Australian Doctor 11th April 2025 | Page 14

14 NEWS

14 NEWS

11 APRIL 2025 ausdoc. com. au

Butter shortens life: research

Rada Rouse EATING and cooking with butter are a recipe for shortening your life, according to findings from large, long-running cohort studies.
US research shows that higher butter intake is associated with higher mortality, whereas there is an inverse association between plant oil intake and mortality.
Harvard-led researchers drew on data for individuals who logged their dietary consumption every four years for up to 33 years, allowing analysis
of the effect of long-term intake of saturated versus unsaturated fats on mortality.
Among the 221,000 participants from three different studies, nearly 51,000 deaths occurred, including more than 12,000 due to cancer and 11,000 due to CVD.
The US National Institutes of Health – funded study found that the highest consumption of butter was associated with a 15 % higher risk of death over the research period than the lowest consumption.
Higher butter intake was also linked to increased risk of cancerspecific mortality.
Conversely, the highest intake of plant-based oils— such as canola, olive and soybean( but not corn or safflower)— was linked to a 16 % lower risk of total mortality, as well as lower cancer and CVD mortality.
Furthermore, the researchers worked out that active substitution of butter with healthy oils was associated with a 17 % reduction in both total mortality and cancer mortality.
“ The present results indicate that replacing three small pats of butter( approximately 15g) with one tablespoon of plant-based oil( approximately 15g) in the daily diet could contribute to lowering the risk of premature mortality,” the team wrote in JAMA Internal Medicine.
They noted that the study findings were in line with existing US dietary recommendations for minimising saturated fat intake. JAMA Intern Med 2025; 6 Mar.

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Deflation over lung screening

Mohana Basu PESSIMISM around treatment outcomes and deep-seated stigma risk undermining patient participation in the National Lung Cancer Screening Program, Lung Foundation Australia has warned.
Launching in July, the program will cover people aged 50-70 who have a smoking history of 30 pack-years.
More than 930,000 people are expected to be screened, saving 12,000 lives over the next decade
Last month, the foundation said it had conducted a survey that showed patients diagnosed with lung cancer felt discouraged from seeking care.
“ One of the things we noticed was that people who smoke experience stigma and therapeutic nihilism at rates much greater than any other cancer,” said foundation CEO Mark Brooke.
He pointed to comments in the survey from a 62-yearold patient with lung cancer.
“ The … nurse was putting a needle into my hand and missed the vein, and I winced in pain,” the patient recalled.
“ Then he did it again and said to me,‘ It doesn’ t pay to smoke, does it?’”
Other concerns ahead of the program’ s start date were patients being unable to find clinics that offered bulkbilled CT scans, he added.
He said GPs and practices had to enrol in the National Cancer Screening Register in advance to access scan results and to report their findings.
He also encouraged GPs to double-check patient records for accurate smoking histories and prepare for an influx of patients with incidental findings, such as COPD or pulmonary fibrosis.
Research institute The Daffodil Centre is preparing six CPD-eligible education modules on the screening program, which will be released before it begins.