U.S. Dietary Guidelines
Authors: Steven E. Nissen
Journal: Annals of Internal Medicine (2016)

Letters18 October 2016U.S. Dietary GuidelinesSteven E. Nissen, MDSteven E. Nissen, MDFrom The Cleveland Clinic, Cleveland, Ohio.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L16-0172 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Dr. Hu and colleagues' and Dr. Martinez-Gonzalez and Ms. Trichopoulou's criticism of my article does not stand up well to careful scientific scrutiny. To suggest that the DGAs and the DGAC scientific report are somehow not linked is simply not credible. The report explicitly states that it is designed to "inform the next edition of the Guidelines." It is correct that the DGAs did not retain the previous cholesterol limit of 300 mg/d; however, at the same time, the report states that "individuals should eat as little dietary cholesterol as possible." This recommendation directly contradicts the guideline recommendation ...References1. Yerushalmy J, Hillebow HE. Fat in the diet and mortality from heart disease; a methodologic note. N Y State J Med. 1957;57:2343-54. [PMID: 13441073] MedlineGoogle Scholar2. DiNicolantonio JJ. The cardiometabolic consequences of replacing saturated fats with carbohydrates or Ω-6 polyunsaturated fats: do the dietary guidelines have it wrong? Open Heart. 2014;1:e000032. [PMID: 25332791] doi:10.1136/openhrt-2013-000032 CrossrefMedlineGoogle Scholar3. Nutrition Coalition. Saturated fats: do they cause heart disease? 2016. Accessed at www.nutrition-coalition.org/saturated-fats-do-they-cause-heart-disease on 12 September 2016. Google Scholar4. Harcombe Z, Baker JS, Cooper SM, Davies B, Sculthorpe N, DiNicolantonio JJ, et al. Evidence from randomised controlled trials did not support the introduction of dietary fat guidelines in 1977 and 1983: a systematic review and meta-analysis. Open Heart. 2015;2:e000196. [PMID: 25685363] doi:10.1136/openhrt-2014-000196 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From The Cleveland Clinic, Cleveland, Ohio.Disclosures: The author has disclosed no conflicts of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-0035. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoU.S. Dietary Guidelines: An Evidence-Free Zone Steven E. Nissen U.S. Dietary Guidelines Frank B. Hu , Marian L. Neuhouser , Rafael Perez-Escamilla , Miguel A. Martinez-Gonzalez , and Walter C. Willett U.S. Dietary Guidelines Miguel A. Martinez-Gonzalez and Antonia Trichopoulou Metrics Cited byDietary Changes among Adults in The Netherlands in the Period 2007–2010 and 2012–2016. Results from Two Cross-Sectional National Food Consumption Surveys 18 October 2016Volume 165, Issue 8Page: 605-606KeywordsCholesterolConflicts of interestDisclosureFatsFoodMortalityNutritionOilsRandomized trialsSystematic reviews ePublished: 18 October 2016 Issue Published: 18 October 2016 Copyright & PermissionsCopyright © 2016 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...