Dr Caroline Leaf – Better graphics, same content

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In the world of marketing, visual media is king. Humans are sight based creatures. About thirty percent of our brains cortex is dedicated to vision , compared to 8 percent for touch and 2 percent for hearing http://channel.nationalgeographic.com/brain-games/articles/brain-games-watch-this-perception-facts/)

It’s no wonder then that sites like Pinterest and Instagram have so rapidly become such dominant sites on the social media landscape. And why billions of dollars are invested in visual advertising on TV and billboards.

Dr Caroline Leaf is a communication pathologist and self titled cognitive neuroscientist. In the last few weeks, she’s gone for a new look for her Instagram and Facebook posts – gone are the simple lines, plain text and stand alone logo. Her posts have gone glam, with backgrounds of her photo treated with coloured layering and shading, overlaid with Dr Leafs favourite text. Sometimes the text is pretty easy to read. Other times it looks like a 4th grade class got to take turns picking the font and text size for each different word. But hey, it’s edgy, it’s happening, it’s so hot right now.

It’s a real shame that she only chose to update the look and not the actual content of her social media memes. Take today’s offering as an example: “The mind processes. The brain reflects this processing.” (The unsaid conclusion being that, “The mind controls the brain.”)

I’ve written about this meme a few times (here, here, here and here, as a small sample). But let’s relook at it again, since Dr Leaf is unwilling to reconsider the statements lack of validity.

Does the mind really control the brain, or does the brain control the mind? Well, if the mind was separate from the brain and controlled the brain, then the mind would be able to function independently of the brain. And also, if the mind was separate to the brain, then changes to the brain would not influence the function of the mind.

It’s difficult to show that a person has a mind without a brain. You can’t really remove someone’s brain and then put it back again, so not many people are keen to volunteer for that study. But anecdotally, have you ever heard of a person who has woken from a coma having spend all that time in deep thought?

What IS much easier to study, and has been proven over the course of centuries, is the change to our cognitive function when our brain is changed, physically or functionally.

The mind changes when the function of the brain is changed by medications.
The mind changes when the function of the brain is changed by illicit drugs.
The mind changes when the function of the brain is changed by electrical stimulation.
The mind changes then the structure of the brain is changed by tumours or injuries.

In 1848, a man named Phineas Gage was packing gunpowder in some rock when an accidental detonation blasted a foot-long iron rod through the left face and forehead, severely damaging the left frontal lobe of his brain. History records that his personality changed from polite, well mannered, and well spoken to fitful, irreverent, impatient of restraint or advice, obstinate and capricious [1].

Whilst Phineas Gage was is most famous, other brain injuries can also change the way in which someone thinks. For example, lesions of the parietal lobe of the brain changes the way people see their own bodies. Baars writes, “Patients suffering from right parietal neglect can have disturbing alien experiences of their own bodies, especially of the left arm and leg. Such patients sometimes believe that their left leg belongs to someone else (often a relative), and can desperately try to throw it out of bed. Thus, parietal regions seem to shape contextually both the experience of the visual world and of one’s own body.” [2]

Some might argue that the mechanism of injury might be the variable that could change someone’s personality. After all, if an iron rod was blasted through my skull, I might be a little antsy too. But other structural change to the brain, not associated with a sudden traumatic event, can also result in personality changes – it’s well recognised that personality changes can be the first presenting symptom of brain tumours, for example.

Though the brain doesn’t have to be horribly distorted for the mind to change. In the last couple of decades, a tool has been developed called TMS – short for transcranial magnetic stimulation. A magnetic pulse is delivered over a part of the skull, passing through the bone to reach the brain, causing changes to the electrical current running through the nerve cells. Stimulation of different intensities can either turn off the nerve cells or excite them. TMS has become a great tool for studying cognitive neuroscience because it directly changes the function of the brain in a well localised and temporary manner. It’s also easy for scientists to blind the subjects to whether they’re receiving the treatment or a sham treatment, so the results are reliable. Research shows that when the frontal lobes of the brain are changed by the electrical signals, their executive function also changes [3].

Changes to the function of the brain are known to change the function of the mind and have been known to do so for centuries. From religious hallucinogens to Woodstock hippies, drugs of various forms have been used to alter mood, thought, and perceptions of reality. But there’s a drug that’s much more common, that’s known for its ability to alter our brains thinking ability the world over, and even Dr Leaf enjoys it.

Like most people, my morning doesn’t really start until after my first cup of coffee. Sure, I’m functional, but barely. Fifteen minutes after the first short black is in my system, I find that I’m much more alert and my thinking is clearer.

What’s changed? Is it my mind changing the function of my brain, or is it the coffee, specifically the caffeine in it, that’s changing my brain which is in turn is making my mind clearer and sharper? I think the answer is obvious. Caffeine is the most commonly used recreational drug in the history of mankind, and every cup of java (real coffee that is, not the travesty that is decaf) is more proof against Dr Leaf’s dogmatic misrepresentation of basic science.

So, if the mind is changed by alterations to the structure and/or function of our physical brain, it follows that our mind must be a function of our brain. Therefore, the mind does not process, while the brain simply hangs on for the ride. Rather, the brain processes, and our mind reflects this processing.

Dr Leaf can tart up her memes all she likes, but until she changes the content of her memes to match some actual science, it’s all just smoke and mirrors. The truth doesn’t need visual pimping. It is simply the truth.


