Dr. Fuhrman talks about the new research on lipids, lipoproteins, and apolipoproteins as risk markers for myocardial infarction—via The Lancet.
This study reveals that the ApoB/ApoA1 ratio is more predictive of heart attack occurrence compared to cholesterol levels or cholesterol ratios. That means that a high ApoB (Apoprotein B) is not good and a better indicator of risk compared to LDL cholesterol.
Keep in mind that a calculated LDL is not as accurate as a direct LDL and the type of LDL measured in Apoprotein B is even a better predictor. Also the LDL particle number is still likely the most accurate test for heart attack risk.
In spite of all these numbers and their potential to predict risk, the bottom line is that all of them go down with a vegetable-based diet and go up with sloppy eating habits. But not only that, the high-nutrient diet, contains positive benefits to reduce risk of heart disease not reflected in these numbers, so the numbers are not as predictive compared to a qualitative index of one’s diet such as the proportion of the diet made up of high-nutrient plant food and a tape measure around ones’ waist.
In summary, to predict one’s risk of heart disease, or to give someone assurance they are not at risk, it is important to consider:
- Waist measurement or waist fat accumulation (body fat)
- Nutrient density of the diet
- Exercise tolerance
- Non-medicated systolic blood pressure
- The blood risk markers noted above