Key result
Replacing dietary saturated fat with polyunsaturated fat did not change the risk of coronary events in the Minnesota Coronary Experiment.
Why the study?
Does replacing dietary saturated fat with polyunsaturated fat reduce coronary events?
Does replacing dietary saturated fat with polyunsaturated fat reduce coronary events?
Answers are grounded in this paper and cite their sources.
The commentary discusses recovered data from the Minnesota Coronary Experiment, noting a relative risk of 1.08 for coronary events when replacing saturated fat with polyunsaturated fat.
Commentary on: 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 (1968–73). BMJ 2016;353:i1246[OpenUrl][1][Abstract/FREE Full Text][2]. Replacement of a proportion of saturated fat with polyunsaturated fats is a cornerstone of dietary recommendations for the prevention of coronary heart disease.1 Ramsden and colleagues have hypothesised that n-6 polyunsaturates may increase the risk of heart disease.2 The Minnesota Coronary Experiment (MCE) was one of a small number of randomised controlled trials conducted and published between the mid-1960s and early 1990s to test the effect of replacing dietary saturated fat with polyunsaturated fat on coronary heart disease.3 The relative risk of coronary events in the treatment group was 1.08 (95% CI 0.84 to 1.37) and this result, reported in the trial's original paper, has been included … [1]: {openurl}?query=rft.jtitle%253DBMJ%26rft_id%253Dinfo%253Adoi%252F10.1136%252Fbmj.i1246%26rft_id%253Dinfo%253Apmid%252F27071971%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/ijlink?linkType=ABST&journalCode=bmj&resid=353/apr12_12/i1246&atom=%2Febmed%2F21%2F5%2F185.atom
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Skeaff et al. (2016) conducted an editorial in coronary heart disease. Replacing dietary saturated fat with polyunsaturated fat was evaluated on coronary events (RR 1.08, 95% CI 0.84 to 1.37). Replacing dietary saturated fat with polyunsaturated fat did not change the risk of coronary events in the Minnesota Coronary Experiment.
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