[1]        Fumagalli M, Priori A. Functional and clinical neuroanatomy of morality. Brain : a journal of neurology 2012 Jul;135(Pt 7):2006-21.
[2]        Baars BJ. Global workspace theory of consciousness: toward a cognitive neuroscience of human experience. Progress in brain research 2005;150:45-53.
[3]        Guse B, Falkai P, Wobrock T. Cognitive effects of high-frequency repetitive transcranial magnetic stimulation: a systematic review. J Neural Transm 2010 Jan;117(1):105-22.

Dr Caroline Leaf and the tongues trivia tall tales trifecta

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I saw a Facebook factoid from Caroline Leaf today that said, “When we speak in tongues, research shows that the areas involved in discernment in the brain increase in activity, which means we increase in wisdom.”

Dr Caroline Leaf is a communication pathologist and a self-titled cognitive neuroscientist. She has also proclaimed herself as an expert on science and the Bible.

In the opening of her “Scientific Philosophy”, for example, Dr Leaf says that, “God is the Creator of the Universe and is the Author of Science. Since God is the Author of the Bible, the Bible is therefore the ultimate authority in any scientific matters. The study of Science is therefore the study of God’s handiwork and is a way of admiring His Creation. God, the Creator, is the One to be worshipped, not the Creation. The Creation, however, reflects the Glory of God and points to His Divine attributes.”

In order to prove that the Bible is the ultimate scientific authority, Dr Leaf attempts to find scientific studies which support Biblical concepts. One example of this is her teaching on Glossolalia, the scientific term for the Biblical concept ‘speaking in tongues’.

Dr Leaf’s Facebook factoid on the neuroscience of speaking in tongues is at least the second time she has posted it. In November when I first saw Dr Leaf’s proclamation on the science of speaking in tongues, I was fascinated. I went to find the research for myself to see if the areas involved in discernment in the brain really increase in activity when speaking in tongues. As it turns out, there isn’t any.

The only study that I could find about brain functioning during speaking in tongues was by Newberg [1]. As I wrote in my previous blog, the study by Newberg showed the part of the brain that’s involved in both speaking in tongues and discernment, the ventromedial prefrontal cortex, decreases in activity when praying in tongues, not increases, in direct contradiction to Dr Leaf’s meme.

In November, I concluded, “there are really only two reasonable explanations as to why the research contradicts Dr Leaf; either there is another piece of research which supports Dr Leaf’s assertion, or Dr Leaf is simply wrong.”

Today on Facebook, Dr Leaf demonstrated that she can not be swayed from her entrenched idea that speaking in tongues increases discernment … or can she? Her meme and her discussion on glossolalia in her ‘Scientific Philosophy’ seem contradictory.

For example, she writes in her scientific philosophy manifesto, “In 2006 Dr. Andrew Newberg at the University of Pennsylvania, using single-photon emission computerized tomography (SPECT), found that the frontal lobe of individuals who spoke in tongues was less active. This brain profile was in contrast to Franciscan nuns in contemplative prayer and Buddhist monks in meditation, in which frontal lobe activity is increased. Since the frontal lobe activity is increased when we are focused on what we are saying, this finding confirms self-reports of what people who spoke in tongues experienced, implying that the words spoken in glossolalia originate from a source other than the mind of the individual speaking in tongues.”

In this paragraph, Dr Leaf confirms that frontal lobe activity decreases when speaking in tongues, in keeping with her anecdotal evidence of “self-reports of what people who spoke in tongues experienced, implying that the words spoken in glossolalia originate from a source other than the mind of the individual speaking in tongues.” But this is in direct contrast with her social media meme, which suggests that speaking in tongues increases frontal lobe activity – the area of the brain common to glossolalia and discernment is the vmPFC, which decreases with glossolalia and increases with discernment.

Dr Leaf is a confusing enigma. She posts social media memes that are clearly wrong, even disagreeing with the scientific papers she has written about and her own conclusions in her own manifesto.

This only discounts her legitimacy. You can’t continue to contradict your own evidence. It’s like shooting yourself in the foot, or digging your own grave. What’s worse, Dr Leaf teaches this from real pulpits, not just on social media. How is her audience supposed to feel when they hear what she has to say and find it disagrees with her own scientific philosophy?

I sound like a broken record, but Dr Leaf desperately needs to review her teaching and social media memes. It’s bad enough to be contradicted by scientific evidence, but to be in disagreement with your own teaching is embarrassing, and does nothing to preserve trust with your audience.


[1]        Newberg AB, Wintering NA, Morgan D, Waldman MR. The measurement of regional cerebral blood flow during glossolalia: a preliminary SPECT study. Psychiatry research 2006 Nov 22;148(1):67-71.

Dr Caroline Leaf – Manhandling scriptures again

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I recently heard a great quote, “If you take the text out of context, all you’re left with is a con.” It’s a quote that seems to describe Dr Leaf’s social media pings quite nicely over the last twenty-four hours.

Dr Caroline Leaf is a communication pathologist and a self-titled cognitive neuroscientist. She is also a self-titled theologian.

Today she posted, “3 John 2 = Mental Health ‘Beloved, I wish above all things that thou may prosper and be in health, even as your soul prospers.’ Everything relies on your soul, which is your mind, prospering” (original emphasis).

