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High consumption of carbohydrates doubled the risk of developing coronary heart disease in women, according to research published this week in the Archives of Internal Medicine.Carb intake didn't seem to affect heart disease risk in men, however.
Increasing carbohydrate intake from high-GI foods was also significantly associated with greater risk of CHD in women (RR, 1.68; 95% CI, 1.02-2.75), whereas increasing the intake of low-GI carbohydrates was not.
Dietary Glycemic Load and Index and Risk of Coronary Heart Disease in a Large Italian CohortThe EPICOR StudySabina Sieri, PhD; Vittorio Krogh, MD, MS; Franco Berrino, MD; Alberto Evangelista, BSc; Claudia Agnoli, PhD; Furio Brighenti, PhD; Nicoletta Pellegrini, PhD; Domenico Palli, MD; Giovanna Masala, MD; Carlotta Sacerdote, MD; Fabrizio Veglia, MD; Rosario Tumino, MD; Graziella Frasca, PhD; Sara Grioni, BSc; Valeria Pala, PhD; Amalia Mattiello, MD; Paolo Chiodini, PhD; Salvatore Panico, MD Arch Intern Med. 2010;170(7):640-647.Background Dietary glycemic load (GL) and glycemic index (GI) in relation to cardiovascular disease have been investigated in a few prospective studies with inconsistent results, particularly in men. The present EPICOR study investigated the association of GI and GL with coronary heart disease (CHD) in a large and heterogeneous cohort of Italian men and women originally recruited to the European Prospective Investigation into Cancer and Nutrition study.Methods We studied 47 749 volunteers (15 171 men and 32 578 women) who completed a dietary questionnaire. Multivariate Cox proportional hazards modeling estimated adjusted relative risks (RRs) of CHD and 95% confidence intervals (CIs).Results During a median of 7.9 years of follow-up, 463 CHD cases (158 women and 305 men) were identified. Women in the highest carbohydrate intake quartile had a significantly greater risk of CHD than did those in the lowest quartile (RR, 2.00; 95% CI, 1.16-3.43), with no association found in men (P = .04 for interaction). Increasing carbohydrate intake from high-GI foods was also significantly associated with greater risk of CHD in women (RR, 1.68; 95% CI, 1.02-2.75), whereas increasing the intake of low-GI carbohydrates was not. Women in the highest GL quartile had a significantly greater risk of CHD than did those in the lowest quartile (RR, 2.24; 95% CI, 1.26-3.98), with no significant association in men (P = .03 for interaction).Conclusion In this Italian cohort, high dietary GL and carbohydrate intake from high-GI foods increase the overall risk of CHD in women but not men.
Thanks for the link. To not be biased on this, here's a part of the abstract you didn't quote.QuoteIncreasing carbohydrate intake from high-GI foods was also significantly associated with greater risk of CHD in women (RR, 1.68; 95% CI, 1.02-2.75), whereas increasing the intake of low-GI carbohydrates was not.
The strongest correlation was with all carbohydrates, which is what I highlighted. If you exclude low GI carbohydrates, the significance goes down; if you exclude high GI carbohydrates, the significance also goes down, below the 95% threshhold. That all just indicates that the unbiased answer is that total carbohydrates is the important part, and making excuses based on the type of carbohydrate you eat is avoiding the answer.
Why be fast to dismiss studies that lump together processed and unprocessed meats and not dismiss studies that lump together all kinds of carbohydrates.
However, in the case of carbohydrates, the results from high glycemic index carbohydrates are lower than the results from all carbohydrates, so it can't just be the high glycemic index carbohydrates that are bad. Thus, the important result here is the "all carbohydrates" result.