Association of Dietary, Circulating, and Supplement Fatty Acids With Coronary Risk
Authors: Connie Diekman, Gerard Hornstra, Bethold V. Koletzko, Anna Lartey, Joyce Nettleton
Journal: Annals of Internal Medicine (2014)

Letters16 September 2014Association of Dietary, Circulating, and Supplement Fatty Acids With Coronary RiskConnie Diekman, MEd, RD, CSSD, LD, FAND, Gerard Hornstra, PhD Med, Bethold V. Koletzko, MD, PhD, Anna Lartey, PhD, and Joyce Nettleton, DScConnie Diekman, MEd, RD, CSSD, LD, FANDFrom Washington University, St. Louis, Missouri; Maastricht University, Maastricht, the Netherlands; University Munich Medical Centre, Munich, Germany; President, International Union of Nutritional Sciences; and ScienceVoice Consulting, Denver, Colorado.Search for more papers by this author, Gerard Hornstra, PhD MedFrom Washington University, St. Louis, Missouri; Maastricht University, Maastricht, the Netherlands; University Munich Medical Centre, Munich, Germany; President, International Union of Nutritional Sciences; and ScienceVoice Consulting, Denver, Colorado.Search for more papers by this author, Bethold V. Koletzko, MD, PhDFrom Washington University, St. Louis, Missouri; Maastricht University, Maastricht, the Netherlands; University Munich Medical Centre, Munich, Germany; President, International Union of Nutritional Sciences; and ScienceVoice Consulting, Denver, Colorado.Search for more papers by this author, Anna Lartey, PhDFrom Washington University, St. Louis, Missouri; Maastricht University, Maastricht, the Netherlands; University Munich Medical Centre, Munich, Germany; President, International Union of Nutritional Sciences; and ScienceVoice Consulting, Denver, Colorado.Search for more papers by this author, and Joyce Nettleton, DScFrom Washington University, St. Louis, Missouri; Maastricht University, Maastricht, the Netherlands; University Munich Medical Centre, Munich, Germany; President, International Union of Nutritional Sciences; and ScienceVoice Consulting, Denver, Colorado.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L14-5018-8 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Chowdhury and colleagues’ (1) systematic review questions current dietary guidelines on fat quality in the diet. A close look at the authors’ results reveals serious flaws in their data collection and analysis.Guidelines for healthier fat intake must account for what replaces the restricted items. We now know that replacing SFA with sugar and refined carbohydrates does not reduce the risk for heart disease, but replacement with PUFA does. This is the current scientific consensus and is the basis of recent recommendations to replace SFA with unsaturated fat in the diet (2).Our primary concern is the ...References1. Chowdhury R, Warnakula S, Kunutsor S, Crowe F, Ward HA, Johnson L, et al. Association of dietary, circulating, and supplement fatty acids with coronary risk: a systematic review and meta-analysis. Ann Intern Med. 2014;160:398-406. [PMID: 24723079] doi:10.7326/M13-1788 LinkGoogle Scholar2. Michas G, Micha R, Zampelas A. Dietary fats and cardiovascular disease: putting together the pieces of a complicated puzzle. Atherosclerosis. 2014;234:320-8. [PMID: 24727233] doi:10.1016/j.atherosclerosis.2014.03.013 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Washington University, St. Louis, Missouri; Maastricht University, Maastricht, the Netherlands; University Munich Medical Centre, Munich, Germany; President, International Union of Nutritional Sciences; and ScienceVoice Consulting, Denver, Colorado.Disclosures: The authors form the steering committee of the International Expert Movement (IEM) on the health significance of fat quality in the diet. The IEM mission is “to disseminate sound scientific information about food and nutrition, especially fat quality in the diet, amongst professionals and the general public in actionable ways, in order to promote and advance nutritional improvement focusing on the quality of diets.” International activities of the IEM are held under the auspices of the International Union of Nutritional Sciences and funded by an unrestricted grant from Unilever. Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L14-0323. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAssociation of Dietary, Circulating, and Supplement Fatty Acids With Coronary Risk Rajiv Chowdhury , Samantha Warnakula , Setor Kunutsor , Francesca Crowe , Heather A. Ward , Laura Johnson , Oscar H. Franco , Adam S. Butterworth , Nita G. Forouhi , Simon G. Thompson , Kay-Tee Khaw , Dariush Mozaffarian , John Danesh , and Emanuele Di Angelantonio Association of Dietary, Circulating, and Supplement Fatty Acids With Coronary Risk Rajiv Chowdhury , Samantha Warnakula , Setor Kunutsor , Francesca Crowe , Heather A. Ward , Laura Johnson , Oscar H. Franco , Adam S. Butterworth , Nita G. Forouhi , Simon G. Thompson , Kay-Tee Khaw , Dariush Mozaffarian , John Danesh , and Emanuele Di Angelantonio Association of Dietary, Circulating, and Supplement Fatty Acids With Coronary Risk Christine Dawczynski , Marcus E. 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Kleber , Winfried März , Gerhard Jahreis , and Stefan Lorkowski Association of Dietary, Circulating, and Supplement Fatty Acids With Coronary Risk Johanna M. Geleijnse , Ingeborg A. Brouwer , and Daan Kromhout Association of Dietary, Circulating, and Supplement Fatty Acids With Coronary Risk Mark McCaulley Association of Dietary, Circulating, and Supplement Fatty Acids With Coronary Risk Bonnie F. Liebman , Martijn B. Katan , and Michael F. Jacobson Association of Dietary, Circulating, and Supplement Fatty Acids With Coronary Risk Lisa Te Morenga , Jim Mann , and Murray Skeaff Association of Dietary, Circulating, and Supplement Fatty Acids With Coronary Risk Lukas Schwingshackl and Georg Hoffmann Metrics Cited ByNew Insights or Confusion—Is Butter Really Back? 16 September 2014Volume 161, Issue 6Page: 456-457KeywordsCardiovascular therapyDietDisclosureFatsFoodMeatNutritionOilsPrevention, policy, and public health ePublished: 16 September 2014 Issue Published: 16 September 2014 CopyrightCopyright © 2014 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...