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135 points andsoitis | 2 comments | | HN request time: 0.001s | source
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lovethevoid ◴[] No.41849070[source]
> The decline in the United States is driven by increasing numbers of deaths because of conditions such as diabetes and heart disease in people aged roughly 40 to 60.

People are asking if we should be surprised by the headline but are missing this. As suggested in the article by the researchers, there is something dragging down the average since the 2010s. Not even hitting the general expectation of ~75 years. We don’t have solid answers yet, only theories.

So yes, generally while going up against the process of aging is going to create barriers (eg can we get to 130 years old), we are also failing to raise the baseline which is the bigger issue that people might not grasp when it comes to “life expectancy rates”.

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hn_throwaway_99 ◴[] No.41849103[source]
> We don’t have solid answers yet, only theories.

The exact quote you gave had a pretty solid answer, certainly not just "theories".

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lovethevoid ◴[] No.41849483[source]
That's not what I meant. A solid answer as to why those conditions are happening, not the fact that they are happening at all.

We have research on what can affect heart health, like what things might be linked to it, such as smoking and alcohol. We also know genetics plays a huge role.

So we don't actually have solid answers, actionable answers as to the rise of heart health issues. Look at this analysis[1] regarding how dietary guidelines specifically for fats (saturated, trans) have very little substantial evidence supporting it. Yet this gets repeated by the average person, that fats are the ultimate evil you must avoid. In another study[2] we find that reducing your fat intake still resulted in the same rates of mortality as those who ate more. This is also why more in the space are shifting away from these sort of claims ("only eat x amount of saturated fat per day") and more to general food composition (eg who cares if a fish has saturated fats, eat the fish with vegetables).

It's quite challenging to figure out, everyone has their theories. All I'm saying is we don't actually have the answers yet.

[1]: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9794145/ [2]: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8092457/

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BeetleB ◴[] No.41853625[source]
> Yet this gets repeated by the average person, that fats are the ultimate evil you must avoid.

I've been hearing this complaint (that the guidelines claim fat are the worst) for way too long, when in (my) reality, all the guidelines I've seen in the last 25 years has put more emphasis on carbs than on fats (i.e. too many carbs is evil).

I know "low fat" diets were the craze a long time ago. And sure, advertisers still like to slap "low/no fat" labels. But I believe the actual recommendation has been to lower carbs since around the 90's.

This is ultimately a strawman.

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1. DoughnutHole ◴[] No.41854133[source]
To be fair the framing of “carbs are evil” is also lazy. The root cause of most cardiovascular disease and type 2 diabetes is obesity due to excess calories of any sort (although once you’re diabetic or prediabetic carbs are a HUGE problem no matter what).

The modern lifestyle is incredibly sedentary and every civilisation is built on staple foods that can feed hours of manual labour (with modern snacks thrown on top).

Calling a major food group evil is just a good scapegoat because it’s much more palatable than telling people that they don’t move enough and eat too much food.

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2. throwaway2037 ◴[] No.41855444[source]
One thing I think that we can be very specific about: Diets high in saturated fat surely increase your chances for cardiovascular disease.

Also, I agree with your general sentiment: Framing carbs are evil is lazy. First, calories matter. Second, if your calories are general under control, most people need fewer calories as they age. Many choose to restrict carbs to maintain weight.