Except that her statement is blatantly false. The soul isn’t just the mind. A simple search of an on-line Bible dictionary reveals that there are a number of ways in which the word ‘soul’ is used, but more specifically to the meaning in 3 John 2, “the (human) soul in so far as it is constituted that by the right use of the aids offered it by God it can attain its highest end and secure eternal blessedness, the soul regarded as a moral being designed for everlasting life”. (http://goo.gl/AjhvNO)

It should also be noted that the two words used in ancient Greek that referred to our inner reality were pneuma (‘spirit’) and psyche (‘soul’). According to Thayer’s Greek Lexicon, the words pneuma (‘spirit’) and psyche (‘soul’) were often used indiscriminately. The Apostle Paul distinctly used the word pneuma separately to the word psyche in 1 Thessalonians 5:23, but nearly every other New Testament writer wasn’t so precise.

Thus, John wasn’t referring to the mind at all, but probably our spirit, or at the very least, our generic soul, not specifically to our mental faculties or our thoughts. The scripture in 3 John 2 doesn’t have anything to do with our mental health.

Yesterday, Dr Leaf tried to merge one of her favourite authors views with scripture. She posted a quote from Dr Bruce Lipton, “Genes cannot turn themselves on or off. In more scientific terms, genes are not ‘self-emergent’. Something in the environment has to trigger gene activity.” Dr Leaf added, “That ‘something’ is your thoughts! Read Proverbs 23:7”.

So I did.   Proverbs 23:7 in the King James Version says, “For as he thinketh in his heart, so is he: Eat and drink, saith he to thee; but his heart is not with thee.”

So what is it with the second half of the verse? If this scripture is all about our thought life, then what’s the eating and drinking half of the verse got to do with our thought life?

The explanation is that this verse has nothing to do with our thought life at all. Dr Leaf has simply been misquoting it for years, and no one checked to see if she’s right. According to the Pulpit commentary found on the Bible Hub website, “The verb here used is שָׁעַר (shaar), ‘to estimate … to calculate’, and the clause is best rendered, ‘For as one that calculates with himself, so is he’. The meaning is that this niggardly host watches every morsel which his guest eats, and grudges what he appears to offer so liberally … He professes to make you welcome, and with seeming cordiality invites you to partake of the food upon his table. But his heart is not with thee. He is not glad to see you enjoy yourself, and his pressing invitation is empty verbiage with no heart in it.” (http://goo.gl/nvSYUh)

The other half of her meme comes from Dr Bruce Lipton, an agnostic pseudoscientist who was a cell biologist before he flamed out, and now teaches chiropractic in New Zealand. He believes that there is a metaphysical link between our thoughts and our cell function [1]. He’s ignored by real scientists (http://goo.gl/cX7Aeg).

As for his quote, it’s a misdirection. Sure, genes aren’t self-emergent – they don’t think for themselves. DNA is just a long chemical string which just carries a code, the biological equivalent to your DVD discs. Like a DVD, DNA isn’t worth anything if it doesn’t have a machine to read it. In every cell, there are hundreds of proteins that read and translate DNA. Those machines respond to the external environment, but they also respond to the cells internal environment, and to other genes themselves. Simply put, DNA is decoded by intracellular proteins, but intracellular proteins are only made by the expression of DNA, which happens all the time. A single-celled embryo becomes a baby because of DNA self-copying and expression that happens a trillion times over by the end of pregnancy. So while a single gene can’t turn itself on and off, the genome as a whole is essentially self-controlling, only being partly modulated by the external environment. Genes are turned on and off all the time by other genes through the proteins those genes make. Lipton’s assertion that “something in the environment has to trigger gene activity” is simply nonsense.

So Dr Leaf uses a flawed quote from a pseudoscientist to try and back up her specious interpretation of an out-of-context verse of scripture.

Somewhat poor from an “expert” theologian and cognitive neuroscientist really.

These memes speak to the issues of trust and legitimacy. Dr Leaf can call herself whatever she likes, but how can church leaders continue to endorse her to their congregations as an expert when she consistently misinterprets science and scripture? Can they honestly look their parishioners in the eye and say that Dr Leaf’s teaching is accurate? Can they stand at their pulpits and confidently support her book sales at their back of their churches?

Dr Leaf needs to re-evaluate. She needs to re-evaluate her claims to be an expert in cognitive neuroscience and the Bible. She needs to re-evaluate the quality of information that she relies on. She needs to re-evaluate what she’s trying to achieve in posting to social media, and re-evaluate the accuracy of her memes.

Because ultimately it’s the truth that sets people free, not errant opinions and misinterpretations.


[1]        Lipton BH. The biology of belief: Unleashing the power of consciousness, matter and miracles: Hay House, Inc, 2008.

Addit: Dr Leaf’s social media post in between the two memes mentioned above was also a doozy. A repeat offender, as it were, since she has posted it several times before, and I have blogged about it here.

Dr Caroline Leaf – It’s no joke

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So, stop me if you’ve heard this one … This guy walks into a bar, and says, “Owww, that bar is really hard.”

Ok, that was a bad joke. Hey, I’m no Robin Williams. Some people have the knack of being able to make people laugh in almost any situation. I can get a few laughs, but I’m not a naturally gifted comic.

Dr Caroline Leaf is a communication pathologist and a self-titled cognitive neuroscientist. She isn’t a comedian either.

Her post today was a light-hearted dig at giant lizards with a taste for organic free-range humans, or perhaps the fact that most people know being “all organic, gluten free” should be left to the sanctimonious foodies of San Francisco.

