Cardiovascular diseases and dietary fatty acids
Polemic view to new guidelines AHA.
Comment on the article N. Teicholz and E. Thorn (Medscape 2017; July 12)

Česká verzia

Authors: Eva Tůmová
Authors place of work: III. interní klinika – klinika endokrinologie a metabolismu 1. LF UK a VFN v Praze
Published in the journal: AtheroRev 2017; 2(3): 194-197
Category:

Summary

The recent recommendations of the American Heart Association from June this year emphasized again the negative effects of saturated fats in food and identified them as one of the causes of cardiovascular diseases. The paper mentions that, based on the analysis of information in the specialist literature about the results of relevant studies and their meta-analyses, the relationship between the consumption of fatty acids and the increased cardiovascular risk has not been clearly proven.

Key words:
CVD prevention dietary pattern, guidelines AHA 2017, saturated fatty acids, unsaturated fatty acids

Zdroje

1. Sacks FM, Lichtenstein AH, Wu JHY et al. Dietary Fats and Cardiovascular Disease: A Presidential Advisory from the American Heart Association. Circulation 2017; 136(3): e1-e23. Dostupné z DOI: <http://doi: 10.1161/CIR.0000000000000510>.

2. Dietary fat and its relation to heart attacks and strokes. Report by the Central Committee for Medical and Community Program of the American Heart Association. JAMA. 1961; 175: 389–391.

3. Frantz ID, Dawson EA, Ashman PL et al. Test of effect of lipid lowering by diet on cardiovascular risk. The Minnesota coronary survey. Arteriosclerosis 1989; 9(1): 129–135.

4. Taubes G. Good Calories, Bad Calories: Fats, Carbs, and the Controversial Science of Diet and Health. Alfred A. Knopf: New York 2007. ISBN 978–1-4000–3346–1.

5. Teicholz N. The Big Fat Surprise: Simon & Schuster: New York 2014. ISBN 978–1-4516–2443–4.

6. Ramsden CE, Zamora D, Majchrzak-Hong S et al. Re-evaluation of the traditional diet-heart hypothesis: analysis of recovered data from Minnesota Coronary Experiment (1968–1973). BMJ 2016; 353: i1246. Dostupné z DOI: <http://doi: 10.1136/bmj.i1246>.

7. Skeaff CM, Miller J. Dietary fat and coronary heart disease: Summary of evidence from prospective cohort and randomised controlled trials. Ann Nutr Metab 2009; 55(1–3): 173–201.

8. Mozaffarian D, Micha R, Wallace S. Effects on coronary heart disease of increasing polyunsaturated fat in place of saturated fat: a systematic review and meta-analysis of randomized controlled trials. PLoS Med. 2010; 7(3): e1000252. Dostupné z DOI: <http://doi: 10.1371/journal.pmed.1000252>.

9. Hooper L, Summerbell CD, Thompson R et al. Reduced or modified dietary fat for preventing cardiovascular disease. Cochrane Database Syst Rev 2012: Cd002137. Dostupné z DOI: <http://doi: 10.1002/14651858.CD002137.pub3>.

10. Chowdhury R, Warnakula S, Kunutsor S et al. Association of dietary, circulating, and supplement fatty acids with coronary risk: a systematic review and meta-analysis. Ann Intern Med 2014; 160(6): 398–406.

11. Schwingshackl L, Hoffmann G. Dietary fatty acids in the secondary prevention of coronary heart disease: a systematic review, meta-analysis and meta-regression. BMJ Open 2014; 4: e004487. Dostupné z DOI: <http://doi: 10.1136/bmjopen-2013–004487>.

12. Hooper L, Martin N, Abdelhamid A et al. Reduction in saturated fat intake for cardiovascular disease. Cochrane Database Syst Rev. 2015:Cd011737. Dostupné z DOI: <http://doi: 10.1002/14651858.CD011737>.

13. Harcombe Z, Baker JS, DiNicolantonio JJ. Evidence from prospective cohort studies does not support current dietary fat guidelines: a systematic review and meta-analysis. Open Heart 2016; 3(2): e000409. Dostupné z DOI: <http://doi: 10.1136/openhrt-2016–000409>.

14. Hamley S. The effect of replacing saturated fat with mostly n-6 polyunsaturated fat on coronary heart disease: a meta-analysis of randomised controlled trials. Nutr J 2017; 16(1): 30. Dostupné z DOI: <http://doi.org/10.1186/s12937–017–0254–5>.

15. Eckel RH, Jakicic JM, Ard JD, et al. 2013 AHA/ACC Guideline on Lifestyle Management to Reduce Cardiovascular Risk: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation 2014; 129(25 Suppl 2): S76-S99.

16. 2015–2020 Dietary Guidelines Advisory Committee. Dietary Guidelines for Americans. Washington, DC: US Department of Agriculture; 2015. Dostupné z WWW: <https://health.gov/dietaryguidelines/2015/guidelines/>.

17. Siervo M, Lara J, Chowdhury S et al. Effects of the Dietary Approach to Stop Hypertension (DASH) diet on cardiovascular risk factors: a systematic review and meta-analysis. Br J Nutr 2015; 113(1): 1–15.

18. Mente A, Koning L, Shannon HS, Anand SS. A systematic review of the evidence supporting a causal link between dietary factors and coronary heart disease. Arch Intern Med 2009; 169(7): 659–669.

19. Siri-Tarino PW, Sun Q, Hu FB, Krauss RM. Meta-analysis of prospective cohort studies evaluating the association of saturated fat with cardiovascular disease. Am J Clin Nutr 2010; 91(3): 535–546.

20. de Souza RJ, Mente A, Maroleanu A, et al. Intake of saturated and trans unsaturated fatty acids and risk of all cause mortality, cardiovascular disease, and type 2 diabetes: systematic review and meta-analysis of observational studies. BMJ 2015; 351: h3978. Dostupné z DOI: <http://doi: 10.1136/bmj.h3978>.

21. Bentley J. U.S. trends in food availability and a dietary assessment of loss-adjusted food availability 1970–2014. In: U.S. Department of Agriculture ERS, ed. Vol EIB-166, 2017. Dostupné z WWW: <https://www.ers.usda.gov/publications/pub-details/?pubid=82219>.

22. Blasbalg TL, Hibbeln JR, Ramsden CE et al. Changes in consumption of omega-3 and omega-6 fatty acids in the United States during the 20th century. Am J Clin Nutr 2011; 93(5): 950–962.

23. Benjamin EJ, Blaha MJ, Chiuve SE et al. Heart Disease and Stroke Statistics-2017 Update: A Report From the American Heart Association. Circulation 2017; 135(10): e146-e603. Dostupné z DOI: <http://doi: 10.1161/CIR.0000000000000485>.

24. Otto MC, Padhye NS, Bertoni AG, Jacobs DR Jr, Mozaffarian D. Everything in moderation--dietary diversity and quality, central obesity and risk of diabetes. PLoS One 2015; 10: e0141341. Dostupné z DOI: <https://doi.org/10.1371/journal.pone.0141341>.

25. Teicholz N, Thorn E. Saturated Fats and CVD: AHA Convicts, We Say Acquit. Medscape 2017; July 12. Dostupne na: http://www.medscape.com/viewarticle/882564.