Dietary fats and 16-year coronary heart disease mortality in a cohort of men and women in Great Britain

Boniface, David; Tefft, Margaret E.

doi:10.1038/sj.ejcn.1601509

Cited by 60 publications

(54 citation statements)

References 42 publications

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“…Fish was found to be protective against death from CHD (He et al, 2004;Zhang et al, 2009), high intakes of saturated fats were found to increase the risk in women, but not in men (Boniface and Tefft, 2002), and oils rich in a-linolenic acid were identified to lower CHD mortality (Zatonski et al, 2008), but results have not always been consistent.…”

Section: Discussionmentioning

confidence: 97%

Dietary patterns, subclinical inflammation, incident coronary heart disease and mortality in middle-aged men from the MONICA/KORA Augsburg cohort study

et al. 2011

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Background/Objectives: We aimed to identify dietary patterns associated with inflammatory markers and to examine their impact on the incidence of coronary heart disease (CHD) and all-cause mortality, as subclinical inflammation is a risk factor for these outcomes. Subjects/Methods: The study population comprised 981 middle-aged men participating in the first or third 'MONItoring of Trends and Determinants in CArdiovascular Diseases' (MONICA) Augsburg surveys who completed 7-day dietary records. Subjects were followed up until 2002 for CHD and until 2007 for mortality. Dietary patterns were derived using reduced rank regression (RRR) with C-reactive protein, interleukin (IL)-6 and IL-18 as responses. Alternatively, partial least squares and principal components regression were used. Results: A high score of the RRR-derived pattern was characterised by high intakes of meat, soft drinks and beer and low intakes of vegetables, fresh fruit, chocolates, cake, pastries, wholemeal bread, cereals, muesli, curd, condensed milk, cream, butter, nuts, sweet bread spread and tea. This score was associated with a higher risk for CHD (hazard ratio ¼ 1.33, 95% confidence interval: 1.06-1.67, P ¼ 0.013) and mortality (hazard ratio ¼ 1.34, 1.17-1.53, Po0.001) after multivariable adjustment. However, for CHD and CHD mortality the significant association disappeared after further adjustment for smoking status; for all-cause mortality it was attenuated but remained significant (hazard ratio ¼ 1.16, 1.00-1.33, P ¼ 0.046). Patterns derived from the other methods resembled the RRR pattern showing similar results regarding disease outcomes. Conclusions: Participants exhibiting higher dietary pattern scores had higher levels of inflammatory markers and higher risk for CHD and all-cause mortality, however, smoking was an important confounder, especially for CHD outcomes.

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Section: Discussionmentioning

confidence: 97%

Dietary patterns, subclinical inflammation, incident coronary heart disease and mortality in middle-aged men from the MONICA/KORA Augsburg cohort study

et al. 2011

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“…Os resultados de pesquisas epidemiológicas corroboraram com a hipótese de que o tipo de gordura é um determinante mais importante do risco cardiovascular que a sua quantidade total. Ensaios clínicos também mostraram que a substituição de ácido graxo saturado e gorduras trans da dieta por ácido graxo polinsaturado é mais efetiva na redução dos níveis séricos de colesterol e da morbi-mortalidade por doenças cardiovasculares que a simples redução do teor total de lípides da dieta (65,(67)(68)(69)(70)(71)(72)(73)(74)(75). A recomendação atual é a de estimular o consumo de óleos vegetais (especialmente os de oliva e canola), de peixes e frutas oleaginosas, e reduzir o de alimentos ricos em gorduras saturadas e trans.…”

