Dietary Fatty Acids, Macronutrient Substitutions, Food Sources and Incidence of Coronary Heart Disease: Findings From the EPIC-CVD Case-Cohort Study Across Nine European Countries

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Dietary Fatty Acids, Macronutrient Substitutions, Food Sources and Incidence of Coronary Heart Disease : Findings From the EPIC-CVD Case-Cohort Study Across Nine European Countries. / Steur, Marinka; Johnson, Laura; Sharp, Stephen J; Imamura, Fumiaki; Sluijs, Ivonne; Key, Timothy J; Wood, Angela; Chowdhury, Rajiv; Guevara, Marcela; Jakobsen, Marianne U; Johansson, Ingegerd; Koulman, Albert; Overvad, Kim; Sánchez, Maria-José; van der Schouw, Yvonne T; Trichopoulou, Antonia; Weiderpass, Elisabete; Wennberg, Maria; Zheng, Ju-Sheng; Boeing, Heiner; Boer, Jolanda M A; Boutron-Ruault, Marie-Christine; Ericson, Ulrika; Heath, Alicia K; Huybrechts, Inge; Imaz, Liher; Kaaks, Rudolf; Krogh, Vittorio; Kühn, Tilman; Kyrø, Cecilie; Masala, Giovanna; Melander, Olle; Moreno-Iribas, Conchi; Panico, Salvatore; Quirós, José R; Rodríguez-Barranco, Miguel; Sacerdote, Carlotta; Santiuste, Carmen; Skeie, Guri; Tjønneland, Anne; Tumino, Rosario; Verschuren, W M Monique; Zamora-Ros, Raul; Dahm, Christina C; Perez-Cornago, Aurora; Schulze, Matthias B; Tong, Tammy Y N; Riboli, Elio; Wareham, Nicholas J; Danesh, John; Butterworth, Adam S; Forouhi, Nita G.

I: Journal of the American Heart Association, Bind 10, Nr. 23, e019814, 12.2021.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Harvard

Steur, M, Johnson, L, Sharp, SJ, Imamura, F, Sluijs, I, Key, TJ, Wood, A, Chowdhury, R, Guevara, M, Jakobsen, MU, Johansson, I, Koulman, A, Overvad, K, Sánchez, M-J, van der Schouw, YT, Trichopoulou, A, Weiderpass, E, Wennberg, M, Zheng, J-S, Boeing, H, Boer, JMA, Boutron-Ruault, M-C, Ericson, U, Heath, AK, Huybrechts, I, Imaz, L, Kaaks, R, Krogh, V, Kühn, T, Kyrø, C, Masala, G, Melander, O, Moreno-Iribas, C, Panico, S, Quirós, JR, Rodríguez-Barranco, M, Sacerdote, C, Santiuste, C, Skeie, G, Tjønneland, A, Tumino, R, Verschuren, WMM, Zamora-Ros, R, Dahm, CC, Perez-Cornago, A, Schulze, MB, Tong, TYN, Riboli, E, Wareham, NJ, Danesh, J, Butterworth, AS & Forouhi, NG 2021, 'Dietary Fatty Acids, Macronutrient Substitutions, Food Sources and Incidence of Coronary Heart Disease: Findings From the EPIC-CVD Case-Cohort Study Across Nine European Countries', Journal of the American Heart Association, bind 10, nr. 23, e019814. https://doi.org/10.1161/JAHA.120.019814

APA

Steur, M., Johnson, L., Sharp, S. J., Imamura, F., Sluijs, I., Key, T. J., Wood, A., Chowdhury, R., Guevara, M., Jakobsen, M. U., Johansson, I., Koulman, A., Overvad, K., Sánchez, M-J., van der Schouw, Y. T., Trichopoulou, A., Weiderpass, E., Wennberg, M., Zheng, J-S., ... Forouhi, N. G. (2021). Dietary Fatty Acids, Macronutrient Substitutions, Food Sources and Incidence of Coronary Heart Disease: Findings From the EPIC-CVD Case-Cohort Study Across Nine European Countries. Journal of the American Heart Association, 10(23), [e019814]. https://doi.org/10.1161/JAHA.120.019814

