000 03315nam a22005417a 4500
008 190823s20192019 xxu||||| |||| 00| 0 eng d
022 _a2072-6643
024 _a10.3390/nu11071672 [doi]
024 _anu11071672 [pii]
040 _aOvid MEDLINE(R)
099 _a31330892
245 _aPlasma Phospholipid Fatty Acids and Coronary Heart Disease Risk: A Matched Case-Control Study within the Women's Health Initiative Observational Study.
251 _aNutrients. 11(7), 2019 Jul 21.
252 _aNutrients. 11(7), 2019 Jul 21.
253 _aNutrients
260 _c2019
260 _fFY2020
265 _sepublish
265 _sppublish
266 _d2019-08-23
520 _aBACKGROUND AND AIMS: The association of fatty acids with coronary heart disease (CHD) has been examined, mainly through dietary measurements, and has generated inconsistent results due to measurement error. Large observational studies and randomized controlled trials have shown that plasma phospholipid fatty acids (PL-FA), especially those less likely to be endogenously synthesized, are good biomarkers of dietary fatty acids. Thus, PL-FA profiles may better predict CHD risk with less measurement error.
520 _aCONCLUSIONS: Higher plasma PL long-chain SFA and lower PUFA n-3 were associated with increased CHD risk. A change in diet by limiting foods that are associated with plasma PL long-chain SFA and TFA while enhancing foods high in PUFA n-3 may be beneficial in CHD among postmenopausal women.
520 _aMETHODS: We performed a matched case-control study of 2428 postmenopausal women nested in the Women's Health Initiative Observational Study. Plasma PL-FA were measured using gas chromatography and expressed as molar percentage (moL %). Multivariable conditional logistic regression was used to calculate odds ratios (95% CIs) for CHD associated with 1 moL % change in PL-FA.
520 _aRESULTS: Higher plasma PL long-chain saturated fatty acids (SFA) were associated with increased CHD risk, while higher n-3 polyunsaturated fatty acids (PUFA) were associated with decreased risk. No significant associations were observed for very-long-chain SFA, monounsaturated fatty acids (MUFA), PUFA n-6 or trans fatty acids (TFA). Substituting 1 moL % PUFA n-6 or TFA with an equivalent proportion of PUFA n-3 were associated with lower CHD risk.
546 _aEnglish
650 _a*Cooking
650 _a*Health Promotion/mt [Methods]
650 _a*Integrative Medicine
650 _a*Nutritional Sciences/ed [Education]
650 _a*Shared Medical Appointments
650 _aAdolescent
650 _aAdult
650 _aAged
650 _aAged, 80 and over
650 _aFeasibility Studies
650 _aFemale
650 _aHumans
650 _aMale
650 _aMiddle Aged
650 _aMind-Body Therapies
650 _aYoung Adult
651 _aMedStar Health Research Institute
657 _aJournal Article
700 _aHoward, Barbara V
790 _aAllison MA, Eaton CB, Howard BV, Li W, Lichtenstein AH, Liu Q, Manson JE, Martin LW, Matthan NR, Neuhouser ML, Rossouw JE, Snetselaar LG, Tinker LF, Van Horn LV, Wang L
856 _uhttps://dx.doi.org/10.3390/nu11071672
_zhttps://dx.doi.org/10.3390/nu11071672
942 _cART
_dArticle
999 _c4526
_d4526