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Dr John Briffa's blog, A Good Look at Good Health — writing on food, cholesterol, weight, energy and the science behind everyday health, from the drbriffa.com archive. Filter by topic, browse by category, or search the library.

Walking versus running Brain and Behaviour

Walking versus running

I recently read an interesting editorial in the Journal of American College of Cardiology about the relative benefits of walking and running [1]. The editorial is partly a comment on a paper published in the same edition of the journal which found that running for 5-10 minutes a day is associated with a 45 per […]

August 29, 2014· 4 min read· Dr Briffa
Article reveals unseen cause of bias that risks compromising the evidence-base for statins and other drugs Cholesterol and Statins

Article reveals unseen cause of bias that risks compromising the evidence-base for statins and other drugs

The supposed ‘gold standard’ method of medical research is the ‘randomised controlled trial’. What this means in drug therapy research is that a group of individuals are randomly assigned to the treatment being studied or placebo, and the outcomes and effects compared. In the ‘best’ trials, neither the study participant not the investigators know who […]

August 28, 2014· 5 min read· Dr Briffa
Not all men with symptoms of an enlarged prostate have an enlarged prostate. What’s going on? Men's Health

Not all men with symptoms of an enlarged prostate have an enlarged prostate. What’s going on?

When men middle-aged or elderly men have some difficulty with urination, their doctor’s attention will usually focus on their prostate – the gland that encircles the pipe that takes urine from the bladder to the outside known as the urethra. An enlarged prostate can impinge on the outflow of urine from the bladder and therefore […]

August 22, 2014· 4 min read· Dr Briffa
How accurate are Professor Collins’ claims about the rates of muscle problems with statins? Cholesterol and Statins

How accurate are Professor Collins’ claims about the rates of muscle problems with statins?

I have written more than once about Professor Sir Rory Collins. He leads the Cholesterol Treatment Trialists collaboration in Oxford, UK. Periodically, this group takes (private) statin study data and churns out bold pronouncements on the (supposed) great effectiveness and safety of these drugs. Professor Collins recently tried to get the BMJ to retract two […]

August 22, 2014· 5 min read· Dr Briffa
Evidence links higher cholesterol with lower risk of death in older individuals Cholesterol and Statins

Evidence links higher cholesterol with lower risk of death in older individuals

Cholesterol in the bloodstream is carried within protein-rich packages known as ‘lipoproteins’. These come in two main types, so-called ‘low-density lipoprotein-cholesterol’ (LDL-C) and ‘high-density lipoprotein-cholesterol’ (HDL-C). Conventional wisdom has it that LDL-C is responsible for dumping cholesterol on the inside of arteries, and is dubbed ‘bad cholesterol’ as a result. On the other hand, HDL-cholesterol […]

August 15, 2014· 3 min read· Dr Briffa
Can getting more sun help protect against dementia? Brain and Behaviour

Can getting more sun help protect against dementia?

Alzheimer’s disease is a form of dementia, and its cause is likely to be ‘multifactorial’ and even vary considerably between individuals. However, on thing that appears to be true is that a key driving process in the condition is inflammation (which, by the way, seems to be true for ‘chronic’ conditions). One potential anti-inflammatory agent […]

August 8, 2014· 2 min read· Dr Briffa
Has Professor Collins’ call for BMJ ‘statin’ papers to be retracted backfired spectacularly? Cholesterol and Statins

Has Professor Collins’ call for BMJ ‘statin’ papers to be retracted backfired spectacularly?

Professor Sir Rory Collins is one of the most strident advocates of statin therapy, and also leads a ‘research group’ known as the Cholesterol Treatment Trialists collaboration (CTT). Professor Collins and his colleagues hold a huge database of from statin studies, and quite-often ‘crunch the numbers’ and pronounce statins to be highly effective and very […]

August 8, 2014· 4 min read· Dr Briffa
More evidence that ‘modifying’ cholesterol does not necessarily have broad benefits for health Cholesterol and Statins

More evidence that ‘modifying’ cholesterol does not necessarily have broad benefits for health

Higher levels of so-called ‘HDL-cholesterol’ is associated with reduced risk of cardiovascular issues including heart disease and stroke. This finding has led to the widespread view that raising HDL levels has benefits for health, particularly with regard to cardiovascular risk. There are three main classes of agents that are known to boost HDL levels: the […]

August 1, 2014· 3 min read· Dr Briffa