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Role of Polyunsaturated Fat in Modifying Cardiovascular Risk Associated With Family History of Cardiovascular Disease : Pooled De Novo Results From 15 Observational Studies

Laguzzi, F. (author)
Åkesson, A. (author)
Karolinska Institutet
Marklund, Matti (author)
Uppsala universitet,Klinisk nutrition och metabolism
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Qian, F. (author)
Gigante, B. (author)
Karolinska Institutet
Bartz, T. M. (author)
Bassett, J. K. (author)
Birukov, A. (author)
Campos, H. (author)
Hirakawa, Y. (author)
Imamura, F. (author)
Jäger, S. (author)
Lankinen, M. (author)
Murphy, R. A. (author)
Senn, M. (author)
Tanaka, T. (author)
Tintle, N. (author)
Virtanen, J. K. (author)
Yamagishi, K. (author)
Allison, M. (author)
Brouwer, I. A. (author)
De Faire, U. (author)
Eiriksdottir, G. (author)
Ferrucci, L. (author)
Forouhi, N. G. (author)
Geleijnse, J. M. (author)
Hodge, A. M. (author)
Kimura, H. (author)
Laakso, M. (author)
Risérus, Ulf, 1967- (author)
Uppsala universitet,Klinisk nutrition och metabolism
van Westing, A. C. (author)
Bandinelli, S. (author)
Baylin, A. (author)
Giles, G. G. (author)
Gudnason, V. (author)
Iso, H. (author)
Lemaitre, R. N. (author)
Ninomiya, T. (author)
Post, W. S. (author)
Psaty, B. M. (author)
Salonen, J. T. (author)
Schulze, M. B. (author)
Tsai, M. Y. (author)
Uusitupa, M. (author)
Wareham, N. J. (author)
Oh, S.-W. (author)
Wood, A. C. (author)
Harris, W. S. (author)
Siscovick, D. (author)
Mozaffarian, D. (author)
Leander, K. (author)
Karolinska Institutet
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 (creator_code:org_t)
Wolters Kluwer, 2024
2024
English.
In: Circulation. - : Wolters Kluwer. - 0009-7322 .- 1524-4539. ; 149:4, s. 305-316
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • BACKGROUND: It is unknown whether dietary intake of polyunsaturated fatty acids (PUFA) modifies the cardiovascular disease (CVD) risk associated with a family history of CVD. We assessed interactions between biomarkers of low PUFA intake and a family history in relation to long-term CVD risk in a large consortium.METHODS: Blood and tissue PUFA data from 40 885 CVD-free adults were assessed. PUFA levels ≤25th percentile were considered to reflect low intake of linoleic, alpha-linolenic, and eicosapentaenoic/docosahexaenoic acids (EPA/DHA). Family history was defined as having ≥1 first-degree relative who experienced a CVD event. Relative risks with 95% CI of CVD were estimated using Cox regression and meta-analyzed. Interactions were assessed by analyzing product terms and calculating relative excess risk due to interaction.RESULTS: After multivariable adjustments, a significant interaction between low EPA/DHA and family history was observed (product term pooled RR, 1.09 [95% CI, 1.02-1.16]; P=0.01). The pooled relative risk of CVD associated with the combined exposure to low EPA/DHA, and family history was 1.41 (95% CI, 1.30-1.54), whereas it was 1.25 (95% CI, 1.16-1.33) for family history alone and 1.06 (95% CI, 0.98-1.14) for EPA/DHA alone, compared with those with neither exposure. The relative excess risk due to interaction results indicated no interactions.CONCLUSIONS: A significant interaction between biomarkers of low EPA/DHA intake, but not the other PUFA, and a family history was observed. This novel finding might suggest a need to emphasize the benefit of consuming oily fish for individuals with a family history of CVD.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Näringslära (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nutrition and Dietetics (hsv//eng)

Keyword

biomarkers
cardiovascular diseases
fatty acids
unsaturated
medical history taking
precision medicine

Publication and Content Type

ref (subject category)
art (subject category)

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