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. Author manuscript; available in PMC: 2018 Jan 1.
Published in final edited form as: Am J Prev Med. 2016 Sep 16;52(1):10–19. doi: 10.1016/j.amepre.2016.07.020

Table 3.

HRs (95% CI) of Major CVD According to Quintiles of Energy-Adjusted PUFA Intake

Quintiles of polyunsaturated fatty acids

1 2 3 4 5 p for trend
Alpha-linolenic acid
Median intake, % energy 0.74 0.88 0.99 1.12 1.36
 No. of cases 364 361 363 394 459
 No. of participants 7,426 7,836 7,856 7,470 7,804
 Events per participants 0.049 0.046 0.046 0.053 0.059
 Person-years 137,869 146,522 146,457 138,918 143,794
 Age-adjusted 1.00 0.93 (0.81–1.08) 0.91 (0.79–1.06) 1.00 (0.87–1.16) 1.09 0.95–1.25) 0.06
 Multivariate 1a 1.00 0.92 (0.80–1.06) 0.88 (0.76–1.02) 0.95 (0.82–1.09) 0.99 (0.87–1.14) 0.64
 Multivariate 2b 1.00 0.91 (0.79–1.06) 0.87 (0.75–1.01) 0.92 (0.80–1.07) 0.95 (0.82–1.11) 0.83
Marine omega-3 fatty acidsc
Median intake, % energy 0.06 0.11 0.16 0.25 0.40
 No. of cases 409 387 344 404 397
 No. of participants 7,876 7,886 6,916 8,120 7,594
 Events per participants 0.052 0.049 0.050 0.050 0.052
 Person-years 145,655 147,766 129,032 150,921 140,184
 Age-adjusted 1.00 0.94 (0.82–1.08) 0.96 (0.83–1.11) 0.93 (0.81–1.07) 0.96 (0.84–1.10) 0.93
 Multivariate 1a 1.00 0.94 (0.82–1.08) 0.95 (0.82–1.09) 0.96 (0.84–1.11) 0.99 (0.86–1.13) 0.87
 Multivariate 2b 1.00 0.94 (0.82–1.08) 0.94 (0.82–1.09) 0.96 (0.84–1.11) 0.98 (0.85–1.13) 0.93
a

Hazard ratio was adjusted for randomized treatment, age, BMI, smoking, alcohol intake, physical activity, oral contraceptive use, use of hormones as defined under hormone replacement therapy, multivitamin use, family history of myocardial infarction, and baseline history of hypertension, high cholesterol, and diabetes.

b

Also adjusted for intakes of dietary fiber, fruits and vegetables, trans fat, ratio of polyunsaturated to saturated fat, and sodium.

c

Includes EPA + DHA fatty acids, but not α-linolenic acid.

CVD, cardiovascular disease; HR, hazard ratio; PUFA, polyunsaturated fatty acid.