CBE

Steur M, Johnson L, Sharp SJ, Imamura F, Sluijs I, Key TJ, Wood A, Chowdhury R, Guevara M, Jakobsen MU, Johansson I, Koulman A, Overvad K, Sánchez M-J, van der Schouw YT, Trichopoulou A, Weiderpass E, Wennberg M, Zheng J-S, Boeing H, Boer JMA, Boutron-Ruault M-C, Ericson U, Heath AK, Huybrechts I, Imaz L, Kaaks R, Krogh V, Kühn T, Kyrø C, Masala G, Melander O, Moreno-Iribas C, Panico S, Quirós JR, Rodríguez-Barranco M, Sacerdote C, Santiuste C, Skeie G, Tjønneland A, Tumino R, Verschuren WMM, Zamora-Ros R, Dahm CC, Perez-Cornago A, Schulze MB, Tong TYN, Riboli E, Wareham NJ, Danesh J, Butterworth AS, Forouhi NG. 2021. Dietary Fatty Acids, Macronutrient Substitutions, Food Sources and Incidence of Coronary Heart Disease: Findings From the EPIC-CVD Case-Cohort Study Across Nine European Countries. Journal of the American Heart Association. 10(23):Article e019814. https://doi.org/10.1161/JAHA.120.019814

MLA

Vancouver

Author

Steur, Marinka ; Johnson, Laura ; Sharp, Stephen J ; Imamura, Fumiaki ; Sluijs, Ivonne ; Key, Timothy J ; Wood, Angela ; Chowdhury, Rajiv ; Guevara, Marcela ; Jakobsen, Marianne U ; Johansson, Ingegerd ; Koulman, Albert ; Overvad, Kim ; Sánchez, Maria-José ; van der Schouw, Yvonne T ; Trichopoulou, Antonia ; Weiderpass, Elisabete ; Wennberg, Maria ; Zheng, Ju-Sheng ; Boeing, Heiner ; Boer, Jolanda M A ; Boutron-Ruault, Marie-Christine ; Ericson, Ulrika ; Heath, Alicia K ; Huybrechts, Inge ; Imaz, Liher ; Kaaks, Rudolf ; Krogh, Vittorio ; Kühn, Tilman ; Kyrø, Cecilie ; Masala, Giovanna ; Melander, Olle ; Moreno-Iribas, Conchi ; Panico, Salvatore ; Quirós, José R ; Rodríguez-Barranco, Miguel ; Sacerdote, Carlotta ; Santiuste, Carmen ; Skeie, Guri ; Tjønneland, Anne ; Tumino, Rosario ; Verschuren, W M Monique ; Zamora-Ros, Raul ; Dahm, Christina C ; Perez-Cornago, Aurora ; Schulze, Matthias B ; Tong, Tammy Y N ; Riboli, Elio ; Wareham, Nicholas J ; Danesh, John ; Butterworth, Adam S ; Forouhi, Nita G. / Dietary Fatty Acids, Macronutrient Substitutions, Food Sources and Incidence of Coronary Heart Disease : Findings From the EPIC-CVD Case-Cohort Study Across Nine European Countries. I: Journal of the American Heart Association. 2021 ; Bind 10, Nr. 23.

