Associations between saturated fat intake and other dietary macronutrients and incident hypertension in a prospective study of French women.
Hypertension
Macronutrients
Nutritional epidemiology
Replacements
Saturated fat
Journal
European journal of nutrition
ISSN: 1436-6215
Titre abrégé: Eur J Nutr
Pays: Germany
ID NLM: 100888704
Informations de publication
Date de publication:
Apr 2023
Apr 2023
Historique:
received:
12
05
2022
accepted:
09
11
2022
pubmed:
10
12
2022
medline:
24
3
2023
entrez:
9
12
2022
Statut:
ppublish
Résumé
Saturated fat has long been associated with cardiovascular disease in multiple prospective studies, and randomized controlled trials. Few studies have assessed the relative associations between saturated fat and other macronutrients with hypertension, a major risk factor for cardiovascular disease. The aim of this study was to assess the relative associations between saturated fat, other macronutrients such as monounsaturated and polyunsaturated fat, proteins, and carbohydrates, and incident hypertension in a large prospective cohort of French women. This study used data from the E3N cohort study, including participants free of hypertension at baseline. A food frequency questionnaire was used to determine dietary intakes of saturated fat (SFA), monounsaturated fat (MUFA), polyunsaturated fat (PUFA), animal protein (AP), vegetable protein (VP), carbohydrates (CH) and various foods. Cases of hypertension were based on self-report, validated by drug reimbursement data. Covariates were based on self-report. Cox proportional hazard models were used to estimate the relative associations between different macronutrients and hypertension risk, using the 'substitution' framework. Bootstrapping was used to generate 95% confidence intervals. This study included 45,854 women free of hypertension at baseline. During 708,887 person-years of follow-up, 12,338 incident cases of hypertension were identified. Compared to saturated fat, higher consumption of all other macronutrients was associated with a lower risk of hypertension (HR This study finds that relative to other macronutrients such as monounsaturated or polyunsaturated fat, higher intake of saturated fat is associated with a higher risk of hypertension among women.
Identifiants
pubmed: 36482209
doi: 10.1007/s00394-022-03053-0
pii: 10.1007/s00394-022-03053-0
doi:
Substances chimiques
Carbohydrates
0
Dietary Fats
0
Fatty Acids
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1207-1215Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.
Références
Keys A (1970) Coronary heart disease in seven countries. Circulation 41:186–195
Jakobsen MU, O’Reilly EJ, Heitmann BL et al (2009) Major types of dietary fat and risk of coronary heart disease: a pooled analysis of 11 cohort studies. Am J Clin Nutr 89:1425–1432. https://doi.org/10.3945/ajcn.2008.27124
doi: 10.3945/ajcn.2008.27124
pubmed: 19211817
pmcid: 2676998
Farvid MS, Ding M, Pan A et al (2014) Dietary linoleic acid and risk of coronary heart disease: a systematic review and meta-analysis of prospective cohort studies. Circulation 130:1568–1578. https://doi.org/10.1161/CIRCULATIONAHA.114.010236
doi: 10.1161/CIRCULATIONAHA.114.010236
pubmed: 25161045
pmcid: 4334131
Harcombe Z, Baker JS, Davies B (2017) Evidence from prospective cohort studies does not support current dietary fat guidelines: a systematic review and meta-analysis. Br J Sports Med 51:1743–1749. https://doi.org/10.1136/bjsports-2016-096550