Section: Discussionunclassified

Hiperlipidemias e fatores dietéticos: estudo transversal entre nipo-brasileiros

Bevilacqua

Gimeno

Matsumura

et al. 2007

Arq Bras Endocrinol Metab

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RESUMOEste estudo teve como objetivo avaliar a associação entre hiperlipidemia e dieta de nipo-brasileiros de Bauru, município do Estado de São Paulo. Foram obtidos de 1.330 indivíduos dados mediante questionários previamente testados (dados demográficos e dietéticos). Os exames físicos e laboratoriais incluíram a coleta (ou dosagem) antropométrica, de pressão arterial, de glicemia de jejum e de 2 horas, de perfil lipídico e de TSH e T4 livre. Utilizaram-se teste qui-quadrado e medida de odds ratio para avaliar associação entre as variáveis estudadas e presença de hiperlipidemia. Foi encontrado 81,5% de hiperlipidêmicos e acometeu, principalmente, indivíduos tabagistas, com excesso de peso, hipotireoidismo, hipertensão arterial e intolerância a glicose. Observaram-se, mediante análise bruta, relações entre hiperlipidemia e ácido graxo saturado, ácido oléico e fibras de grãos e cereais. Após o ajuste para as variáveis de controle, observaram-se associações entre hiperlipidemia e consumo de lípides (totais, ácido oléico, saturados e trans), fibras e álcool. Conclui-se que mudanças no estilo de vida, particularmente no hábito alimentar, podem levar a uma melhora do quadro hiperlipidêmico e que o consumo de lípides pode ser um dos principais fatores para o aumento da hiperlipidemia. Estudos prospectivos auxiliarão para testar essas hipóteses nos nipo-brasileiros de Bauru. This study aimed at evaluating the association between hyperlipidemia and dietary patterns of Japanese Brazilians with and without hypothyroidism from Bauru, city in the State of São Paulo. We evaluated 1,330 individuals by means of demographic and dietary measurement, whom were gotten through standardized questionnaires previously tested. Clinical examination and laboratory data were anthropometry, blood pressure, fasting and 2-h glucose load, lipid profile and TSH and free T4. The chi-square and the odds ratio were used to evaluate associations between hyperlipidemia with studied variables. The prevalence of hyperlipidemia was 81.5% and it was associated with smokers, overweight, hypothyroid, hypertensive and glucose intolerants. We observed, in crude analysis, relationships with the presence of hyperlipidemia and fat saturated, oleic acid and dietary fiber from grains and cereals. After adjusting for the control variables, we observed relationships between hyperlipidemia (hypercholesterolemia and hypertriglyceridemia) with habitual intake of total fat, oleic acid, saturated fat, trans fat, dietary fiber and alcohol. As a conclusion, changes in the style of life, particularly in the dietary habits, can improve lipidic profile and that lipids intake can be a risk factor for hyperlipidemia. Prospectives studies will help test the hypothesis in Japanese Brazilians from Bauru. (Arq Bras Endocrinol Metab 2007;51/4:547-558)

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“…Nonetheless, the association between SFA intake and IHD has been controversial. SFA intake has been shown to be positively associated with the risk of IHD (4,5), and replacing SFA intake with polyunsaturated fatty acid (PUFA) intake was associated with a lower risk of IHD (6). SFA intake, however, was inversely associated with the progression of coronary atherosclerosis (7).…”

Section: Introductionmentioning

confidence: 95%

Dietary intake of saturated fatty acids and mortality from cardiovascular disease in Japanese: the Japan Collaborative Cohort Study for Evaluation of Cancer Risk (JACC) Study

Yamagishi¹,

Iso²,

Yatsuya³

et al. 2010

The American Journal of Clinical Nutrition

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Background: Prospective epidemiologic studies have generated mixed results regarding the association between saturated fatty acid (SFA) intake and risk of ischemic heart disease (IHD) and stroke. These associations have not been extensively studied in Asians. Objective: The aim of this study was to test the hypothesis that SFA intake is associated with the risk of cardiovascular disease mortality in Japanese whose average SFA intake is low. Design: The Japan Collaborative Cohort Study for Evaluation of Cancer Risk (JACC Study) comprised 58,453 Japanese men and women who completed a food-frequency questionnaire. Participants were aged 40-79 y at baseline (1988)(1989)(1990) and were followed up for 14.1 y. Associations of energy-adjusted SFA intake with mortality from stroke (intraparenchymal and subarachnoid hemorrhages and ischemic stroke) and heart diseases (IHD, cardiac arrest, and heart failure) were examined after adjustment for age, sex, and cardiovascular disease risk and dietary factors. Results: We observed inverse associations of SFA intake with mortality from total stroke [n = 976; multivariable hazard ratio (95% CI) for highest compared with lowest quintiles: 0.69 (0.53, 0.89); P for trend = 0.004], intraparenchymal hemorrhage [n = 224; 0.48 (0.27, 0.85); P for trend = 0.03], and ischemic stroke [n = 321; 0.58 (0.37, 0.90); P for trend = 0.01]. No multivariable-adjusted associations were observed between SFA and mortality from subarachnoid hemorrhage [n = 153; 0.91 (0.46, 1.80); P for trend = 0.47] and heart disease [n = 836; 0.89 (0.68, 1.15); P for trend = 0.59]. Conclusion: SFA intake was inversely associated with mortality from total stroke, including intraparenchymal hemorrhage and ischemic stroke subtypes, in this Japanese cohort.Am J Clin Nutr 2010;92:759-65.

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Dietary fats and 16-year coronary heart disease mortality in a cohort of men and women in Great Britain

Cited by 60 publications

References 42 publications

Dietary patterns, subclinical inflammation, incident coronary heart disease and mortality in middle-aged men from the MONICA/KORA Augsburg cohort study

Dietary patterns, subclinical inflammation, incident coronary heart disease and mortality in middle-aged men from the MONICA/KORA Augsburg cohort study

Hiperlipidemias e fatores dietéticos: estudo transversal entre nipo-brasileiros

Dietary intake of saturated fatty acids and mortality from cardiovascular disease in Japanese: the Japan Collaborative Cohort Study for Evaluation of Cancer Risk (JACC) Study

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