Fish oil is more effective in reducing heart attacks than are statin drugs‏

One of the “claims to fame” for the statin drugs is the fact that clinical trials have shown that they reduce the risk of having a heart attack. As I mentioned in a previous “Health Nugget,” researchers are not sure whether this is the result of lowering the cholesterol or because of the natural anti-inflammatory properties. In 2005, a clinical trial reported in the Archives of Internal Medicine compared people who took statin drugs with those who just took fish oil capsules. Both these groups were compared to a control group that took a placebo. One of the amazing characteristics of fish oil is that it contains large amounts of essential fats. These fats are the healthy, good fats that not only lower cholesterol and raise the HDL or good cholesterol, but they also significantly decrease inflammation in our bodies including our arteries.

The statin group decreased mortality by 10% over the placebo group; however, the fish oil group decreased mortality by 20% over the placebo group. In other words, the participants who took the fish oil capsules had twice the benefit of those who took the statin drugs. Reducing inflammation is the key to reducing your risk of having a heart attack, which is one of the main causes of death today. Since fish oil capsules pose absolutely no risk to the participant, it is certainly a great idea to supplement a healthy diet with purified, pharmaceutical-grade fish oil capsules.

Source: Dr. Strand Health Nuggets (newsletter@Bionutrition.org)

Should I be Taking a Statin Drug to Lower my Cholesterol?

About 2 years ago, a panel of 11 cardiologists met (as reported in USA Today) to lower the recommended level of LDL cholesterol from 130 to 100. Obviously, the pharmaceutical industry was ecstatic with these new recommendations. However, it should not have come as a surprise to them, since 10 of the 11 cardiologists were on the payroll of one of the pharmaceutical companies. The problem with this recommendation is that nearly 98% of the population in the US and Canada has an LDL cholesterol level greater than 100. These recommendations would mean that nearly the entire population should take statin drugs. The New York Times reported that maybe statin drugs should be placed in our drinking water.

Several clinical trials show that individuals who are at risk of developing heart disease can decrease this risk by taking statin drugs. The problem is that researchers are not really sure if it is the lowering of cholesterol that lowers the risk or if it is the anti-inflammatory properties of the statin drugs. I believe that it is probably a combination of both of these effects. If you lower LDL cholesterol, there is just less that is available to become oxidized. Just like aspirin has been shown to decrease the risk of cardiovascular disease due to its anti-inflammatory qualities (it all starts to make sense doesn’t it), the statin drugs do the same. However, I have always believed that we should use drugs as a last resort and not a first choice. Statin drugs are truly over prescribed.

Source: Dr. Strand Health Nuggets (newsletter@Bionutrition.org)

Fish oil supplements may reduce heart disease risk more effectively than statin drugs

A large research review showed that the omega-3 fatty acids found in fish oil were more effective than statin drugs in reducing the risk of death from heart disease.

A large research review published in the April 11, 2005 issue of Archives of Internal Medicine analyzed the effects of various dietary and drug regimens on overall mortality and mortality from coronary heart disease. Researchers reviewed 97 clinical trials that, in total, included 275,000 men and women. This analysis evaluated the risk of death as a function of diet, the use of lipid lowering drugs, intakes of omega-3 fatty acids (commonly found in fish and fish oil supplements), and intakes of the B vitamin niacin. Statins (a class of lipid lowering drugs) and omega-3 fatty acids significantly lowered both overall mortality and death due to heart disease during the trial periods. When compared to controls, overall mortality risk was reduced 13% by statin drugs and 23% by omega-3 fatty acids. When the risk of death from heart disease alone was examined, statin drugs and omega-3 fatty acids lowered mortality by 22% and 32%, respectively. Omega-3 fatty acids did not reduce cholesterol levels significantly. As such, researchers suggested that their benefits may have been due to protection against heart arrhythmias and systemic inflammation.

Source: Effect of Different Antilipidemic Agents and Diets on Mortality, Marco Studer, Matthias Briel, Bernd Leimenstoll, Tracy R. Glass, Heiner C. Bucher, Arch Intern Med. 2005; 165:725-730.