove cause-and-effect.”
***************
Here's the article in PLOS ONE:
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0158118
Is Butter Back? A Systematic Review and Meta-Analysis of Butter Consumption and Risk of Cardiovascular Disease, Diabetes, and Total Mortality
Abstract
Background
Dietary guidelines recommend avoiding foods high in saturated fat. Yet, emerging evidence suggests cardiometabolic benefits of dairy products and dairy fat. Evidence on the role of butter, with high saturated dairy fat content, for total mortality, cardiovascular disease, and type 2 diabetes remains unclear. We aimed to systematically review and meta-analyze the association of butter consumption with all-cause mortality, cardiovascular disease, and diabetes in general populations.
Methods and Findings
We searched 9 databases from inception to May 2015 without restriction on setting, or language, using keywords related to butter consumption and cardiometabolic outcomes. Prospective cohorts or randomized clinical trials providing estimates of effects of butter intake on mortality, cardiovascular disease including coronary heart disease and stroke, or diabetes in adult populations were included. One investigator screened titles and abstracts; and two reviewed full-text articles independently in duplicate, and extracted study and participant characteristics, exposure and outcome definitions and assessment methods, analysis methods, and adjusted effects and associated uncertainty, all independently in duplicate. Study quality was evaluated by a modified Newcastle-Ottawa score. Random and fixed effects meta-analysis pooled findings, with heterogeneity assessed using the I2 statistic and publication bias by Egger’s test and visual inspection of funnel plots. We identified 9 publications including 15 country-specific cohorts, together reporting on 636,151 unique participants with 6.5 million person-years of follow-up and including 28,271 total deaths, 9,783 cases of incident cardiovascular disease, and 23,954 cases of incident diabetes. No RCTs were identified. Butter consumption was weakly associated with all-cause mortality (N = 9 country-specific cohorts; per 14g(1 tablespoon)/day: RR = 1.01, 95%CI = 1.00, 1.03, P = 0.045); was not significantly associated with any cardiovascular disease (N = 4; RR = 1.00, 95%CI = 0.98, 1.02; P = 0.704), coronary heart disease (N = 3; RR = 0.99, 95%CI = 0.96, 1.03; P = 0.537), or stroke (N = 3; RR = 1.01, 95%CI = 0.98, 1.03; P = 0.737), and was inversely associated with incidence of diabetes (N = 11; RR = 0.96, 95%CI = 0.93, 0.99; P = 0.021). We did not identify evidence for heterogeneity nor publication bias.
Conclusions
This systematic review and meta-analysis suggests relatively small or neutral overall associations of butter with mortality, CVD, and diabetes. These findings do not support a need for major emphasis in dietary guidelines on either increasing or decreasing butter consumption, in comparison to other better established dietary priorities; while also highlighting the need for additional investigation of health and metabolic effects of butter and dairy fat.