the-psoriasis-treatment

I blogged before about the study by David Spence and colleagues, published online in July 2012 in the journal Atherosclerosis ( ). This study attracted a lot of media attention (e.g., ). The article is titled: “Egg yolk consumption and carotid plaque”. The study argues that “regular consumption of egg yolk should be avoided by persons at risk of cardiovascular disease”. It hints at egg yolks being unhealthy in general, possibly even more so than cigarettes. I used the numbers in Table 2 of the article (only 5 rows of data, one per quintile; i.e., N=5) to conduct a type of analysis that is rarely if ever conducted in health studies – a moderating effects analysis. A previous blog post summarizes the results of one such analysis using WarpPLS ( ). It looked into the effect of the number of eggs consumed per week on the association between blood LDL cholesterol and plaque (carotid plaque). The conclusion, which is admittedly tentative due to the small sample (N=5), was that plaque decrea

Popular beliefs about medical issues are sometimes motivated by a statistical phenomenon known as “spurious relationship”, among other names. Two variables X and Y are influenced by a third variable C, which leads to X and Y being correlated and thus the impression that X and Y are causally associated. Take a look at the table below, which I blogged about in a previous post ( ). This table shows that there is a strong unadjusted correlation between height and arterial stiffness, a marker of heart disease. The likelihood that the correlation is due to chance is lower than one tenth of a percentage point (P<.001). Interestingly, the authors of the study even use height as a control variable to narrow down the “true” causes of arterial stiffness (column with adjusted results), assuming that height did indeed influence arterial stiffness and what they found to be a key predictor of arterial stiffness, 2-hour postprandial glucose. But there is no convincing evidence that height causes

Hadza returning from hunt in Tanzania. Credit Andy Lederer. In William Shakespeare's comedy  Twelfth Night,  Sir Andrew, who was worried that a joke may have been made at his expense, reasons out loud that maybe his diet had something to do with his lack of intelligence, saying, "But I am a great eater of beef, and I believe that does harm to my wit" (Act I, Scene III). Dialogue like that was how Shakespeare famously poked fun at what he considered "foolery" in his time; it was a common belief of the Elizabethan Age that eating too much meat made you a meat-head. Now, it appears the tables have turned. Vegetarians are getting a taste of similar medicine from comedians of our time. On November 15th's episode of The Colbert Report, Stephen Colbert interviewed one of the world's foremost paleoanthropologists, Chris Stringer of the Natural History Museum, about his newly published book . During their conversation, Stringer sums up nicely why meat eating may

Like most animals, our Paleolithic ancestors had to regularly undergo short periods of low calorie intake. If they were successful at procuring food, those ancestors alternated between periods of mild famine and feast. As a result, nature allowed them to survive and leave offspring. The periods of feast likely involved higher-than-average consumption of animal foods, with the opposite probably being true in periods of mild famine. Almost anyone who adopted a low carbohydrate diet for a while will tell you that they find foods previously perceived as bland, such as carrots or walnuts, to taste very sweet – meaning, to taste very good. This is a special case of a more general phenomenon. If a nutrient is important for your body, and your body is deficient in it, those foods that contain the nutrient will taste very good. This rule of thumb applies primarily to foods that contributed to selection pressures in our evolutionary past. Mostly these were foods available in our Paleolithic ev

As far as explaining natural phenomena, Darwin was one of the best theoretical researchers of all time. Yet, there were a few phenomena that puzzled him for many years. One was the evolution of survival-impairing traits such as the peacock’s train, the large and brightly colored tail appendage observed in males. Tha male peacock’s train is detrimental to the animal’s survival, and yet it is clearly an evolved trait ( ). This type of trait is known as a “costly” trait – a trait that enhances biological fitness (or reproductive success, not to be confused with “gym fitness”), and yet is detrimental to the survival of the individuals who possess it ( ). Many costly traits have evolved in animals because of sexual selection. That is, they have evolved because they are sexy. Costly traits seem like a contradiction in terms, but the mechanisms by which they can evolve become clear when evolution is modeled mathematically ( , ). There is evidence that mental disorders may have evolved as c

Source: Greg Wray The story about how humans evolved bigger brains begins some seven million years ago in central Africa. There, in a dense rainforest, there lived the last ancestor that we share with our closest living relatives. Our evolutionary paths diverged when the global climate changed and a new habitat took shape. While ancestors of chimpanzees retreated deeper into the rainforest to subsist on a diet mainly of fruits, our ancestors found themselves in on strange, new, dry grassland. The savanna would mean a new way of life for our ancestors. They'd learn to use tools, communicate with each other using language, and work together to hunt animals for food. Based on fossil evidence and stable isotope data, our hominin ancestors shifted to a diet where meat was a principal energy source about two million years ago. It would be a major shift in diet that coincided with an increase in cranial capacity. Now, scientists like Greg Wray, a professor of biology at Duke University, a

Champagne supernova. Credit: Space Daily "If you want to make an apple pie from scratch, you must first invent the universe." When you eat a slice of apple pie, or any pie, or any food at all today, on Carl Sagan Day, it may be worthwhile to reflect on this quote, one of the beloved television series host's most famous from Cosmos: A Personal Voyage. A look back at our origins is a good way to gain some perspective, amidst the accumulating scientific evidence, on how to understand our own biology and predicting ways in which we can keep our own healthy. Or, at least, that has been my conclusion. Starting at the beginning with the chemistry of life , our own evolution , and to that of our close cousins , then on to our current situation , and the future , this blog has explored all sorts of topics relating to diet and health in the past and forthcoming. Over the years, what's evident is that there exist numerous ongoing debates in the world of food, nutrition, and me

Female blue-eyed lemur What lessons can humans learn from our far distant prosimian primate cousins about living well and eating a healthy diet? This was the question on my mind as I toured the Duke Lemur Center in Durham, North Carolina with colleagues attending Science Writers 2012. (Read Christie Wilcox’s full report about our tour over at  Science Sushi  on  Scientific American. ) When I learned on the tour that lemurs were getting sick, I inquired further from our tour guides, education associate Chris Smith and education manager Niki Barnett. The thought of these adorable creatures—somehow related to me because of a common ancestor some 50 to 80 million years ago—suffering from the same types of chronic diseases as modern-day humans encouraged me to want to find out more about their care and treatment. Lucky for me, Chris, who might’ve tired from me badgering with so many questions, helped me arrange an interview with the center’s senior veterinarian. On my second visit t

Many readers of this blog have probably heard about the case of the man who ate approximately 25 eggs (20 to 30) per day for over 15 years (probably well over), was almost 90 years old (88) when the case was published in the prestigious The New England Journal of Medicine , and was in surprisingly good health ( ). The case was authored by the late Dr. Fred Kern, Jr., a widely published lipid researcher after whom the Kern Lipid Conference is named ( ). One of Kern’s research interests was bile, a bitter-tasting fluid produced by the liver (and stored in the gallbladder) that helps with the digestion of lipids in the small intestine. He frames the man’s case in terms of a compensatory adaptation tied to bile secretion, arguing that this man was rather unique in his ability to deal with a lethal daily dose of dietary cholesterol. Kern seemed to believe that dietary cholesterol was harmful, but that this man was somehow “immune” to it. This is ironic, because often this case is presented