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How good is the evidence for the lipid hypothesis?

✍ Scribed by John Stanley


Publisher
Wiley (John Wiley & Sons)
Year
2010
Tongue
English
Weight
550 KB
Volume
22
Category
Article
ISSN
0956-666X

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✦ Synopsis


Abstract

The evidence for the lipid hypothesis is weak. After 20 years of follow‐up, the Nurses Health Study, a prospective cohort study, was no longer able to demonstrate an association between intakes of saturated fat and risk of developing coronary heart disease. Randomised controlled trials with statins have shown that lowering LDL‐cholesterol levels by 23% can reduce the risk of developing cardiovascular disease but reducing saturated fat can only reduce cholesterol levels by 10%. This issue can only be resolved by carrying out randomised controlled dietary trials with CVD endpoints. Although there are scientific difficulties standing in the way of such trials, it is the opinion of this author that these can be overcome. Whether there is the political will to fund them is another matter although some of the money currently spent on prospective cohort studies would be far better spent on randomised controlled trials.


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