doi: 10.1136/bjsports-2016-096550
pubmed: 27697938
de Souza RJ, Mente A, Maroleanu A et al (2015) Intake of saturated and trans unsaturated fatty acids and risk of all cause mortality, cardiovascular disease, and type 2 diabetes: systematic review and meta-analysis of observational studies. BMJ 351:h3978. https://doi.org/10.1136/bmj.h3978
doi: 10.1136/bmj.h3978
pubmed: 26268692
pmcid: 4532752
Zhu Y, Bo Y, Liu Y (2019) Dietary total fat, fatty acids intake, and risk of cardiovascular disease: a dose–response meta-analysis of cohort studies. Lipids Health Dis 18:91. https://doi.org/10.1186/s12944-019-1035-2
doi: 10.1186/s12944-019-1035-2
pubmed: 30954077
pmcid: 6451787
Mozaffarian D, Benjamin EJ, Go AS et al (2016) Heart disease and stroke statistics—2016 update: a report from the American Heart Association. Circulation. https://doi.org/10.1161/CIR.0000000000000350
doi: 10.1161/CIR.0000000000000350
pubmed: 27067092
pmcid: 4937880
Hooper L, Summerbell CD, Thompson R et al (2011) Reduced or modified dietary fat for preventing cardiovascular disease. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD002137.pub2
doi: 10.1002/14651858.CD002137.pub2
pubmed: 21735439
pmcid: 7144736
Hooper L, Martin N, Jimoh OF et al (2020) Reduction in saturated fat intake for cardiovascular disease. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD011737.pub3
doi: 10.1002/14651858.CD011737.pub3
pubmed: 32827219
pmcid: 8092457
Harcombe Z, Baker JS, DiNicolantonio JJ et al (2016) Evidence from randomised controlled trials does not support current dietary fat guidelines: a systematic review and meta-analysis. Open Heart 3:e000409. https://doi.org/10.1136/openhrt-2016-000409
doi: 10.1136/openhrt-2016-000409
pubmed: 27547428
pmcid: 4985840
Schwingshackl L, Hoffmann G (2014) Dietary fatty acids in the secondary prevention of coronary heart disease: a systematic review, meta-analysis and meta-regression. BMJ Open 4:e004487. https://doi.org/10.1136/bmjopen-2013-004487
doi: 10.1136/bmjopen-2013-004487
pubmed: 24747790
pmcid: 3996809
Hamley S (2017) The effect of replacing saturated fat with mostly n-6 polyunsaturated fat on coronary heart disease: a meta-analysis of randomised controlled trials. Nutr J 16:30. https://doi.org/10.1186/s12937-017-0254-5
doi: 10.1186/s12937-017-0254-5
pubmed: 28526025
pmcid: 5437600
Sacks FM, Lichtenstein AH, Wu JHY et al (2017) Dietary fats and cardiovascular disease: a presidential advisory from the American Heart Association. Circulation 136:e1–e23. https://doi.org/10.1161/CIR.0000000000000510
doi: 10.1161/CIR.0000000000000510
pubmed: 28620111
Wenger NK, Arnold A, Bairey Merz CN, Cooper-DeHoff RM, Ferdinand KC, Fleg JL, Gulati M, Isiadinso I, Itchhaporia D, Light-McGroary K, Lindley KJ, Mieres JH, Rosser ML, Saade GR, Walsh MN, Pepine CJ (2018) Hypertension across a woman’s life cycle. J Am Coll Cardiol 71(16):1797–1813. https://doi.org/10.1016/j.jacc.2018.02.033 (PMID: 29673470; PMCID: PMC6005390)
doi: 10.1016/j.jacc.2018.02.033
pubmed: 29673470
pmcid: 6005390
Clavel-Chapelon F, van Liere MJ, Giubout C et al (1997) E3N, a French cohort study on cancer risk factors. E3N Group. Etude Epidémiologique auprès de femmes de l’Education Nationale. Eur J Cancer Prev Off J Eur Cancer Prev Organ ECP 6:473–478
van Liere MJ, Lucas F, Clavel F et al (1997) Relative validity and reproducibility of a French dietary history questionnaire. Int J Epidemiol 26(Suppl 1):S128–S136. https://doi.org/10.1093/ije/26.suppl_1.s128