The other part of her post wasn’t meant to be funny, but certainly contained a healthy dose of irony. In trying to justify her bit of light comic relief, she posted another of her subtly erroneous factoids, this time claiming that, “Laughing 100-200 times a day is equal to 10 minutes of rowing or jogging!”

Not according to real scientists, who have worked out that laughing is actually the metabolic equivalent to sitting still at rest, while jogging or rowing burns between 6 to 23 times as much energy, depending on how fast you run or row [1].

That would mean that I would have to laugh for at least a whole hour a day (or about 700 times based on the average chortle) to be even close to the energy burnt by a light jog.

On the grand scale of things, this meme probably doesn’t really matter. These sort of factoids are thrown around on social media all the time, and it won’t make a big difference to the health and wellbeing of most people. But it does help establish a pattern. Dr Leaf habitually publishes memes and factoids that clearly deviate from the scientific truth, proving that Dr Leaf has become a cross between a science fiction author and life coach, not a credible scientific expert. From her social media memes to her TV shows, all of her teaching becomes tainted as untrustworthy.

While today’s meme may not be so serious, if Dr Leaf can’t get her facts straight, pretty soon the joke will be on her.


  1. Ainsworth, B.E., et al., 2011 Compendium of Physical Activities: a second update of codes and MET values. Med Sci Sports Exerc, 2011. 43(8): 1575-81 doi: 10.1249/MSS.0b013e31821ece12

Fats and Figures: Re-examining saturated fat and what’s really good for your heart

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A Facebook friend forwarded me an article a few weeks back and asked for my humble medical opinion.

The article was entitled, “World Renowned Heart Surgeon Speaks Out On What Really Causes Heart Disease”. It was written by a man who said he was a heart surgeon, and who claimed to be coming clean on the real reason why our world has an epidemic of obesity and heart disease despite the low fat advice of the medical profession.

It’s a highly controversial topic right now. For decades, the western world was under the impression that fat was tobaccos right hand man in a war on good health. Standard medical dogma was that high cholesterol was bad, and that saturated fat was its main source. Evil butter was replaced with angelic margarine. Fatty red meat was always served with a generous side portion of guilt. Low fat became high fashion.

Today, the pendulum of public opinion has swung back with such amazing ferocity, it’s become more like a wrecking ball. Fat has returned to the fold as friend instead of foe. The once mighty cholesterol lowering medications called statins have become seen as another example of pharmaceutical company profits-before-patients. Sugar has become the new villain, and along with it, the nebulous concept of “inflammation” as the key mechanism of heart disease and strokes, and nearly every other medical ailment.

What started off as a three-paragraph reply on Facebook has evolved into a short eBook, which you can download for free from Smashwords (https://www.smashwords.com/books/view/514719)

In today’s post, I want to look at six things that, over the years, have been touted as contributing to or preventing heart disease, and see what the evidence says. The results may be surprising!

1. Is saturated fat bad? Is polyunsaturated fat good?

According to a meta-analysis of observational studies on dietary fats by Chowdhury et al. (2014), relative risks for coronary disease were 1.02 (95% CI, 0.97 to 1.07) for saturated fats, 0.99 (CI, 0.89 to 1.09) for monounsaturated, 0.93 (CI, 0.84 to 1.02) for long-chain n-3 polyunsaturated, 1.01 (CI, 0.96 to 1.07) for n-6 polyunsaturated, and 1.16 (CI, 1.06 to 1.27) for trans fatty acids. The total number of patients in all of the trials was more than half a million. This is pretty convincing evidence that saturated fats aren’t as bad as first believed.

What does all this mean? In statistical terms, a relative risk is the incidence of disease in one group compared to the incidence of disease in another. The risk of the disease in the two groups is the same if the relative risk = 1. A relative risk of 7.0 means that the experiment group has seven times the risk of a control group. A relative risk of 0.5 would mean the experiment group has half the risk of the control group. The confidence interval is a range of numbers in which there is a 95% chance that the true relative risk is in the interval. A result is “statistically significant” when the confidence interval (CI) does not cross the number 1.

So going back to the study by Chowdhury et al. (2014), only 2% more patients in the group with the highest saturated fat consumption had heart disease compared to the lowest saturated fat consumption. The confidence interval crossed 1, so that result may have been due to chance alone. For trans fatty acid consumption, 16% more people had heart disease in the higher consumption group compared to the lower consumption group, which was probably a real effect and not due to chance (the confidence interval did not cross 1). Simply put, trans-fats are bad. Saturated fats probably aren’t.

The same meta-analysis by Chowdhury et al. (2014) also reviewed supplementation with PUFA’s on the overall risk of heart disease. They found that in 27 randomised controlled trials with more than 100,000 people, relative risks for coronary disease were 0.97 (CI, 0.69 to 1.36) for alpha-linolenic acid supplements, 0.94 (CI, 0.86 to 1.03) for long-chain n-3 polyunsaturated acid supplements, and 0.89 (CI, 0.71 to 1.12) for n-6 polyunsaturated fatty acid supplements. In this case, there was a trend in favour of supplementation with omega-3 and omega-6 supplements, but it was small, and may have been due to chance. This is confirmed by other reviews (Rizos, Ntzani, Bika, Kostapanos, & Elisaf, 2012; Schwingshackl & Hoffmann, 2014)

So it appears that it doesn’t matter what fat you consume, saturated or polyunsaturated, or whether you supplement with fish oils or eat lots of fish, your cardiovascular risk is much the same. The only thing that’s definitely clear is that you should avoid trans-fats.

