I guess this horse has been almost beaten to death but here is another take.

WHY indeed did the American Heart Association issue this press release?

A related question that bothers me, because I’m on 16:8 is
Why does Valter Longo keep saying that I should stop skipping breakfast?
(I trust the man. I believe he wouldn’t say it if he didn’t believe that is what “the data” show. I can’t imagine he’s serving an hidden agenda)

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Its honestly not surprising anymore as the AHA “IMHO” has lost much of, if not all, it’s crediability over the last 2+ decades. Their board is beholden to special interests and openly takes huge amounts of personal monetary gifts not to mention the billions in donations from pharmaceutical and food industry giants. They are a group of fat cats feeding off the big corp trough.

I am sure their large food industry donors appreciated this trash study demonizing intermittent fasting as cutting out breakfast and snacks costs them billions if not trillions collectively. Best to paint that idea with the CVD brush to curtail it.

I look toward reputable scientific and medical institutions for cardiovascular metabolic research and discovery such as the Journal of the American College of Cardiology. I want organizations that follow facts and evidence wheresver it leads vs the manf of evidence with bad weak science to cater to donors and ideology. Organizations that investigate and carefully review research prior to publishing for quality and standards.

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Many explanations for this departure from good science and good science reporting are possible but the most likely is attempting to lay a foundation for additional funding. This is what the US medical research culture has come to.

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His only support given for his statements to that effect in his 2021 paper is the exact same National Health and Nutrition Examination Surveys data that was used for the article that started this thread.

I will link his study at the bottom.

In his IF section of fasting in humans he literally lists a long string of all the positive marker changes from these fasting methodology. Study after study. Basically every major marker for cardio, hepatic panceratic health improved significantly. Yet he then under negativescan o ly list 2 one related to the breakfast and all cause mortality. The other gall stones in women . Guess what both thosetwo references havein common? They are both based on epidemiological research and both use the exact same survey data source of the National Health and Nutrition Examination Survey.

He then makes the rather perpoterous statement that a 12 hr fast or time restricted feeding TRF is safest. The issue with that is its basically the standard feeding window of everday population. 2 hrs on each side of a 8 hoursleep cycle is not restricted window its dalled bedtime and sleep. He does conclude that for those who are overweight have metabolic disfunction etc the 16/8 TRF IF is fine. Well thats means its good for at least 75% of tge USA popu,lation.

How he can settle that a diet that improves allmmetabolic markersin studies in length from a few weeks to years somhow then greatly increases risk of CVD and all ause mortality is simply preposterous and flies in the face of everythung we know from real world and research results. IMO his comments are flawed and I think given his knowledge he knows his support references are extremely weak at best. Nonsensical

Other than those specific comments the paper I felt was well written and of good quality.

[Nat Aging. 2021 Jan; 1(1): 47–59.
Published online 2021 Jan 14. doi: 10.1038/s43587-020-00013-3

PMCID: PMC8932957
NIHMSID: NIHMS1723531
PMID: 35310455

Intermittent and periodic fasting, longevity and disease

Valter D. Longo,1,2,:email: Maira Di Tano,2 Mark P. Mattson,3 and Novella Guidi1
Author information Copyright and License information PMC Disclaimer](Intermittent and periodic fasting, longevity and disease - PMC)

The two referenced papers supporting his stztement about breakfast and women gall stones

Association of Skipping Breakfast With Cardiovascular and All-Cause Mortality

A prospective study of hospitalization with gallstone disease among women: role of dietary factors, fasting period, and dieting.

One thing I know about gall bladder gall stones from dieting is the root cause is almost always a diet with low fat and usually low calories for extended period. Gall bladder bile acid not used concetrates in the gall bladder leading to stone formation and inflammation. Bile releae is stimu,ated by fat ingestion entering the small intestine. After a periodof very low fat low cal diet when a high fat meal is eaten you get the pain from the blockage and inflammation. Doctors then tells patients to eat low fat but this only temporarily reduces the discomfort and actually exaserbates the issue forming and enlarrging the “stones”. Again this is from diet induced gall stone not other pathologies. As this survey data was from the 1980s/90 it was mist certainly low fat high carb low cal. Also will point out that intermittent fasting was not even a diet protocol back then. Nor was the rampant metabolic diease we have today but is in no small part from those failed health and dietary policies back then. Transfats crisco margine, white rice, pasta and very low fat and all saturated fats are evil evil evil. Those were the mid 80s to early 90s Fat free everything

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He doesn’t necessarily need to serve a hidden agenda. He could however be just falling in line.

This study is junk science. There may very well be a risk to those that skip breakfast, as mentioned by V. Longo and so many others, but this ‘study’ is just a ‘how-to’ on how NOT to run a ‘study’.

I’ve found that getting most of my calories out of the way before 1:00pm has helped me with sleep, which helps me in so many other ways. I believe there are a couple ‘blue-zone’ areas that follow this same routine.

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I was not expecting to see any new points in this press release. It turned out that it revealed a couple of points that were not clear in the AHA release. Spoiler: nothing changes in the judgment that it was irresponsible to release this badly flawed preprint.

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I dont think it got as far as a preprint and was only a poster.

I misspoke, as it were. It was a poster session. Updated here.

8-h+TREmortality_EPI+poster_updated+032724.pdf (431.1 KB)

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“Please show me any meal freqyency that can make crap food healthy just by time between meals.”

Well, especially with crap food, the more spaced out the intake, the lower the blood sugar spikes.