doi: 10.1093/ije/26.suppl_1.s128
pubmed: 9126541
Slimani N, Kaaks R, Ferrari P et al (2002) European Prospective Investigation into Cancer and Nutrition (EPIC) calibration study: rationale, design and population characteristics. Public Health Nutr 5:1125–1145. https://doi.org/10.1079/PHN2002395
doi: 10.1079/PHN2002395
pubmed: 12639223
Répertoire général des aliments : table de composition=Composition tables-fdi:010009113-Horizon. https://www.documentation.ird.fr/hor/fdi:010009113 . Accessed 11 Mar 2022
Thiébaut ACM, Rotival M, Gauthier E et al (2009) Correlation between serum phospholipid fatty acids and dietary intakes assessed a few years earlier. Nutr Cancer 61:500–509. https://doi.org/10.1080/01635580802710717
doi: 10.1080/01635580802710717
pubmed: 19838922
Hercberg S (coordinator) (2005) Table de composition SU.VI.MAX des aliments. Les 330; éditions INSERM/Economica, Paris, 182 p
Astorg P, Arnault N, Czernichow S, Noisette N, Galan P, Hercberg S (2004) Dietary intakes and food sources of n−6 and n−3 PUFA in french adult men and women. Lipids 39:527–535. https://doi.org/10.1007/s11745-004-1259-6
doi: 10.1007/s11745-004-1259-6
pubmed: 15554151
Lajous M, Bijon A, Fagherazzi G et al (2014) Processed and unprocessed red meat consumption and hypertension in women. Am J Clin Nutr 100:948–952. https://doi.org/10.3945/ajcn.113.080598
doi: 10.3945/ajcn.113.080598
pubmed: 25080454
Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett Jr DR, Tudor-Locke C, Greer JL, Vezina J, Whitt-Glover MC, Leon AS (2011) Compendium of physical activities: a second update of codes and met values. Med Sci Sport Exerc 43(8):1575–1581
Tehard B, van Liere MJ, Com Nougué C, Clavel-Chapelon F (2002) Anthropometric measurements and body silhouette of women: validity and perception. J Am Diet Assoc 102(12):1779–1784. https://doi.org/10.1016/s0002-8223(02)90381-0 (PMID: 12487540; PMCID: PMC2020514)
doi: 10.1016/s0002-8223(02)90381-0
pubmed: 12487540
pmcid: 2020514
Ibsen DB, Laursen ASD, Würtz AML et al (2021) Food substitution models for nutritional epidemiology. Am J Clin Nutr 113:294–303. https://doi.org/10.1093/ajcn/nqaa315
doi: 10.1093/ajcn/nqaa315
pubmed: 33300036
Tomova GD, Arnold KF, Gilthorpe MS, Tennant PWG (2022) Adjustment for energy intake in nutritional research: a causal inference perspective. Am J Clin Nutr 115:189–198. https://doi.org/10.1093/ajcn/nqab266
doi: 10.1093/ajcn/nqab266
pubmed: 34313676
Wang L, Manson JE, Forman JP et al (2010) Dietary fatty acids and the risk of hypertension in middle-aged and older women. Hypertension 56:598–604. https://doi.org/10.1161/HYPERTENSIONAHA.110.154187
doi: 10.1161/HYPERTENSIONAHA.110.154187
pubmed: 20713915
Witteman JC, Willett WC, Stampfer MJ et al (1989) A prospective study of nutritional factors and hypertension among US women. Circulation 80:1320–1327. https://doi.org/10.1161/01.CIR.80.5.1320
doi: 10.1161/01.CIR.80.5.1320
pubmed: 2805268
Matsumoto C, Yoruk A, Wang L et al (2019) Fish and omega-3 fatty acid consumption and risk of hypertension. J Hypertens 37:1223–1229. https://doi.org/10.1097/HJH.0000000000002062
doi: 10.1097/HJH.0000000000002062
pubmed: 30882595
Appel LJ, Moore TJ, Obarzanek E et al (1997) A clinical trial of the effects of dietary patterns on blood pressure. N Engl J Med 336:1117–1124. https://doi.org/10.1056/NEJM199704173361601