2. Is sugar bad for you?

That depends.

When we think of sugar, we think of sucrose, a carbohydrate made up of one glucose and one fructose molecule. There are many carbohydrates, which are just various combinations of different numbers of glucose/fructose molecules, sucrose being one type.

Sugar consumption is thought to be the modern scourge, it’s consumption linked to everything from cancer to gallstones. It’s been recently become the villain of cardiovascular disease as well. It’s thought to cause insulin resistance, inflammation and an increase in the fats circulating in the blood stream. So, is it as bad as they say? The evidence is surprising.

First of all, sugar doesn’t make you fat. Rather, it’s the calories you consume that make you fat. Te Morenga, Mallard, and Mann (2013) conclude their meta-analysis of dietary sugar and body weight, “Among free living people involving ad libitum diets, intake of free sugars or sugar sweetened beverages is a determinant of body weight. The change in body fatness that occurs with modifying intakes seems to be mediated via changes in energy intakes, since isoenergetic exchange of sugars with other carbohydrates was not associated with weight change.”

The intake of sugar and glucose don’t cause an increase in inflammation or cholesterol in healthy people. In a study on effects of sugar consumption on the biomarkers of healthy people, Jameel, Phang, Wood, and Garg (2014) found that consumption of sucrose and glucose actually decreased cholesterol. Fructose increased cholesterol, though interestingly, the Total:HDL ratio (which is prognostic for heart disease) did not change significantly with the consumption of any form of sugar. They also found that fructose was associated with an increase in inflammation, but glucose and sucrose reduced inflammation.

On the other hand, a study by Isordia-Salas et al. (2014) showed a small but significant association between those with high blood glucose level and inflammation, though they also found an association between inflammation and BMI (the body-mass index), so it’s not clear what the causal factor is.

There seems to be a clearer association between blood glucose after meals in those who have abnormal glucose metabolism. In patients with pre-diabetes, higher levels of blood glucose two hours after eating were associated with increased risk of death from cardiovascular disease and all causes (Coutinho, Gerstein, Wang, & Yusuf, 1999; Decode Study Group, 2003; Lind et al., 2014).

To melt your brain a little more, just because high glucose levels are associated with higher mortality doesn’t mean the lower the glucose, the better. In the study by the Decode Study Group (2003), low blood glucose had a higher mortality than normal glucose levels, and a meta-analysis by Noto, Goto, Tsujimoto, and Noda (2013) showed that low carbohydrate diets have a 30% increase in all-cause mortality.

How do you pull all of these seemingly contradictory studies together? The bottom line appears to be, according to the evidence so far, that consumption of sugar does not cause inflammation or significantly increase the risk of heart disease in healthy people who are able to metabolise it properly.

In those people who have abnormal glucose metabolism, the higher the glucose is after a meal (a measure of how well the body processes glucose), then the higher the risk is of inflammation, heart disease, and all-cause mortality.

The distinction between who has normal glucose metabolism and who has dysfunctional glucose metabolism is probably related to genetics. A study by Sousa, Lopes, Hueb, Krieger, and Pereira (2011) showed that genetic information was able to predict 5-year incidence of major cardiovascular events and overall mortality in non-diabetic individuals, even after adjustment for the persons blood sugar. Those without diabetes but who had a high genetic risk had a similar incidence of cardiovascular events compared to diabetics. So if you have the genes, your body doesn’t process the glucose properly and your risk is increased, even if you aren’t bad enough to have a diagnosis of diabetes.

Thus it appears that sugar is not the bad guy that everyone makes it out to be. Excess sugar will make you fat, but so will excess everything-else. It probably won’t kill you unless you’re genetically pre-disposed to handle it poorly. And there’s the rub, because we don’t have the capacity to test for that clinically yet.

So the last word on sugar is that it’s a sometimes food. You may be lucky enough to handle large amounts of sugar, but the best advice at this time is don’t tempt fate by eating large quantities of it.

3. Is obesity bad for you?

Again, that depends.

It used to be thought that obesity posed a linear risk, that is, the fatter you were the higher your risk of heart attacks, cancer, diabetes, everything. Then in 2013, a meta-analysis by Flegal, Kit, Orpana, and Graubard (2013) showed that people who were overweight (but not obese) had better survival than those who were normal weight.

Later in 2013, Kramer, Zinman, and Retnakaran (2013) published a meta-analysis which showed that metabolically unhealthy people of normal BMI were at greater risk of cardiovascular disease than metabolically healthy obese people.

Last year a paper by Barry et al. (2014) showed that those who were unfit were twice as likely to die compared to people who were fit, irrespective of their BMI.

So obesity doesn’t seem to be the problem after all, rather it’s a persons ability to handle blood sugar, cholesterol and blood pressure that’s the problem. It seems that more people with obesity have these metabolic problems, but correlation does not equal causation. There’s probably a undetermined factor that links obesity and metabolic dysfunction.

I’m not suggesting that we should all get fatter. Obesity has problems of its own, unrelated to metabolic issues, that make it problematic. We should still be careful about our weight. The take-home message is that skinny does not necessarily mean healthy and that focusing on what the scales are saying may be distracting us from the real problem.

4. Is meat bad for you? Should we be vegetarians?

In a word, no.

