Table 9.
Characteristics of the Lyon Diet Heart Study (LDHS)*
Diet | LA (en %) | ALA (en %) | EPA + DHA | TFA | Vitamin D | Other | Outcome (27 months) |
---|---|---|---|---|---|---|---|
Experimental | 3·6 | 0·8 | Low† | Low | U | Nuts, fruits, vegetables, whole grains | CHD events − 73%‡; Mortality − 70 %§ |
Control (prudent) | 5·3 | 0·3 | Low† | Low | U | U | NA |
LA, linoleic acid; en %, percentage of daily energy; ALA, α-linolenic acid; TFA, trans-fatty acids; U, unspecified; NA, not applicable; MI, myocardial infarction; RR, risk ratio.
The experimental group in the LDHS replaced high-LA oils with low-LA olive and rapeseed oils, and rapeseed-based soft margarine in addition to other dietary changes.
Fish consumption of mixed species was not significantly different comparing experimental and control groups (47 v. 40 g/d, respectively; P=0·16).
CHD events (non-fatal MI + CHD death) were reduced by 73 % (RR 0·27; 95 % CI 0·12, 0·59; P=0·001).
Total mortality was reduced by 70 % (RR 0·30; 95 % CI 0·11, 0·82; P=0·02).