Heart Disease is the leading cause of death in America and has been so for generations. Lowering cholesterol helps but half the heart attacks occur in the "Low Cholesterol" area designated by modern medicine.
Mostly, because it's not low enough. Whowouldathunkit? People can't make their way to health popping pills and being a fatass.
Plenty of healthy "skinny" people also dies of heart attacks. It's genetics.
No. It's nearly all diet. A disease of civilization and diet.
Lots of skinny people in the west have high cholesterol from the western diet. And they also have more visceral fat than expected for their weight. It's called being "skinny fat". More bodyfat, less muscle.
One in a Thousand: Ending the Heart Disease Epidemic | NutritionFacts.org
“Doctors in sub-Saharan Africa during the …30s and …40s recognised that certain diseases commonly met in Western communities were rare in rural African peasants. This hearsay talk greeted any new doctor on arrival in Africa. Even the teaching manuals…stated that diabetes, coronary heart disease, appendicitis, peptic ulcer, gallstones, hemorrhoids and constipation were rare in African blacks who ‘eat foods that contain many skins and fibres, such as beans and [corn], and pass a bulky stool two or three times a day.’ Surgeons noticed that the common acute abdominal emergencies (like appendicitis) in Western communities were virtually absent in rural African peasants.”
But, do we have hard data to back that up? Yes. Major autopsy series were performed. First thousand Kenyan autopsies—”not a single case of appendicitis,” not a single heart attack, three diabetics out of a thousand, one peptic ulcer, no gallstones, and no evidence of high blood pressure—which alone affects one out of three Americans.
Maybe, the Africans were just dying early of other diseases, and so, never lived long enough to get heart disease? No; here’s age-matched heart attack rates in Uganda versus St. Louis. Out of 632 autopsies in Uganda, one myocardial infarction. Out of 632 Missourians—same age and gender distribution—136 myocardial infarctions. More than a hundred times the rate of our #1 killer. In fact, they were so blown away they did another 800 autopsies in Uganda, and still, just that one small healed infarct (meaning it wasn’t even the cause of death) out of 1,427 patients. Less than one in a thousand, whereas in the U.S., it’s an epidemic.
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