In the two available meta-analyses of the studies on red meat consumption (Larsson & Orsini, 2014), and red meat vs white meat vs all meat (Abete, Romaguera, Vieira, Lopez de Munain, & Norat, 2014), there was a statistical but moderate increase in death and heart disease from processed meats.

There was a trend towards a higher death rate in those who ate the most red meat, but the trend wasn’t statistically significant (i.e.: may have been related to chance). There was no trend associated with white meat consumption. So it appears that as long as it’s not processed meat, red meat isn’t as bad as people first thought.

Meat might not be particularly bad, but are vegetarian diets better? Again, probably not. The meta-analysis by Huang et al. (2012) shows that there’s a positive trend for vegetarian diets, though again, that might be attributable to chance as the results are not statistically significant.

The take-away message? Even though the trends may be related to chance, the trend is favourable for vegetables and not as favourable for red meat. So eat more veggies, eat less red meat, but don’t let some sanctimonious vegan convince you that meat is noxious and vile.

5. Is alcohol good for you?

A different meme recently came around my Facebook feed, entitled, “Is Drinking Wine Better Than Going To The Gym? According To Scientists, Yes!” For a while there, I had fantasies about giving my membership card back to the gym and heading down to the local bottle shop for my daily workout instead.

Disappointingly, it turns out that red wine isn’t better than exercise according to the research that I uncovered. However, my research did suggest that the daily exercise of wine drinking is still beneficial, and not just red wine, but alcohol of any form. Ronksley, Brien, Turner, Mukamal, and Ghali (2011) showed about two standard drinks of alcohol daily conferred a 25% reduction in deaths from heart disease (relative risk 0.75 (0.68 to 0.81)), and a small but statistically strong reduction in death from all causes of 13% (relative risk 0.87 (0.83 to 0.92)). The risk reduction of coronary heart disease from alcohol was also confirmed in a more recent study by Roerecke and Rehm (2014), who showed that death from heart disease was reduced by 36% for those who consistently consumed less than three standard drinks a day (relative risk 0.64 (0.53 to 0.71)).

The effect applies to consistent daily consumption, not to drinking in a cluster pattern (binging or weekend-drinking only, for example). And there’s a gender difference, women having the maximum beneficial effect at about one drink a day, and two drinks a day in men.

6. Is exercise good for you?

In a word, yes!

I’ve never seen a study that showed exercise was harmful. Exercise improves overall metabolism, decreases cardiovascular disease, improves mood and memory and increases your lifespan, amongst many other things. If exercise came in pill form, it would be labelled a wonder-drug.

As discussed earlier, fit people have a better rate of survival compared to unfit people, whether they’re obese or not (Barry et al., 2014). And the key to fitness is exercise. In a large meta-analysis by Samitz, Egger, and Zwahlen (2011), 80 studies involving more than 1.3 million subjects in total were analysed, showing that the highest levels of exercise had an all cause mortality reduction of 35% (relative risk 0.65 (0.6 to 0.71)).

There’s always debate about what form of exercise is best. Are you better to do weights, do interval training, or run for hours? Honestly, it probably doesn’t matter that much in the end. What is important is that you work hard enough to elevate your heart rate and break a sweat. If you aren’t very fit, it won’t take much exercise to do that. If you are very fit, it probably will. But for the average person, you don’t have to jump straight into a boot camp style program and work so hard that you’re puking everywhere, and so sore afterwards that you can’t move for a week. Common sense prevails!


Abete, I., Romaguera, D., Vieira, A. R., Lopez de Munain, A., & Norat, T. (2014). Association between total, processed, red and white meat consumption and all-cause, CVD and IHD mortality: a meta-analysis of cohort studies. Br J Nutr, 112(5), 762-775. doi: 10.1017/S000711451400124X

Barry, V. W., Baruth, M., Beets, M. W., Durstine, J. L., Liu, J., & Blair, S. N. (2014). Fitness vs. fatness on all-cause mortality: a meta-analysis. Prog Cardiovasc Dis, 56(4), 382-390. doi: 10.1016/j.pcad.2013.09.002

Chowdhury, R., Warnakula, S., Kunutsor, S., Crowe, F., Ward, H. A., Johnson, L., . . . Di Angelantonio, E. (2014). Association of dietary, circulating, and supplement fatty acids with coronary risk: a systematic review and meta-analysis. Ann Intern Med, 160(6), 398-406. doi: 10.7326/M13-1788

Coutinho, M., Gerstein, H. C., Wang, Y., & Yusuf, S. (1999). The relationship between glucose and incident cardiovascular events. A metaregression analysis of published data from 20 studies of 95,783 individuals followed for 12.4 years. Diabetes Care, 22(2), 233-240.

Decode Study Group, E. D. E. G. (2003). Is the current definition for diabetes relevant to mortality risk from all causes and cardiovascular and noncardiovascular diseases? Diabetes Care, 26(3), 688-696.