doi: 10.1056/NEJM199704173361601
pubmed: 9099655
Chiu S, Bergeron N, Williams PT et al (2016) Comparison of the DASH (Dietary Approaches to Stop Hypertension) diet and a higher-fat DASH diet on blood pressure and lipids and lipoproteins: a randomized controlled trial123. Am J Clin Nutr 103:341–347. https://doi.org/10.3945/ajcn.115.123281
doi: 10.3945/ajcn.115.123281
pubmed: 26718414
Toledo E, Hu FB, Estruch R et al (2013) Effect of the Mediterranean diet on blood pressure in the PREDIMED trial: results from a randomized controlled trial. BMC Med 11:207. https://doi.org/10.1186/1741-7015-11-207
doi: 10.1186/1741-7015-11-207
pubmed: 24050803
pmcid: 3849640
Fritsche KL (2015) The science of fatty acids and inflammation. Adv Nutr Bethesda Md 6:293S-301S. https://doi.org/10.3945/an.114.006940
doi: 10.3945/an.114.006940
Schwartz EA, Zhang W-Y, Karnik SK et al (2010) Nutrient modification of the innate immune response. Arterioscler Thromb Vasc Biol 30:802–808. https://doi.org/10.1161/ATVBAHA.109.201681
doi: 10.1161/ATVBAHA.109.201681
pubmed: 20110572
de Heredia FP, Gómez-Martínez S, Marcos A (2012) Obesity, inflammation and the immune system. Proc Nutr Soc 71:332–338. https://doi.org/10.1017/S0029665112000092
doi: 10.1017/S0029665112000092
pubmed: 22429824
Cani PD, Amar J, Iglesias MA et al (2007) Metabolic endotoxemia initiates obesity and insulin resistance. Diabetes 56:1761–1772. https://doi.org/10.2337/db06-1491
doi: 10.2337/db06-1491
pubmed: 17456850
Mani V, Hollis JH, Gabler NK (2013) Dietary oil composition differentially modulates intestinal endotoxin transport and postprandial endotoxemia. Nutr Metab 10:6. https://doi.org/10.1186/1743-7075-10-6
doi: 10.1186/1743-7075-10-6
Voon PT, Ng TKW, Lee VKM, Nesaretnam K (2011) Diets high in palmitic acid (16:0), lauric and myristic acids (12:0 + 14:0), or oleic acid (18:1) do not alter postprandial or fasting plasma homocysteine and inflammatory markers in healthy Malaysian adults. Am J Clin Nutr 94:1451–1457. https://doi.org/10.3945/ajcn.111.020107
doi: 10.3945/ajcn.111.020107
pubmed: 22030224
Sesso HD, Wang L, Buring JE et al (1979) (2007) Comparison of interleukin-6 and C-reactive protein for the risk of developing hypertension in women. Hypertens Dallas TX 49:304–310. https://doi.org/10.1161/01.HYP.0000252664.24294.ff
doi: 10.1161/01.HYP.0000252664.24294.ff
Mattace-Raso FUS, Verwoert GC, Hofman A, Witteman JCM (2010) Inflammation and incident-isolated systolic hypertension in older adults: the Rotterdam study. J Hypertens 28:892–895. https://doi.org/10.1097/HJH.0b013e328336ed26
doi: 10.1097/HJH.0b013e328336ed26
pubmed: 20375909
Chiu Y-H (2022) Well-defined interventions for nutritional studies: from target trials to nutritional modeling. Am J Clin Nutr 115:3–5. https://doi.org/10.1093/ajcn/nqab343
doi: 10.1093/ajcn/nqab343
pubmed: 34849525
Renaud S, de Lorgeril M (1992) Wine, alcohol, platelets, and the French paradox for coronary heart disease. Lancet 339(8808):1523–1526. https://doi.org/10.1016/0140-6736(92)91277-f (PMID: 1351198)
doi: 10.1016/0140-6736(92)91277-f
pubmed: 1351198
Steur M, Johnson L, Sharp SJ et al (2021) Dietary fatty acids, macronutrient substitutions, food sources and incidence of coronary heart disease: findings from the EPIC-CVD case-cohort study across nine European countries. J Am Heart Assoc 10:e019814. https://doi.org/10.1161/JAHA.120.019814
doi: 10.1161/JAHA.120.019814
pubmed: 34796724
pmcid: 9075396