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Individual saturated fatty acids and nonfatal acute myocardial infarction in Costa Rica.
Eur J Clin Nutr. 2003 Nov; 57(11):1447-57.EJ

Abstract

BACKGROUND

Epidemiological studies on the effect of individual saturated fatty acids (SFAs) on cardiovascular disease, especially in developing countries with different dietary patterns, are scarce.

OBJECTIVE

To determine the risk of nonfatal acute myocardial infarction (MI) associated with consumption of individual SFAs and their food sources in Costa Rica.

DESIGN

The cases (n=485) were survivors of a first acute MI and were matched by age, sex and area of residence to population controls (n=508). Data on anthropometrical measurements, lifestyle and diet were collected using interviewer-administered questionnaires.

RESULTS

In analyses adjusted for confounders, consumption of total and individual SFAs was associated with an increased risk of MI. The odds ratio (OR) (95% confidence intervals) for 1% increase in energy from total saturated fat was 1.12 (1.03-1.21) while it was 1.51 (1.03-2.22) for lauric acid+myristic acid, 1.14 (1.01-1.30) for palmitic acid and 2.00 (1.34-3.00) for stearic acid. Although lauric and myristic acids were associated with increased risk of MI, they were consumed in small amounts and most of the saturated fat (87%) came from palmitic and stearic acids, which derived mainly from red meat and fried foods. Consumption of cheese (1-2 vs 0 servings/day) was associated with increased risk of MI (OR=3.07; 95% confidence interval: 1.74-5.39; P for trend <0.0001), while consumption of low-fat milk was not.

CONCLUSION

Increased consumption of total and individual SFAs is associated with increased risk of MI. Lauric, myristic and stearic acids were more potent than palmitic acid.

Authors+Show Affiliations

Department of Nutrition, Harvard School of Public Health, Boston, MA 02115, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

14576758

Citation

Kabagambe, E K., et al. "Individual Saturated Fatty Acids and Nonfatal Acute Myocardial Infarction in Costa Rica." European Journal of Clinical Nutrition, vol. 57, no. 11, 2003, pp. 1447-57.
Kabagambe EK, Baylin A, Siles X, et al. Individual saturated fatty acids and nonfatal acute myocardial infarction in Costa Rica. Eur J Clin Nutr. 2003;57(11):1447-57.
Kabagambe, E. K., Baylin, A., Siles, X., & Campos, H. (2003). Individual saturated fatty acids and nonfatal acute myocardial infarction in Costa Rica. European Journal of Clinical Nutrition, 57(11), 1447-57.
Kabagambe EK, et al. Individual Saturated Fatty Acids and Nonfatal Acute Myocardial Infarction in Costa Rica. Eur J Clin Nutr. 2003;57(11):1447-57. PubMed PMID: 14576758.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Individual saturated fatty acids and nonfatal acute myocardial infarction in Costa Rica. AU - Kabagambe,E K, AU - Baylin,A, AU - Siles,X, AU - Campos,H, PY - 2003/10/25/pubmed PY - 2004/3/12/medline PY - 2003/10/25/entrez SP - 1447 EP - 57 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 57 IS - 11 N2 - BACKGROUND: Epidemiological studies on the effect of individual saturated fatty acids (SFAs) on cardiovascular disease, especially in developing countries with different dietary patterns, are scarce. OBJECTIVE: To determine the risk of nonfatal acute myocardial infarction (MI) associated with consumption of individual SFAs and their food sources in Costa Rica. DESIGN: The cases (n=485) were survivors of a first acute MI and were matched by age, sex and area of residence to population controls (n=508). Data on anthropometrical measurements, lifestyle and diet were collected using interviewer-administered questionnaires. RESULTS: In analyses adjusted for confounders, consumption of total and individual SFAs was associated with an increased risk of MI. The odds ratio (OR) (95% confidence intervals) for 1% increase in energy from total saturated fat was 1.12 (1.03-1.21) while it was 1.51 (1.03-2.22) for lauric acid+myristic acid, 1.14 (1.01-1.30) for palmitic acid and 2.00 (1.34-3.00) for stearic acid. Although lauric and myristic acids were associated with increased risk of MI, they were consumed in small amounts and most of the saturated fat (87%) came from palmitic and stearic acids, which derived mainly from red meat and fried foods. Consumption of cheese (1-2 vs 0 servings/day) was associated with increased risk of MI (OR=3.07; 95% confidence interval: 1.74-5.39; P for trend <0.0001), while consumption of low-fat milk was not. CONCLUSION: Increased consumption of total and individual SFAs is associated with increased risk of MI. Lauric, myristic and stearic acids were more potent than palmitic acid. SN - 0954-3007 UR - https://www.unboundmedicine.com/medline/citation/14576758/Individual_saturated_fatty_acids_and_nonfatal_acute_myocardial_infarction_in_Costa_Rica_ L2 - http://dx.doi.org/10.1038/sj.ejcn.1601709 DB - PRIME DP - Unbound Medicine ER -