Flegal, K. M., Kit, B. K., Orpana, H., & Graubard, B. I. (2013). Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA, 309(1), 71-82. doi: 10.1001/jama.2012.113905

Huang, T., Yang, B., Zheng, J., Li, G., Wahlqvist, M. L., & Li, D. (2012). Cardiovascular disease mortality and cancer incidence in vegetarians: a meta-analysis and systematic review. Ann Nutr Metab, 60(4), 233-240. doi: 10.1159/000337301

Isordia-Salas, I., Galvan-Plata, M. E., Leanos-Miranda, A., Aguilar-Sosa, E., Anaya-Gomez, F., Majluf-Cruz, A., & Santiago-German, D. (2014). Proinflammatory and prothrombotic state in subjects with different glucose tolerance status before cardiovascular disease. J Diabetes Res, 2014, 631902. doi: 10.1155/2014/631902

Jameel, F., Phang, M., Wood, L. G., & Garg, M. L. (2014). Acute effects of feeding fructose, glucose and sucrose on blood lipid levels and systemic inflammation. Lipids Health Dis, 13(1), 195. doi: 10.1186/1476-511X-13-195

Kramer, C. K., Zinman, B., & Retnakaran, R. (2013). Are metabolically healthy overweight and obesity benign conditions?: A systematic review and meta-analysis. Ann Intern Med, 159(11), 758-769. doi: 10.7326/0003-4819-159-11-201312030-00008

Larsson, S. C., & Orsini, N. (2014). Red meat and processed meat consumption and all-cause mortality: a meta-analysis. Am J Epidemiol, 179(3), 282-289. doi: 10.1093/aje/kwt261

Lind, M., Tuomilehto, J., Uusitupa, M., Nerman, O., Eriksson, J., Ilanne-Parikka, P., . . . Lindstrom, J. (2014). The association between HbA1c, fasting glucose, 1-hour glucose and 2-hour glucose during an oral glucose tolerance test and cardiovascular disease in individuals with elevated risk for diabetes. PLoS One, 9(10), e109506. doi: 10.1371/journal.pone.0109506

Noto, H., Goto, A., Tsujimoto, T., & Noda, M. (2013). Low-carbohydrate diets and all-cause mortality: a systematic review and meta-analysis of observational studies. PLoS One, 8(1), e55030. doi: 10.1371/journal.pone.0055030

Rizos, E. C., Ntzani, E. E., Bika, E., Kostapanos, M. S., & Elisaf, M. S. (2012). Association between omega-3 fatty acid supplementation and risk of major cardiovascular disease events: a systematic review and meta-analysis. JAMA, 308(10), 1024-1033. doi: 10.1001/2012.jama.11374

Roerecke, M., & Rehm, J. (2014). Alcohol consumption, drinking patterns, and ischemic heart disease: a narrative review of meta-analyses and a systematic review and meta-analysis of the impact of heavy drinking occasions on risk for moderate drinkers. BMC Med, 12(1), 182. doi: 10.1186/s12916-014-0182-6

Ronksley, P. E., Brien, S. E., Turner, B. J., Mukamal, K. J., & Ghali, W. A. (2011). Association of alcohol consumption with selected cardiovascular disease outcomes: a systematic review and meta-analysis. BMJ, 342, d671. doi: 10.1136/bmj.d671

Samitz, G., Egger, M., & Zwahlen, M. (2011). Domains of physical activity and all-cause mortality: systematic review and dose-response meta-analysis of cohort studies. Int J Epidemiol, 40(5), 1382-1400. doi: 10.1093/ije/dyr112

Schwingshackl, L., & Hoffmann, G. (2014). Dietary fatty acids in the secondary prevention of coronary heart disease: a systematic review, meta-analysis and meta-regression. BMJ Open, 4(4), e004487. doi: 10.1136/bmjopen-2013-004487

Sousa, A. G., Lopes, N. H., Hueb, W. A., Krieger, J. E., & Pereira, A. C. (2011). Genetic variants of diabetes risk and incident cardiovascular events in chronic coronary artery disease. PLoS One, 6(1), e16341. doi: 10.1371/journal.pone.0016341

Te Morenga, L., Mallard, S., & Mann, J. (2013). Dietary sugars and body weight: systematic review and meta-analyses of randomised controlled trials and cohort studies. BMJ, 346, e7492. doi: 10.1136/bmj.e7492

Dr Caroline Leaf and dualism revisited

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Are we a body with a mind, or a mind with a body?

This may sound like a chicken-and-egg type of conundrum, but it’s a deep philosophical question. The concept of the separation of the mind from the body is known as dualism, and has been debated for centuries because the answer to that question then guides a lot of other philosophies and theories.

Dr Caroline Leaf is a communication pathologist and a self-titled cognitive neuroscientist. She believes that the body and brain are separate from the mind, which significantly influences her teaching. Take, for example, her social media meme-of-the-day today. She posted that, “The brain does not change itself… our MIND changes the brain”. If one assumes that the mind is separate from our brain, then its plausible that the mind influences the brain.

Except that it doesn’t. Our mind is a product of our brain, not a separate entity. Neurological damage from injuries or tumours, electrical stimulation of the brain in the lab, the effect of illicit drugs on the brain like LSD or marijuana, and everyday examples like the changes to our thinking under the influence of caffeine or alcohol, all prove that changes to the structure and function of the brain change thought patterns. It isn’t the other way around. Every brain changes itself too – the brain of an embryo or foetus undergoes massive changes but foetuses don’t have streams of conscious thought. Dr Leaf’s meme is scientifically misguided.

Perhaps what is more worrying is Dr Leaf’s use of scripture to try and justify her view that the mind and the brain are separate. To introduce her meme, Dr Leaf wrote, “Read Luke 16:19-31 to see that the mind is separate from the brain – this is God’s divine design.”

