Objective: To study the association between content of fatty acids from milk fat (14:0, 15:0 and 17:0) in adipose tissue and risk of a first myocardial infarction (MI). Design and subjects: A case-control study with 99 patients and 98 population controls both men and postmenopausal women, age 45-75 year. Adipose tissue fatty acids were determined by gas-liquid chromatography. Results: The content of 14:0, 14:1, 15:0, 17:0 and 17:1 were all significantly higher in adipose tissue of controls than of the patients. Age and sex adjusted odds ratios (OR) for MI were significantly reduced with increasing quartiles of 14:0, 14:1, 15:0 and 17:1 in adipose tissue, but except for 15:0 (OR ¼ 0.36, 95% CI 0.13-0.99), the trend was no longer significant after further adjustment for waist-to-hip ratio, smoking and family history for coronary heart disease. Correlations between 14:0 and 15:0 in adipose tissue, and waist-to-hip ratio were significantly negative (r ¼ À0.22 for both, Po0.01). Conclusion: Our study suggests that intake of dairy fat or some other component of dairy products, as reflected by C15:0 as marker in adipose tissue, may protect persons at increased risk from having a first MI, and that the causal effects may rely on other factors than serum cholesterol. Keywords: pentadecanoic acid; myristic acid; heptadecanoic acid; milk fat; coronary heart disease; biological markers
IntroductionPopulations with a high intake of saturated fat are shown to have a high mortality of coronary heart disease (CHD) (Renaud and Lanzmann-Petithory, 2001). This is one reason why intake of milk fat has been considered an important factor related to the high incidence of CHD in western countries. A large number of metabolic studies have shown that the saturated fatty acids lauric (12:0), myristic (14:0) and palmitic acid (16:0) increase serum total and LDL cholesterol (Kris-Etherton and Yu, 1997). It has been difficult, however, to demonstrate a clear relationship between intake of saturated fat and risk of cardiovascular disease in large observational studies. A significant positive association was found in two prospective studies (McGee et al., 1984;Kushi et al., 1985), but in others, weak or no association were found (Garcia-Palmieri et al., 1980;Gordon et al., 1981;Shekelle et al., 1981;Kromhout and de Lezenne, 1984;McGee et al., 1984;Kushi et al., 1985;Ascherio et al., 1996;Hu et al., 1997;Pietinen et al., 1997 HDL ratio, serum triglycerides and blood pressure, associated with dairy products (Smedman et al., 1999;Mennen et al., 2000;Pereira et al., 2002), andElwood et al. (2004), suggesting that consumption of milk products may be associated with a small reduction in risk of heart disease and stroke.Pentadecanoic acid (15:0) and heptadecanoic acid (17:0) are characteristic for milk fat. They are synthesized by the bacterial flora in the rumen of ruminants (Wu and Palmquist, 1991), and cannot be synthesized in the human body. Another fatty acid, 14:0, is mainly present in milk fat. In most human tissues, the substrate specificiti...