David L. Katz, MD, MPH, FACPM, FACP, FACLM, is the Founding Director (1998) of Yale University’s Yale-Griffin Prevention Research Center, and former President of the American College of Lifestyle Medicine. He has published roughly 200 scientific articles and textbook chapters, and 15 books to date, including multiple editions of leading textbooks in both preventive medicine, and nutrition. He has made important contributions in the areas of lifestyle interventions for health promotion; nutrient profiling; behavior modification; holistic care; and evidence-based medicine. David earned his BA degree from Dartmouth College (1984); his MD from the Albert Einstein College of Medicine (1988); and his MPH from the Yale University School of Public Health (1993). He completed sequential residency training in Internal Medicine, and Preventive Medicine/Public Health. He is a two-time diplomate of the American Board of Internal Medicine, and a board-certified specialist in Preventive Medicine/Public Health. He has received two Honorary Doctorates.
Food is medicine- the best there is. But “medicine” is generally used to treat or manage something, and famously, we tend only to manage effectively what we measure. Thus, mean logic dictates the corollary: we should measure what matters. Yet, we almost never measure the one health variable that matters most. More on that shortly.
Food is medicine, the best there is- assuming we get it right. The idea is far from new; Hippocrates famously espoused it. The idea is not new in the realm of research, either, including the variety of research generally most revered (at times for better, at times for worse): the randomized controlled trial. We have randomized trials to show that high blood pressure, pre-diabetes, dyslipidemia, and coronary artery disease – just to name a few- can be treated with diet (and, at times, other lifestyle interventions) as effectively as with state-of-the-art pharmacotherapy.
Are eggs good or bad for us now? Yes. A recent meta-analysis, widely covered by media ever hungry for just such dietary provocations, reported that the more eggs people ate over time, the more prone they were to heart disease. This, inevitably, has been juxtaposed with the advice in the 2015 Dietary Guidelines to abandon a specific focus on dietary cholesterol- and unleashed the predictable round of breathless expostulations about the deplorable state of nutritional science and understanding.
As I write this, I am just back - last night - from Sharjah, where I spoke at a conference. With all due respect to my most gracious hosts, before receiving the invitation to speak in Sharjah, I had never even heard of it. This is despite the fact that I have been to the United Arab Emirates (of which Sharjah is one) before, for a World Health Organization project in Abu Dhabi some years ago. I have been to neighboring Qatar for a public health conference as well. Even so, I had not heard of Sharjah- which now occupies a special place in my memory, and a warm spot in my heart.
As I write this, I am just back from the Connecticut State Legislature, where I gave testimony in support of a “soda tax” proposed by our Governor. Before answering the questions (and provocations) of legislators (again) both favorably and ill-disposed to the measure, I had roughly 3 minutes to make my case. I lay it out for you below, along with the embellishments that did not fit in so tight a space.
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