There are a number of scriptures that theologians use to discuss the biblical basis for the separation of the body and soul, but Luke 16:19-31 isn’t one of them. That passage is the parable of Lazarus and the rich man.

It says:

‘There was a rich man who was dressed in purple and fine linen and lived in luxury every day. At his gate was laid a beggar named Lazarus, covered with sores and longing to eat what fell from the rich man’s table. Even the dogs came and licked his sores.
‘The time came when the beggar died and the angels carried him to Abraham’s side. The rich man also died and was buried. In Hades, where he was in torment, he looked up and saw Abraham far away, with Lazarus by his side. So he called to him, “Father Abraham, have pity on me and send Lazarus to dip the tip of his finger in water and cool my tongue, because I am in agony in this fire.”
‘But Abraham replied, “Son, remember that in your lifetime you received your good things, while Lazarus received bad things, but now he is comforted here and you are in agony. And besides all this, between us and you a great chasm has been set in place, so that those who want to go from here to you cannot, nor can anyone cross over from there to us.”
‘He answered, “Then I beg you, father, send Lazarus to my family, for I have five brothers. Let him warn them, so that they will not also come to this place of torment.”
‘Abraham replied, “They have Moses and the Prophets; let them listen to them.”
‘“No, father Abraham,” he said, “but if someone from the dead goes to them, they will repent.”
‘He said to him, “If they do not listen to Moses and the Prophets, they will not be convinced even if someone rises from the dead.”’ (Luke 16:19-31, NIV)

I’m not sure exactly where the convincing proof of the separation of our mind and our body is found in this passage. This is a description of the afterlife, and in this parable, the rich man was very specific about memories (“I have five brothers …”) as well as physical sensations (“I am in agony in this fire”) and even parts of the body (Lazarus’s finger, his tongue). Jesus isn’t telling a story of how the mind is separate to the body, but of a different dimension in which the body and the mind are still together. This passage isn’t proof for the concept of dualism, but against it.

Dualism also has a number of fatal scientific and philosophical flaws, in particular that dualism is conceptually fuzzy, experimentally irrefutable, considers only the adult mind, and violates physics, in particular the law of conservation of energy.

So Dr Leaf bases her teaching on a scientifically and philosophically untenable concept and then attempts to use a scripture which refutes dualism in her attempt to support it. That’s audacious, but then to claim that it’s God’s divine design is, at best, a little brazen.

Dualism may be one of her fundamental philosophies, but I think Dr Leaf should review the basis for it, and possibly reconsider her reliance on it.

For a more in-depth discussion on Dr Leaf and dualism, please see my essay: Dr Caroline Leaf, Dualism, and the Triune Being Hypothesis

Going green – why envy is an adaptive process

The Bible says, in Job 5:2, “For wrath kills a foolish man, And envy slays a simple one.”

A German proverb goes, “Envy eats nothing, but its own heart.”

Dr Caroline Leaf, communication pathologist and self-titled cognitive neuroscientist, posted today on her social media feeds, “Jealousy and envy creates damage in the brain … but … celebrating others protects the brain!”

Yes, sometimes envy isn’t good for us. Emotions guide our thought process, and like all emotions that are out of balance, too much envy can cloud our better rational judgement and bias our perception of the world. Thankfully, envy doesn’t literally eat out our hearts or literally cause brain damage.

If anything, envy when experienced in a balanced way can actually improve our brain functioning. According to real cognitive neuroscientists, envy and regret are emotions that help us because they both fulfil the role of effectively evaluating our past actions, which improves our choices in the future. As Coricelli and Rustichini noted, “envy and regret, as well as their positive counterparts, share the common nature that is hypothesized in the functional role explanation: they are affective responses to the counterfactual evaluation of what we could have gotten had we made a different choice. Envy has, like regret, a functional explanation in adaptive learning.” [1]

When it comes to the human psyche, there is no black or white, good vs evil distinction between different feelings or emotions. B-grade life coaches and slick pseudoscience salespeople dumb down our emotions into a false dichotomy because it helps sell their message (and their books). Every emotion can be either helpful or unhelpful depending on their context in each individual.

As Skinner and Zimmer-Gembeck wrote, “Emotion is integral to all phases of the coping process, from vigilance, detection, and appraisals of threat to action readiness and coordinating responses during stressful encounters. However, adaptive coping does not rely exclusively on positive emotions nor on constant dampening of emotional reactions. In fact, emotions like anger have important adaptive functions, such as readying a person to sweep away an obstacle, as well communicating these intentions to others. Adaptive coping profits from flexible access to a range of genuine emotions as well as the ongoing cooperation of emotions with other components of the action system.” [2]

If you find your thoughts and feelings tinged by the greenish hue of envy, don’t worry, it’s not necessarily a bad thing. Your heart isn’t going to consume itself and you won’t sustain any brain damage. Use envy or regret as tools of learning, tools to help you evaluate your choices so that you make a better choice next time. Having balanced emotions is the key to learning and growing, coping with whatever obstacles life throws at us.


  1. Coricelli, G. and Rustichini, A., Counterfactual thinking and emotions: regret and envy learning. Philos Trans R Soc Lond B Biol Sci, 2010. 365(1538): 241-7 doi: 10.1098/rstb.2009.0159
  2. Skinner, E.A. and Zimmer-Gembeck, M.J., The development of coping. Annu Rev Psychol, 2007. 58: 119-44 doi: 10.1146/annurev.psych.58.110405.085705