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Prediction of Cardiovascular Mortality in Middle-aged Men by Dietary and Serum Linoleic and Polyunsaturated Fatty Acids

E. Laaksonen, MD, PhD, MPH; Kristiina Nyyssönen, PhD; Leo Niskanen, MD, PhD; Tiina H. Rissanen, PhD; Jukka T. Salonen, MD, PhD, MScPH

Arch Intern Med. 2005;165:193-199.

Background Substitution of dietary polyunsaturated for saturated fat has long been recommended for the primary prevention of cardiovascular disease (CVD), but only a few prospective cohort studies have provided support for this advice.

Methods We assessed the association of dietary linoleic and total polyunsaturated fatty acid (PUFA) intake with cardiovascular and overall mortality in a population-based cohort of 1551 middle-aged men. Dietary fat composition was estimated with a 4-day food record and serum fatty acid composition.

Results During the 15-year follow-up, 78 men died of CVD and 225 of any cause. Total fat intake was not related to CVD or overall mortality. Men with an energy-adjusted dietary intake of linoleic acid (relative risk [RR] 0.39; 95% confidence interval [CI], 0.21-0.71) and PUFA (RR, 0.38; 95% CI, 0.20-0.70) in the upper third were less likely to die of CVD than men with intake in the lower third after adjustment for age. Multivariate adjustment weakened the association somewhat. Mortality from CVD was also lower for men with proportions of serum esterified linoleic acid (RR, 0.42; 95% CI, 0.21-0.80) and PUFA (RR, 0.25; 95% CI, 0.12-0.50) in the upper vs lower third, with some attenuation in multivariate analyses. Serum and to a lesser extent dietary linoleic acid and PUFA were also inversely associated with overall mortality.

Conclusions Dietary polyunsaturated and more specifically linoleic fatty acid intake may have a substantial cardioprotective benefit that is also reflected in overall mortality. Dietary fat quality seems more important than fat quantity in the reduction of cardiovascular mortality in men.

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This was an interesting abstract. It strengthens the discussions that

we had some time ago about the Hegsted equation and the role of

dietary linoleic acid (C18:2) in decreasing serum cholesterol.

The best sources of linoleic acid are Safflower oil (78%), grape seed

oil (73%), and sunflower oil (68%). By comparison, Canola oil and

olive oil have 22% and 10% LA, respectively.

About 50% of the weight of raw sunflower seeds consists of oil, which

makes them make an excellent whole-food source of LA.

Tony

>>>

From: " Jeff Novick " <jnovick@p...>

Date: Mon Jan 24, 2005 4:36 pm

Subject: EFAs and CVD

Prediction of Cardiovascular Mortality in Middle-aged Men by Dietary

and Serum Linoleic and Polyunsaturated Fatty Acids

E. Laaksonen, MD, PhD, MPH; Kristiina Nyyssönen, PhD; Leo

Niskanen, MD, PhD; Tiina H. Rissanen, PhD; Jukka T. Salonen, MD, PhD,

MScPH

Arch Intern Med. 2005;165:193-199.

>>>

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And safflower doesn't freeze solid if you keep it in the

refridgerator.

Rodney.

>

> This was an interesting abstract. It strengthens the discussions

that

> we had some time ago about the Hegsted equation and the role of

> dietary linoleic acid (C18:2) in decreasing serum cholesterol.

>

> The best sources of linoleic acid are Safflower oil (78%), grape

seed

> oil (73%), and sunflower oil (68%). By comparison, Canola oil and

> olive oil have 22% and 10% LA, respectively.

>

> About 50% of the weight of raw sunflower seeds consists of oil,

which

> makes them make an excellent whole-food source of LA.

>

> Tony

>

> >>>

> From: " Jeff Novick " <jnovick@p...>

> Date: Mon Jan 24, 2005 4:36 pm

> Subject: EFAs and CVD

>

> Prediction of Cardiovascular Mortality in Middle-aged Men by Dietary

> and Serum Linoleic and Polyunsaturated Fatty Acids

> E. Laaksonen, MD, PhD, MPH; Kristiina Nyyssönen, PhD; Leo

> Niskanen, MD, PhD; Tiina H. Rissanen, PhD; Jukka T. Salonen, MD,

PhD,

> MScPH

> Arch Intern Med. 2005;165:193-199.

> >>>

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