Effects on Coronary Heart Disease of Increasing Polyunsaturated Fat in Place of Saturated Fat A Systematic Review and Meta-Analysis of Randomized Controlled Trials 英文参考文献.docVIP
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Effects on Coronary Heart Disease of Increasing Polyunsaturated Fat in Place of Saturated Fat A Systematic Review and Meta-Analysis of Randomized Controlled Trials 英文参考文献
EffectsonCoronaryHeartDiseaseofIncreasing
PolyunsaturatedFatinPlaceofSaturatedFat:A
SystematicReviewandMeta-AnalysisofRandomized
ControlledTrials
DariushMozaffarian1,2,3*,RenataMicha2,SarahWallace2
1Division of Cardiovascular Medicine and Channing Laboratory, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston,
Massachusetts,UnitedStatesofAmerica,2DepartmentofEpidemiology,HarvardSchoolofPublicHealth,Boston,Massachusetts,UnitedStatesofAmerica,3Department
ofNutrition,HarvardSchoolofPublicHealth,Boston,Massachusetts,UnitedStatesofAmerica
Abstract
Background:Reducedsaturatedfat(SFA)consumptionisrecommendedtoreducecoronaryheartdisease(CHD),butthere
is an absence of strong supporting evidence from randomized controlled trials (RCTs) of clinical CHD events and few
guidelines focus on any specific replacement nutrient. Additionally, some public health groups recommend lowering or
limitingpolyunsaturatedfat(PUFA)consumption,amajorpotentialreplacementforSFA.
Methods and Findings: We systematically investigated and quantified the effects of increased PUFA consumption, as a
replacementforSFA,onCHDendpointsinRCTs.RCTswereidentifiedbysystematicsearchesofmultipleonlinedatabases
throughJune2009,greyliteraturesources,hand-searchingrelatedarticlesandcitations,anddirectcontactswithexpertsto
identifypotentiallyunpublishedtrials.StudieswereincludediftheyrandomizedparticipantstoincreasedPUFAforatleast1
year without major concomitant interventions, had an appropriate control group, and reported incidence of CHD
(myocardialinfarctionand/orcardiacdeath).Inclusions/exclusionswereadjudicatedanddatawereextractedindependently
and in duplicate by two investigators and included population characteristics, control and intervention diets, follow-up
duration, types of events, risk ratios, and SEs. Pooled effects were calculated using inverse-variance-weighted random
effectsmeta-analysis.From346identifiedabstracts,eighttrialsmetinclusioncriteria,totaling13,614par
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