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Journal article

Intake of alpha-linolenic acid and risk of coronary heart disease

From

Research Unit for Dietary Studies at the Institute of Preventive Medicine, Copenhagen Municipal Hospitals Region H, Copenhagen, Denmark1

Section for Epidemiology, Department of Public Health, Aarhus University, Aarhus, Denmark2

Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Frederiksberg, Denmark3

Departments of Nutrition and Epidemiology, Harvard School of Public Health, Boston, MA, USA4

Department of Chronic Disease Prevention, National Institute for Health and Welfare, Helsinki, Finland5

Department of Surgery, Washington University School of Medicine, Saint Louis, MO, USA6

Department of Public Health and Clinical Medicine, Nutritional Research, Umeå University, Umeå, Sweden7

Division of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA8

Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN, USA9

Department of Epidemiology and Biostatistics, Department of Exercise Science, School of Public Health and Health Services, George Washington University, Washington, DC, USA10

National Institute of Public Health, University of Southern Denmark, Denmark11

...and 1 more

Intake of the mainly plant derived n-3 polyunsaturated fatty acid (PUFA) α-linolenic acid (ALA) has been associated with lower risk of coronary heart disease (CHD). However, the results have been inconsistent. Therefore, the objective of this study was to examine the association between ALA consumption and risk of CHD.

Potential effect modification by long-chain n-3 PUFA (n-3 LCPUFA) was also investigated. Data from eight American and European prospective cohort studies including 148,675 women and 80,368 men were used. The outcome measure was incident CHD (CHD event and death). During follow-up of 4-10 years, 4,493 CHD events and 1,751 CHD deaths occurred.

Among men we found an inverse association (not significant) between intake of ALA and CHD event and death. For each additional gram of ALA, there was a 15% lower risk of CHD events (HR: 0.85; 95% CI: 0.72, 1.01) and a 23% lower risk of CHD deaths (HR: 0.77; 95% CI 0.58, 1.01). We found no consistent associations among women.

No effect modification by intake of n-3 LCPUFA was found.

Language: Undetermined
Publisher: Cambridge University Press
Year: 2015
Pages: 735-743
ISSN: 14752662 and 00071145
Types: Journal article
DOI: 10.1017/S000711451400138X
ORCIDs: 0000-0001-7184-5949

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