Dr Bret Scher - LCHF & Heart Health: What does it mean for me?

Presentation overview:

Dr Bret Scher, low carb Cardiologist, questions the long held belief that cholesterol and LDL are the ultimate markers of heart health. Instead, he suggests that measuring and addressing other factors, in particular those that relate to metabolic health and insulin resistance, are much more significant predictors of cardiovascular risk.

Learning objectives:

  • Understand the bias and confounding variables that have been found to exist in a number of observational studies that have claimed to provide the evidence for reducing saturated fat intake
  • Be familiar with the range of surrogate outcomes that can be used to measure cardiovascular risk
  • Identify the range of subjective measures that can aid in reducing cardiovascular risk
  • Identify the benefits of the LCHF lifestyle in relation to cardiovascular health
  • Be familiar with the more recent studies on LDL and LCHF nutrition
  • Understand the term LDL hyper-responders and if it is in fact a concern
  • List the range of factors that reduce cardiovascular risk, which have very little impact on LDL’s
  • Identify marker’s that are suggested to be much better predictive indicators of cardiovascular risk than LDL
  • Identify the impact on a range of surrogate markers that indicate the benefits of LCHF nutrition vs low fat diets
  • Identify the impact of lifestyle factors on cardiovascular health
  • List the range of factors/markers that need to be measured to adequately monitor and track cardiovascular health

Presentation summary:

The long held belief that LDL and cholesterol are the most important predictors of cardiovascular risk is not supported by the literature. There is a growing body of evidence that the predicators of cardiovascular disease are in fact multifactorial. Measurements of HbA1c, insulin resistance, total cholesterol and total triglyceride to HDL ratios, LDL specifics and inflammation markers provide a much more accurate picture of cardiovascular risk and are all significantly improved through low carbohydrate nutrition. Consideration of subjective, lifestyle factors such as physical activity, sleep, stress and social connections also important factors to consider in addressing overall heart health.

Downloadable resources:

  1. Powerpoint presentation
  2. References