Bibtex

@article{44cdfc3a1ff8414e8483055367b6f744,
title = "Dietary Fatty Acids, Macronutrient Substitutions, Food Sources and Incidence of Coronary Heart Disease: Findings From the EPIC-CVD Case-Cohort Study Across Nine European Countries",
abstract = "Background There is controversy about associations between total dietary fatty acids, their classes (saturated fatty acids [SFAs], monounsaturated fatty acids, and polyunsaturated fatty acids), and risk of coronary heart disease (CHD). Specifically, the relevance of food sources of SFAs to CHD associations is uncertain. Methods and Results We conducted a case-cohort study involving 10 529 incident CHD cases and a random subcohort of 16 730 adults selected from a cohort of 385 747 participants in 9 countries of the EPIC (European Prospective Investigation into Cancer and Nutrition) study. We estimated multivariable adjusted country-specific hazard ratios (HRs) and 95% CIs per 5% of energy intake from dietary fatty acids, with and without isocaloric macronutrient substitutions, using Prentice-weighted Cox regression models and pooled results using random-effects meta-analysis. We found no evidence for associations of the consumption of total or fatty acid classes with CHD, regardless of macronutrient substitutions. In analyses considering food sources, CHD incidence was lower per 1% higher energy intake of SFAs from yogurt (HR, 0.93 [95% CI, 0.88-0.99]), cheese (HR, 0.98 [95% CI, 0.96-1.00]), and fish (HR, 0.87 [95% CI, 0.75-1.00]), but higher for SFAs from red meat (HR, 1.07 [95% CI, 1.02-1.12]) and butter (HR, 1.02 [95% CI, 1.00-1.04]). Conclusions This observational study found no strong associations of total fatty acids, SFAs, monounsaturated fatty acids, and polyunsaturated fatty acids, with incident CHD. By contrast, we found associations of SFAs with CHD in opposite directions dependent on the food source. These findings should be further confirmed, but support public health recommendations to consider food sources alongside the macronutrients they contain, and suggest the importance of the overall food matrix.",
keywords = "coronary heart disease, dietary guidelines, nutritional epidemiology, primary prevention, saturated fat",
author = "Marinka Steur and Laura Johnson and Sharp, {Stephen J} and Fumiaki Imamura and Ivonne Sluijs and Key, {Timothy J} and Angela Wood and Rajiv Chowdhury and Marcela Guevara and Jakobsen, {Marianne U} and Ingegerd Johansson and Albert Koulman and Kim Overvad and Maria-Jos{\'e} S{\'a}nchez and {van der Schouw}, {Yvonne T} and Antonia Trichopoulou and Elisabete Weiderpass and Maria Wennberg and Ju-Sheng Zheng and Heiner Boeing and Boer, {Jolanda M A} and Marie-Christine Boutron-Ruault and Ulrika Ericson and Heath, {Alicia K} and Inge Huybrechts and Liher Imaz and Rudolf Kaaks and Vittorio Krogh and Tilman K{\"u}hn and Cecilie Kyr{\o} and Giovanna Masala and Olle Melander and Conchi Moreno-Iribas and Salvatore Panico and Quir{\'o}s, {Jos{\'e} R} and Miguel Rodr{\'i}guez-Barranco and Carlotta Sacerdote and Carmen Santiuste and Guri Skeie and Anne Tj{\o}nneland and Rosario Tumino and Verschuren, {W M Monique} and Raul Zamora-Ros and Dahm, {Christina C} and Aurora Perez-Cornago and Schulze, {Matthias B} and Tong, {Tammy Y N} and Elio Riboli and Wareham, {Nicholas J} and John Danesh and Butterworth, {Adam S} and Forouhi, {Nita G}",
year = "2021",
month = dec,
doi = "10.1161/JAHA.120.019814",
language = "English",
volume = "10",
journal = "Journal of the American Heart Association",
issn = "2047-9980",
publisher = "Wiley-Blackwell Publishing, Inc.",
number = "23",

}

RIS

TY - JOUR

T1 - Dietary Fatty Acids, Macronutrient Substitutions, Food Sources and Incidence of Coronary Heart Disease

