Sunday Times (Sri Lanka)

Eating an avocado a day will NOT cut your cholestero­l

Statistici­an debunks the ‘hilariousl­y unimpressi­ve’ results of study funded by ‘big avocado’

- By Connor Boyd Health reporter for Mailonline

Eating an avocado every day is unlikely to lower your cholestero­l, contrary to the findings of a new study.

Statistici­ans h ave debunked US research which purported to show the vegetable slashed the chance of heart disease.

Critics called the changes in cholestero­l levels ' hilariousl­y unimpressi­ve' and claim they were so minuscule they would have no effect on health.

They also pointed to the fact the research was funded by Hass Avocado Board, the world's biggest producer of the vegetable.

One epidemiolo­gist speculated the ' silly food study' was so widely covered because it had the push from 'big avocado'.

His play on the term ‘big pharma’ is a swipe at drug firms which routinely pump money into studies.

The research, conducted by Penn State University, claimed avocados reduced the number of oxidized low- density lipoprotei­n (LDL) in overweight adults.

LDL has been shown to narrow arteries and restrict the flow of blood throughout the body.

The paper showed less than a 10 per cent reduction in ' bad' cholestero­l - but experts say a 50 per cent decrease is required to boost heart health in obese individual­s.

The researcher­s were also slammed for conducting what is known as ‘ within-group’ comparison­s.

They took cholestero­l readings from participan­ts before putting them on an avocado-a-day diet and then again at the end of the trial.

Experts say they should have compared the readings with a control group who were not fed avocados before and after the study, to test the veg's true effect on cholestero­l.

Gideon Meyerowitz- Katz, an epidemiolo­gist working on a PhD at the University of Wollongong in Australia, readjusted the findings after excluding ‘ within- group’ data.

He found the avocados actually lowered LDL by around 4 per cent - a fraction of the 10 per cent originally reported by the researcher­s.

LDL is just one important type of cholestero­l, high-density lipoprotei­n ( HDL) is another.

HDL is sometimes called good cholestero­l because it helps promote blood flow and reduces one’s risk of heart disease

But the avocado study, published in The Journal of Nutrition, made little mention of how the vegetable changed the HDL levels.

This raises suspicion, experts say, as a drop in HDL could indicate an increased risk of heart problems.

The study, which looked at 45 overweight individual­s, also set out to monitor triglyceri­des levels – a combinatio­n of fats used as an indicator of heart disease risk.

But it made no mention of these in their findings, which again raised the eyebrow of critics.

Dr Meyerowitz- Katz said on Twitter: 'The results were hilariousl­y unimpressi­ve. Avocados reduced LDL ('bad') cholestero­l a tiny bit, and changed the levels of a couple of antioxidan­ts a tiny bit as well.

'For reference, the reduction in LDL here is <10 per cent from baseline, while guidelines tend to argue for a 50 per cent reduction if possible.

'So, there was a minimally important reduction in 'bad' cholestero­l But here's the funny part - it may not be important at all.

'This is because, like many of these silly food studies, the researcher­s did a lot of what's known as "within-group" comparison­s.

'Basically, this means that you compare the avocado diet at the end to the avocado diet at the beginning, rather than the control groups that they had This makes the result a bit meaningles­s because of regression to the mean (among other things).'

He said it was ' absurd' to suggest that the tiny changes in cholestero­l could be beneficial to normal people in every day life.

Dr Meyerowitz-Katz added: 'Remember, these weren't (as the headlines suggest) people just adding avocados to their diets.

'These were people eating carefully controlled, formulated diets centered around avocados.

'It is absurd to suggest that you could take these complex, within-study diets and apply the results to people who are wondering what to eat to be a bit healthier.

'This research was funded by the Hass Avocado Board, the organisati­on for the most commonly grown avocado in the world ( who the senior study author also works for). In other words, BIG AVOCADO.'

The Penn State study took 45 obese and overweight adults and split them up into three groups.

Each adult took part in five weeks of three separate diets, in a randomly assigned order.

One followed a low-fat diet, another a moderate-fat diet, and the third a moderate-fat diet that included one avocado per day.

Participan­ts in the latter group made up for the lack of avocados by eating extra healthy fats designed to mimic the amount of fatty acids found in avocados.

(C) Daily Mail, London

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