T2 - Findings From the EPIC-CVD Case-Cohort Study Across Nine European Countries

AU - Steur, Marinka

AU - Johnson, Laura

AU - Sharp, Stephen J

AU - Imamura, Fumiaki

AU - Sluijs, Ivonne

AU - Key, Timothy J

AU - Wood, Angela

AU - Chowdhury, Rajiv

AU - Guevara, Marcela

AU - Jakobsen, Marianne U

AU - Johansson, Ingegerd

AU - Koulman, Albert

AU - Overvad, Kim

AU - Sánchez, Maria-José

AU - van der Schouw, Yvonne T

AU - Trichopoulou, Antonia

AU - Weiderpass, Elisabete

AU - Wennberg, Maria

AU - Zheng, Ju-Sheng

AU - Boeing, Heiner

AU - Boer, Jolanda M A

AU - Boutron-Ruault, Marie-Christine

AU - Ericson, Ulrika

AU - Heath, Alicia K

AU - Huybrechts, Inge

AU - Imaz, Liher

AU - Kaaks, Rudolf

AU - Krogh, Vittorio

AU - Kühn, Tilman

AU - Kyrø, Cecilie

AU - Masala, Giovanna

AU - Melander, Olle

AU - Moreno-Iribas, Conchi

AU - Panico, Salvatore

AU - Quirós, José R

AU - Rodríguez-Barranco, Miguel

AU - Sacerdote, Carlotta

AU - Santiuste, Carmen

AU - Skeie, Guri

AU - Tjønneland, Anne

AU - Tumino, Rosario

AU - Verschuren, W M Monique

AU - Zamora-Ros, Raul

AU - Dahm, Christina C

AU - Perez-Cornago, Aurora

AU - Schulze, Matthias B

AU - Tong, Tammy Y N

AU - Riboli, Elio

AU - Wareham, Nicholas J

AU - Danesh, John

AU - Butterworth, Adam S

AU - Forouhi, Nita G

PY - 2021/12

Y1 - 2021/12

N2 - Background There is controversy about associations between total dietary fatty acids, their classes (saturated fatty acids [SFAs], monounsaturated fatty acids, and polyunsaturated fatty acids), and risk of coronary heart disease (CHD). Specifically, the relevance of food sources of SFAs to CHD associations is uncertain. Methods and Results We conducted a case-cohort study involving 10 529 incident CHD cases and a random subcohort of 16 730 adults selected from a cohort of 385 747 participants in 9 countries of the EPIC (European Prospective Investigation into Cancer and Nutrition) study. We estimated multivariable adjusted country-specific hazard ratios (HRs) and 95% CIs per 5% of energy intake from dietary fatty acids, with and without isocaloric macronutrient substitutions, using Prentice-weighted Cox regression models and pooled results using random-effects meta-analysis. We found no evidence for associations of the consumption of total or fatty acid classes with CHD, regardless of macronutrient substitutions. In analyses considering food sources, CHD incidence was lower per 1% higher energy intake of SFAs from yogurt (HR, 0.93 [95% CI, 0.88-0.99]), cheese (HR, 0.98 [95% CI, 0.96-1.00]), and fish (HR, 0.87 [95% CI, 0.75-1.00]), but higher for SFAs from red meat (HR, 1.07 [95% CI, 1.02-1.12]) and butter (HR, 1.02 [95% CI, 1.00-1.04]). Conclusions This observational study found no strong associations of total fatty acids, SFAs, monounsaturated fatty acids, and polyunsaturated fatty acids, with incident CHD. By contrast, we found associations of SFAs with CHD in opposite directions dependent on the food source. These findings should be further confirmed, but support public health recommendations to consider food sources alongside the macronutrients they contain, and suggest the importance of the overall food matrix.

AB - Background There is controversy about associations between total dietary fatty acids, their classes (saturated fatty acids [SFAs], monounsaturated fatty acids, and polyunsaturated fatty acids), and risk of coronary heart disease (CHD). Specifically, the relevance of food sources of SFAs to CHD associations is uncertain. Methods and Results We conducted a case-cohort study involving 10 529 incident CHD cases and a random subcohort of 16 730 adults selected from a cohort of 385 747 participants in 9 countries of the EPIC (European Prospective Investigation into Cancer and Nutrition) study. We estimated multivariable adjusted country-specific hazard ratios (HRs) and 95% CIs per 5% of energy intake from dietary fatty acids, with and without isocaloric macronutrient substitutions, using Prentice-weighted Cox regression models and pooled results using random-effects meta-analysis. We found no evidence for associations of the consumption of total or fatty acid classes with CHD, regardless of macronutrient substitutions. In analyses considering food sources, CHD incidence was lower per 1% higher energy intake of SFAs from yogurt (HR, 0.93 [95% CI, 0.88-0.99]), cheese (HR, 0.98 [95% CI, 0.96-1.00]), and fish (HR, 0.87 [95% CI, 0.75-1.00]), but higher for SFAs from red meat (HR, 1.07 [95% CI, 1.02-1.12]) and butter (HR, 1.02 [95% CI, 1.00-1.04]). Conclusions This observational study found no strong associations of total fatty acids, SFAs, monounsaturated fatty acids, and polyunsaturated fatty acids, with incident CHD. By contrast, we found associations of SFAs with CHD in opposite directions dependent on the food source. These findings should be further confirmed, but support public health recommendations to consider food sources alongside the macronutrients they contain, and suggest the importance of the overall food matrix.

KW - coronary heart disease

KW - dietary guidelines

KW - nutritional epidemiology

KW - primary prevention

KW - saturated fat

UR - http://www.scopus.com/inward/record.url?scp=85121028397&partnerID=8YFLogxK

U2 - 10.1161/JAHA.120.019814

DO - 10.1161/JAHA.120.019814

M3 - Journal article

C2 - 34796724

VL - 10

JO - Journal of the American Heart Association

JF - Journal of the American Heart Association

SN - 2047-9980

IS - 23

M1 - e019814

ER -